
Overview
Background
Peter Simpson is a recognised expert in the molecular and pathological characterisation of breast and lung cancers. His research is based at the UQ Centre for Clinical Research (UQCCR), where he is the Head of the Cancer Theme and is a Research Group Leader in Cancer Genomics. He has published >150 articles (>12,000 citations, H-index 52; Scopus, May2025) including in Nature, Nature Medicine, Annals of Oncology and the American Journal of Respiratory and Critical Care Medicine. He co-manages the Brisbane Breast Bank (BBB), a tissue bank created to facilitate clinical breast cancer research, and the Debutant lung cancer Program.
Pete also holds a teaching appointment in UQ, where he is passionate about the science and clinical applications of Pathology. He teaches into the UQ Medical Program (Year 1 and 2), as well as to undergraduates. He has co-authored a chapter ‘Breast Diseases’ in the latest edition (11th) of the internationally acclaimed Medical text book Robbins and Cotran Pathologic Basis of Disease.
Outside UQ, Pete is a Fellow of the Faculty of Science in the Royal College of Pathologists of Australasia (FFSc RCPA), a member of the kConFab Executive (https://www.kconfab.org/), a member of the Lobular Breast Cancer Alliance Scientific Advisory Board (https://lobularbreastcancer.org/), and a member of the International Cancer Genome Consortium (Breast Cancer group).
Pete enjoys supervising students at all levels in their careers and collaborating within multidisciplinary teams spanning clinical (e.g. pathology, oncology) and science teams (e.g. in ‘omics, bioinformatics and machine learning).
Availability
- Associate Professor Peter Simpson is:
- Available for supervision
- Media expert
Fields of research
Qualifications
- Doctor of Philosophy, University of Liverpool
Research interests
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Broad Research Program
Cancer is a very heterogeneous disease, making morphological classification and management of patients a significant challenge. Despite great advances it remains difficult to predict which patients are at risk of their disease returning (recurrence), spreading (metastasis) or which patients will gain most benefit to specific therapies. There has therefore been a concerted effort to supplement the morphological classification of disease with molecular data that can provide a clearer appreciation for this complexity and better predict tumour behaviour. This ideology has driven significant advancements in the field of molecular pathology research. My research program embraces these advances in technology to help better understand mechanisms of disease development and progression and help improve the molecular aspects of diagnosis and patient management. Themes of research involve 1) invasive lobular carcinoma of the breast, 2) breast cancer diagnosed in young individuals, and 3) lung cancer.
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Invasive Lobular Carcinoma
Invasive Lobular Carcinoma (ILC) is the most commonly diagnosed ‘special’ morphological type of breast cancer, comprising up to 15% of all cases. The most important biological feature of lobular breast cancer is the functional loss of cell adhesion molecule E-cadherin. This is the glue that holds epithelial cells together. Loss of E-cadherin leads to a growth pattern that can be diffuse and highly invasive through the breast tissue. This leads to a number of important clinical challenges with diagnosing and managing this cancer: the cancer can be hard to palpate or detect by mammographic screening and hard to fully excise during surgery; if the cancer spreads it can again be hard to detect. A large component of Peter's research focuses on aspects of this specific cancer subtype, including understanding molecular determinants that predict tumour behaviour and prognosis, and mechanisms of invasion and metastasis.
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Familial Breast Cancer
Family history is a significant risk factor for the development of breast cancer, often leading to early diagnosis of disease. For some families, the genetic component of this risk is well understood and attributed to pathogenic germline variants in moderate-high risk genes (e.g. BRCA1, BRCA2, PALB2, TP53, ATM, CHEK2). For many families the underlying genetic risk is unknown. Further, some individuals develop breast cancer at a young age when they have no family history. We study clinical samples using a variety of molecular profiling techniques, including whole genome sequencing and digital spatial transcriptomics, and we are interested in understanding the germline and somatic molecular mechanism that contribute to the development of disease. This work is a collaboration with several tissue banks: kConFab, the BBB and the Australian Breast Cancer Tissue Bank.
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Lung Cancer Diagnostics
Lung Cancer has the highest mortality of all cancers. Most cases are diagnosed at an advance, inoperable stage and so are associated with a poor prognosis. Endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) sampling is an important procedure to make a tissue diagnosis of disease and to provide specimens for molecular testing. Next generation sequencing is an important component of diagnostic practice and therapeutic decision making for lung cancer patients. Our program of work is focused on optimising molecular testing strategies from different types of cancer samples (tissue, supernatant, cfDNA) to improve the success of testing for patients. This is a collaboration with A/Prof David Fielding (https://about.uq.edu.au/experts/9060) from the Department of Thoracic Medicine (RBWH), plus colleagues from Pathology Queensland, QIMR Berghofer and a network of hospitals around Australia.
