27.11.13 WIMM PI Curriculum Vitae Personal Data Name Nationality Email Adrian L Harris UK adrian.harris@oncology.ox.ac.uk Present Position Since 1988 Cancer Research UK Professor of Medical Oncology, University of Oxford Director of Molecular Oncology Laboratories, Weatherall Institute of Molecular Medicine Consultant Medical Oncologist, Oxford University Hospitals NHS Trust Professorial Fellow of St Hugh's College, University of Oxford Experimental Cancer Medicine Centre Director, Oxford Radcliffe Hospitals NHS Trust and Cancer Research UK until 2010 Chairman of Cancer Research UK Cancer Centre, Oxford Previous Positions 1973 House Physician to Professor D A Price-Evans and Dr R B McConnell, Liverpool Royal Infirmary 1974 House Surgeon to Professor R Shields and Mr A Cushieri 1974 Senior House Officer to Dr T Bailey, Dr B Walker, Dr G Honey, Broadgreen Hospital (Diabetes, Cardiology, Geriatrics). 1975 Medical Registrar and Clinical Scientist (MRC Training Fellowship) in University Department of Clinical Pharmacology and Nuffield Department of Medicine, Oxford (Prof. D.G. Grahame-Smith, Prof D J Weatherall) (Clinical Pharmacology, Haematological Oncology, General Medicine) 1978 Medical Registrar in the Academic Department of Medicine, Royal Free Hospital London (Professor S Sherlock, Professor N McIntyre, Dr D Jewell, Dr I M James) (General Medicine, Gastroenterology, Clinical Pharmacology) 1979 Senior Medical Registrar, Royal Marsden Hospital, Fulham Road, London (Dr I E Smith, Dr E Wiltshaw). Lecturer, Institute of Cancer Research (Medical Oncology) 1981 Visiting research worker, Mutagenesis Laboratory, Imperial Cancer Research Fund, London (Dr T Lindahl) 1982 Professor of Clinical Oncology, University of Newcastle, Newcastle upon Tyne. Director, Cancer Research Unit, Royal Victoria Infirmary 1990 Deputy Director Clinical Research Imperial Cancer Research Fund 1 27.11.13 Research Achievements I have worked on the mechanisms of tumour angiogenesis and the adaption to hypoxia induced by antiangiogenic therapy. I first demonstrating that blood vessels were upregulated in breast cancers with poor prognosis, regardless of every other factor, and that they were growing fifty times more rapidly than normal endothelial cells in adjacent breast tissues. I elucidated the main angiogenic pathways involved, particularly showing for the first time that VEGF was upregulated and associated with poor outcome, this provided the basic clinical observation and biology link to develop anti-VEGF therapy. I continued to investigate mechanisms of tumour angiogenesis demonstrating that a novel notch ligand, cloned by us and other groups simultaneously, delta-like 4, was highly upregulated in breast cancer and many other tumour types associated with aggressive outcome and resulted in differentiated well-perfused vasculature in xenograft models. We showed that it was associated with a resistance to antiangiogenic therapy with anti-VEGF and that blocking delta-like 4 could markedly synergise with anti-VEGF therapy. I investigated the signalling pathways by which delta-like 4 regulated tumour endothelium and showed that it regulated several previously unrecognised pathways important for angiogenesis, including a sulphatase that regulates individual cell heparin-binding in an autocrine role and, the regulation of ELTD1 which is a major focus of current work, as it has no defined signalling pathway currently, is extracellular and therapeutically has shown dramatic effects in xenograft models when it is inhibited by intravenous siRNA targeting mouse vasculature. As part of the understanding of how tumours adapt to hypoxia and antiangiogenic therapy we have investigated several major metabolic pathways which have culminated in therapeutic advances, particularly the first demonstration that an extracellular carbonic anhydrase CA9 was upregulated in response to HIF signalling, that it is the most upregulated gene in the HIF repertoire, it can be targeted and has substantial anti-tumour effects when combined with antiangiogenic therapy and that it regulates pH in an unexpected manner. These studies have been continued to investigate other hypoxia regulated pathways, where we demonstrated for the first time a glycogen shunt is critical for tumour cell growth, preventing senescence and protecting from free-radicals. Future studies are involved in following the metabolic fate of metabolites such glutamine, glutathione, glucose and their interactions with hypoxia regulated pathway in vivo. Additional angiogenic pathways were discovered related to exosome secretion and distant targeting of notch-signalling and we are currently investigating the key oncogene that really regulates the release of these exosomes, how targeting it could affect tumour angiogenesis. This is linked to clinic studies measuring these in patient blood and tumour. Lay Summary of Research We aim to develop ways to improve the treatment of breast cancer and other tumour types, by blocking the blood supply to tumors. Tumors cannot grow without a new blood supply developing from pre-existing blood vessels. This is called angiogenesis. We showed that human tumor endothelial cells (those cells that line the blood vessels) are growing fifty times more rapidly than