Euan Ashley

Last updated

Euan Ashley
Euan Angus Ashley.jpg
Alma mater
Known for Genomics, Precision medicine, MyHeart Counts
AwardsFellow of the Royal College of Physicians, National Innovation Award, American Heart Association NIH Director's New Innovator Award, AHA Council on Genomic and Precision Medicine Medal of Honor, Guggenheim Fellowship Award
Scientific career
Institutions
Thesis Nitric oxide and cardiac function  (2002)
Doctoral advisor Barbara Casadei
Other academic advisors Hugh Watkins
Website ashleylab.stanford.edu

Euan Angus Ashley is a Scottish physician, scientist, author, and founder based at Stanford University in California where he is Associate Dean in the School of Medicine [1] and holds the Roger and Joelle Burnell Chair of Genomics and Precision Health. [2] He is known for helping establish the field of medical genomics.

Contents

Education and early life

Ashley was born and raised in the West of Scotland and attended Kelvinside Academy in Glasgow. As a teenager, he programmed computers and read popular science books on genetics. He studied Physiology and Medicine at the University of Glasgow graduating with 1st class Honors. He completed residency training at the Oxford Deanery [3] and received his Doctorate (DPhil) from the University of Oxford (Christ Church College). At Stanford University in California, he completed post-doctoral research and specialized training in cardiology, joining the faculty in 2006. He was appointed Associate Dean in 2020.

Research

Genomics

Ashley is best known for his study of the human genome. [4] [5] [6] [7] In 2009, he led the team that carried out the first medical interpretation of a human genome. [4] The work published in The Lancet laid out a general framework for the medical analysis of a complete human genome and applied this framework to the genome of his Stanford colleague, Stephen Quake. Quake had invented a technology to sequence his own genome becoming the fifth individual in the world to be sequenced. The landmark medical analysis was reported internationally in news media internationally and was later featured in the Smithsonian museum.

In 2010, Ashley's team carried out the first whole genome molecular autopsy [8] generating data from the same Helicos sequencing technology of post-mortem cardiac tissue from a patient who died suddenly at a young age of presumed cardiac cause.

In 2011, his team developed a framework for family-based medical genome analysis. [9] The West family were the first family to have their genomes sequenced and were four of the ten individuals sequenced as part of Illumina’s personal genome sequencing project. Other individuals in this first group of ten included Illumina CEO Jay Flatley and the actress Glenn Close. The computational tools developed by Ashley's team included inheritance tools for mendelian diagnosis in trios and quartets, family based polygenic risk scores, whole genome phasing, HLA typing, and automated star-allele calling for pharmacogenomics.

Over the following years, Ashley's team helped establish genome sequencing as a fundamental tool for diagnosis in clinical medicine. In 2014, they reported in the Journal of the American Medical Association a study of genome sequencing in primary care, demonstrating early detection of pathogenic variations in the breast and ovarian cancer gene BRCA2 , and delivering tools for cardiometabolic polygenic risk scoring, and pharmacogenomics. This work also introduced quality-coverage metrics. Ashley was interviewed for NPR's Morning Edition .

In 2017, Ashley's team made the first medical diagnosis using long read sequencing in a patient with Carney complex whose targeted Sanger sequencing and short read whole genome sequencing had been unrevealing. Developing a pipeline for clinical diagnosis based on aligning, variant calling and filtering Pacific Biosciences SMRT sequencing data, the team identified a previously unrecognized 2 kilobase deletion in PRKAR1A, the gene responsible for Carney complex.

In 2018, as the first co-chair of the steering committee of the Undiagnosed Diseases Network (UDN) [10] [11] Ashley led the network's analysis published in the New England Journal of Medicine that reported an overall diagnosis rate of 35%, estimated significant cost savings from early application, and defined 31 new medical syndromes. This was reported widely including on CBS This Morning , NPR's Morning Edition, and the New York Times where it featured in a segment titled This Week in Good News.