Research impacts
Breast cancer is the most diagnosed cancer in women worldwide and consequently is the biggest contributor to morbidity and mortality from cancer.
My work in the field of breast cancer genomics has sought to unravel molecular mechanisms driving the evolution of disease, from early lesions through to treatment resistance and metastatic progression. Our work uses various types of ‘omics applications, including whole genome sequencing and spatial transcriptomics, married with detailed cancer morphology assessment. Gene mutations and mutational signature analysis in the context of sporadic and familial breast cancer has revealed pathogenic germline mutations, different mechanisms of genomic evolution and clonal heterogeneity. The work through the International Cancer Genome Consortium contributed to the development of HRDetect (Nature Medicine) for therapeutic decision making.
My work in lobular breast cancer has an international standing. As a research community, we aim to raise the profile of lobular breast cancer as an important, common and yet understudied type of breast cancer. We have demonstrated this disease is in fact a heterogenous subtype, exhibiting morphological variants and diverse genomic features. We developed LobSig as a potential prognostic tool for lobular breast cancer, which is undergoing further validation. We have a program of work to better understand the biology of disease and identify tissue- and blood-based biomarkers of disease progression.
Lung cancer is the highest mortality rate of all cancers worldwide. The Debutant lung cancer clinical research program was established in 2018 and has sought to optimise and expand lung cancer molecular testing applications. The work has been funded by various sources, including Pathology Queensland, Royal Brisbane & Women’s Hospital Foundation, Cancer Council Qld, Cancer Australia, Australian Genomics and the Medical Research Future Fund (MRFF). The work has demonstrated the clinical utility of very small cytology samples and blood (cfDNA) samples using comprehensive genomic assays. The translation of results from this Program could significantly enhance the number of patients eligible for targeted therapies.
Works
Search Professor Peter Simpson’s works on UQ eSpace
2006
Journal Article
Expression profiling using cDNA microarrays
Jones, Chris, Simpson, Peter, Mackay, Alan and Lakhani, Sunil R (2006). Expression profiling using cDNA microarrays. Methods in molecular medicine, 120, 403-414.
2006
Conference Publication
EGFR amplification and lack of activating mutations in metaplastic breast carcinomas
Reis, JS, Pinheiro, C, Lambros, MBK, Milanezi, F, Carvalho, S, Savage, K, Simpson, PT, Jones, C, Swift, S, Mackay, A, Reis, RM, Hornick, JL, Pereira, EM, Baltazar, F, Fletcher, CDM, Ashworth, A, Lakhani, SR and Schmitt, FC (2006). EGFR amplification and lack of activating mutations in metaplastic breast carcinomas. 190th Meeting of the Pathological-Society-of-Great-Britain-and-Ireland, Manchester England, Jul 04-07, 2006.
2006
Book Chapter
Expression profiling using cDNA microarrays
Jones, Chris, Simpson, Peter, Mackay, Alan and Lakhani, Sunil R. (2006). Expression profiling using cDNA microarrays. Breast cancer research protocols. (pp. 403-414) edited by Susan A. Brooks and Adrian Harris. Totowa, NJ, U.S.A.: Humana Press. doi: 10.1385/1-59259-969-9:403
2006
Book Chapter
Gene expression analysis using filter cDNA microarrays
Simpson, Peter, Jones, Chris, Mackay, Alan and Lakhani, Sunil R. (2006). Gene expression analysis using filter cDNA microarrays. Breast cancer research protocols. (pp. 415-424) edited by Susan A. Brooks and Adrian Harris. Totowa, USA: Humana Press.
2006
Journal Article
Metaplastic breast carcinomas are basal-like tumours
Reis-Filho, J. S., Milanezi, F., Steele, D., Savage, K., Simpson, P. T., Nesland, J. M., Pereira, E. M., Lakhani, S. R. and Schmitt, F. C. (2006). Metaplastic breast carcinomas are basal-like tumours. Histopathology, 49 (1), 10-21. doi: 10.1111/j.1365-2559.2006.02467.x
2006
Conference Publication
Unlocking pathology archives for molecular genetic studies: A reliable method to generate probes for chromogenic and fluorescent in situ hybridisation
Lambros, M. B. K., Simpson, P. T., Jones, C., Natrajan, R., Westbury, C., Steele, D., Savage, K., MacKay, A., Schmitt, F. C., Ashworth, A. and Reis-Filho, J. S. (2006). Unlocking pathology archives for molecular genetic studies: A reliable method to generate probes for chromogenic and fluorescent in situ hybridisation. 26th International Congress of the International Academy of Pathology, Montreal, Canada, 16-21 September 2006. Nature Publishing Group.
