Genome Sequencing during a Patient’s Journey through Cancer
Abstract
Interview with Dr. Peter J. Campbell on genome sequencing in cancer. (12:43)Download Breakthroughs in gene-sequencing methods and bioinformatics have ushered in a new era in cancer diagnosis and management. Powerful analytic tools are beginning to improve cancer nosology and facilitate the discovery of genetic defects in tumor cells that can be exploited for treatment and the monitoring of disease regression and progression. This article is accompanied by an explanatory video, an illustrated glossary, and an audio interview with the author.
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The unique advantage of using WGS is that both genetic testing and mutational scar based HRD detection with CHORD can be performed simultaneously with the same assay.
“The unique advantage of using WGS, although not routine in clinical diagnostics yet, but likely in the near future36, is that both genetic testing and mutational scar based HRD detection with CHORD can be performed simultaneously with the same assay.”
From Pan-cancer landscape of homologous recombination deficiency. (2020) · cites this paper as [36]
TOAD achieved top-1/top-3 accuracies of approximately 0.83/0.96 on an internal test set and 0.80/0.93 on an external test set; in a CUP cohort (n=317), its top-three predictions matched pathologists' differentials in 82% of cases.
“Trained on 17,486 slides spanning 18 primary sites, it achieved top-1/top-3 accuracies of approximately 0.83/0.96 on an internal test set and 0.80/0.93 on an external test set; in a curated cancer of unknown primary (CUP) cohort (n = 317), its top-three predictions matched pathologists’ differentials in 82% of cases.”
From Artificial Intelligence in Clinical Oncology: From Productivity Enhancement to Creative Discovery (2025) · cites this paper as [82]
The TOAD model estimates tissue of origin from routine H&E whole-slide images.
“The TOAD (Tumour Origin Assessment via Deep learning) model estimates tissue of origin from routine H&E WSIs [82].”
From Artificial Intelligence in Clinical Oncology: From Productivity Enhancement to Creative Discovery (2025) · cites this paper as [82]
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Self-citationPathogenic Germline Variants in 10,389 Adult Cancers
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Tracking Cancer Evolution Reveals Constrained Routes to Metastases: TRACERx Renal
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Non-coding recurrent mutations in chronic lymphocytic leukaemia
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Subclonal diversification of primary breast cancer revealed by multiregion sequencing
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Self-citationTrans-ancestry mutational landscape of hepatocellular carcinoma genomes
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Landscape of Somatic Retrotransposition in Human Cancers
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Self-citationA Compendium of Mutational Signatures of Environmental Agents
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Pan-cancer landscape of homologous recombination deficiency.
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Liquid Biopsy Based on Cell-Free DNA and RNA
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“Given the gradually increasing adoption of WGS in routine diagnostics [11], CUPLR serves as a viable complementary tool to standard procedures for determining TOO (e.g. histopathological staining and immunohistochemistry).”
BackgroundMethodCellular barcoding to decipher clonal dynamics in disease
Sankaran, V. G., Weissman, J. S., & Zon, L. I. (2022) · Science · doi:10.1126/science.abm5874 · Cited by 81 · see citing works
“Naturally occurring somatic mutations have been used for retrospective phylogenetic inference of the clonal dynamics in cancers (77, 78).”
MethodFeasibility of whole genome and transcriptome profiling in pediatric and young adult cancers
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“The clinical relevance of cWGTS extends beyond that of rare cancers 59 .”
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“WGS can successfully address the above-mentioned challenges and would therefore offer an attractive solution [19–21], but its feasibility in routine pathology practice remains to be proven [22].”
BackgroundChromosome structural variation in tumorigenesis: mechanisms of formation and carcinogenesis
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“In fact, clinical testing for specific mutations and genomic classification has achieved overwhelming successes in hematology [2].”
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Discovery through clinical sequencing in oncology
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“The growing availability of tumor DNA sequencing in the clinical setting has revolutionized the approach to cancer care.(1) With the use of next-generation sequencing (NGS) of multigene panels, medical oncologists can offer personalized treatment options to their patients in a timely manner.”
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“…as massively parallel sequencing, brought unprecedented resolution to cancer genomic profiling, and led to predications of a future state of precision cancer medicine in which the tumor genome from every patient would be completely sequenced as part of routine care (Nangalia & Campbell, 2019).”
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“36 Thus, it has become possible to obtain molecular information in units of tens of thousands in a few hours to a few days, instead of searching for individual genomic, genetic, and protein information.”
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AI (Artificial Intelligence) and Hypertension Research
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Evaluation of false positive and false negative errors in targeted next generation sequencing
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“Next-generation sequencing (NGS) technology can examine millions of DNA variants at a time, and over 11,000 laboratories and companies in the USA have developed their own NGS tests for genetic diagnosis with a revenue of 8.8 billion in 2020 [20, 57] ( https://www.ncbi.nlm.nih.gov/gtr/ ), and…”
InfluentialDistinct Genomic Profiles Are Associated with Treatment Response and Survival in Ovarian Cancer
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Innovative Tumor Tissue Dissection Tool for Molecular Oncology Diagnostics
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“With the advancements in next-generation sequencing (NGS), numerous driver mutations have been revealed and treatments have attained higher precision (2).”
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Reovirus and the Host Integrated Stress Response: On the Frontlines of the Battle to Survive
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“It is becoming commonplace for clinicians to biopsy a patient’s tumor for sequencing, aiding in the determination of the appropriate therapy for that individual’s tumor [116].”
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- Authors
- Nangalia, J., & Campbell, P. J.
- Affiliations
- Wellcome/MRC Cambridge Stem Cell Institute (GB)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2019-11-28
- Volume
- 381
- Issue
- 22
- Pages
- 2145-2156
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2990010818
- Cited by
- 66
- References
- 134
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 2 · 2023: 3 · 2022: 15 · 2021: 18 · 2020: 15
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust (103858/Z/14/Z)
- Cancer Research UK (23917)
- Medical Research Council (MC_PC_12009)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- cancer genome sequencing, cancer genomics, cancer diagnosis, cancer management, somatic mutations, disease progression monitoring, treatment response monitoring, bioinformatics
- MeSH terms
- Whole Genome Sequencing, Humans, Interviews as Topic, Mutation, Neoplasms, Genome, Germ-Line Mutation, Risk Assessment, Precision Medicine
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