normal ones and thus provide a new target for therapy. Several drugs are available that block the major substance made by cancers, that stimulate these endothelial cells (called vascular endothelial growth factor, VEGF) but this is expensive and only works in a sub- group of patients. We want to make our basic discoveries on the mechanisms of growth of blood vessels, how they are stimulated by cancers, new pathways that can grow independently of VEGF, and translate this into clinical relevance. Thus we have extensive interactions with a pathology team, and conduct clinical trials investigating these pathways in breast cancer, offering patients new drugs if they have resistant cancers, in phase I and phase II trials. This is closely integrated with new developments in imaging that pick up metabolism changes in cancers and blood flow and many other biomarkers. We have found a signalling pathway called delta-like 4 is critical, and other new 2 27.11.13 pathways called ELTD1 and SULF1 are important and are developing drugs to block them, again helped by strong links in Oxford with the Chemistry Department. Our patient investigations have shown that some tumors change their metabolism on treatment with anti-angiogenic drugs, so that they can survive under low-oxygen conditions and poor nutrient supply. This is very important because it is a major difference between tumor and normal cells. Tumors often have a low oxygen concentration because they use it up in growing rapidly and also because the blood supply, although growing rapidly, is often insufficient to meet the demands of growth. We are developing techniques to measure these changes in metabolism directly in patient’s cancers and are conducting experiments in vitro, with cancer cell lines under low oxygen conditions to see how these changes help the cells survive. Detailed studies using specially labelled nutrient precursors will be able to track the fate of these, both in patients and in their tumors. Discovering the pathways involved has shown fat metabolism is important and this is now being translated into a clinical study. We are re-positioning drugs that were used to block the fat metabolism in diabetes to try and treat cancer and stop cancer cells using some of the same pathways. Thus the understanding of the basic biology of metabolism, hypoxia and how this relates to the blood supply of tumors is yielding many new insights and ways of treating cancer. Ten Key Publications Throughout your Career 1. 2. 3. 4. Horak, E. R., Leek, R., Klenk, N., Lejeune, S., Smith, K., Stuart, N., Greenall, M., Stepniewska, K., and Harris, A. L. (1992) Angiogenesis, Assessed by Platelet Endothelial-Cell Adhesion Molecule Antibodies, as Indicator of Node Metastases and Survival in Breast-Cancer, Lancet 340, 1120-1124. Fox, S. B., Gatter, K. C., Bicknell, R., Going, J. J., Stanton, P., Cooke, T. G., and Harris, A. L. (1993) Relationship of Endothelial-Cell Proliferation to Tumor Vascularity in Human BreastCancer, Cancer Research 53, 4161-4163. Dachs, G. U., Patterson, A. V., Firth, J. D., Ratcliffe, P. J., M. S., Stratford, I. J., and Harris, A. L. (1997) Targeting gene expression to hypoxic tumor cells, Nature Medicine 3, 515-520. Relf, M., LeJeune, S., Scott, P. A. E., Fox, S., Smith, K., Leek, R., Moghaddam, A., Whitehouse, R., Bicknell, R., and Harris, A. L. (1997) Expression of the angiogenic factors vascular endothelial cell growth factor, acidic and basic fibroblast growth factor, tumor growth factor beta-1, platelet-derived endothelial cell growth factor, placenta growth factor, and 3 27.11.13 pleiotrophin in human primary breast cancer and its relation to angiogenesis, Cancer Research 57, 963-969. 5. Wykoff, C. C., Beasley, N. J. P., Watson, P. H., Turner, K. J., Pastorek, J., Sibtain, A., Wilson, G. D., Turley, H., Talks, K. L., Maxwell, P. H., Pugh, C. W., Ratcliffe, P. J., and Harris, A. L. (2000) Hypoxia-inducible expression of tumor-associated carbonic anhydrases, Cancer Research 60, 7075-7083. 6. Chia, S. K., Wykoff, C. C., Watson, P. H., Han, C., Leek, R. D., Pastorek, J., Gatter, K. C., Ratcliffe, P., and Harris, A. L. (2001) Prognostic significance of a novel hypoxia-regulated marker, carbonic anhydrase IX, in invasive breast carcinoma, Journal of Clinical Oncology 19, 3660-3668. 7. Sheldon, H., Heikamp, E., Turley, H., Dragovic, R., Thomas, P., Oon, C. E., Leek, R., Edelmann, M., Kessler, B., Sainson, R. C., Sargent, I., Li, J. L., and Harris, A. L. (2010) New mechanism for Notch signaling to endothelium at a distance by Delta-like 4 incorporation into exosomes, Blood 116, 2385-2394. 8. Korpal, M., Ell, B. J., Buffa, F. M., Ibrahim, T., Blanco, M. A., Celia-Terrassa, T., Mercatali, L., Khan, Z., Goodarzi, H., Hua, Y., Wei, Y., Hu, G., Garcia, B. A., Ragoussis, J., Amadori, D., Harris, A. L., and Kang, Y. (2011) Direct targeting of Sec23a by miR-200s influences cancer cell secretome and promotes metastatic colonization, Nat Med 17, 1101-1108. 9. Liu, S. K., Bham, S. A., Fokas, E., Beech, J., Im, J., Cho, S., Harris, A. L.,* and Muschel, R. J.