The concept of cancer as a genomic disease has been clear since 1960, when Peter Nowell, from the University of Pennsylvania, and his graduate student David Hungerford, identified an abnormal chromosome (the Philadelphia chromosome) associated with chronic myelogenous leukemia (CML). Amazingly, the first targeted therapy for cancer, Imatinib, was later developed around the Philadelphia chromosome and its targeted fusion gene product BCR-ABL1 as well.
Targeted therapy can be categorized into small molecules and monoclonal antibodies. Small molecules are chemicals that block the growth of cancer cells, often by mimicking a substrate, which blocks the active site in the molecule. Some examples of small molecules in cancer include imatinib mesylate (Imatinib), commonly used for CML, gastrointestinal stromal tumors, as well as some other tumors and erlotinib and gefitinib, which are targeted against EGFR mutations in lung and pancreatic adenocarcinomas.
There are also monoclonal antibodies that target specific genetic changes in tumor cells. An example of a monoclonal antibody that has altered disease outcome is trastuzumab, which targets ERBB2 (also known as her2/neu) that is expressed in some breast cancers and some lung adenocarcinomas. The promise of trastuzumab as a targeted therapy that can both treat advanced cancer and prevent its development or reoccurrence traces its origins to the pioneering contributions of Dr. Mark Greene, now a University of Pennsylvania faculty member in the Department of Pathology and Laboratory Medicine.
The Center for Personalized Diagnostics at the University of Pennsylvania builds on this legacy of personalized medicine.
Current Leadership
Jennifer Morrissette, PhD
Associate Professor of Clinical Pathology & Laboratory Medicine
Interim Director, Center for Personalized Diagnostics
Dr. Morrissette is an Associate Professor of Pathology and Laboratory Medicine in the Perelman School of Medicine at the University of Pennsylvania, and is currently serving as the Interim Director of the Center of Personalized Diagnostics. She is dual board certified in Clinical Cytogenetics and Clinical Molecular Genetics by the American Board of Medical Genetics and Genomics (ABMGG). She is the Laboratory Director for the CytoGenomics Laboratories at Penn Medicine and is the Scientific Director of the Clinical Cancer Cytogenetics Laboratory, and the Clinical Director for the Center of Personalized Diagnostics. She received her Ph.D. in Molecular Biology and Genetics from the State University of New York at Buffalo, completed a postdoctoral fellowship in Molecular Genetics at Harvard Medical School and completed the ABMGG Fellowship at The Children's Hospital of Philadelphia. Her interests are in the application of genomic technologies in oncology for patient management and using genomics to support personalized therapy.
Download Dr. Jennifer Morrissette's CV
Robert Babak Faryabi, PhD
Assistant Professor of Pathology & Laboratory Medicine
Assistant Professor of Cancer Biology
CPD Faculty Lead, Bioinformatics
Dr. Faryabi is an Assistant Professor of Pathology and Laboratory Medicine, a core member of Penn Epigenetics Institute, and a member of Abramson Cancer Center Breast Cancer Research Program. The overarching goal of the Faryabi Lab is to advance the mechanistic understanding of human cancer genome regulation and dissect how transcription factors alter cancer genome folding. The lab deploys multidisciplinary approaches from chromatin, cancer, and computational biology to rigorously define the cause-and-effect relationship between transcriptional regulators, chromatin organization, and gene expression in cancer. Current projects in the Faryabi lab focuses on lymphoma and breast cancer and explore: i) how epigenetic control of gene expression is disrupted, ii) how transcriptional dependencies can develop, and iii) how heterogeneity and plasticity of transcriptional dependencies enable drug resistance in these cancers.
Download Dr. Robert Babak Faryabi's CV
Jacquelyn J. Roth, PhD
Assistant Professor of Clinical Pathology and Laboratory Medicine
Dr. Roth is an Assistant Professor of Pathology and Laboratory Medicine in the Perelman School of Medicine at the University of Pennsylvania. She is dual board certified in Clinical Cytogenetics and Clinical Molecular Genetics by the American Board of Medical Genetics and Genomics (ABMGG). Dr. Roth received her PhD in Genetics from Thomas Jefferson University. She then completed her two ABMGG fellowships at the Children's Hospital of Philadelphia. In 2014, she joined the Molecular Pathology Laboratory in the Division of Precision and Computational Diagnostics at the Hospital of the University of Pennsylvania, where she served as the Molecular Development Assistant Director for three years before transitioning into her current role. Dr. Roth's interests include harmonizing the use of cytogenetic and molecular techniques to improve patient diagnostics and laboratory quality control.
