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Dr. Mark Ward
Assistant Professor, Pharmacology & Therapeutics

Biography

Dr. Mark Ward graduated from Trinity College Dublin in 2012 with a BA (Mod.) in Biochemistry and completed his PhD in Molecular Pharmacology in 2016, where he investigated the role of Protein Phosphatase 2A (PP2A) and its endogenous inhibitor CIP2A in regulating matrix metalloproteinases and tumour invasion. His research focuses on translational oncology, particularly the clinical development of circulating tumour cells (CTCs) and circulating tumour DNA (ctDNA) as minimally invasive biomarkers in ovarian, breast, and upper gastrointestinal cancers. A central theme of his work is the interplay between cancer biology, thrombosis, and systemic therapy. His research examines cancer- and chemotherapy-associated thrombosis, tumour-platelet-immune interactions in metastatic dissemination, and the impact of systemic therapies on thrombotic risk in cancer. https://orcid.org/0000-0002-9356-7246

Publications and Further Research Outputs

Peer-Reviewed Publications

Albasanz-García, Pablo, Ward, Mark P., Norris, Lucy A., Mechanisms of anticancer treatment-induced arterial and venous thrombosis., Journal of Thrombosis and Haemostasis, 2025 Journal Article, 2025 DOI

Raftery NB, Elliott JA, Muldoon C, Ryan C, O'Brien M, Fagan O, Ward M, Donlon NE, Donohoe CL, Ravi N, Buckley M, Murphy T, Patchett S, O'Sullivan J, O'Toole D, Reynolds JV., Tackling Prevention and Early Diagnosis of Esophageal Adenocarcinoma through a National Barrett's Registry and Scientific Network., Annals of surgery, 2025 Journal Article, 2025 DOI DOI

Faye Lewis, Mark P. Ward, Feras Abu Saadeh, John O"Leary, Sharon O"Toole, Reply to: In Reference to "A Pilot Study Evaluating the Feasibility of Enriching and Detecting Circulating Tumour Cells from Peripheral and Ovarian Veins in Rare Epithelial Ovarian Carcinomas", European Journal of Surgical Oncology, 2025, p110206 - 110206, p110206-110206 Journal Article, 2025 DOI

Raftery NB, Ward M, Ravi N, Reynolds JV, Elliott JA, Donohoe CL., Modulation of the Tumour Microenvironment by HER2 in Oesophagogastric Adenocarcinoma: Implications for Tumour Progression, Therapeutic Resistance, and Clinicopathological Outcomes., Cancers, 17, (24), 2025, p3987 Journal Article, 2025 DOI

Faye Lewis, Mark P. Ward, Feras Abu Saadeh, Catherine O"Gorman, Patrick Maguire, James Beirne, Waseem Kamran, Elzahra Ibrahim, Rebecca Hunter, Sinéad Hurley, Lucy Norris, Brian E. Henderson, Irene Narinda, Marika Kanjuga, Lorraine O"Driscoll, Kathy Gately, Volga M. Saini, Karen A. Cadoo, Cara Martin, John O"Leary, Sharon O"Toole, Abstract B041: Circulating tumor cells are associated with a shorter disease-free interval in patients with advanced high-grade serous carcinoma undergoing neoadjuvant chemotherapy followed by interval cytoreductive surgery, 85, (18_Supplement), 2025, ppB041 - B041, ppB041-B041 Published Abstract, 2025 DOI

Ciara S. McNevin, Rachel Dillion, Simon J. Hollingsworth, Faye Lewis, Sinéad Hurley, Lucy Norris, Mark P. Ward, Vicky Donachie, Patrick Maguire, Scheryll Alken, Niamh Coleman, Waseem Kamran, Feras Abu Saadeh, Catherine O"Gorman, Deborah Donnell, Tom D"Arcy, John O"Leary, Stephen P. Finn, Sharon O"Toole, Karen A. Cadoo, Genetics And Survival Outcomes In Young-Onset Ovarian Cancer: Insights From An 18-Year Tertiary Referral Center Study, 35, (2), 2025, pp100350 - 100350, pp100350-100350 Published Abstract, 2025 DOI