* (2011 Epub ahead of print 18 October - DOI: 10.1093/jnci/djr419) Delta-Like Ligand 4-Notch Blockade and Tumor Radiation Response, J Natl Cancer Inst. * equal senior author 10. Favaro, E., Bensaad, K., Chong, M. G., Tennant, D. A., Ferguson, D. J., Snell, C., Steers, G., Turley, H., Li, J. L., Gunther, U. L., Buffa, F. M., McIntyre, A., and Harris, A. L. (2012) Glucose Utilization via Glycogen Phosphorylase Sustains Proliferation and Prevents Premature Senescence in Cancer Cells, Cell Metabolism. All Publications Over the Past 6 Years 2008 - 2013 H score overall 137 H score last 5 years 83 No of citations to my work overall No of citations to my work last 5 years 71,575 33,280 2013 11. Allevi, G., Strina, C., Andreis, D., Zanoni, V., Bazzola, L., Bonardi, S., Foroni, C., Milani, M., Cappelletti, M.R., Gussago, F., Aguggini, S., Giardini, R., Martinotti, M., Fox, S.B., Harris, A.L., Bottini, A., Berruti, A., and Generali, D. (2013). Increased pathological complete response rate after a long-term neoadjuvant letrozole treatment in postmenopausal oestrogen and/or progesterone receptor-positive breast cancer. Br J Cancer 108, 1587-1592. 12. Betts, G.N., Eustace, A., Patiar, S., Valentine, H.R., Irlam, J., Ramachandran, A., Merve, A., Homer, J.J., Moller-Levet, C., Buffa, F.M., Hall, G., Miller, C.J., Harris, A.L., and West, C.M. (2013). Prospective technical validation and assessment of intra-tumour heterogeneity of a low density array hypoxia gene profile in head and neck squamous cell carcinoma. Eur J Cancer 49, 156-165. 13. Blick, C., Ramachandran, A., Wigfield, S., McCormick, R., Jubb, A., Buffa, F.M., Turley, H., Knowles, M.A., Cranston, D., Catto, J., and Harris, A.L. (2013). Hypoxia regulates FGFR3 expression via HIF-1alpha and miR-100 and contributes to cell survival in non-muscle invasive bladder cancer. Br J Cancer 109, 50-59. 4 27.11.13 14. Eustace, A., Irlam, J.J., Taylor, J., Denley, H., Agrawal, S., Choudhury, A., Ryder, D., Ord, J.J., Harris, A.L., Rojas, A.M., Hoskin, P.J., and West, C.M. (2013). Necrosis predicts benefit from hypoxia-modifying therapy in patients with high risk bladder cancer enrolled in a phase III randomised trial. Radiother Oncol 108, 40-47. 15. Eustace, A., Mani, N., Span, P.N., Irlam, J.J., Taylor, J., Betts, G.N., Denley, H., Miller, C.J., Homer, J.J., Rojas, A.M., Hoskin, P.J., Buffa, F.M., Harris, A.L., Kaanders, J.H., and West, C.M. (2013). A 26-Gene Hypoxia Signature Predicts Benefit from Hypoxia-Modifying Therapy in Laryngeal Cancer but Not Bladder Cancer. Clin Cancer Res 19, 4879-4888. 16. Favaro, E., and Harris, A.L. (2013). Targeting glycogen metabolism: a novel strategy to inhibit cancer cell growth? Oncotarget 4, 3-4. 17. Giatromanolaki, A., Koukourakis, M.I., Koutsopoulos, A.V., Harris, A.L., Gatter, K., and Sivridis, E. (2013). Autophagy and hypoxia in colonic adenomas related to aggressive features. Colorectal Dis 15, e223-230. 18. Giatromanolaki, A., Koukourakis, M.I., Pouliliou, S., Gatter, K.C., Pezzella, F., Harris, A.L., and Sivridis, E. (2013). Overexpression of LC3A autophagy protein in follicular and diffuse large Bcell lymphomas. Hematol Oncol Stem Cell Ther 6, 20-25. 19. Gieling, R.G., Parker, C.A., De Costa, L.A., Robertson, N., Harris, A.L., Stratford, I.J., and Williams, K.J. (2013). Inhibition of carbonic anhydrase activity modifies the toxicity of doxorubicin and melphalan in tumour cells in vitro. J Enzyme Inhib Med Chem 28, 360-369. 20. Gorsi, B., Liu, F., Ma, X., Chico, T.J., Shrinivasan, A., Kramer, K.L., Bridges, E., Monteiro, R., Harris, A.L., Patient, R., and Stringer, S.E. (2013). The heparan sulfate editing enzyme Sulf1 plays a novel role in zebrafish VegfA mediated arterial venous identity. Angiogenesis. 21. Harris, A.L. (2013). Breast screening remains a controversial issue. Br J Cancer 108, 2197. 22. Harris, A.L, Generali, D. (2013). Inhibitors of Tumour Angiogenesis. Cancer Drug Design and Discovery; Second Edition, Academic Press, ISBN: 978-0-12-396521-9. Chapter 10, 275-317. 23. Hulikova, A., Harris, A.L., Vaughan-Jones, R.D., and Swietach, P. (2013). Regulation of intracellular pH in cancer cell lines under normoxia and hypoxia. J Cell Physiol 228, 743-752. 24. Koukourakis, M.I., Giatromanolaki, A., Sivridis, E., Gatter, K.C., and Harris, A.L. (2013). High DLL4 expression in tumour-associated vessels predicts for favorable radiotherapy outcome in locally advanced squamous cell head-neck cancer (HNSCC). Angiogenesis 16, 343-351. 25. Kumar, K., Wigfield, S., Gee, H.E., Devlin, C.M., Singleton, D., Li, J.L., Buffa, F., Huffman, M., Sinn, A.L., Silver, J., Turley, H., Leek, R., Harris, A.L., and Ivan, M. (2013). Dichloroacetate reverses the hypoxic adaptation to bevacizumab and enhances its antitumor effects in mouse xenografts. J Mol Med (Berl) 91, 749-758. 26. Masiero, M., Simoes, F.C., Han, H.D., Snell, C., Peterkin, T., Bridges, E., Mangala, L.S., Wu, S.Y., Pradeep, S., Li, D., Han, C., Dalton, H., Lopez-Berestein, G., Tuynman, J.B., Mortensen, N., Li, J.L., Patient, R., Sood, A.K., Banham, A.H., Harris, A.L., and Buffa, F.M. (2013). A Core Human Primary Tumor Angiogenesis Signature Identifies the Endothelial Orphan Receptor ELTD1 as a Key Regulator of Angiogenesis. Cancer Cell 24, 229-241. 27. McCormick, R.I., Blick, C., Ragoussis, J., Schoedel, J., Mole, D.R., Young, A.C., Selby, P.J., Banks, R.E., and Harris, A.L. (2013). miR-210 is a target of hypoxia-inducible factors 1 and 2 in renal cancer, regulates ISCU and correlates with good prognosis. Br J Cancer 108, 11331142. 