2006
Journal Article
Gene expression analysis using filter cDNA microarrays
Simpson, Peter, Jones, Chris, Mackay, Alan and Lakhani, Sunil R (2006). Gene expression analysis using filter cDNA microarrays. Methods in molecular medicine, 120, 415-424.
2005
Journal Article
The molecular genetics of breast cancer: The contribution of comparative genomic hybridization
Reis-Filho, Jorge S., Simpson, Peter T., Gale, Theodora and Lakhani, Sunil R. (2005). The molecular genetics of breast cancer: The contribution of comparative genomic hybridization. Pathology Research & Practice, 201 (11), 713-725. doi: 10.1016/j.prp.2005.05.013
2005
Journal Article
Columnar cell lesions of the breast: The missing link in breast cancer progression? A morphological and molecular analysis
Simpson, P. T., Gale, T., Reis-Filho, J. S., Jones, C., Parry, S., Sloane, J. P., Hanby, A., Pinder, S. E., Lee, A. H. S., Humphreys, S., Ellis, I. O. and Lakhani, S. R. (2005). Columnar cell lesions of the breast: The missing link in breast cancer progression? A morphological and molecular analysis. American Journal of Surgical Pathology, 29 (6), 734-746. doi: 10.1097/01.pas.0000157295.93914.3b
2005
Journal Article
Pleomorphic lobular carcinoma of the breast: role of comprehensive molecular pathology in characterization of an entity
Reis-Filho, J. S., Simpson, P. T., Jones, C., Steele, D., Mackay, A., Iravani, M., Fenwick, K., Valgeirrson, H., Lambros, M., Ashworth, A., Palacios, J., Schmitt, F. and Lakhani, S. R. (2005). Pleomorphic lobular carcinoma of the breast: role of comprehensive molecular pathology in characterization of an entity. Journal of Pathology, 207 (1), 1-13. doi: 10.1002/path.1806
2005
Journal Article
Metaplastic breast carcinomas exhibit EGFR, but not HER2, gene amplification and overexpression: Immunohistochemical and chromogenic in situ hybridization analysis
Reis-Filho, Jorge S., Milanezi, Fernanda, Carvalho, Silvia, Simpson, Peter T., Steele, Dawn, Savage, Kay, Lambros, Maryou B. K., Pereira, Emilio M., Nesland, John M., Lakhani, Sunil R. and Schmitt, Fernando C. (2005). Metaplastic breast carcinomas exhibit EGFR, but not HER2, gene amplification and overexpression: Immunohistochemical and chromogenic in situ hybridization analysis. Breast Cancer Research, 7 (6) R1028, R1028-R1035. doi: 10.1186/bcr1341
2005
Journal Article
Molecular evolution of breast cancer
Simpson, P. T., Reis-Filho, J. S., Gale, T. and Lakhani, S. R. (2005). Molecular evolution of breast cancer. Journal of Pathology, 205 (2), 248-254. doi: 10.1002/path.1691
2004
Journal Article
Distribution and significance of 14-3-3 sigma, a novel myoepithelial marker, in normal, benign, and malignant breast tissue
Simpson, Peter T., Gale, Theodora, Reis-Filho, Jorge S, Jones, Chris, Parry, Suzanne, Steele, Dawn, Cossu, Antonio, Budroni, Mario, Palmieri, Giuseppe and Lakhani, Sunil R (2004). Distribution and significance of 14-3-3 sigma, a novel myoepithelial marker, in normal, benign, and malignant breast tissue. Journal of Pathology, 202 (3), 274-285. doi: 10.1002/path.1530
2003
Journal Article
Distribution of p63, cytokeratins 5/6 and cytokeratin 14 in 51 normal and 400 neoplastic human tissue samples using TARP-4 multi-tumor tissue microarray
Reis, J. S., Simpson, P. T., Martins, A., Preto, A., Gartner, F. and Schmitt, F. C. (2003). Distribution of p63, cytokeratins 5/6 and cytokeratin 14 in 51 normal and 400 neoplastic human tissue samples using TARP-4 multi-tumor tissue microarray. Virchows Archiv, 443 (2), 122-132. doi: 10.1007/s00428-003-0859-2
2003
Journal Article
Examination of tumour histopathology and gene expression in a neu/S100A4 transgenic model of metastatic breast cancer
Simpson, PT, Shoker, BS, Barraclough, R, Halliwell, N, Rudland, PS, Sibson, DR and Davies, MPA (2003). Examination of tumour histopathology and gene expression in a neu/S100A4 transgenic model of metastatic breast cancer. International Journal of Experimental Pathology, 84 (4), 173-183. doi: 10.1046/j.1365-2613.2003.00350.x
2003
Journal Article
Pathology of atypical lobular hyperplasia and lobular carcinoma in situ
Simpson, Peter T., Gale, Theodora, Fulford, Laura G., Reis-Filho, Jorge S. and Lakhani, Sunil R. (2003). Pathology of atypical lobular hyperplasia and lobular carcinoma in situ. Breast Cancer Research, 5 (5), 258-262. doi: 10.1186/bcr624