Ward MP, Lewis F, O'Gorman C, Norris LA, Lochrin SE, Kane LE, Kelly TE, Mohamed BM, Ramesh A, O'Connor R, Kilgour E, Henderson B, Kanjuga M, Hurley S, Edgerton L, Tewari P, Gately K, O'Driscoll L, Hokamp K, Cashman S, McManus G, Brooks DA, Selemidis S, Coleman N, Kennedy J, Kamran W, Beirne JP, Maguire P, Abu Saadeh F, Cadoo K, Martin CM, O'Leary JJ, O'Toole SA., Circulating tumour cells are a prognostic indicator in advanced high-grade serous ovarian cancer and are associated with platelets and immune cells following dissemination., British journal of cancer, 2025 Journal Article, 2025 DOI

Hindes MT, McElligott AM, Best OG, Ward MP, Selemidis S, Miles MA, Nturubika BD, Gregory PA, Anderson PH, Logan JM, Butler LM, Waugh DJ, O'Leary JJ, Hickey SM, Thurgood LA, Brooks DA., Metabolic reprogramming, malignant transformation and metastasis: Lessons from chronic lymphocytic leukaemia and prostate cancer., Cancer letters, 611, 2025, p217441 Journal Article, 2025 TARA - Full Text DOI

LEWIS, F., WARD, M. P., SAADEH, F. A., O'GORMAN, C., MAGUIRE, P. J., BEIRNE, J. P., KAMRAN, W., IBRAHIM, E., NORRIS, L., KELLY, T., HURLEY, S., HENDERSON, B., KANJUGA, M., O'DRISCOLL, L., GATELY, K., ONER, E., SAINI, V. M., CADOO, K., MARTIN, C., O'LEARY, J. J. & O'TOOLE, S. A., A pilot study evaluating the feasibility of enriching and detecting circulating tumour cells from peripheral and ovarian veins in rare epithelial ovarian carcinomas, European Journal of Surgical Oncology, 2025 Journal Article, 2025 DOI

M Saini, Volga, Oner, Ezgi, Ward, Mark P., Hurley, Sinead, Henderson, Brian David, Lewis, Faye, Finn, Stephen P., Fitzmaurice, Gerard J., O'Leary, John J., O'Toole, Sharon, O'Driscoll, Lorraine, Gately, Kathy, A comparative study of circulating tumor cell isolation and enumeration technologies in lung cancer, Molecular Oncology, 2024 Journal Article, 2024 DOI

Faye Lewis, Mark P. Ward, Catherine O"Gorman, Brian E. Henderson, Sinéad Hurley, James Beirne, Lorraine O"Driscoll, Ciara S. McNevin, Tanya Kelly, Kathy Gately, Ezgi Öner, Volga M Saini, Lucy Norris, Marika Kanjuga, Cara Martin, Patrick Maguire, Karen A. Cadoo, G. M. McManus, John O"Leary, Sharon O"Toole, 1342 Longitudinal detection of circulating tumour cells in serous and non-serous epithelial ovarian carcinomas, 2024, pA425.1 - A425, pA425.1-A425 Conference Paper, 2024 DOI

Lewis F, Beirne J, Henderson B, Norris L, Cadoo K, Kelly T, Martin C, Hurley S, Kanjuga M, O'Driscoll L, Gately K, Oner E, Saini V, Brooks D, Selemidis S, Kamran W, Haughey N, Maguire P, O'Gorman C, Saadeh FA, Ward MP, O'Leary JJ, O'Toole SA., Unravelling the biological and clinical challenges of circulating tumour cells in epithelial ovarian carcinoma., Cancer letters, 2024, p217279 Journal Article, 2024 DOI

Ward MP, Ibrahim EM, O'Toole SA, Marchocki Z, O'Leary JJ, Saadeh FA, Norris LA., Chemotherapy alters thrombomodulin and factor VIIIc expression resulting in acquired activated protein C resistance and enhanced thrombin generation in cancer associated thrombosis., Thrombosis research, 246, 2024, p109251 Journal Article, 2024 DOI

Nturubika BD, Logan J, Johnson IRD, Moore C, Li KL, Tang J, Lam G, Parkinson-Lawrence E, Williams DB, Chakiris J, Hindes M, Brooks RD, Miles MA, Selemidis S, Gregory P, Weigert R, Butler L, Ward MP, Waugh DJJ, O'Leary JJ, Brooks DA., Components of the Endosome-Lysosome Vesicular Machinery as Drivers of the Metastatic Cascade in Prostate Cancer., Cancers, 17, (1), 2024, p43 Journal Article, 2024 DOI DOI