28. Nikitenko, L.L., Leek, R., Henderson, S., Pillay, N., Turley, H., Generali, D., Gunningham, S., Morrin, H.R., Pellagatti, A., Rees, M.C., Harris, A., and Fox, S.B. (2013). The G-protein Coupled Receptor CLR is Up-regulated in an Autocrine Loop with Adrenomedullin in Clear Cell Renal Cell Carcinoma and Associated with Poor Prognosis. Clin Cancer Res 19, 5740-5748. 29. Ong, C.C., Jubb, A.M., Jakubiak, D., Zhou, W., Rudolph, J., Haverty, P.M., Kowanetz, M., Yan, Y., Tremayne, J., Lisle, R., Harris, A.L., Friedman, L.S., Belvin, M., Middleton, M.R., Blackwood, E.M., Koeppen, H., and Hoeflich, K.P. (2013). P21-Activated Kinase 1 (PAK1) as a Therapeutic Target in BRAF Wild-Type Melanoma. J Natl Cancer Inst 105, 606-607. 30. Pike, L.R., Singleton, D.C., Buffa, F., Abramczyk, O., Phadwal, K., Li, J.L., Simon, A.K., Murray, J.T., and Harris, A.L. (2013). Transcriptional up-regulation of ULK1 by ATF4 5 27.11.13 31. 32. 33. 34. contributes to cancer cell survival. Biochem J 449, 389-400. Ramachandran, A., Betts, G., Bhana, S., Helme, G., Blick, C., Moller-Levet, C., Saunders, E., Valentine, H., Pepper, S., Miller, C.J., Buffa, F., Harris, A.L., and West, C.M. (2013). An in vivo hypoxia metagene identifies the novel hypoxia inducible factor target gene SLCO1B3. Eur J Cancer 49, 1741-1751. Singleton, D.C., and Harris, A.L. (2013). Microenvironmental induced essentiality of autophagy. Clin Cancer Res 19, 2791-2793. Ward, C., Langdon, S.P., Mullen, P., Harris, A.L., Harrison, D.J., Supuran, C.T., and Kunkler, I.H. (2013). New strategies for targeting the hypoxic tumour microenvironment in breast cancer. Cancer Treat Rev 39, 171-179. Whiteman, P., de Madrid, B.H., Taylor, P., Li, D., Heslop, R., Viticheep, N., Tan, J.Z., Shimizu, H., Callaghan, J., Masiero, M., Li, J.L., Banham, A.H., Harris, A.L., Lea, S.M., Redfield, C., Baron, M., and Handford, P.A. (2013). Molecular basis for jagged-1/serrate ligand recognition by the notch receptor. J Biol Chem 288, 7305-7312. 2012 1. Athanassopoulos, A., Tsaknakis, G., Newey, S. E., Harris, A. L., Kean, J., Tyler, M. P., and Watt, S. M. (2012) Microvessel networks in pre-formed in artificial clinical grade dermal substitutes in vitro using cells from haematopoietic tissues, Burns : journal of the International Society for Burn Injuries 38, 691-701. 2. Betts, G. N., Eustace, A., Patiar, S., Valentine, H. R., Irlam, J., Ramachandran, A., Merve, A., Homer, J. J., Moller-Levet, C., Buffa, F. M., Hall, G., Miller, C. J., Harris, A. L., and West, C. M. (2012) Prospective technical validation and assessment of intra-tumour heterogeneity of a low density array hypoxia gene profile in head and neck squamous cell carcinoma, European journal of cancer (Oxford, England : 1990). 3. Biswas, S., Charlesworth, P. J., Turner, G. D., Leek, R., Thamboo, P. T., Campo, L., Turley, H., Dildey, P., Protheroe, A., Cranston, D., Gatter, K. C., Pezzella, F., and Harris, A. L. (2012) CD31 angiogenesis and combined expression of HIF-1alpha and HIF-2alpha are prognostic in primary clear-cell renal cell carcinoma (CC-RCC), but HIFalpha transcriptional products are not: implications for antiangiogenic trials and HIFalpha biomarker studies in primary CC-RCC, Carcinogenesis. 4. Cavazzoni, A., Bonelli, M. A., Fumarola, C., La Monica, S., Airoud, K., Bertoni, R., Alfieri, R. R., Galetti, M., Tramonti, S., Galvani, E., Harris, A. L., Martin, L. A., Andreis, D., Bottini, A., Generali, D., and Petronini, P. G. (2012) Overcoming acquired resistance to letrozole by targeting the PI3K/AKT/mTOR pathway in breast cancer cell clones, Cancer letters 323, 77-87. 5. Favaro, E., Bensaad, K., Chong, M. G., Tennant, D. A., Ferguson, D. J., Snell, C., Steers, G., Turley, H., Li, J. L., Gunther, U. L., Buffa, F. M., McIntyre, A., and Harris, A. L. (2012) Glucose Utilization via Glycogen Phosphorylase Sustains Proliferation and Prevents Premature Senescence in Cancer Cells, Cell Metabolism. 6. Giatromanolaki, A., Koukourakis, M. I., Sivridis, E., Gatter, K. C., Trarbach, T., Folprecht, G., Shi, M. M., Lebwohl, D., Jalava, T., Laurent, D., Meinhardt, G., and Harris, A. L. (2012) Vascular density analysis in colorectal cancer patients treated with vatalanib (PTK787/ZK222584) in the randomised CONFIRM trials, British journal of cancer. 7. Giatromanolaki, A., Sivridis, E., Bechrakis, N. E., Willerding, G., St Charitoudis, G., Foerster, M. H., Gatter, K. C., Harris, A. L., and Koukourakis, M. I. (2012) Phosphorylated pVEGFR2/KDR receptor expression in uveal melanomas: relation with HIF2alpha and survival, Clinical & experimental metastasis 29, 11-17. 8. Gieling, R. G., Parker, C. A., De Costa, L. A., Robertson, N., Harris, A. L., Stratford, I. J., and Williams, K. J. (2012) Inhibition of carbonic anhydrase activity modifies the toxicity of doxorubicin and melphalan in tumour cells in vitro, Journal of enzyme inhibition and medicinal chemistry. 9. Harjes, U., Bensaad, K., and Harris, A. L. (2012) Endothelial cell metabolism and implications for cancer therapy, British journal of cancer 107, 1207-1212. 6 27.11.13 10. Harris, A. L. (2012) Metabolic compartments in tumor tissue: implications for therapy, Cell Cycle 11, 13-14. 