In 2022 Ashley and his research team developed ultra-rapid nanopore genome sequencing for critically ill patients. [12] Published in the New England Journal of Medicine and Nature Biotechnology, the team showed that a genetic diagnosis from whole genome sequencing was possible in as little as 7 hours and 18 minutes. [13] [14] This achievement was recognized by the National Institute for Standards and Technology as well as by Guinness World Records who awarded the team a new record for “fastest DNA sequencing technique.” [15] Ashley appeared on NBC Evening News to discuss the findings.

Cardiovascular science

Ashley's group has also contributed to the foundational science underlying the development of heart transplant donation after cardiac death (DCD) much of that work performed in the same building at Stanford in which heart transplantation was first developed by Norman Shumway.

Awards and honors

Ashley is a recipient of the National Innovation Award from the American Heart Association (AHA) as well as the National Institutes of Health (NIH) Director's New Innovator Award. In 2017, he was recognized by the Obama White House for contributions to personalized and precision medicine. In 2019, he was awarded the American Heart Association Medal of Honor for Genomics and Precision Medicine. In 2021, he became the first holder of the Roger and Joelle Burnell Chair in Genomics and Precision Health at Stanford University. In April 2023, he was awarded the Guggenheim Fellowship, [16] [17] a prestigious honor recognizing mid-career scholars, artists, and scientists who have demonstrated a previous capacity for outstanding work and continue to show exceptional promise.

Scientific publications

Ashley has co-authored over 400 peer reviewed publications. [18]

Books

Cardiology Explained

In 2004, Ashley published the textbook Cardiology Explained [19] along with co-author Josef Niebauer (Remedica, London). According to the publisher's notes, the title “...explains the basic physiology and pathophysiologic mechanisms of cardiovascular disease in a straightforward and diagrammatic manner, gives guidelines as to when referral is appropriate, and, uniquely, explains what the specialist is likely to do.”

The Genome Odyssey

Ashley released the non-fiction title The Genome Odyssey: Medical Mysteries and the Incredible Quest to Solve Them [20] [21] on February 23, 2021, with Celadon Books, a division of Macmillan Publishers. The book features stories of patients and families from Ashley's medical practice and walks through the science underlying those diseases, shining a spotlight on some of the scientists. New York Times best-selling author Abraham Verghese remarked that The Genome Odyssey was “destined to be a landmark narrative in the canon of modern science.” The Pulitzer prize winning author Siddartha Muhkerjee wrote that “Dr Ashley, one of the pioneers of gene sequencing technologies, writes with authority, elegance and simplicity.” The Wall Street Journal described The Genome Odyssey as an “impassioned, firsthand account of the effort to bring genomic data into clinical practice.”

Media

Ashley has appeared on National Public Radio in the United States as well as the BBC radio, Japanese and Indian national television, and NBC Evening News. His work has been covered in print by The New York Times , The Wall Street Journal , The Guardian , The Times of London , The Economist , The Daily Telegraph , Technology Review , and others. His work with the Undiagnosed Diseases Network was covered by National Public Radio [22] and The New York Times . [23]

Startup companies

Ashley is co-founder of multiple companies.

Personalis

In 2012, Ashley co-founded Personalis, [24] a genome-scale diagnostics company with Stanford colleagues Russ Altman, Atul Butte, Mike Snyder and businessman John West. West was the former CEO of Solexa and managed the sale of its core business to Illumina, Inc. In a 2021 earnings call, CEO John West stated that Personalis has sequenced more genomes than any other private company in the US. The company focuses on cancer diagnostics.

Deepcell

Ashley co-founded Deepcell [25] along with Maddison Masaeli (a former post doc in his lab) and Mahyar Salek (a computer scientist). Deepcell develops imaging and microfluidics platforms that use artificial intelligence to identify and isolate viable cells based on morphological distinctions.