Salvatore Priore, MD, PhD
Assistant Professor of Clinical Pathology and Laboratory Medicine
Dr. Salvatore Priore is an Assistant Professor of Clinical Pathology and Laboratory Medicine at the University of Pennsylvania, Perelman School of Medicine. He completed his residency in Anatomic Pathology and fellowship in Molecular Genetic Pathology at the University of Pennsylvania. He received his MD and PhD degrees from the University of Rochester as a member of the Medical Scientist Training Program. He completed a post-doctoral fellowship in the laboratory of Yi Xing in the Center for Computational and Genomic Medicine at the Children’s Hospital of Philadelphia. Dr. Priore maintains a significant interest in investigating and developing RNA-based molecular diagnostic testing. In addition, he is actively involved in teaching and developing novel educational content in the areas of molecular pathology and medical humanities.
Dr. Priore is a diplomate of the American Board of Pathology.
Guang (Geoff) Yang, MD
Assistant Professor of Clinical Pathology and Laboratory Medicine
Dr. Guang (Geoff) Yang is an Assistant Professor of Clinical Pathology and Laboratory Medicine at the University of Pennsylvania, Perelman School of Medicine. He underwent residency training in Anatomic and Clinical Pathology at Loma Linda University Medical Center. He completed a fellowship in Molecular Genetic Pathology at Mayo Clinic, and a fellowship in Hematopathology at University of Pennsylvania. He was an instructor in the Molecular Diagnostic Laboratory at University of Minnesota. He maintains strong interests in cancer genomics, especially molecular hematopathology, related projects. Dr. Yang is certified by the American Board of Pathology in Combined Anatomic and Clinical Pathology, as well as sub-specialty certification in Hematopathology and Molecular Genetic Pathology.
Simon Chen, MD
Assistant Professor of Clinical Pathology and Laboratory Medicine
Dr. Simon Chen is an Assistant Professor of Clinical Pathology and Laboratory Medicine at the University of Pennsylvania, Perelman School of Medicine. He obtained his medical degree from the Washington University School of Medicine in St. Louis, and completed graduate medical education including residency in Anatomic and Clinical Pathology and fellowships in Molecular Genetic Pathology and Surgical Pathology, all at Stanford Health Care. He is interested in the application of molecular genetic pathology to the study of cancer, and in particular the use of molecular genetic biomarkers to support the latest diagnostic and therapeutic innovations in oncology, hematology, anatomic pathology, and hematopathology.
CPD Staff Members
- David Lieberman, Interim Administrative Director
- Patrick Candrea, Technical Supervisor
- Sarah Herlihy, PhD, Assistant Director of Assay Development
- Corey Rogers, PhD, Genomic Development Specialist
- AmandaSue Landi, Genomic Development Specialist
- Ashkan Bigdeli, Lead Bioinformatics Specialist
- Akshay Chitturi, Bioinformatics Specialist
- Chase Rushton, Bioinformatics Specialist
- Safoora Deihimi, Genomic Variant Analyst
- Chris Orr, PhD, Genomic Variant Analyst
- Chris Herzog, PhD, Genomic Variant Analyst
- Sanese White-Brown, Genomic Variant Analyst
- Natalie Opsitnick, Clinical Genomics Technologist
- Monika Carey, Clinical Genomics Technologist
- Jason Limbo, Clinical Genomics Technologist
- George Stuski, Clinical Genomics Technologist
- Stephen Szabo, Clinical Genomics Technologist
- Ada Ng, Clinical Genomics Technologist
- Stefanie Shawver, Laboratory Assistant
- Michelle Gatta, Administrative Assistant
Contact Us
For the Center of Personalized Diagnostics and test inquiries, call 215-615-3966 or contact:
- Jennifer Morrissette, PhD
Interim Director
Center for Personalized Diagnostics
Hospital of the University of Pennsylvania
3020 Market Street, Suite 221C
Philadelphia, PA 19104
Telephone: 215-615-2387
Email: Jennifer.Morrissette@pennmedicine.upenn.edu
- David B. Lieberman, MS, CGC
Interim Administrative Director
Center for Personalized Diagnostics
Hospital of the University of Pennsylvania
3020 Market Street, Suite 220
Philadelphia, PA 19104
Telephone: 215-349-8416
Email: David.Lieberman@pennmedicine.upenn.edu
CPD Resources and Selected Publications
- O'Rourke DM, Nasrallah MP, Desai A, Melenhorst JJ, Mansfield K, Morrissette JJD, Martinez-Lage M, Brem S, Maloney E, Shen A, Isaacs R, Mohan S, Plesa G, Lacey SF, Navenot JM, Zheng Z, Levine BL, Okada H, June CH, Brogdon JL, Maus MV. A single dose of peripherally infused EGFRvIII-directed CAR T cells mediates antigen loss and induces adaptive resistance in patients with recurrent glioblastoma. Sci Transl Med. 2017 Jul 19;9(399). pii: eaaa0984. doi: 10.1126/scitranslmed.aaa0984
- Fox AJ, Hiemenz MC, Lieberman DB, Sukhadia S, Li B, Grubb J, Candrea P, Ganapathy K, Zhao J, Roth D, Alley E, Loren A, Morrissette JJ. Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors. J Vis Exp. 2016 Sep 20;(115). doi: 10.3791/52758.