11. Hulikova, A., Harris, A. L., Vaughan-Jones, R. D., and Swietach, P. (2012) Acid-extrusion from tissue: the interplay between membrane transporters and pH buffers, Current pharmaceutical design 18, 1331-1337. 12. Hulikova, A., Harris, A. L., Vaughan-Jones, R. D., and Swietach, P. (2012) Regulation of intracellular pH in cancer cell lines under normoxia and hypoxia, Journal of cellular physiology. 13. Jones, D. T., and Harris, A. L. (2012) Small-molecule inhibitors of the HIF pathway and synthetic lethal interactions, Expert opinion on therapeutic targets. 14. Jones, D. T., Lechertier, T., Mitter, R., Herbert, J. M., Bicknell, R., Jones, J. L., Li, J. L., Buffa, F., Harris, A. L., and Hodivala-Dilke, K. (2012) Gene expression analysis in human breast cancer associated blood vessels, PloS one 7, e44294. 15. Jubb, A. M., Browning, L., Campo, L., Turley, H., Steers, G., Thurston, G., Harris, A. L., and Ansorge, O. (2012) Expression of vascular Notch ligands Delta-like 4 and Jagged-1 in glioblastoma, Histopathology 60, 740-747. 16. Khan, O. A., Blann, A. D., Payne, M. J., Middleton, M. R., Protheroe, A. S., Talbot, D. C., Taylor, M., Han, C., Patil, M., and Harris, A. L. (2012) Reply: Metronomic chemotherapy with cyclophosphamide and dexamethasone in patients with metastatic carcinoma of the prostate, British journal of cancer. 17. Klionsky, D., R., et.al.(2012) Guidelines for the use and interpretation of assays for monitoring autophagy, Autophagy 8, 445-544. 18. Koukourakis, M. I., Giatromanolaki, A., Sivridis, E., Gatter, K. C., and Harris, A. L. (2012) High DLL4 expression in tumour-associated vessels predicts for favorable radiotherapy outcome in locally advanced squamous cell head-neck cancer (HNSCC), Angiogenesis. 19. McIntyre, A., Patiar, S., Wigfield, S., Li, J. L., Ledaki, I., Turley, H., Leek, R., Snell, C., Gatter, K., Sly, W. S., Vaughan-Jones, R. D., Swietach, P., and Harris, A. L. (2012) Carbonic Anhydrase IX Promotes Tumor Growth and Necrosis In Vivo and Inhibition Enhances AntiVEGF Therapy, Clinical cancer research : an official journal of the American Association for Cancer Research 18, 3100-3111. 20. Nathan, P., Zweifel, M., Padhani, A. R., Koh, D. M., Ng, M., Collins, D. J., Harris, A., Carden, C., Smythe, J., Fisher, N., Taylor, N. J., Stirling, J. J., Lu, S. P., Leach, M. O., Rustin, G. J., and Judson, I. (2012) Phase I Trial of Combretastatin A4 Phosphate (CA4P) in Combination with Bevacizumab in Patients with Advanced Cancer, Clinical cancer research : an official journal of the American Association for Cancer Research 18, 3428-3439. 21. Patel, N., Harris, A. L., Gleeson, F. V., and Vallis, K. A. (2012) Clinical imaging of tumor angiogenesis, Future oncology (London, England) 8, 1443-1459. 22. Pike, L. R., Phadwal, K., Simon, A. K., and Harris, A. L. (2012) ATF4 orchestrates a program of BH3-only protein expression in severe hypoxia, Molecular biology reports 39, 10811-10822. 23. Pike, L. R., Singleton, D. C., Buffa, F., Abramczyk, O., Phadwal, K., Li, J. L., Simon, A. K., Murray, J. T., and Harris, A. L. (2012) Transcriptional upregulation of ULK1 by ATF4 contributes to cancer cell survival, The Biochemical journal. 24. Pinhel, I., Hills, M., Drury, S., Salter, J., Sumo, G., A'Hern, R., Bliss, J. M., Sestak, I., Cuzick, J., Barrett-Lee, P., Harris, A., and Dowsett, M. (2012) ER and HER2 expression are positively correlated in HER2 non-overexpressing breast cancer, Breast cancer research : BCR 14, R46. 25. Schulze, A., and Harris, A. L. (2012) How cancer metabolism is tuned for proliferation and vulnerable to disruption, Nature 491, 364-373. 26. Singleton, D. C., and Harris, A. L. (2012) Targeting the ATF4 pathway in cancer therapy, Expert opinion on therapeutic targets. 27. Swietach, P., Hulikova, A., Patiar, S., Vaughan-Jones, R. D., and Harris, A. L. (2012) Importance of intracellular pH in determining the uptake and efficacy of the weakly basic chemotherapeutic drug, doxorubicin, PloS one 7, e35949. 28. Ward, C., Langdon, S. P., Mullen, P., Harris, A. L., Harrison, D. J., Supuran, C. T., and 7 27.11.13 Kunkler, I. H. (2012) New strategies for targeting the hypoxic tumour microenvironment in breast cancer, Cancer treatment reviews. 29. Yang, J., Staples, O., Thomas, L. W., Briston, T., Robson, M., Poon, E., Simoes, M. L., ElEmir, E., Buffa, F. M., Ahmed, A., Annear, N. P., Shukla, D., Pedley, B. R., Maxwell, P. H., Harris, A. L., and Ashcroft, M. (2012) Human CHCHD4 mitochondrial proteins regulate cellular oxygen consumption rate and metabolism and provide a critical role in hypoxia signaling and tumor progression, The Journal of clinical investigation 122, 600-611. 2011 1. Bardella C, El-Bahrawy M, Frizzell N, Adam J, Ternette N, Hatipoglu E, et al. Aberrant succination of proteins in fumarate hydratase-deficient mice and HLRCC patients is a robust biomarker of mutation status. J Pathol 2011; 225:4-11. 2. Berruti A, Generali D, Kaufmann M, Puztai L, Curigliano G, Aglietta M, et al. 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The costeffectiveness of adjuvant chemotherapy for early breast cancer: A comparison of no chemotherapy and first, second, and third generation regimens for patients with differing prognoses. Eur J Cancer 2011 Epub ahead of print 12 July - DOI: http://dx.doi.org/10.1016/j.ejca.2011.06.019; 47 2517-30. 