Andrew Nelson, MD, PhD

Assistant Professor, Department of Laboratory Medicine and Pathology

Andrew Nelson

Contact Info

nels2055@umn.edu

Office Phone 612-273-3328

Mailing Address:
MMC 609 Mayo
8076A (Campus Delivery Code)
420 Delaware St. SE
Minneapolis, MN 55455

University of Colorado School of Medicine, 2010

University of Minnesota (Anatomic Pathology), 2010-2013

University of Minnesota (Molecular Genetic Pathology), 2013-2014

University of Colorado Denver, Aurora (Experimental Pathology) 2007

University of Colorado, Boulder (Molecular, Cellular and Developmental Biology) 2000

Summary

Dr. Nelson is an anatomic and molecular genetic pathologist and is a member of the Division of Molecular Pathology and Genomics.  He earned his doctoral degree in cancer biology and experimental pathology with a focus on cell signaling mechanisms that regulate the function of BRCA1 and BRCA2 in breast and ovarian cancer. He collaborates with colleagues in both clinical and basic research projects involving solid tumor molecular diagnostics.

Research

Research Summary/Interests

Andy was the lead scientist in the design, development, and implementation of the current microfluidics-based next-generation sequencing (NGS) platform for oncology in the Molecular Diagnostic Laboratory. The current panel tests for over 7,000 important mutations within 21 genes closely linked to the outcome and treatment of various solid and hematologic malignancies. The immediate goal of his work in the area of NGS oncology is to improve quality, turnaround time, logistics and workflow with the current pipeline as well as preparing for further developments in the rapidly advancing field. These efforts include developing tools that provide improved annotation capabilities for therapeutic relevance and clinical trials to in turn provide more value to clinical colleagues and patients. Expansion of the oncology NGS testing will include two major efforts: 1) technical advances to improve testing capability of minuscule biopsy samples, and 2) expanding the number of genes tested to support clinical research efforts at the University.

Current approaches to treating cancer are based primarily on tissue origin and histologic subtypes. Andy sees a major challenge ahead in the integration of genetic information with the traditional tissue-based categorization of cancer. A gene target that responds to therapy in one tissue may not respond to the same therapy in a different tissue, based on the gene’s differing transcriptional and epigenetic profile in the two tissues. Genetic alterations alone cannot explain tumor behavior or a patient’s prognosis. A major challenge for the field is finding a way to integrate knowledge across different platforms that incorporate genetic, epigenetic, transcriptional, and proteomic alterations within the signaling pathways that drive cancer progression.

Dr. Nelson believes curiosity-driven basic science is critical to revealing the mechanisms of cancer progression. Combining anatomic pathology and molecular genetics will allow scientists to analyze tissue in its structurally native form and explore cell-to-cell interaction in an ordered environment. He is collaborating with departmental colleagues and others in the Breast Cancer Translational Working Group headed by the Cancer Center’s Douglas Yee. Andy is co-investigator with Dr. Yee of a pilot project involving Nanostring gene-expression profiling of human breast cancer tissue and cell lines. They are investigating some 350 genes that cover many of the signaling pathways known to be involved in breast cancer. Nanostring technology – a kind of molecular bar-coding system for gene expression analysis -- is more robust than standard microarrays for analyzing paraffin-embedded tissues. Within this framework, Nelson and colleagues Jim McCarthy, Kaylee Schwertfeger and others have developed a 70-gene signature designed to reveal mechanisms of stromal alteration that support breast cancer progression. The working hypothesis is that altered signaling through hyaluronic acid, activation of myofibroblasts, and the influx and activation of inflammatory cell integration-specific macrophages all conspire to promote tumor progression. They are investigating the specific cell types within the tumor microenvironment in which these genes are up-regulated. From the results they plan to develop an intraductal model of breast cancer progression in mice. They will use genetically modified and traceable stromal cells in an effort to elucidate stromal mechanisms associated with breast cancer progression. Dr. Nelson is also providing data for the working group in studies of DNA repair and progesterone receptor signaling in breast cancer.

