Thomas McFall, PhD
Assistant Professor
Locations
- TBRC C4970
Contact Information
General Interests
Education
PhD, Oncology & Cancer Biology, Wayne State University School of Medicine, Karmanos Cancer Institute, 2017
MS, Northern Michigan University, 2012
MBA, Donald W. Main School of Business, Davenport University, 2012
BS, Northern Michigan University, 2008
Biography
My primary research interests focus on longstanding problems and controversies in observed clinical scenarios which cannot not be explained in mechanistic detail. Often times evidence-based medicine can determine optimal treatment regimens for “response” vs “non-response”, yet these clinical guidelines are a result of an evolution of clinical practices and remain absent of the mechanistic underpinnings. My graduate years were focused on the role of progesterone utilizing the progesterone receptor isoform PR-A to promote invasion and metastasis. My discoveries lead to a growing field of progesterone mediated metastasis by regulating multiple pathways, not limited to but including, estrogen receptor signaling and non-coding RNA regulation. Furthermore, I addressed a longstanding controversy in the RAS signaling field, the observation that colorectal cancers harboring a G13D mutation are sensitive to EGFR inhibitors. Utilizing systems biology to explore all the known biochemical parameters of the RAS Pathway, and by employing both computational and experimental methods, I found KRAS-G13D tumors should respond to EGFR inhibition as observed in the clinic. Currently I am building a research program combining my knowledge in Systems biology, MAPK signaling, and nuclear receptor signaling to address ongoing clinical cases of extraordinary responders to better treatment strategies. Furthermore, I have formal training and experience in business strategy development, non-profit 501(c)3 business law, foundation development, and non-profit matched/for-profit collaborations.
Research Interests
Synthetic Lethality
Cancer therapy has entered a new realm where systems pharmacology is leveraged to exploit selective dependencies in tumor cells. Utilizing my training in systems pharmacology and functional screening methods, I have provided biological expertise and leadership to identify novel pharmacological inhibitors of Werner syndrome helicase (WRN) at Ideaya Biosciences as a senior scientist and biology lead. Inhibition of WRN in cancer cells that are microsatellite instability-high (MSI-H), leads to cell cycle arrest and death. Moreover, cells that are microsatellite stable (Healthy cells) are insensitive to WRN inhibition, reducing unwanted toxicity and off target effects. Creating a pharmacological inhibition of WRN helicase function represents a valuable target for cancer therapy, as 10-15 percent of cancers are MSI-H.
RAS signaling
I have focused on resolving a controversy surrounding RAS mutants conferring resistance to EGFR inhibitors. Under current guidelines, patients with an activating RAS mutation are not eligible for EGFR inhibitor therapy. In a retrospective study of clinical trial data, investigators found patients harboring a G13D mutation were sensitive to the EGFR inhibitor Cetuximab. This work has been recapitulated in both cell line and mouse models, however, absent of a detailed mechanism, the medical community has been resistant to implementing this change. We used a systems biology approach paired with experimental models to elucidate the mechanism by which G13D mutations are sensitive to EGFR inhibition. We recently published our findings in Science Signaling, Cell Communication and Signaling, Molecular & Cellular Oncology and Cell Reports. Moreover, have expanded these studies and identified 10 more RAS mutants that show sensitivity to EGFR inhibition.
MAPK signaling cross talk with apo-estrogen receptor
I have investigated a unique scenario where a patient with estrogen receptor positive (ER) ovarian cancer harboring a mutant-KRAS was resistant to MEK inhibitor and Tamoxifen, however when treatment strategy was changed to MEK inhibitor and aromatase inhibitor the patient responded with near complete ablation of the tumor. A mechanism for this finding is unknown. I have worked up a mechanism by which this phenomenon is consistent to what is observed in the basic science setting. We found phosphorylated ER is what is driving growth and is dependent upon both MAPK activation, and the estradiol-dependent ER-GPCR for signaling. This was recently accepted in The Oncologist.
