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Dan Manning

Dan Manning
Why mutation-targeted breast cancer drugs often disappoint—and what the next wave gets right.

breast-cancer

Why mutation-targeted breast cancer drugs often disappoint—and what the next wave gets right.

Applying Christensen's disruptive innovation framework to breast cancer therapy: mutation-anchored agents underperform due to resistance escape routes, while broadly acting host-driven therapies (ADCs, immunotherapy, cell/gene therapies) succeed by acting through harder-to-escape mechanisms across…

By Dan Manning 13 Apr 2026
COPD lung disease may actually boost immunotherapy responses in lung cancer patients.

lung-cancer

COPD lung disease may actually boost immunotherapy responses in lung cancer patients.

NSCLC patients with COPD respond better to anti-PD-1 immunotherapy. COPD-driven epithelial remodeling expands CXCL14+ basal-like tumor cells, which recruit CXCL9+ macrophages via CXCL14-CXCR4 signaling, amplifying cytotoxic T cell infiltration. This tumor-macrophage axis predicts pathological…

By Dan Manning 13 Apr 2026
Rural Nepali Indigenous women want HPV vaccines—but barely know what cervical cancer is.

cervical-cancer

Rural Nepali Indigenous women want HPV vaccines—but barely know what cervical cancer is.

Survey of 250 Indigenous women in rural Nepal found only 18% knew one prevention behavior for cervical cancer, yet 76.8% were positive toward screening and 81.6% toward HPV vaccination. The barrier is information, not willingness. Culturally tailored health education programs are urgently needed.

By Dan Manning 13 Apr 2026
A simple blood test before surgery predicts which colorectal liver cancer patients will relapse fast.

colorectal-cancer

A simple blood test before surgery predicts which colorectal liver cancer patients will relapse fast.

Pretreatment ctDNA (circulating tumor DNA) levels measured by affordable mFast-SeqS sequencing classified 19% of 182 colorectal liver metastasis patients as ctDNA-high. These patients had 1-year RFS of 29% vs. 52% and 3-year OS of 48% vs. 78% compared to ctDNA-low patients, and were at higher risk…

By Dan Manning 13 Apr 2026
New Asian cachexia criteria reveal hidden high-risk lung cancer patients missed by standard definitions.

lung-cancer

New Asian cachexia criteria reveal hidden high-risk lung cancer patients missed by standard definitions.

Cancer cachexia is common in NSCLC patients receiving immunotherapy and predicts poor outcomes. Western diagnostic criteria (Fearon) may miss cachexia in Asian patients with lower baseline body mass. In 411 Japanese PD-L1-high NSCLC patients, 40.9% were cachectic by Asian Working Group for Cachexia…

By Dan Manning 13 Apr 2026

weekly-digest

Why Cancer Drugs Fail—And When Surgery Isn’t Needed

This week’s research is defined by two powerful tensions: the drive to understand why treatments fail, and the growing case for doing less. On the molecular front, scientists finally cracked open one of oncology’s most frustrating puzzles — why BET inhibitors, which looked extraordinary in the lab, have repeatedly

By Dan Manning 11 Apr 2026
Colorectal Cancer Microbiome Discovery Platform

project-idea

Colorectal Cancer Microbiome Discovery Platform

Analysis of 9,000+ patients revealed that only colorectal cancer — not other cancer types — consistently harbors distinct microbial communities, suggesting the gut microbiome has a unique relationship with colorectal carcinogenesis that could be exploited for diagnostics and treatment.

By Dan Manning 11 Apr 2026
GBM Tumor Microenvironment Drug Target Atlas

project-idea

GBM Tumor Microenvironment Drug Target Atlas

Non-cancerous brain support cells were found to promote glioblastoma growth through paracrine signaling, and blocking this communication dramatically slowed tumor growth — revealing that GBM's microenvironment contains targetable vulnerabilities that are being systematically overlooked by drug…

By Dan Manning 11 Apr 2026
BET Inhibitor Target Selectivity Database

project-idea

BET Inhibitor Target Selectivity Database

BRD2 and BRD4 have fundamentally distinct functions — BRD2 prepares genes for activation while BRD4 triggers transcription — meaning that pan-BET inhibitors have been disrupting gene regulation in counterproductive ways, and the field now needs selective BRD4 inhibitors.

By Dan Manning 11 Apr 2026
Cancer Nutrition-Immunity Research Tracker

project-idea

Cancer Nutrition-Immunity Research Tracker

Zeaxanthin — a carotenoid supplement already taken for eye health — strengthens T cells and enhances immunotherapy effectiveness in preclinical models, suggesting that common dietary compounds may meaningfully modulate cancer immune responses and warrant systematic investigation.

By Dan Manning 11 Apr 2026
DCIS Decision Navigator

project-idea

DCIS Decision Navigator

A randomized trial shows active surveillance for DCIS produces similar ipsilateral invasive breast cancer survival as immediate surgery — a landmark result that means thousands of women per year could potentially avoid surgery, but only if they can access clear information to make an informed…

By Dan Manning 11 Apr 2026
Lung Screening Incidental Findings Follow-Up Tracker

project-idea

Lung Screening Incidental Findings Follow-Up Tracker

Significant incidental findings on lung screening CT are associated with a substantially increased risk of extrapulmonary cancer diagnosis in the following year — meaning lung screening programs are detecting signals for multiple cancer types, but follow-up infrastructure for incidental findings is…

By Dan Manning 11 Apr 2026
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