- Wei S, Lieberman D, Morrissette JJ, Baloch ZW, Roth DB, McGrath C. Using "residual" FNA rinse and body fluid specimens for next-generation sequencing: An institutional experience. Cancer Cytopathol. 2016 May;124(5):324-9. doi: 10.1002/cncy.21666. Epub 2015 Dec 18.
- Hiemenz MC, Kadauke S, Lieberman DB, Roth DB, Zhao J, Watt CD, Daber RD, Morrissette JJ. Building a Robust Tumor Profiling Program: Synergy between Next-Generation Sequencing and Targeted Single-Gene Testing. PLoS One. 2016 Apr 4;11(4):e0152851. doi: 10.1371/journal.pone.0152851.
- Yee SS, Lieberman DB, Blanchard T, Rader J, Zhao J, Troxel AB, DeSloover D, Fox AJ, Daber RD, Kakrecha B, Sukhadia S, Belka GK, DeMichele AM, Chodosh LA, Morrissette JJ, Carpenter EL. A novel approach for next-generation sequencing of circulating tumor cells. Mol Genet Genomic Med. 2016 Feb 28;4(4):395-406. doi: 10.1002/mgg3.210. eCollection 2016.
- Wei S, LiVolsi VA, Montone KT, Morrissette JJ, Baloch ZW. PTEN and TP53 Mutations in Oncocytic Follicular Carcinoma. Endocr Pathol. 2015 Nov 3. [Epub ahead of print] doi: 10.1007/s12022-015-9403-6
- Kiel MJ, Sahasrabuddhe AA, Rolland DC, Velusamy T, Chung F, Schaller M, Bailey NG, Betz BL, Miranda RN, Porcu P, Byrd JC, Jeffrey Medeiros L, Kunkel SL, Bahler DW, Lim MS, Elenitoba-Johnson KS. Genomic analyses reveal recurrent mutations in epigenetic modifiers and the JAK-STAT pathway in Sézary syndrome. Nat Commun. 2015 Sep 29;6:8470. doi: 10.1038/ncomms9470.
- Azzato EM, Deshpande C, Aikawa V, Aggarwal C, Alley E, Jacobs B, Morrissette J, Daber R. Rare Complex Mutational Profile in an ALK Inhibitor-resistant Non-small Cell Lung Cancer. Anticancer Res. 2015 May;35(5):3007-12.
- Kenderian SS, Ruella M, Shestova O, Klichinsky M, Aikawa V, Morrissette JJ, Scholler J, Song D, Porter DL, Carroll M, June CH, Gill S. CD33-specific chimeric antigen receptor T cells exhibit potent preclinical activity against human acute myeloid leukemia. Leukemia. 2015 Feb 27. doi: 10.1038/leu.2015.52
- Loaiza-Bonilla A, Clayton E, Furth E, O'Hara M, Morrissette J. Dramatic response to dabrafenib and trametinib combination in a BRAF V600E-mutated cholangiocarcinoma: implementation of a molecular tumour board and next-generation sequencing for personalized medicine. Ecancermedicalscience. 2014 Nov 6;8:479. doi: 10.3332/ecancer.2014.479
- Sehgal AR, Gimotty PA, Zhao J, Hsu JM, Daber R, Morrissette JD, Luger SM, Loren AW, Carroll M. DNMT3A mutational status affects the results of dose-escalated induction therapy in acute myelogenous leukemia. Clin Cancer Res. 2015 Jan 21. doi: 10.1158/1078-0432.CCR-14-0327/li>
- Wilson MA, Morrissette JJ, McGettigan S, Roth DB, Elder D, Schuchter LM, Daber RD. What you are missing could matter: a rare, complex BRAF mutation affecting codons 599, 600, and 601 uncovered by next generation sequencing. Cancer Genet. 2014 Jun 18. pii: S2210-7762(14)00136-7
- Azzato EM, Morrissette JJ, Halbiger RD, Bagg A, Daber RD. Development and implementation of a custom integrated database with dashboards to assist with hematopathology specimen triage and traffic. J Pathol Inform 2014;5:29
- Wertheim GB, Daber R, Bagg A. Molecular Diagnostics of Acute Myeloid Leukemia: It's a (Next) Generational Thing. J Mol Diagn. 2013 Jan;15(1):27-30. doi: 10.1016/j.jmoldx.2012.08.002
- Zhang L, Znoyko I, Costa LJ, Conlin LK, Daber RD, Self SE, Wolff DJ. Clonal diversity analysis using SNP microarray: a new prognostic tool for chronic lymphocytic leukemia. Cancer Genet. 2011 Dec;204(12):654-6. doi: 10.1016/j.cancergen.2011.10.012