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Jeffrey Townsend

@jeffreytownsend.bsky.social

Elihu Professor of Biostatistics @yalesph.bsky.social--Cancer, Infectious disease, Evolutionary biology, Fungi, sometimes running

3,555 Followers  |  2,588 Following  |  285 Posts  |  Joined: 02.12.2023  |  2.0361

Latest posts by jeffreytownsend.bsky.social on Bluesky

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One last point: don't use tobacco.

It causes cancer

doi.org/10.1093/molb...

(also respiratory and pulmonary diseases, cardiovascular and vascular diseases, diabetes mellitus, and reproductive and sexual impairment).

14.10.2025 13:07 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Together, these findings support an interpretation that enhanced ICI response in KRAS G12C-mutant tumors arises from tobacco-driven mutagenesis and its immunogenic consequences, rather than from variant-specific oncogenic or immunologic properties.

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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By integrating published clinical outcome data, we have shown that increasing exposure to tobacco predicts lower hazard ratios and higher response rates to immune-checkpoint inhibition.

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Our analyses point to the importance of mutagenic context: KRAS G12C is enriched for the tobacco-associated SBS4 mutational signature, which is strongly correlated with tumor mutation burden across lung adenocarcinomas.

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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To clarify the effect of tobacco-associated mutagenesis, we used data from Litchfield et al. to model the impact of tobacco-driven tumor mutational burden on immune-checkpoint inhibition. Predicted response rates increase sharply at low–moderate exposure to SBS4 (tobacco).

doi.org/10.1016/j.ce...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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To clarify the effect of tobacco-associated mutagenesis, we used data from Samstein et al. to model the impact of tobacco-driven tumor mutation burden on immune-checkpoint inhibition outcomes. As SBS4 (tobacco exposure) increases, the predicted hazard ratio declines.

www.nature.com/articles/s41...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Because tobacco smoke exposure contributes to both KRAS G12C mutations and to increased TMB, it follows that KRAS G12C-mutant tumors exhibit significantly increased TMB compared to KRAS G12D tumors.

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Smoking is a major contributor to increased tumor mutational burden in non-small-cell lung cancer. Tobacco smoke-related SBS4-attributed mutation fraction and TMB were significantly correlated across LUAD tumors.

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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We examined the tobacco mutational signature and KRAS mutation frequency in tumors. KRAS G12C-mutant tumors showed a significantly higher proportion of mutations attributable to the SBS4 tobacco-associated mutational signature compared to KRAS G12D.

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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We analyzed 9,230 lung adenocarcinoma (LUAD) tumors to assess the mutational context and oncogenic potential of KRAS G12A and G12V and G12C and G12D variants. Their cancer effect sizes were similarβ€”large compared to variants at other sites of KRAS.

aacrjournals.org/cancerres/ar...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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It has been unclear whether the better outcomes associated with KRAS G12C reflect

β€’Β G12C versus G12D allele-intrinsic biology or

β€’Β shared dependence on tobacco-induced mutagenesis and elevated tumor mutation burden (TMB).

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
Redirecting

KRAS G12C mutations in non-small cell lung cancer (NSCLC) have been associated with improved immune-checkpoint inhibition (ICI) outcomes.

doi.org/10.1016/j.lu...

14.10.2025 13:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Just out in Lung Cancer:

KRAS G12C-associated immunotherapy benefit in NSCLC
is substantially mediated by tobacco-induced tumor mutation burdenβ€”not allele-specific effects.

authors.elsevier.com/a/1ls3ocYZOi...

14.10.2025 13:07 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Flu & covid vax day β€” & I’m still uncertain which mRNA to ask for. Do I wait for Novavax availability? Last year the other place was all atweet with knowledgable opinions; this year Iβ€˜m lost.

β€œOne of those” plus the added idiocy of my 4th guess.

Wordle 1,574 5/6*

⬜🟨⬜⬜⬜
🟩⬜⬜🟩🟩
🟩⬜⬜🟩🟩
🟩🟩⬜🟩🟩
🟩🟩🟩🟩🟩

10.10.2025 11:31 β€” πŸ‘ 5    πŸ” 1    πŸ’¬ 2    πŸ“Œ 0
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KRAS G12C-associated immunotherapy benefit in NSCLC is substantially mediated by tobacco-induced tumor mutation burden, not allele-specific effects KRAS G12C mutations in non-small cell lung cancer (NSCLC) have been associated with improved immune-checkpoint inhibition (ICI) outcomes. However, it remains unclear whether this benefit reflects alle...

Some #lungcancers with #KRAS G12C mutations respond to #immunotherapy bc of⬆️ mutation load from #tobacco exposure. Smoking history + overall mutation burden are better guides for treatment than KRAS status alone.
lungcancerjournal.info/article/S016...
@jeffreytownsend.bsky.social

03.10.2025 12:01 β€” πŸ‘ 7    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1

DISNEY: "OK, we are putting Jimmy Kimmel back on the air. You can resubscribe now."

ME: "I unsubscribed because you immorally bowed to fascism. I'm not going to resubscribe because you immorally bowed to finances."