Faye Lewis, Mark P. Ward, Catherine O"Gorman, Brian E. Henderson, Sinéad Hurley, James Beirne, Lorraine O"Driscoll, Kathy Gately, Ezgi Öner, Volga M Saini, Marika Kanjuga, Lucy Norris, Cara Martin, Tanya Kelly, Patrick Maguire, Feras Abu Saadeh, Waseem Kamran, Karen A. Cadoo, Niamh Haughey, G. M. McManus, John O"Leary, Sharon O"Toole, EV290/#1177" Radiological size of the pelvic mass in high-grade serous carcinomas inversely correlates with circulating tumour cell detection from the ovarian vein at surgery, 2024, pA233.3 - A234, pA233.3-A234 Journal Article, 2024 DOI

Ward, Mark P., O'Toole, Sharon A., O'Leary, John J., Potential role of the CD39-CD73 ATP-adenosine pathway in platelet mediated dissemination of circulating tumour cells, British Journal of Cancer, 2024 Journal Article, 2024 DOI

LEWIS, F., BEIRNE, J., HENDERSON, B., NORRIS, L., CADOO, K., KELLY, T., MARTIN, C., HURLEY, S., KANJUGA, M., O'DRISCOLL, L., GATELY, K., ONER, E., SAINI, V. M., BROOKS, D., SELEMIDIS, S., KAMRAN, W., HAUGHEY, N., MAGUIRE, P., O'GORMAN, C., SAADEH, F. A., WARD, M. P., O'LEARY, J. J. & O'TOOLE, S. A., Unravelling the biological and clinical challenges of circulating tumour cells in epithelial ovarian carcinoma, Cancer Letters, 2024 Journal Article, 2024 DOI DOI

Ciara SMc Nevin, Faye Lewis, C Gorman, Feras Abu Saadeh, John O"Leary, Lucy Norris, Mark P. Ward, Patrick Maguire, Scheryll Alken, Sinéad Hurley, Vicky Donachie, Sharon O"Toole, Karen A. Cadoo, 946 Clinical and histopathologic analysis of young onset ovarian cancer: a tertiary referral centre experience over 18 years, ESMO, 2024, ppA380.2 - A381, ppA380.2-A381 Published Abstract, 2024 DOI

Mark P. Ward, Tanya Kelly, Faye Lewis, Catherine O"Gorman, Brian E. Henderson, Sinéad Hurley, Marika Kanjuga, Emer Atkinson, Cathal Ó"Brien, Patrick Maguire, Waseem Kamran, James Beirne, Niamh Coleman, Karen A. Cadoo, Feras Abu Saadeh, Lucy Norris, Cara Martin, John O"Leary, Sharon O"Toole, EV021/#894" Mutational analysis of circulating tumour DNA (ctDNA) in high grade serous ovarian cancer (HGSC) using cancer personalised profiling by deep sequencing (CAPP-seq), 2024, pA94 - A94, pA94-A94 Journal Article, 2024 DOI

Jessica K. Heatlie, Joanna "a"niewska, Courtney R. Moore, I. R. Johnson, Bukuru D. Nturubika, Ruth Williams, Mark P. Ward, John O"Leary, Lisa M. Butler, Doug A. Brooks, Extracellular Vesicles and Tunnelling Nanotubes as Mediators of Prostate Cancer Intercellular Communication, Biomolecules, 15, (1), 2024, p23 - 23, p23-23 Journal Article, 2024 DOI

Ward, Mark P, Lewis, Faye, O'Gorman, Catherine, Kelly, Tanya E, Mohamed, Bashir M, Henderson, Brian, Hurley, Sinead, O'Connor, Roisin, Brooks, Robert D, Brooks, Doug A, Selemidis, Stavros, Maguire, Patrick, Kamran, Waseem, Beirne, James P, Saadeh, Feras A, Cadoo, Karen, Norris, Lucy A, Martin, Cara, O'Toole, Sharon A, O'Leary, John J, #836 Liquid biopsy isolation of circulating tumour cells from epithelial ovarian cancer patients and their prognostic significance, European Congress on Gynaecological Oncology, Istanbul, Turkey, BMJ Publishing Group Ltd, 2023 Conference Paper, 2023 DOI

Lazniewska J, Li KL, Johnson IRD, Sorvina A, Logan JM, Martini C, Moore C, Ung BS, Karageorgos L, Hickey SM, Prabhakaran S, Heatlie JK, Brooks RD, Huzzell C, Warnock NI, Ward MP, Mohammed B, Tewari P, Martin C, O'Toole S, Edgerton LB, Bates M, Moretti P, Pitson SM, Selemidis S, Butler LM, O'Leary JJ, Brooks DA., Dynamic interplay between sortilin and syndecan-1 contributes to prostate cancer progression., Scientific reports, 13, (1), 2023, p13489 Journal Article, 2023 DOI

