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Dr Stephen Man

Dr Stephen Man

Reader

School of Medicine

Email
mans@cardiff.ac.uk
Telephone
+44 29206 87056
Campuses
Cancer Genetics Building, University Hospital of Wales, Heath Park, Cardiff, CF14 4XN

I am a Reader in the Division of Cancer and Genetics (DCG), in the School of Medicine. My research is focussed on the role of the immune system in cancer. I am an expert on human T cells and for the last five years, I have been studying the role of these cells in leukaemia. My research funded by Bloodwise and Cancer Research Wales has identified novel targets for immune attack, and shown that patients with more aggressive disease have abnormal T cell populations. Our aim is to translate these findings for patient benefit.

Outside the laboratory, I am active in community engagement (details under Engagement tab) and I was a co-founder of the Cardiff University International Staff Network. This network is a voluntary staff organisation that provides advice and support to international staff in their transition to life in Cardiff and the UK. We were recognised by a Cardiff University "Celebrating Excellence Award for Voluntary Contribution" in 2019. 

Career Overview

  • 2012-present: Reader, Division of Cancer and Genetics, School of Medicine, Cardiff University
  • 2002-2012: Senior Lecturer, Infection and Immunity, School of Medicine, Cardiff University
  • 1995-2003: Royal Society University Research Fellow, Department of Medicine, University of Wales College of Medicine
  • 1994-1995: Post-doctoral Research Fellow, Department of Medicine, University of Wales College of Medicine
  • 1990-1994: Post-doctoral Research Fellow, Department of Microbiology, University of Virginia, USA

Professional memberships

  • Member of the British Society for Immunology

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  • Man, S. T.et al. 1999. Recombinant vaccinia virus. In: Tindle, R. W. ed. Vaccines for Human Papillomavirus Infection and anogenital disease, 14th ed.. Medical Intelligence Unit Austin, Texas: R.G. Landes Company, pp. 69-90.

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I lecture and perform course assessment for the Advanced Immunology (ME3045) and Immunopathology and Immunotherapy (ME3046) Modules.

I am currently a personal tutor to 10 medical students.

I supervise SSC projects for medical students, which include laboratory projects for year 2 students and tutor lead/bespoke projects for years 3 and 4. Since 2016 I have supervised 22 medical students on a community engagement project (Interactive Health Workshops for Welsh Primary Schools). More details can be found under the Engagement tab.

I interview candidate medical school students (MMIs).

I am also a supervisor to 3 full-time PhD students.

My research is focussed on the role of the immune system in cancer, in particular trying to develop new ways to treat cancer or to monitor the status of the immune system to identify poor prognosis patients.  Over the last 5 years I have been working in a team dedicated to the study of Chronic Lymphocytic Leukaemia (CLL). My laboratory has three main research topics:

Tumour Specific Targets

For effective cancer therapy, T cells must be specifically targeted to cancer cells but not cause harm to normal healthy tissue. Ideally T cell targets should be applicable to a broad range of human cancers.

We demonstrated proof of concept for a novel type of tumour antigen, based on the intrinsic biological properties of cancer cells. A CD8+ T cell clone, recognising a peptide epitope derived from the ubiquitous Bax protein, was shown to recognise a broad range of tumour cells including primary CLL cells. We have developed techniques to isolate T cells recognising this epitope from both healthy donors and CLL patients. These T cells can be grown to large numbers and further studies exploring their therapeutic potential for CLL are in progress.

Immune suppression or tolerance

Generation of effective immune responses in cancer patients is hampered by T cell suppression or tolerance induced by cancer cells.

In collaboration with colleagues from Haematology, we have studied mechanisms of immune suppression using acute myeloid leukaemia (AML; Darley and Tonks) and chronic lymphocytic leukaemia (CLL; Pepper and Fegan). These studies identified an important role for CD200 in suppression of cellular immunity in AML. For CLL, we found that patients frequently demonstrated expansion in their CD8+ T cell subset . This caused an inversion in the CD4:CD8 ratio, and such patients had poorer clinical prognosis. The CD8+ T cells in CLL patients were enriched for terminally differentiated T cells, and for PD-1 expression, suggesting immune dysfunction. We are currently investigating the function and specificity of this expanded T cell subset, and the potential use of "T cell signatures" to identify patients who will develop aggressive disease. 

