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Deciphering the life histories of chronic lymphocytic leukemia to improve clinical outcome

Project description

Chronic lymphocytic leukaemia’s life histories for improved treatments

Cancer history is vital for improving prevention and treatment. Studying the normal cellular counterpart (NCC), the cell of origin (COO), clonal evolution, and tumour microenvironment interactions is crucial. In chronic lymphocytic leukaemia (CLL) and Richter transformation (RT), many aspects of tumour development are still unclear. The ERC-funded CLL-STORY project will reconstruct the life histories of patients with CLL to improve clinical outcomes. The project will create a multi-omic atlas of normal B cells, clarifying the nature of NCCs and the role of (epi)genetic factors in promoting CLL. It will also investigate the COO of CLL and its lifelong trajectories, helping to identify the disease’s origins, growth patterns, and mechanisms of resistance to immune therapies.

Objective

A holistic view of the history of cancer is not only essential to better understand its pathogenesis, but also has a clear impact by improving future prevention schemes, personalized management strategies, and treatment options. Importantly, the roadmap of a tumor is incomplete without knowing the molecular composition of its normal cellular counterpart (NCC), cell of origin (COO), clonal trajectories, and interactions with the tumor microenvironment influencing disease progression and response to therapy. In chronic lymphocytic leukemia (CLL), the most common adult leukemia in Western countries, and Richter transformation (RT), its aggressive progression, these fundamental aspects remain largely unknown. In this project, named CLL-STORY, I aim to fully reconstruct the life histories of CLL to improve clinical outcome. To that end, using novel methodological breakthroughs and functional readouts, I will (1) generate a detailed multi-omic atlas of normal B cells to properly delineate the NCCs of CLL and their precise nature, allowing me to clarify the role of (epi)genetic drivers in CLL promotion, (2) characterize the COO of CLL and its lifelong clonal trajectories to resolve the disease origin and growth patterns dictating the different clinical courses, with the ultimate aim to control early disease precursors and anticipate disease evolution, and (3) determine the mechanisms of resistance to immune-based therapies, as well as intrinsic and extrinsic features influencing their anti-tumor efficacy, to aid the development of predictive models and improvement of current treatments, which shall improve clinical outcome. In summary, CLL-STORY explores uncharted territories unraveling clonal mosaicism, early cancer development, tumor phylogenies along human lifespan, and mechanisms of treatment failure, hence providing key knowledge, tools, and enhanced treatment options with clear implications reaching beyond CLL, that will bring the entire cancer biology field forward.

Fields of science (EuroSciVoc)

Keywords

Programme(s)

Topic(s)

Funding Scheme

HORIZON-ERC - HORIZON ERC Grants

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Call for proposal

(opens in new window) ERC-2025-STG

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Host institution

FUNDACIO DE RECERCA CLINIC BARCELONA-INSTITUT D INVESTIGACIONS BIOMEDIQUES AUGUST PI I SUNYER
Net EU contribution
€ 1 778 698,25
Address
CARRER ROSSELLO 149
08036 Barcelona
Spain
Region
Este Cataluña Barcelona
Activity type
Research Organisations
Links
Total cost
€ 1 827 291,00

Beneficiaries (2)