Mark P. Ward, F. Park Lewis, C. O"Gorman, Thomas J. Kelly, S. Hurley, Brian E. Henderson, Feras Abu Saadeh, Karen A. Cadoo, John O"Leary, Sharon O"Toole, Prognostic Significance of Circulating Tumour Cells and Disseminating Circulating Tumour Cell Clusters in Epithelial Ovarian Cancer, The Journal of Liquid Biopsy, 1, 2023, p100062 - 100062, p100062-100062 Journal Article, 2023 DOI

Mohamed BM, Ward MP, Bates M, Spillane CD, Kelly T, Martin C, Gallagher M, Heffernan S, Norris L, Kennedy J, Saadeh FA, Gleeson N, Brooks DA, Brooks RD, Selemidis S, O'Toole S, O'Leary JJ., Ex vivo expansion of circulating tumour cells (CTCs)., Scientific reports, 13, (1), 2023, p3704 - 3704 Journal Article, 2023 DOI

Bates M, Mohamed BM, Ward MP, Kelly TE, O'Connor R, Malone V, Brooks R, Brooks D, Selemidis S, Martin C, O'Toole S, O'Leary JJ., Circulating tumour cells: The Good, the Bad and the Ugly., Biochim Biophys Acta Rev Cancer, 1878, (2), 2023, p188863 Journal Article, 2023 TARA - Full Text DOI

Logan JM, Hopkins AM, Martini C, Sorvina A, Tewari P, Prabhakaran S, Huzzell C, Johnson IRD, Hickey SM, Ung BS, Lazniewska J, Brooks RD, Moore CR, Caruso MC, Karageorgos L, Martin CM, O'Toole S, Bogue Edgerton L, Ward MP, Bates M, Selemidis S, Esterman A, Heffernan S, Keegan H, Ní Mhaolcatha S, O'Connor R, Malone V, Carter M, Ryan K, Clarke A, Brady N, Klebe S, Samaratunga H, Delahunt B, Sorich MJ, Moretti K, Butler LM, O'Leary JJ, Brooks DA., Prediction of Prostate Cancer Biochemical and Clinical Recurrence Is Improved by IHC-Assisted Grading Using Appl1, Sortilin and Syndecan-1., Cancers, 15, (12), 2023, p3215 Journal Article, 2023 DOI

Kelly TE, Spillane CL, Ward MP, Hokamp K, Huang Y, Tewari P, Martin CM, Norris LA, Mohamed BM, Bates M, Brooks R, Selemidis S, Brooks DA, Kamran W, Saadeh FA, O'Toole SA, O'Leary JJ., Plasminogen activator inhibitor 1 is associated with high-grade serous ovarian cancer metastasis and is reduced in patients who have received neoadjuvant chemotherapy., Frontiers in cell and developmental biology, 11, 2023, p1150991 Journal Article, 2023 DOI

Ward MP, Lochrin SE, Ovarere C, O'Gorman C, Kane LE, Mohamed BM, Bates M, Kelly TE, O'Connor R, Kennedy J, Cadoo K, Kamran W, Beirne J, Abu Saadeh F, Martin CM, Norris LA, O'Toole SA, O'leary JJ, Platelets and immune call cloaking of circulating tumour cells in breast and ovarian cancer, Research Practice in Thrombosis and Haemostasis, International Society for Thrombosis and Haemostasis, London, July 2022, 6, ((supplement 2)), Wiley, 2022, ppPB0931 - PB0931 Conference Paper, 2022 URL

Martini C, Logan JM, Sorvina A, Gordon C, Beck AR, S-Y Ung B, Caruso MC, Moore C, Hocking A, Johnson IRD, Li KL, Karageorgos L, Hopkins AM, Esterman AJ, Huzzell C, Brooks RD, Lazniewska J, Hickey SM, Bader C, Parkinson-Lawrence E, Weigert R, Sorich MJ, Tewari P, Martin C, O'Toole S, Bates M, Ward M, Mohammed B, Keegan H, Watson W, Prendergast S, Heffernan S, NiMhaolcatha S, O'Connor R, Malone V, Carter M, Ryan K, Brady N, Clarke A, Sokol F, Prabhakaran S, Stahl J, Klebe S, Samaratunga H, Delahunt B, Selemidis S, Moretti KL, Butler LM, O'Leary JJ, Brooks DA., Aberrant protein expression of Appl1, Sortilin and Syndecan-1 during the biological progression of prostate cancer., Pathology, 2022, pS0031-3025(22)00226-4 Journal Article, 2022 DOI