22.09.2025 21:13 β€” πŸ‘ 42248    πŸ” 10742    πŸ’¬ 1651    πŸ“Œ 768
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Neither Elon Musk Nor Anybody Else Will Ever Colonize Mars | Defector Mars does not have a magnetosphere. Any discussion of humans ever settling the red planet can stop right there, but of course it never does. Do you have a low-cost plan for, uh, creating a gigantic ac...

Neither Elon Musk Nor Anybody Else Will Ever Colonize Mars - defector.com/neither-elon...

23.09.2025 02:56 β€” πŸ‘ 6    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Bye bye, rodent nation.
#BoycottDisney

21.09.2025 22:17 β€” πŸ‘ 260    πŸ” 31    πŸ’¬ 11    πŸ“Œ 2

will be speaking in

The Distinguished Speaker Series: AI & Health Science

πŸ“… September 19, on β€œDismantling the Coarse Paradigm of Cancer β€˜Drivers’ and β€˜Passengers’”

πŸ“ University at Buffalo Clinical and Translational Science Institute

In person or Zoom β€” register πŸ”—: qrco.de/AIHS-DSS

19.08.2025 09:26 β€” πŸ‘ 6    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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The functional form of the association between K-12 student performance and household income in U.S. school districts It is well-known that income can correlate with the academic performance of K-12 students in the United States (U.S.). However, the mathematical relationship between income and K-12 performance, and h...

Student performance tracks district incomeβ€”linear in some states, leveling in others. It’s steepest in less-affluent states, and math slips from grade 3β†’8. Our kids deserve better than fate by zip codeβ€”and the variance in slope tells us we can do better.

πŸ”— journals.plos.org/plosone/arti...

14.09.2025 21:33 β€” πŸ‘ 5    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Photo passed along from a federal employee from inside the Dept of Labor building, where a giant Orwellian image of Trump's face is now draped outside.

Big Brother is watching.

01.09.2025 18:56 β€” πŸ‘ 4258    πŸ” 1198    πŸ’¬ 242    πŸ“Œ 211
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Sam Hart describes and applies a method to distinguish differences in mutational processes between groups of cancers without signature decomposition (joint work with @kelleyharris.bsky.social and in collaboration with @nalcala.bsky.social )! #Genomics πŸ–₯️ 🧬

www.biorxiv.org/content/10.1...

10.09.2025 16:46 β€” πŸ‘ 9    πŸ” 2    πŸ’¬ 2    πŸ“Œ 0
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Elena Romero led a new preprint detailing joint work with Lillian Cohn's lab at Fred Hutch describing really crazy parallelism in in vivo HIV escape from broadly neutralizing antibodies! #VirEvol #evoSky

www.biorxiv.org/content/10.1...

10.09.2025 16:46 β€” πŸ‘ 18    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0

California, Oregon and Washington announced yesterday they’ve created their own health alliance, saying the CDC has become β€œa political tool that increasingly peddles ideology instead of science.”

New York, Massachusetts, Connecticut, Delaware, Pennsylvania and Rhode Island have now done the same.

05.09.2025 16:55 β€” πŸ‘ 13879    πŸ” 3708    πŸ’¬ 833    πŸ“Œ 340
For our scientists
YouTube video by Elle Cordova For our scientists

youtube.com/shorts/AYm9w...

06.09.2025 10:54 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Gov. Kathy Hochul signed an executive order Friday morning explicitly allowing pharmacists to prescribe and administer the shot to New Yorkers who request it.

05.09.2025 18:57 β€” πŸ‘ 1121    πŸ” 268    πŸ’¬ 29    πŸ“Œ 18

This is THE WAY, but build a Coastal Coalition including all Pacific, Atlantic, (& Great Lakes?) States. Everything that is defunded at the federal level we can build up Coastally. Because Coastal States are net givers federally, defunding federally then equals a net benefit for coastal states.

04.09.2025 22:49 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Assistant or Associate Professor - Fungal Biology/Mycology The Department of Plant Pathology in the College of Agricultural and Environmental Sciences (CAES) at the University of Georgia is recruiting for the position of Assistant or Associate Professor in Fu...

Assistant/ Associate Professor of Mycology at UGA - Go be part of a Legendary Fungal Group fungi.franklinresearch.uga.edu and dept of plant pathology plantpath.caes.uga.edu www.ugajobsearch.com/postings/445...

21.08.2025 19:51 β€” πŸ‘ 31    πŸ” 33    πŸ’¬ 1    πŸ“Œ 0
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Boosting mRNA Vaccines with Cutting-Edge Technology Messenger RNA (mRNA) vaccines revolutionized public health during the COVID-19 pandemic, representing a groundbreaking shift away from traditional vaccine design. Unlike conventional vaccines that

scienmag.com/boosting-mrn...

03.09.2025 12:15 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Risk management: Making gene therapy safer and more effective Yale researchers have created a new RNA editing tool that can take some of the risk out of geneΒ therapy.

news.yale.edu/2025/08/18/r...

03.09.2025 12:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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