From the standpoint of anatomic pathology in the genomic era, Dr. Nelson believes it is important to flip the model of “bench to bedside” to “bedside to bench” first and then translate what is learned back to patient care.

Publications

  • Christine Henzler, Matthew Schomaker, Rendong Yang, Aaron P. Lambert, Rebecca LaRue, Robyn Kincaid, Kenneth Beckman, Teresa Kemmer, Jon Wilson, Sophia Yohe, Bharat Thyagarajan, Andrew C. Nelson. Optimization of a microfluidics-based next generation sequencing assay for clinical oncology diagnostics. Annals of Translational Medicine, 2018; 6 (9). http://dx.doi.org/10.21037/atm.2018.05.07
    Bohrer LR, Chaffee TS, Chuntova P, Brady NJ, Witschen PM, Kemp SE, Nelson AC, Walcheck B, Schwertfeger KL. ADAM17 in tumor associated leukocytes regulates inflammatory mediators and promotes mammary tumor formation. Genes Cancer. 2016 Jul;7(7-8):240-253.
  • Courville EL, Yohe S, Chou D, Nardi V, Lazaryan A, Thakral B, Nelson AC, Ferry JA, Sohani AR. EBV-negative monomorphic B-cell post-transplant lymphoproliferative disorders are pathologically distinct from EBV-positive cases and frequently contain TP53 mutations. Mod Pathol. 2016 Oct;29(10):1200-11. doi: 10.1038/modpathol.2016.130.
  • Nelson AC, Bower M, Baughn LB, Henzler C, Onsongo G, Silverstein KAT, Schomaker M, Deshpande A, Beckman KB, Yohe S, and Thyagrajan B. Criteria for Clinical Reporting of Variants from a Broad Target Capture NGS Assay without Sanger Verification. JSM Biomar. 2015;2(1): 1005.
  • AC Nelson, C Singh, and SE Pambuccian. “Cytological diagnosis of metastatic alveolar rhabdomyosarcoma in the ascitic fluid: Report of a case highlighting the diagnostic difficulties.” CytoJournal. 2012;9:9. Epub 2012 Mar 31.
  • AC Nelson, C Singh, BH Clark, and SE Pambuccian. “Recurrent anaplastic medulloblastoma in cerebrospinal fluid after autologous hematopoietic stem cell transplant.” Diagn Cytopathol. 2012 Apr 30. doi: 10.1002/dc.22865. [Epub ahead of print]
  • AC Nelson, J Jessurun, R Peterson, and SE Pambuccian. “Intrahepatic recurrence of hepatocellular carcinoma 13 years after ortotopic liver transplantation for hepatitis C-related cirrhosis with occult hepatocellular carcinoma. Report of a case.” Liver Transplantation. 2012 Feb 17; 18(5): 612-14.
  • AC Nelson, TK Lyons, CY Young, KC Hansen, SM Anderson, and JT Holt. “AKT Regulates BRCA1 Stability in Response to Hormone Signaling.” Molecular and Cellular Endocrinology. 2010 May; 319(1-2): 129-42.
  • AC Nelson and JT Holt. "Impact of RING and BRCT domain mutations on BRCA1 protein stability, localization and recruitment to DNA damage." Radiation Research. 2010 July; 174(1): 1-13.
  • JL Malone, AC Nelson, R Lieberman, KA Gibson, SM Anderson, and JT Holt. “Oestrogen-mediated Phosphorylation and Stabilization of BRCA2 Protein in Breast.” Journal of Pathology. 2009 February; 217(3):380-8.
  • FJ Geske, AC Nelson, R Lieberman, R Strange, T Sun, and LE Gerschenson. “DNA repair is activated in early stages of p53-induced apoptosis.” Cell Death and Differentiation. 2000 April; 7(4):393-401.

Clinical

Board Certifications

Anatomic Pathology, Molecular Genetic Pathology