Svexa

Ashley is co-founder and chairman of the board at Silicon Valley Exercise Analytics (Svexa), [26] a sports intelligence company that combines physical, subjective and biological data to offer optimized training, performance and recovery recommendations for athletes and teams. He co-founded Svexa with Mikael Mattson, a Swedish physiologist who completed part of his PhD in Ashley's lab, Daryl Waggott who worked as a computational biologist in Ashley's lab, and Filip Larsen, a longtime collaborator of Mattson.

Company boards

AstraZeneca

Ashley was appointed as a Non-Executive Director of the pharmaceutical company AstraZeneca in October 2020. [27] In July 2021, the company acquired Boston-based rare disease company Alexion in a $40 billion deal. During the pandemic, the company licensed a COVID vaccine from the University of Oxford and distributed more than 3 billion doses of the vaccine globally mostly to low- and moderate-income countries. According to company statements, close to 2 billion doses were distributed at cost.

Svexa

Ashley is Chairman of the Board of the sports intelligence company Svexa.

Music

Ashley learned jazz saxophone as a teenager and joined Scotland's regional youth jazz orchestra including tours to the Montreux Jazz Festival, Poland and the USA. Forming a jazz saxophone quartet with members of its saxophone section, The Hung Drawn Quartet featured Ashley, Raymond MacDonald, Graeme Wilson and Allon Beauvoisin and performed a mix of original compositions and arrangements of jazz standards. They released two albums (Cookin' with the HDQ and A Train in the Distance) appeared multiple times on BBC Radio and contributed an arrangement of Charlie Mingus’ Haitian Fight Song to the David Byrne-produced soundtrack for the movie Young Adam featuring Ewan McGregor, Tilda Swinton, and Emily Mortimer. They toured in the US (Philadelphia, New York) and Ontario, Canada in 1994. Ashley also performed in duo and quartet format at the Glasgow International Jazz Festival with Malcolm Finlay, Stuart Brown and others as part of the group Universal.

While at Oxford University, Ashley directed the Oxford University Jazz Orchestra a period of tenure that included band tours to the Glasgow International Jazz Festival, honors at the BBC big band competition, and the release of the live album Know Where you Are with bebop legend Peter King.

During this time, Ashley also acted as soloist for a performance of the Glazounov Saxophone Concerto by the Radcliffe Orchestra in Oxford. [28]

In California, Ashley has performed with jazz group The Jazz Factory and with an Oakland-based Afro-Peruvian jazz collective.

Personal life

Ashley lives in Stanford, California with his wife, Fiona, and their three children. According to his Stanford biography, he is also a private pilot.

Related Research Articles

<span class="mw-page-title-main">Genomics</span> Discipline in genetics

Genomics is an interdisciplinary field of biology focusing on the structure, function, evolution, mapping, and editing of genomes. A genome is an organism's complete set of DNA, including all of its genes as well as its hierarchical, three-dimensional structural configuration. In contrast to genetics, which refers to the study of individual genes and their roles in inheritance, genomics aims at the collective characterization and quantification of all of an organism's genes, their interrelations and influence on the organism. Genes may direct the production of proteins with the assistance of enzymes and messenger molecules. In turn, proteins make up body structures such as organs and tissues as well as control chemical reactions and carry signals between cells. Genomics also involves the sequencing and analysis of genomes through uses of high throughput DNA sequencing and bioinformatics to assemble and analyze the function and structure of entire genomes. Advances in genomics have triggered a revolution in discovery-based research and systems biology to facilitate understanding of even the most complex biological systems such as the brain.

<span class="mw-page-title-main">Marco Marra</span> Canadian geneticist

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<span class="mw-page-title-main">Personalized medicine</span> Medical model that tailors medical practices to the individual patient

Personalized medicine, also referred to as precision medicine, is a medical model that separates people into different groups—with medical decisions, practices, interventions and/or products being tailored to the individual patient based on their predicted response or risk of disease. The terms personalized medicine, precision medicine, stratified medicine and P4 medicine are used interchangeably to describe this concept though some authors and organisations use these expressions separately to indicate particular nuances.