2003
Journal Article
p63-driven nuclear accumulation of beta-catenin is not a frequent event in human neoplasms
Reis, Jorge S., Simpson, Pete T., Fulford, Laura G., Martins, Albino and Schmitt, Fernando C. (2003). p63-driven nuclear accumulation of beta-catenin is not a frequent event in human neoplasms. Pathology Research and Practice, 199 (12), 785-793. doi: 10.1078/0344-0338-00497
2003
Journal Article
cDNA microarray analysis of genes associated with ERBB2 (HER2/neu) overexpression in human mammary luminal epithelial cells
Mackay, A., Jones, C., Dexter, T., Silva, R. L. A., Bulmer, K., Jones, A., Simpson, P., Harris, R. A., Jat, P. S., Neville, A. M., Reis, L. F. L., Lakhani, S. R. and O'Hare, M. J. (2003). cDNA microarray analysis of genes associated with ERBB2 (HER2/neu) overexpression in human mammary luminal epithelial cells. Oncogene, 22 (17), 2680-2688. doi: 10.1038/sj.onc.1206349
Funding
Current funding
Supervision
Availability
- Associate Professor Peter Simpson is:
- Available for supervision
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Supervision history
Current supervision
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Master Philosophy
Applications of Molecular Genetics in Translational Breast Cancer Research
Associate Advisor
Other advisors: Associate Professor Amy McCart Reed, Professor Sunil Lakhani
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Doctor Philosophy
Developing optimal transport models for spatial and single cell data to understand cancer progression
Associate Advisor
Other advisors: Professor Jessica Mar, Dr Quan Nguyen
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Doctor Philosophy
Circulating biomarkers in invasive lobular breast carcinoma
Associate Advisor
Other advisors: Professor Sunil Lakhani, Associate Professor Amy McCart Reed
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Doctor Philosophy
Investigating therapeutic vulnerabilities in breast cancer.
Associate Advisor
Other advisors: Professor Sunil Lakhani, Associate Professor Amy McCart Reed
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Doctor Philosophy
Breast cancer metastasis prediction via machine learning and spatial cellular pathology
Associate Advisor
Other advisors: Dr Nan Ye, Dr Quan Nguyen
Completed supervision
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2025
Doctor Philosophy
Studies on the utility of Endobronchial Ultrasound Transbronchial Needle Aspiration (EBUS TBNA) samples in novel investigations of lung cancer genomics, and immune responses
Principal Advisor
Other advisors: Professor Sunil Lakhani
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2021
Doctor Philosophy
Multi-omics: Leveraging omics data integration to identify dysregulated biology in breast cancer
Principal Advisor
Other advisors: Associate Professor Amy McCart Reed, Dr Katia Nones
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2018
Doctor Philosophy
Genomic and transcriptomic biomarkers of prognosis in invasive lobular breast cancer.
Principal Advisor
Other advisors: Associate Professor Amy McCart Reed, Professor Sunil Lakhani
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2016
Doctor Philosophy
Intratumour heterogeneity in the development and progression of breast cancer
Principal Advisor
Other advisors: Associate Professor Amy McCart Reed, Professor Sunil Lakhani
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2016
Doctor Philosophy
Computational analysis of DNA repair pathways in breast cancer
Associate Advisor
Other advisors: Honorary Professor Kum Kum Khanna
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2016
Doctor Philosophy
Identification of new prognostic biomarker for triple negative breast cancer
Associate Advisor
Other advisors: Dr Jodi Saunus, Professor Sunil Lakhani
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2013
Doctor Philosophy
Clinical-Pathological and Molecular Analysis to Understand Breast Cancer Progression
Associate Advisor
Other advisors: Professor Sunil Lakhani
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2013
Doctor Philosophy
A Search For Novel Cancer Susceptibility Genes
Associate Advisor
Other advisors: Professor Sunil Lakhani, Professor Melissa Brown
Media
Enquiries
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