Drew Ellershaw, DClinSci FRCPath

Drew Ellershaw, DClinSci FRCPath

London, England, United Kingdom
356 followers 350 connections

About

Registered Clinical Scientist with Fellowship of the Royal College of Pathologists and…

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Experience

  • Illumina Graphic

    Illumina

    Great Abington, England, United Kingdom

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    London, England, United Kingdom

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Education

Publications

  • Cell-Free DNA in Pediatric Solid Organ Transplantation Using a New Detection Method of Separating Donor-Derived from Recipient Cell-Free DNA

    Clinical Chemistry

    Abstract
    Background
    The use of cell-free DNA (cfDNA) as a noninvasive biomarker to detect allograft damage is expanding rapidly. However, quantifying the low fraction of donor-derived cfDNA (ddcfDNA) is challenging and requires a highly sensitive technique. ddcfDNA detection through unique donor single nucleotide polymorphisms (SNPs) is a recent new approach, however there are limited data in pediatric solid organ transplant (SOT) recipients.

    Methods
    We developed an assay using…

    Abstract
    Background
    The use of cell-free DNA (cfDNA) as a noninvasive biomarker to detect allograft damage is expanding rapidly. However, quantifying the low fraction of donor-derived cfDNA (ddcfDNA) is challenging and requires a highly sensitive technique. ddcfDNA detection through unique donor single nucleotide polymorphisms (SNPs) is a recent new approach, however there are limited data in pediatric solid organ transplant (SOT) recipients.

    Methods
    We developed an assay using a combination of 61 SNPs to quantify the ddcfDNA accurately using a custom R script to model for both the patient and donor genotypes requiring only a single sample from the allograft recipient. Performance of the assay was validated using genomic DNA (gDNA), cfDNA and donor samples where available.

    Results
    The R “genotype-free” method gave results comparable to when using the known donor genotype. applicable to both related and unrelated pairs and can reliably measure ddcfDNA (limit of blank, below 0.12%; limit of detection, above 0.25%; limit of quantification 0.5% resulting in 84% accuracy). 159 pediatric SOT recipients (kidney, heart, and lung) were tested without the need for donor genotyping. Serial sampling was obtained from 82 patients.

    Conclusion
    We have developed and validated a new assay to measure the fraction of ddcfDNA in the plasma of pediatric SOT recipients. Our method can be applicable in any donor-recipient pair without the need for donor genotyping and can provide results in 48 h at a low cost. Additional prospective studies are required to demonstrate its clinical validity in a large cohort of pediatric SOT recipients.

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  • Cheaper and Faster Analysis of Donor-Derived Cell-Free DNA in Children after Heart and Lung Transplantation; Validation of a New Assay

    The Journal of Heart and Lung Transplantation

    Purpose
    Donor-derived cell-free cell free DNA (ddcfDNA) is a noninvasive biomarker undergoing investigation in adult heart and lung allograft recipients. Elevated ddcfDNA levels have been correlated with active rejection, most robustly for antibody-mediated rejection (ABMR). However, complex methodology limits clinical implementation of this promising biomarker. There are no data in the paediatric population.

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Languages

  • English

    Native or bilingual proficiency

  • Mandarin Chinese

    Limited working proficiency

  • Japanese

    Elementary proficiency

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