<span class="mw-page-title-main">Archon X Prize</span> Award

The Archon Genomics X PRIZE presented by Express Scripts for Genomics, the second X Prize offered by the X Prize Foundation, based in Playa Vista, California, was announced on October 4, 2006 stating that the prize of "$10 million will be awarded to the first team to rapidly, accurately and economically sequence 100 whole human genomes to an unprecedented level of accuracy." The 30 day evaluation phase of the competition to begin on September 5, 2013, was canceled August 22, 2013 and this cancellation was debated on March 27, 2014.

Personal genomics or consumer genetics is the branch of genomics concerned with the sequencing, analysis and interpretation of the genome of an individual. The genotyping stage employs different techniques, including single-nucleotide polymorphism (SNP) analysis chips, or partial or full genome sequencing. Once the genotypes are known, the individual's variations can be compared with the published literature to determine likelihood of trait expression, ancestry inference and disease risk.

<span class="mw-page-title-main">Whole genome sequencing</span> Determining nearly the entirety of the DNA sequence of an organisms genome at a single time

Whole genome sequencing (WGS), also known as full genome sequencing, complete genome sequencing, or entire genome sequencing, is the process of determining the entirety, or nearly the entirety, of the DNA sequence of an organism's genome at a single time. This entails sequencing all of an organism's chromosomal DNA as well as DNA contained in the mitochondria and, for plants, in the chloroplast.

The exome is composed of all of the exons within the genome, the sequences which, when transcribed, remain within the mature RNA after introns are removed by RNA splicing. This includes untranslated regions of messenger RNA (mRNA), and coding regions. Exome sequencing has proven to be an efficient method of determining the genetic basis of more than two dozen Mendelian or single gene disorders.

Genomic counseling is the process by which a person gets informed about his or her genome often in the setting of elective genetic and genomic testing. In contrast to genetic counseling, which focuses on Mendelian diseases and typically involves person-to-person communication with a genetic counselor or other medical genetics expert, genomic counseling is not limited to currently clinically relevant information. It is often based on genomic information that is of interest for the informed person, such as increased risk for common complex disease that has actionable components, genetically determined non-disease related traits, or recreational forms of information and genetic genealogy data. An individual's response to certain medications/drugs based on their pharmacogenomic profile may be provided.

<span class="mw-page-title-main">Exome sequencing</span> Sequencing of all the exons of a genome

Exome sequencing, also known as whole exome sequencing (WES), is a genomic technique for sequencing all of the protein-coding regions of genes in a genome. It consists of two steps: the first step is to select only the subset of DNA that encodes proteins. These regions are known as exons—humans have about 180,000 exons, constituting about 1% of the human genome, or approximately 30 million base pairs. The second step is to sequence the exonic DNA using any high-throughput DNA sequencing technology.

<span class="mw-page-title-main">$1,000 genome</span> Era of predictive and personalized medicine

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<span class="mw-page-title-main">Genomics England</span> British company

Genomics England is a British company set up and owned by the United Kingdom Department of Health and Social Care to run the 100,000 Genomes Project. The project aimed in 2014 to sequence 100,000 genomes from NHS patients with a rare disease and their families, and patients with cancer. An infectious disease strand is being led by Public Health England.

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The Undiagnosed Diseases Network (UDN) is a research study that is funded by the National Institutes of Health Common Fund. Its purpose is to bring together clinical and research experts from across the United States to solve the most challenging medical mysteries using advanced technologies.

Clinicogenomics, also referred to as clinical genomics, is the study of clinical outcomes with genomic data. Genomic factors have a causal effect on clinical data. Clinicogenomics uses the entire genome of a patient in order to diagnose diseases or adjust medications exclusively for that patient. Whole genome testing can detect more mutations and structural anomalies than targeted gene testing. Furthermore, targeted gene testing can only test for the diseases for which the doctor screens, whereas testing the whole genome screens for all diseases with known markers at once.