Ward MP, O'Toole SA, Abu Saadeh F, Marchocki Z, Ibrahim EM, Martin F, Gleeon N, O'leary JJ, Norris LA, Mechanisms of cancer associated thrombosis in gynaecological cancer patients- tumour or treatment effect?, Research Practice in Thrombosis and Haemostasis, International Society for Thrombosis and Haemostasis, London, July 2022, 6, (Supplement 2), Wiley, 2022, ppPB0752 - PB0752 Conference Paper, 2022 URL

Ward MP, Ibrahim E, O'Toole S, Gleeson N, Abu Saadeh F, O'Donnell D, Norris LA, Thrombomodulin as a marker for VTE following neoadjuvant chemotherapy, Thrombosis Research, International Congress on Issues in Thrombosis in Cancer , Bergamo, Italy, May 2022, 213, ((6) Supplement 2), Elsevier, 2022, ppS13 - S14 Conference Paper, 2022 URL

Jabakhanji, S.B., Boland, F., Ward, M., Biesma, R., Prevalence of early childhood obesity in Ireland: Differences over time, between sexes and across child growth criteria, Pediatric obesity, 17, (11), 2022 Journal Article, 2022

Mark P Ward, Mark Bates, Bashir Mohamed, Tanya Kelly, Roisin O'Connor, Robert Brooks, Doug Brooks, Stavros Selemidis, Celine Ovaere, Jane Tully, Patrick Maguire, Catherine O'Gorman, Waseem Kamran, James Beirne, Feras Saadeh, Noreen Gleeson, Lucy Norris, Cara Martin, Sharon O'Toole, John O'Leary, Isolation and characterisation of circulating tumour cells from ovarian cancer patients, LABORATORY INVESTIGATION, March 2022, 102, (SUPPL 1), SPRINGER NATURE, 2022 Poster, 2022 DOI

O'Toole SA, Huang Y, Norris L, Power Foley M, Shireen R, McDonald S, Kamran W, Ibrahim N, Ward M, Thompson C, Murphy C, D'Arcy T, Farah N, Heron E, O'Leary JJ, Abu Saadeh F, Gleeson N., HE4 and CA125 as preoperative risk stratifiers for lymph node metastasis in endometrioid carcinoma of the endometrium: A retrospective study in a cohort with histological proof of lymph node status., Gynecologic oncology, 2021 Journal Article, 2021 DOI

Spillane CD, Cooke NM, Ward MP, Kenny D, Blackshields G, Kelly T, Bates M, Huang Y, Martin C, Skehan S, Canney A, Gallagher M, Smyth P, Brady N, Clarke A, Mohamed B, Norris L, Brooks DA, Brooks RD, Heatlie JK, Selemidis S, Hanniffy S, Dixon E, Sheils O, O'Toole SA, O'Leary JJ., The induction of a mesenchymal phenotype by platelet cloaking of cancer cells is a universal phenomenon., Translational oncology, 14, (12), 2021, p101229 Journal Article, 2021 DOI

Riccardo Di Fiore, Sherif Suleiman, Ana Felix, Sharon A O'Toole, John J O'Leary, Mark P Ward, James Beirne, Maja Sabol, Petar Ozretić, Angel Yordanov, Mariela Vasileva-Slaveva, Stoyan Kostov, Margarita Nikolova, Ian Said-Huntingford, Duncan Ayers, Bridget Ellul, Francesca Pentimalli, Antonio Giordano, Jean Calleja-Agius, An Overview of the Role of Long Non-Coding RNAs in Human Choriocarcinoma, International Journal of Molecular Sciences, 22, 2021 Journal Article, 2021 DOI

Di Fiore R, Suleiman S, Drago-Ferrante R, Felix A, O'Toole SA, O'Leary JJ, Ward MP, Beirne J, Yordanov A, Vasileva-Slaveva M, Subbannayya Y, Pentimalli F, Giordano A, Calleja-Agius J., LncRNA MORT (ZNF667-AS1) in Cancer-Is There a Possible Role in Gynecological Malignancies?, International journal of molecular sciences, 22, (15), 2021 Journal Article, 2021 DOI