7. Church DN, Phillips BR, Stuckey DJ, Barnes DJ, Buffa FM, Manek S, et al. Igf2 ligand dependency of Pten(+/-) developmental and tumour phenotypes in the mouse. Oncogene 2011. 8. Coutts AS, Pires IM, Weston L, Buffa FM, Milani M, Li JL, et al. Hypoxia-driven cell motility reflects the interplay between JMY and HIF-1alpha. Oncogene 2011 Epub ahead of print 30 May - DOI: 10.1038/onc.2011.188. 9. Dragovic RA, Gardiner C, Brooks AS, Tannetta DS, Ferguson DJ, Hole P, et al. Sizing and phenotyping of cellulars vesicles using Nanoparticle Tracking Analysis. Nanomedicine 2011 Epub ahead of print 4 May - DOI: 10.1016/j.nano.2011.04.003. 10. 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Chen L, Zeng X, Wang J, Briggs SS, O'Neill E, Li J, et al. Roles of tetrahydrobiopterin in promoting tumor angiogenesis. Am J Pathol 2010; 177:2671-80. 8. da Silva RG, Tavora B, Robinson SD, Reynolds LE, Szekeres C, Lamar J, et al. Endothelial alpha3beta1-integrin represses pathological angiogenesis and sustains endothelial-VEGF. Am J Pathol 2010; 177:1534-48. 9. Dangoor A, Lorigan P, Keilholz U, Schadendorf D, Harris A, Ottensmeier C, et al. Clinical and immunological responses in metastatic melanoma patients vaccinated with a high-dose polyepitope vaccine. Cancer Immunol Immunother 2010; 59:863-73. 10. Favaro E, Ramachandran A, McCormick R, Gee H, Blancher C, Crosby M, et al. MicroRNA210 regulates mitochondrial free radical response to hypoxia and krebs cycle in cancer cells by targeting iron sulfur cluster protein ISCU. PLoS One 2010; 5:e10345. 11. 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Breast cancer research and treatment 2010; 123:795-804. 31. Mellor HR, Rouschop KM, Wigfield SM, Wouters BG, Harris AL. Synchronised phosphorylation of BNIP3, Bcl-2 and Bcl-xL in response to microtubule-active drugs is JNKindependent and requires a mitotic kinase. Biochem Pharmacol 2010; 79:1562-72. 11 27.11.13 32. Moskwa P, Buffa FM, Pan Y, Panchakshari R, Gottipati P, Muschel RJ, et al. miR-182Mediated Downregulation of BRCA1 Impacts DNA Repair and Sensitivity to PARP Inhibitors. Mol Cell 2010; 41:210-20. 33. Pires IM, Bencokova Z, Milani M, Folkes LK, Li JL, Stratford MR, et al. Effects of acute versus chronic hypoxia on DNA damage responses and genomic instability. Cancer research 2010; 70:925-35. 34. Rzymski T, Milani M, Pike L, Buffa F, Mellor HR, Winchester L, et al. Regulation of autophagy by ATF4 in response to severe hypoxia. Oncogene 2010; 29:4424-35. 35. Sheldon H, Heikamp E, Turley H, Dragovic R, Thomas P, Oon CE, et al. 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Yang J, Jubb AM, Pike L, Buffa FM, Turley H, Baban D, et al. The histone demethylase JMJD2B is regulated by estrogen receptor alpha and hypoxia, and is a key mediator of estrogen induced growth. Cancer research 2010; 70:6456-66. 41. Yau C, Mouradov D, Jorissen RN, Colella S, Mirza G, Steers G, et al. A statistical approach for detecting genomic aberrations in heterogeneous tumor samples from single nucleotide polymorphism genotyping data. Genome Biol 2010; 11:R92. 2009 1. Campbell HE, Taylor MA, Harris AL, Gray AM. An investigation into the performance of the Adjuvant! Online prognostic programme in early breast cancer for a cohort of patients in the United Kingdom. Br J Cancer 2009; 101:1074-84. 2. Catto JW, Miah S, Owen HC, Bryant H, Myers K, Dudziec E, et al. Distinct MicroRNA Alterations Characterize High- and Low-Grade Bladder Cancer. Cancer Res 2009; 69:847281. 3. Ebbesen P, Pettersen EO, Gorr TA, Jobst G, Williams K, Kieninger J, et al. Taking advantage of tumor cell adaptations to hypoxia for developing new tumor markers and treatment strategies. J Enzyme Inhib Med Chem 2009; 24 Suppl 1:1-39. 4. Ellis P, Barrett-Lee P, Johnson L, Cameron D, Wardley A, O'Reilly S, et al. Sequential docetaxel as adjuvant chemotherapy for early breast cancer (TACT): an open-label, phase III, randomised controlled trial. Lancet 2009; 373:1681-92. 5. Fang HY, Hughes R, Murdoch C, Coffelt SB, Biswas SK, Harris AL, et al. Hypoxia inducible factors 1 and 2 are important transcriptional effectors in primary macrophages experiencing hypoxia. Blood 2009; 114:844-59. 6. Farquharson MJ, Al-Ebraheem A, Geraki K, Leek R, Harris AL. Zinc presence in invasive ductal carcinoma of the breast and its correlation with oestrogen receptor status. Phys Med Biol 2009; 54:4213-23. 7. Generali D, Bates G, Berruti A, Brizzi MP, Campo L, Bonardi S, et al. 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Lactate Dehydrogenase 5 Expression in Squamous Cell Head and Neck Cancer Relates to Prognosis following Radical or Postoperative Radiotherapy. Oncology 2009; 77:285-92. 12. Li JL, Harris AL. Crosstalk of VEGF and Notch pathways in tumour angiogenesis: therapeutic implications. Front Biosci 2009; 14:3094-110. 13. Lowndes SA, Sheldon HV, Cai S, Taylor JM, Harris AL. Copper chelator ATN-224 inhibits endothelial function by multiple mechanisms. Microvasc Res 2009; 77:314-26. 14. Martinez JC, Muller MM, Turley H, Steers G, Choteau L, Li JL, et al. Nuclear and membrane expression of the angiogenesis regulator delta-like ligand 4 (DLL4) in normal and malignant human tissues. Histopathology 2009; 54:598-606. 