Elective genetic and genomic testing are DNA tests performed for an individual who does not have an indication for testing. An elective genetic test analyzes selected sites in the human genome while an elective genomic test analyzes the entire human genome. Some elective genetic and genomic tests require a physician to order the test to ensure that individuals understand the risks and benefits of testing as well as the results. Other DNA-based tests, such as a genealogical DNA test do not require a physician's order. Elective testing is generally not paid for by health insurance companies. With the advent of personalized medicine, also called precision medicine, an increasing number of individuals are undertaking elective genetic and genomic testing.

Clinical metagenomic next-generation sequencing (mNGS) is the comprehensive analysis of microbial and host genetic material in clinical samples from patients by next-generation sequencing. It uses the techniques of metagenomics to identify and characterize the genome of bacteria, fungi, parasites, and viruses without the need for a prior knowledge of a specific pathogen directly from clinical specimens. The capacity to detect all the potential pathogens in a sample makes metagenomic next generation sequencing a potent tool in the diagnosis of infectious disease especially when other more directed assays, such as PCR, fail. Its limitations include clinical utility, laboratory validity, sense and sensitivity, cost and regulatory considerations.

Personalized genomics is the human genetics-derived study of analyzing and interpreting individualized genetic information by genome sequencing to identify genetic variations compared to the library of known sequences. International genetics communities have spared no effort from the past and have gradually cooperated to prosecute research projects to determine DNA sequences of the human genome using DNA sequencing techniques. The methods that are the most commonly used are whole exome sequencing and whole genome sequencing. Both approaches are used to identify genetic variations. Genome sequencing became more cost-effective over time, and made it applicable in the medical field, allowing scientists to understand which genes are attributed to specific diseases.

Precision diagnostics is a branch of precision medicine that involves precisely managing a patient's healthcare model and diagnosing specific diseases based on customized omics data analytics.