Ward, Mark P., Saadeh, Feras Abu, O'Toole, Sharon A., O'Leary, John J., Gleeson, Noreen, Norris, Lucy A., Procoagulant activity in high grade serous ovarian cancer patients following neoadjuvant chemotherapy-The role of the activated protein C pathway, Thrombosis Research, 200, 2021, p91 - 98 Journal Article, 2021 DOI

Kane, L.E., Ward, M.P., Norris, L.A et al., Platelets, immune cells and the coagulation cascade; friend or foe of the circulating tumour cell?, Molecular Cancer, 20, 2021, p59- Journal Article, 2021 DOI

Di Fiore R, Suleiman S, Pentimalli F, O'Toole SA, O'Leary JJ, Ward MP, Conlon NT, Sabol M, Ozreti" P, Erson-Bensan AE, Reed N, Giordano A, Herrington CS, Calleja-Agius J., Could MicroRNAs Be Useful Tools to Improve the Diagnosis and Treatment of Rare Gynecological Cancers? A Brief Overview., International journal of molecular sciences, 22, (8), 2021 Journal Article, 2021 DOI

Sabol M, Calleja-Agius J, Di Fiore R, Suleiman S, Ozcan S, Ward MP, Ozreti" P., (In)Distinctive Role of Long Non-Coding RNAs in Common and Rare Ovarian Cancers., Cancers, 13, (20), 2021 Journal Article, 2021 DOI

Mark P. Ward, Extracellular vesicles in ovarian cancer-A role in venous thromboembolism?, Thrombosis Update, 3, 2021 Journal Article, 2021 DOI

Norris LA, Ward MP, O'Toole SA, Marchocki Z, Ibrahim N, Khashan AS, Abu Saadeh F, Gleeson N., A risk score for prediction of venous thromboembolism in gynecologic cancer: The Thrombogyn score., Res Pract Thromb Haemost, 4, (5), 2020, p848-859 Journal Article, 2020 DOI

Bashir M. Mohamed, Mark P. Ward, Mark Bates, Cathy Spillane, Tanya Kelly, Cara Martin, Michael Gallagher, John Kennedy, Fears Abu Saadeh, Noreen Gleeson, Doug A. Brooks, Robert D. Brooks, Stavros Selemidis, Sean Hannify, Eric P. Dixon, Sharon O"Toole, John O"Leary, 599 Circulating tumour cells in breast and ovarian cancer: size-based isolation and ex vivo expansion, Translational research, 2020, pA132.1 - A132, pA132.1-A132 Conference Paper, 2020 DOI

O'Toole SA, Spillane C, Huang Y, Fitzgerald MC, Ffrench B, Mohamed B, Ward M, Gallagher M, Kelly T, O'Brien C, Ruttle C, Bogdanska A, Martin C, Mullen D, Connolly E, McGarrigle SA, Kennedy J, O'Leary JJ., Circulating tumour cell enumeration does not correlate with Miller-Payne grade in a cohort of breast cancer patients undergoing neoadjuvant chemotherapy., Breast cancer research and treatment, 181, (3), 2020, p571-580 Journal Article, 2020 DOI

Useckaite Z, Ward MP, Trappe A, Reilly R, Lennon J, Davage H, Matallanas D, Cassidy H, Dillon ET, Brennan K, Doyle SL, Carter S, Donnelly S, Linnane B, McKone EF, McNally P, Coppinger JA., Increased extracellular vesicles mediate inflammatory signalling in cystic fibrosis., Thorax, 75, (6), 2020, p449-458 Journal Article, 2020 DOI TARA - Full Text

Mark P. Ward and Bashir M. Mohamed and Laura Kane and Mark Bates and Janina Berghoff and Cathy L. Spillane and Tanya Kelly and John Kennedy and Feras A. Saadeh and Karsten Hokamp and Noreen Gleeson and Orla Sheils and Cara Martin and Michael Gallagher and Sean Hannify and Eric P. Dixon and Sharon A. O{\textquotesingle, Abstract 764: Influence of platelets and neutrophils on circulating tumour cells, Clinical Research (Excluding Clinical Trials), 2020 Journal Article, 2020 DOI

