
Emma E. Furth
VerifiedUniversity of Pennsylvania · Rehabilitation Medicine
Active 1978–2024
Research topics
- Biology
- Genetics
- Cancer research
- Microbiology
- Cell biology
- Computational biology
- Ecology
- Internal medicine
- Evolutionary biology
- Biochemistry
- Medicine
- Immunology
- Radiology
- Oncology
- Chemistry
Selected publications
Genome biology · 2024 · 48 citations
- Biology
- Computational biology
- Evolutionary biology
Existing methods for analysis of spatial transcriptomic data focus on delineating the global gene expression variations of cell types across the tissue, rather than local gene expression changes driven by cell-cell interactions. We propose a new statistical procedure called niche-differential expression (niche-DE) analysis that identifies cell-type-specific niche-associated genes, which are differentially expressed within a specific cell type in the context of specific spatial niches. We further develop niche-LR, a method to reveal ligand-receptor signaling mechanisms that underlie niche-differential gene expression patterns. Niche-DE and niche-LR are applicable to low-resolution spot-based spatial transcriptomics data and data that is single-cell or subcellular in resolution.
Stiff matrix induces exosome secretion to promote tumour growth
Nature Cell Biology · 2023 · 219 citations
- Cell biology
- Chemistry
- Biology
Enterococci enhance Clostridioides difficile pathogenesis
Nature · 2022 · 216 citations
- Microbiology
- Biology
- Immunology
Scientific Reports · 2021 · 11 citations
- Medicine
- Internal medicine
- Radiology
In the era of precision medicine, biopsies are playing an increasingly central role in cancer research and treatment paradigms; however, patient outcomes and analyses of biopsy quality, as well as impact on downstream clinical and research applications, remain underreported. Herein, we report biopsy safety and quality outcomes for percutaneous core biopsies of hepatocellular carcinoma (HCC) performed as part of a prospective clinical trial. Patients with a clinical diagnosis of HCC were enrolled in a prospective cohort study for the genetic, proteomic, and metabolomic profiling of HCC at two academic medical centers from April 2016 to July 2020. Under image guidance, 18G core biopsies were obtained using coaxial technique at the time of locoregional therapy. The primary outcome was biopsy quality, defined as tumor fraction in the core biopsy. 56 HCC lesions from 50 patients underwent 60 biopsy events with a median of 8 core biopsies per procedure (interquartile range, IQR, 7-10). Malignancy was identified in 45/56 (80.4%, 4 without pathology) biopsy events, including HCC (40/56, 71.4%) and cholangiocarcinoma (CCA) or combined HCC-CCA (5/56, 8.9%). Biopsy quality was highly variable with a median of 40% tumor in each biopsy core (IQR 10-75). Only 43/56 (76.8%) and 23/56 (41.1%) samples met quality thresholds for genomic or metabolomic/proteomic profiling, respectively, requiring expansion of the clinical trial. Overall and major complication rates were 5/60 (8.3%) and 3/60 (5.0%), respectively. Despite uniform biopsy protocol, biopsy quality varied widely with up to 59% of samples to be inadequate for intended purpose. This finding has important consequences for clinical trial design and highlights the need for quality control prior to applications in which the presence of benign cell types may substantially alter findings.
Recent grants
NIH · $26k
Frequent coauthors
- 99 shared
Robert H. Vonderheide
- 68 shared
Franz Fogt
- 66 shared
Katelyn T. Byrne
- 65 shared
Alexander O. Vortmeyer
Neurological Surgery
- 64 shared
M. Sanders
University of Amsterdam
- 64 shared
Christopher J. Hartmann
United States Army Medical Research Institute of Infectious Diseases
- 64 shared
Julius Deren
- 64 shared
Robert D. Odze
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