Unusual peptides recognised by CD8+ T-cells

Recently, we made the surprising finding that a human CD8+ T cell clone could recognise a synthetic peptide that had been modified by the addition of a tBu side chain (LLSY(3-tBu)FGTPT). Such tBu modifications do not occur in nature and their biological impact is unknown. Moreover the T cell clone failed to react against the corresponding unmodified wild type peptide (LLSYFGTPT). There was no discernible difference between the peptides in terms of binding to HLA-A2 molecules. Thus it appears that this T cell clone can discriminate between two peptides differing only by a single side-chain modification. We have recently obtained Wellcome Trust funding for a cross-disciplinary project that will involve collaboration between immunologists, peptide chemists and structural biologists. This project will address the following questions:

  1. What is the “natural” peptide ligand recognised by the T cell clone?
  2. What is the structural basis for recognition of the synthetic peptide?
  3. Can synthetic side-chain modifications modulate the function of CD8+ T cells?

Part of the project will involve solving crystal structures of at least 3 HLA-A2:peptide complexes, and examining the functional impact of modifications on CD8+ T cell function. The knowledge gained from this project could lead to the design of synthetic agents to boost or inhibit immune responses. 

Research Funding (last 5 years)

  • 2017 Cancer Research Wales. Studentship "The role of CD4+ T cell subsets in disease progression and response to treatment in CLL" £90,764 (PI)
  • 2015 Wellcome ISSF Cross-Disciplinary Award “Structural and functional impact of side-chain modification of peptides recognised by CD8+ T-cells” £40,000 (PI) 
  • 2015 Tenovus PhD Studentship “Are prostate stem cells susceptible to T cell-mediated killing?” £89,781 (CI with Dr Z.Tabi (PI)).
  • 2014 CRW Project Grant. “The function and clinical significance of CD4+ T cells in chronic lymphocytic leukaemia”   £44,502 (PI).
  • 2013 Leukaemia Lymphoma Research. “The role of tumour specific T cells in CLL”. £202,000 (PI)
  • 2012 Cardiff CR UK Centre. Development Fund Award £4671 (PI)
  • 2012 Cancer Research Wales. Studentship “ Role of CD8+ T cells in poor prognosis CLL”. £100,720. (PI)

I am interested in supervising PhD students in the following areas:

  • Cancer Immunology, in particular Leukaemia
  • Immunotherapy
  • Novel tumour antigens
  • Therapeutic cancer vaccines
  • Overcoming cancer associated immunosuppression
  • T cells as biomarkers for disease progression and/or response to treatment

Current supervision

Miss Amy Codd

Research student

Peter Henley

Research student

Mr Thomas Lewis

Research student

Past projects

Primary supervisor for Lauren Elston- Exploring the Role of CD8+ T Cells in Chronic Lymphocytic Leukaemia. PhD awarded April 2017. Currently working for Welsh Government as a Health Services Assessor (Technology).

Primary supervisor for Reiss Reid- Investigating the Role of T Cells in Chronic Lymphocytic Leukaemia. PhD awarded May 2015. Currently working on CAR-T cell therapy for Kite Pharmaceuticals, New York, USA. 

Primary supervisor for Ryan Wong- Breaking T cell tolerance in Chronic Lymphocytic Leukaemia. PhD awarded February 2013. Currently working on T cell product development for TC BioPharm Ltd, UK.

I have been active in several aspects of public engagement:

  1. Interactive Health Workshops. These have been run by medical students as part of their 3rd or 4th year SSC projects. The students visit Welsh primary schools to teach children (aged 9-11) about the human body and healthy living. The workshops are composed of "hands-on" activities, demonstrations and quizzes designed to keep the attention of the children and ot make learning fun. The project in it's current form was started by funding from the Cardiff University CIty Region Exchange project. So far, 49 schools have been visited in Cardiff, Caerphilly, Methyr Tydfill and Pontypridd. 
  2. Science in Health. I host work-experience students (Yr 12) in my laboratory. 
  3. Increasing public understanding of science, particularly cancer immunology. I have given talks to charity fundraisers and patient support groups. 

Areas of expertise

External profiles