LA Norris, F Abu Saadeh, M Ward, SA O'Toole, Z Marchocki, N. Ibrahim, N Gleeson, Development and validation of a risk model for prediction of venous thromboembolism in gynaecological cancer patients, Thrombosis Research, International Congress on Thrombosis and Haemostasis Issues in Cancer, Bergamo, April 2018, 164, (Supplement 1), Elsevier, 2018, ppS183 - S184 Oral Presentation, 2018 DOI

Ward MP, Abu Saadeh, F, O'Toole S, Marchocki Z, Gleeson N, Norris LA, Optimisation of Thrombin Generation as a Predictive Biomarker for Venous Thromboembolism in Gynaecological Malignancies, Research Practice in Thrombosis and Haemostasis, International Society for Thrombosis and Haemostasis, Dublin, July 2018, 2018 Poster, 2018 DOI

Z. Marchocki, N. Gleeson, F. Abu Saadeh, M.P. Ward, S.A. O'Toole, L.A. Norris, Fibrinogen, D-Dimers and thrombin generation assays as predictors of the risk of recurrent VTE in patients with gynaecological malignancies, Thrombosis Research, International Congress on Thrombosis and Haemostasis Issues in Cancer, Bergamo, April 2018, 164, (Supplement 1), 2018, pp200 - 200 Meeting Abstract, 2018 DOI

Shields S, Conroy E, O'Grady T, McGoldrick A, Connor K, Ward MP, Useckaite Z, Dempsey E, Reilly R, Fan Y, Chubb A, Matallanas DG, Kay EW, O'Connor D, McCann A, Gallagher WM, Coppinger JA., BAG3 promotes tumour cell proliferation by regulating EGFR signal transduction pathways in triple negative breast cancer., Oncotarget, 9, (21), 2018, p15673-15690 Journal Article, 2018 DOI

Jabakhanji, S.B., Boland, F., Ward, M., Biesma, R., Body Mass Index Changes in Early Childhood, Journal of Pediatrics, 202, 2018, p106 - 114 Journal Article, 2018

Ward MP, Spiers JP., Protein phosphatase 2A regulation of markers of extracellular matrix remodelling in hepatocellular carcinoma cells: functional consequences for tumour invasion., British journal of pharmacology, 174, (10), 2017, p1116-1130 Journal Article, 2017 DOI

Non-Peer-Reviewed Publications

Mark P. Ward, Bashir M. Mohamed, Laura Kane, Mark Bates, Janina Berghoff, Cathy L. Spillane, Tanya Kelly, John Kennedy, Feras A. Saadeh, Karsten Hokamp, Noreen Gleeson, Orla Sheils, Cara Martin, Michael Gallagher, Sean Hannify, Eric P. Dixon, Sharon A. O'Toole and John J. O'Leary, Influence of platelets and neutrophils on circulating tumour cells, AACR Annual Meeting , Philadelphia, PA, 2020; April 27-28, 80, (16), American Association for Cancer Research, 2020 Poster, 2020 URL

Research Expertise

Description

Liquid Biopsy (CTCs, ctDNA, EVs) in cancer, cancer associated thrombosis, targeted/immunotherapies and mechanisms of metastasis.