References

  1. "Stanford School of Medicine".
  2. "Roger W. and Joelle G. Burnell Professor of Genomics and Precision Health".
  3. "Oxford Education Deanery".
  4. 1 2 Ashley, Euan A; Butte, Atul J; Wheeler, Matthew T; Chen, Rong; Klein, Teri E; Dewey, Frederick E; Dudley, Joel T; Ormond, Kelly E; Pavlovic, Aleksandra (1 January 2010). "Clinical assessment incorporating a personal genome". The Lancet. 375 (9725): 1525–1535. doi:10.1016/s0140-6736(10)60452-7. PMC   2937184 . PMID   20435227.
  5. Dewey, Frederick E.; Chen, Rong; Cordero, Sergio P.; Ormond, Kelly E.; Caleshu, Colleen; Karczewski, Konrad J.; Whirl-Carrillo, Michelle; Wheeler, Matthew T.; Dudley, Joel T. (15 September 2011). "Phased Whole-Genome Genetic Risk in a Family Quartet Using a Major Allele Reference Sequence". PLOS Genet. 7 (9): e1002280. doi: 10.1371/journal.pgen.1002280 . PMC   3174201 . PMID   21935354.
  6. Dewey, FE; Grove, ME; Pan, C; Goldstein, BA; Bernstein, JA; Chaib, H; Merker, JD; Goldfeder, RL; Enns, GM; David, SP; Pakdaman, N; Ormond, KE; Caleshu, C; Kingham, K; Klein, TE; Whirl-Carrillo, M; Sakamoto, K; Wheeler, MT; Butte, AJ; Ford, JM; Boxer, L; Ioannidis, JP; Yeung, AC; Altman, RB; Assimes, TL; Snyder, M; Ashley, EA; Quertermous, T (12 March 2014). "Clinical interpretation and implications of whole-genome sequencing". JAMA. 311 (10): 1035–1045. doi:10.1001/jama.2014.1717. ISSN   0098-7484. PMC   4119063 . PMID   24618965.
  7. Ashley EA (2016). "Towards precision medicine". Nat Rev Genet. 17 (9): 507–22. doi:10.1038/nrg.2016.86. PMID   27528417. S2CID   2609065.
  8. Dewey, Frederick E.; Wheeler, Matthew T.; Cordero, Sergio; Perez, Marco V.; Pavlovic, Aleks; Pushkarev, Dmitry; Freeman, James V.; Quake, Steve R.; Ashley, Euan A. (5 April 2011). "Molecular Autopsy for Sudden Cardiac Death Using Whole Genome Sequencing". Journal of the American College of Cardiology. 57 (14, Supplement): E1159. doi:10.1016/S0735-1097(11)61159-5.
  9. Dewey, Frederick E.; Chen, Rong; Cordero, Sergio P.; Ormond, Kelly E.; Caleshu, Colleen; Karczewski, Konrad J.; Whirl-Carrillo, Michelle; Wheeler, Matthew T.; Dudley, Joel T.; Byrnes, Jake K.; Cornejo, Omar E.; Knowles, Joshua W.; Woon, Mark; Sangkuhl, Katrin; Gong, Li; Thorn, Caroline F.; Hebert, Joan M.; Capriotti, Emidio; David, Sean P.; Pavlovic, Aleksandra; West, Anne; Thakuria, Joseph V.; Ball, Madeleine P.; Zaranek, Alexander W.; Rehm, Heidi L.; Church, George M.; West, John S.; Bustamante, Carlos D.; Snyder, Michael; Altman, Russ B.; Klein, Teri E.; Butte, Atul J.; Ashley, Euan A. (15 September 2011). "Phased Whole-Genome Genetic Risk in a Family Quartet Using a Major Allele Reference Sequence". PLOS Genetics. 7 (9): e1002280. doi: 10.1371/journal.pgen.1002280 . PMC   3174201 . PMID   21935354.
  10. Gahl, William A.; Wise, Anastasia L.; Ashley, Euan A. (2015). "The Undiagnosed Diseases Network of the National Institutes of Health". JAMA. 314 (17): 1797–8. doi:10.1001/jama.2015.12249. ISSN   0098-7484. PMID   26375289.
  11. Splinter K, Adams DR, Bacino CA, Bellen HJ, Bernstein JA, Cheatle-Jarvela AM, et al. (2018). "Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease". N Engl J Med. 379 (22): 2131–2139. doi:10.1056/NEJMoa1714458. PMC   6481166 . PMID   30304647.
  12. Gorzynski, John E. et al. 2022. “Ultrarapid Nanopore Genome Sequencing in a Critical Care Setting.” The New England Journal of Medicine, January. https://doi.org/10.1056/NEJMc2112090.
  13. "Fastest DNA sequencing technique helps undiagnosed patients find answers in mere hours".
  14. "Fastest Genome Sequencing with Dr. Euan Ashley".
  15. ""A new frontier": Fastest ever DNA sequencing technique achieved".
  16. "Three Stanford scholars awarded Guggenheim Fellowships". Stanford Report. Retrieved 7 April 2023.
  17. "Euan Angus Ashley - John Simon Guggenheim Memorial Foundation..." John Simon Guggenheim Memorial Foundation.
  18. "CAP Profile - Euan A. Ashley".
  19. Ashley, Euan A.; Ashley, Euan; Niebauer, Josef (3 December 2023). Cardiology Explained. Remedica. ISBN   978-1901346220.
  20. "The Genome Odyssey by Dr. Euan Angus Ashley". 14 October 2020.
  21. "EUAN ANGUS ASHLEY". euanangusashley.com.
  22. McClurg, Lesley. "Medical Detectives: The Last Hope For Families Coping With Rare Diseases", NPR , San Francisco, 17 December 2018. Retrieved on 28 January 2019.
  23. Kolata, Gina. "When the Illness Is a Mystery, Patients Turn to These Detectives", The New York Times , New York, 7 January 2019. Retrieved on 28 January 2019.
  24. "Company - Personalis".
  25. "Deepcell".
  26. "Silicon Valley Exercise Analytics (SVEXA)".
  27. "Leadership - Our Company - AstraZeneca". www.astrazeneca.com. Retrieved 17 May 2022.
  28. "Radcliffe Orchestra".