15. Milani M, Rzymski T, Mellor HR, Pike L, Bottini A, Generali D, et al. The role of ATF4 stabilization and autophagy in resistance of breast cancer cells treated with Bortezomib. Cancer Res 2009; 69:4415-23. 16. Moller-Levet CS, Betts GN, Harris AL, Homer JJ, West CM, Miller CJ. Exon array analysis of head and neck cancers identifies a hypoxia related splice variant of LAMA3 Associated with a poor prognosis. PLoS computational biology 2009; 5:e1000571. 17. Mujcic H, Rzymski T, Rouschop KM, Koritzinsky M, Milani M, Harris AL, et al. Hypoxic activation of the unfolded protein response (UPR) induces expression of the metastasisassociated gene LAMP3. Radiother Oncol 2009; 92:450-9. 18. Patel NS, Muneer A, Blick C, Arya M, Harris AL. Targeting Vascular Endothelial Growth Factor in Renal Cell Carcinoma. Tumour Biol 2009; 30:292-9. 19. Poon E, Harris AL, Ashcroft M. Targeting the hypoxia-inducible factor (HIF) pathway in cancer. Expert Rev Mol Med 2009; 11:e26. 20. Rasheed S, Harris AL, Tekkis PP, Turley H, Silver A, McDonald PJ, et al. Assessment of microvessel density and carbonic anhydrase-9 (CA-9) expression in rectal cancer. Pathol Res Pract 2009; 205:1-9. 21. Rasheed S, Harris AL, Tekkis PP, Turley H, Silver A, McDonald PJ, et al. Hypoxia-inducible factor-1alpha and -2alpha are expressed in most rectal cancers but only hypoxia-inducible factor-1alpha is associated with prognosis. Br J Cancer 2009; 100:1666-73. 22. Reid AH, Protheroe A, Attard G, Hayward N, Vidal L, Spicer J, et al. A first-in-man phase i and pharmacokinetic study on CHR-2797 (Tosedostat), an inhibitor of M1 aminopeptidases, in patients with advanced solid tumors. Clin Cancer Res 2009; 15:4978-85. 23. Rzymski T, Milani M, Singleton DC, Harris AL. Role of ATF4 in regulation of autophagy and resistance to drugs and hypoxia. Cell cycle (Georgetown, Tex 2009; 8:3838-47. 24. Shaked Y, Tang T, Woloszynek J, Daenen LG, Man S, Xu P, et al. Contribution of Granulocyte Colony-Stimulating Factor to the Acute Mobilization of Endothelial Precursor Cells by Vascular Disrupting Agents. Cancer Res 2009; 69:7524-8. 25. Swietach P, Patiar S, Supuran CT, Harris AL, Vaughan-Jones RD. The role of carbonic anhydrase 9 in regulating extracellular and intracellular pH in 3-D tumor-cell growths. J Biol Chem 2009; 284:20299-310. 26. Tan EY, Yan M, Campo L, Han C, Takano E, Turley H, et al. The key hypoxia regulated gene CAIX is upregulated in basal-like breast tumours and is associated with resistance to chemotherapy. Br J Cancer 2009; 100:405-11. 13 27.11.13 27. Toussaint J, Sieuwerts AM, Haibe-Kains B, Desmedt C, Rouas G, Harris AL, et al. Improvement of the clinical applicability of the Genomic Grade Index through a qRT-PCR test performed on frozen and formalin-fixed paraffin-embedded tissues. BMC Genomics 2009; 10:424. 28. Yang J, Ledaki I, Turley H, Gatter KC, Montero JC, Li JL, et al. Role of hypoxia-inducible factors in epigenetic regulation via histone demethylases. Annals of the New York Academy of Sciences 2009; 1177:185-97. 2008 1. Ameri K, Harris AL. Activating transcription factor 4. Int J Biochem Cell Biol 2008; 40:14-21. 2. Appels NM, Bolijn MJ, Chan K, Stephens TC, Hoctin-Boes G, Middleton M, et al. Phase I pharmacokinetic and pharmacodynamic study of the prenyl transferase inhibitor AZD3409 in patients with advanced cancer. Br J Cancer 2008; 98:1951-8. 3. Bates GJ, Fox SB, Han C, Launchbury R, Leek RD, Harris AL, et al. Expression of the forkhead transcription factor FOXP1 is associated with that of estrogen receptor-beta in primary invasive breast carcinomas. Breast Cancer Res Treat 2008; 111:453-9. 4. Camps C, Buffa FM, Colella S, Moore J, Sotiriou C, Sheldon H, et al. hsa-miR-210 Is induced by hypoxia and is an independent prognostic factor in breast cancer. Clin Cancer Res 2008; 14:1340-8. 5. Farquharson MJ, Al-Ebraheem A, Falkenberg G, Leek R, Harris AL, Bradley DA. The distribution of trace elements Ca, Fe, Cu and Zn and the determination of copper oxidation state in breast tumour tissue using muSRXRF and muXANES. Phys Med Biol 2008; 53:302337. 6. Fox A, Gal S, Fisher N, Smythe J, Wainscoat J, Tyler MP, et al. Quantification of circulating cell-free plasma DNA and endothelial gene RNA in patients with burns and relation to acute thermal injury. Burns 2008; 34:809-16. 7. Fox A, Smythe J, Fisher N, Tyler MP, McGrouther DA, Watt SM, et al. Mobilization of endothelial progenitor cells into the circulation in burned patients. Br J Surg 2008; 95:244-51. 8. Gee HE, Camps C, Buffa FM, Colella S, Sheldon H, Gleadle JM, et al. MicroRNA-10b and breast cancer metastasis. Nature 2008; 455:E8-9; author reply E. 9. Generali D, Dovio A, Tampellini M, Tucci M, Tedoldi S, Torta M, et al. Changes of bone turnover markers and serum PTH after night or morning administration of zoledronic acid in breast cancer patients with bone metastases. Br J Cancer 2008; 98:1753-8. 10. Generali D, Fox SB, Brizzi MP, Allevi G, Bonardi S, Aguggini S, et al. 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Giatromanolaki A, Koukourakis MI, Pezzella F, Sivridis E, Turley H, Harris AL, et al. Lactate . Leuk Lymphoma 2008; 49:2181-6. 15. Giatromanolaki A, Koukourakis MI, Pezzella F, Turley H, Sivridis E, Bouros D, et al. Expression of prolyl-hydroxylases PHD-1, 2 and 3 and of the asparagine hydroxylase FIH in non-small cell lung cancer relates to an activated HIF pathway. Cancer Lett 2008; 262:87-93. 