Projects

  • Title
    • Using liquid biopsy to better understand immunotherapy and antibody"drug conjugates in triple-negative breast cancer
  • Summary
    • Immunotherapy, including immune checkpoint inhibitors (ICIs) and antibody"drug conjugates (ADCs), has recently demonstrated clinical benefit in triple-negative breast cancer (TNBC). However, only a subset of patients respond, and reliable predictive biomarkers remain lacking. This project proposes the use of liquid biopsy components"circulating tumour cells (CTCs) and circulating tumour DNA (ctDNA)"as minimally invasive biomarkers to stratify patients and predict response to immunotherapy. CTCs are viable tumour cells shed from primary and metastatic sites that provide real-time insight into tumour biology and metastatic potential. We will investigate PD-1/PD-L1 expression on CTCs and assess longitudinal changes in CTC enumeration during neoadjuvant and adjuvant immunotherapy. In parallel, we will evaluate ctDNA fragmentation patterns as surrogate markers of treatment response. Using established TNBC cell lines and ex vivo CTC cultures, we will further assess the efficacy of novel immunotherapies and ADCs in preclinical models.
  • Funding Agency
    • Trinity St James's Cancer Institute
  • Title
    • Development of a Personalised Near Patient (PNP) Allogeneic NK-Cell Immunotherapy (PNPNKimunnoT) for Platinum Resistant High Grade Serous Ovarian Cancer.
  • Summary
    • High-grade serous ovarian cancer (HGSC) comprising cancers of the ovary, fallopian tube, and peritoneum, is the most common and aggressive form of epithelial ovarian cancer with a dismal 5-year survival rate of 28%. Unfortunately, even with surgery, cytotoxic, and maintenance therapies, most patients relapse, and some develop platinum-resistant disease resulting in a median survival of 12-15 months. Natural killer (NK) cells are crucial anti-cancer immune cells and their lower prevalence in ovarian tumours is associated with poorer prognosis. NK cell therapies are emerging as an adept alternative to T cell therapies and their lack of requirement for antigen specificity places them as excellent candidates for an off-the-shelf approach to cellular therapy. It is well established that HGSC exhibits a `cold" or `immune-excluded" phenotype and this can be influenced by their chemokine profiles. Engineering an NK cell therapy to home towards the chemokine profiles of HGSC tumours presents an opportunity to improve their infiltration of such tumours and offers a novel treatment option for HGSC patients with platinum-resistant disease. Using primary patient material together with cutting-edge molecular cell engineering and xenograft models we aim to develop novel tumour-informed, near-patient immunotherapeutic approaches through the following: 1. Retrospectively characterise the NK cell receptor ligand (activation and inhibitory) and chemokine profiles of HGSC to inform NK cell therapy design. 2. Prospectively characterise NK cell phenotypes and function in blood, and tumour and correlate to the soluble profiles detected in the retrospective screen. 3. Generate highly cytotoxic NK cell therapy and engineer to home towards HGSC tumours, based on chemokine profile of platinum-resistant tumours. 4. Evaluate engineered tumour homing engineered-NK therapy using an established platinum resistant orthotopic xenograft mouse model of HGSC. Ultimately, this study aims to improve treatment options for women with platinum resistant HGSC.
  • Funding Agency
    • HRCI-HRB Joint Funding Scheme
  • Title
    • PINPOINT: PredIction aNd Prevention Of Venous Thrombosis durINg chemotherapy combining dynamic biomarker risk assessment, patient perspectives and health technology assessment.
  • Summary
    • Venous thromboembolism(VTE) is the leading cause of non cancer death in cancer patients. Patients are particularly at risk during chemotherapy where rates of up to 20% have been reported. Guidelines recommend primary prophylaxis with direct oral anticoagulants(DOACs) in intermediate/high risk patients undergoing chemotherapy following risk assessment with a validated risk score(Khorana score). However, the Khorana score performs poorly in lung, ovarian and gastric cancers and relies on a single assessment at the start of therapy. The development of VTE is a dynamic process which cannot be accurately represented by a single risk assessment. Our data suggests that markers of procoagulant activity are implicated in chemotherapy associated VTE and could be measured serially as predictive biomarkers. This may provide a more effective method of identifying patients at risk of VTE and facilitate targeted prophylaxis. Prophylaxis with DOACs carries a risk of bleeding hence decisions regarding prophylaxis should be shared between doctor and patient. However, studies have shown that cancer patients receive limited information about VTE risk and tools to aid decision making in this area are lacking. Cost is also a consideration for both the health service and the patient. In this study we will: measure procoagulant biomarker levels serially during chemotherapy as dynamic predictors of VTE. investigate the prothrombotic mechanisms involved in chemotherapy associated VTE. identify patient needs and priorities for shared decision making with regard to prophylaxis during chemotherapy perform a cost benefit analysis of biomarker screening and targeted VTE prophylaxis during chemotherapy This study aims is to develop dynamic predictive biomarkers for VTE during chemotherapy and to understand patient priorities with regard to VTE prevention during chemotherapy. Identification of high risk patients and increased understanding or patient priorities and costs will lead to effective shared decision between doctor and patient ultimately reducing the burden of VTE in cancer.
  • Funding Agency
    • Health Research Board

Keywords

BREAST CANCER; cancer inflammation; Circulating Tumour Cells; ctDNA; Extracellular vesicles (EVs); Gynaecological cancer; INFLAMMATION; Inflammation and coagulation syndromes; Liquid Biopsy; METASTASIS; NEUTROPHILS; Ovarian Cancer; OVARIAN VEIN-THROMBOSIS; PLATELETS; THROMBIN

Recognition

Awards and Honours

IACR Senior Investigator Award 2024

Memberships

European Association for Cancer Research 2018 – Present

The Irish Society for Gynaecological Oncology (ISGO) 2016 – Present