Publications
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(Burge RA, Le Roux O, Popow O, Spadafora VK, Rajesh C, Adair SJ, Bialousow L, Murphy C, Saberi S, Vaena SG, Taquey MC, Allen S, Han L, Helke KL, Sharma S, Ostrowski MC, Guttridge DC, Dincman TA, Bauer TW, Kashatus DF, McFall T, Haigis KM, Hollingsworth MA, Counter CM, Der CJ, Hobbs GA.) Cancer Res. 2026 Apr 15;86(8):1868-1882 PMID: 41556816 PMCID: PMC13080325 SCOPUS ID: 2-s2.0-105035919044 01/20/2026
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(Kamgar M, Hobbes GA, Davidson R, Dorbin D, Herrera J, Langenheim JF, Burge RA, Aldakkak M, Conrardy RD, Szabo A, Thalji SZ, Mayer B, Grahl JJ, Chung BY, Phan A, Thomas JP, Seo YD, Evans DB, Christians KK, Erickson B, Hall WA, George B, Tsai S, Lytle NK, Der CJ, Kurzrock R, McFall T.) Cancer Res. 2026 Apr 15;86(8):2042-2059 PMID: 41134578 PMCID: PMC13080315 SCOPUS ID: 2-s2.0-105031984871 10/24/2025
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(Burge RA, Bialousow L, McFall T, Bamonte L, Johnson G, Smith M, Vaena SG, Comte-Walters S, Ball LE, Berto S, O'Bryan JP, Hobbs GA.) Cancer Res Commun. 2025 Oct 01;5(10):1865-1878 PMID: 40951926 PMCID: PMC12541299 SCOPUS ID: 2-s2.0-105019811183 09/15/2025
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(George B, Kudryashova O, Kravets A, Thalji S, Malarkannan S, Kurzrock R, Chernyavskaya E, Gusakova M, Kravchenko D, Tychinin D, Savin E, Alekseeva L, Butusova A, Bagaev A, Shin N, Brown JH, Sethi I, Wang D, Taylor B, McFall T, Kamgar M, Hall WA, Erickson B, Christians KK, Evans DB, Tsai S.) Gastroenterology. 2024 May;166(5):859-871.e3 PMID: 38280684 SCOPUS ID: 2-s2.0-85188891214 01/28/2024
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(Mehdi M, Szabo A, Shreenivas A, Thomas JP, Tsai S, Christians KK, Evans DB, Clarke CN, Hall WA, Erickson B, Ahmed G, Thapa B, McFall T, George B, Kurzrock R, Kamgar M.) Ther Adv Med Oncol. 2024;16:17588359241253113 PMID: 38770091 PMCID: PMC11104030 SCOPUS ID: 2-s2.0-85193752803 05/21/2024
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Co-targeting KRAS G12C and EGFR reduces both mutant and wild-type RAS-GTP.
(McFall T, Trogdon M, Guizar AC, Langenheim JF, Sisk-Hackworth L, Stites EC.) NPJ Precis Oncol. 2022 Nov 23;6(1):86 PMID: 36418474 PMCID: PMC9684405 11/24/2022
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(McFall T, Stites EC.) Cell Rep. 2021 Dec 14;37(11):110096 PMID: 34910921 PMCID: PMC8867612 SCOPUS ID: 2-s2.0-85121146579 12/16/2021
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(Kato S, McFall T, Takahashi K, Bamel K, Ikeda S, Eskander RN, Plaxe S, Parker B, Stites E, Kurzrock R.) Oncologist. 2021 Apr;26(4):e530-e536 PMID: 33528846 PMCID: PMC8018312 SCOPUS ID: 2-s2.0-85101866994 02/03/2021
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(McFall T, Schomburg NK, Rossman KL, Stites EC.) Cell Commun Signal. 2020 Nov 05;18(1):179 PMID: 33153459 PMCID: PMC7643456 SCOPUS ID: 2-s2.0-85095115047 11/07/2020
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A mechanism for the response of KRASG13D expressing colorectal cancers to EGFR inhibitors.
(McFall T, Stites EC.) Mol Cell Oncol. 2020;7(2):1701914 PMID: 32158916 PMCID: PMC7051129 03/12/2020
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A systems mechanism for KRAS mutant allele-specific responses to targeted therapy.
(McFall T, Diedrich JK, Mengistu M, Littlechild SL, Paskvan KV, Sisk-Hackworth L, Moresco JJ, Shaw AS, Stites EC.) Sci Signal. 2019 Sep 24;12(600) PMID: 31551296 PMCID: PMC6864030 SCOPUS ID: 2-s2.0-85072619385 09/26/2019
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(Patki M, McFall T, Rosati R, Huang Y, Malysa A, Polin L, Fielder A, Wilson MR, Lonardo F, Back J, Li J, Matherly LH, Bepler G, Ratnam M.) Sci Rep. 2018 Oct 30;8(1):16006 PMID: 30375484 PMCID: PMC6207728 SCOPUS ID: 2-s2.0-85055615805 10/31/2018