14 27.11.13 16. Harrington LS, Sainson RC, Williams CK, Taylor JM, Shi W, Li JL, et al. Regulation of multiple angiogenic pathways by Dll4 and Notch in human umbilical vein endothelial cells. Microvasc Res 2008; 75:144-54. 17. Jiang X, Tian F, Du Y, Copeland NG, Jenkins NA, Tessarollo L, et al. BHLHB2 controls Bdnf promoter 4 activity and neuronal excitability. J Neurosci 2008; 28:1118-30. 18. Kong A, Calleja V, Leboucher P, Harris A, Parker PJ, Larijani B. HER2 oncogenic function escapes EGFR tyrosine kinase inhibitors via activation of alternative HER receptors in breast cancer cells. PLoS ONE 2008; 3:e2881 (1-11). 19. Lawrie CH, Gal S, Dunlop HM, Pushkaran B, Liggins AP, Pulford K, et al. Detection of elevated levels of tumour-associated microRNAs in serum of patients with diffuse large B-cell lymphoma. Br J Haematol 2008; 141:672-5. 20. Lowndes SA, Adams A, Timms A, Fisher N, Smythe J, Watt SM, et al. Phase I study of copper-binding agent ATN-224 in patients with advanced solid tumors. Clin Cancer Res 2008; 14:7526-34. 21. Milani M, Harris AL. Targeting tumour hypoxia in breast cancer. Eur J Cancer 2008; 44:276673. 22. Rzymski T, Paantjens A, Bod J, Harris AL. Multiple pathways are involved in the anoxia response of SKIP3 including HuR-regulated RNA stability, NF-kappaB and ATF4. Oncogene 2008; 27:4532-43. 23. Sainson RC, Harris AL. Regulation of angiogenesis by homotypic and heterotypic notch signalling in endothelial cells and pericytes: from basic research to potential therapies. Angiogenesis 2008; 11:41-51. 24. Shaida N, Launchbury R, Boddy JL, Jones C, Campo L, Turley H, et al. Expression of BNIP3 correlates with hypoxia-inducible factor (HIF)-1alpha, HIF-2alpha and the androgen receptor in prostate cancer and is regulated directly by hypoxia but not androgens in cell lines. Prostate 2008; 68:336-43. 25. Smythe J, Fox A, Fisher N, Frith E, Harris AL, Watt SM. Measuring angiogenic cytokines, circulating endothelial cells, and endothelial progenitor cells in peripheral blood and cord blood: VEGF and CXCL12 correlate with the number of circulating endothelial progenitor cells in peripheral blood. Tissue Eng Part C Methods 2008; 14:59-67. 26. Starmans MH, Krishnapuram B, Steck H, Horlings H, Nuyten DS, van de Vijver MJ, et al. Robust prognostic value of a knowledge-based proliferation signature across large patient microarray studies spanning different cancer types. Br J Cancer 2008; 99:1884-90. 27. Swietach P, Wigfield S, Cobden P, Supuran CT, Harris AL, Vaughan-Jones RD. Tumorassociated carbonic anhydrase 9 spatially coordinates intracellular pH in three-dimensional multicellular growths. J Biol Chem 2008; 283:20473-83. 28. Swietach P, Wigfield S, Supuran CT, Harris AL, Vaughan-Jones RD. Cancer-associated, hypoxia-inducible carbonic anhydrase IX facilitates CO2 diffusion. BJU Int 2008; 101 Suppl 4:22-4. 29. Thompson A, Brennan K, Cox A, Gee J, Harcourt D, Harris A, et al. Evaluation of the current knowledge limitations in breast cancer research: a gap analysis. Breast Cancer Res 2008; 10:R26 (1-5). 30. Wigfield SM, Winter SC, Giatromanolaki A, Taylor J, Koukourakis ML, Harris AL. PDK-1 regulates lactate production in hypoxia and is associated with poor prognosis in head and neck squamous cancer. Br J Cancer 2008; 98:1975-84. 31. Williams CK, Segarra M, Sierra Mde L, Sainson RC, Tosato G, Harris AL. Regulation of CXCR4 by the Notch ligand delta-like 4 in endothelial cells. Cancer Res 2008; 68:1889-95. Markers of Esteem 1986 Goulstonian Lecturer, Royal College of Physicians 15 27.11.13 1994 1995 1998 2000 2004 2004 2005 2005 2009 2010 2012 St Lukes Lecture and Medal, Royal Academy of Medicine in Ireland Daniel E Bergsagel Visiting Professorship, Ontario Cancer Institute, Toronto, Canada Founder member of Academy of Medical Sciences Link Lectureship Award Institute of Cancer Research Henrietta Banting Prize for Breast Cancer Research,Toronto Awarded Honorary Doctorate University of Thrace, Greece Editor-in-Chief of British Journal of Cancer Member of Editorial Board of Cancer Cell Member of Board of Institute of Cancer Research, London Chairman of Science Review Committee for Breakthrough Breast Cancer NIHR Senior Investigator Award Medical Research Council Clinical Fellowships Grants (2004 - ) Member European Academy of Sciences Governing Body (2010 - ) Founder Member of European Research Institute for Integrated Cellular Pathology (ERI-ICP) (2010 - ) Garvin Institute Scientific Advisory Council, Sydney (2010 - ) Member of Breast Cancer Campaign's Tissue Bank Tissue Access Committee (2010 - ) Cancer Research UK Stratified Medicine Scientific Advisory Board (2010 - ) External Scientific Advisor to Center of Excellence in Genomic Medicine Research (CEGMR), King Abdulaziz University, Jeddah (2009 - 2011) Current Grant Support Wellcome Trust European Union METOXIA Cancer Research UK (Notch Signalling) Cancer Research UK (OCIC) Cancer Research UK Oxford Centre Cancer Research UK (Antibody Therapeutics) Cancer Research UK (Medicinal Chemistry) 2009-2012 2009-2014 2010-2015 2008-2013 2010-2013 2009-2014 2009-2015 16 £322.913 £487,500 £3,162,000 £1,231,000 £4,514,000 £2,708,000 £292,600