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Cervical Cancers Escaping HPV Screening: Decoding HPV-Independent Carcinogenesis through Multi-Omics Profiling

Objective

Cervical cancer prevention assumes that most cases are caused by persistent infection with high-risk human papillomavirus (HPV). Yet 7 to 10 percent of invasive cervical cancers are HPV-negative, making them invisible to HPV-based screening and unaffected by vaccination; these cancers are often detected late and have worse outcomes.

This project will define the biology of HPV-independent cervical cancer and enable improved detection. I will lead a Nordic collaboration to assemble, to our knowledge, the largest rigorously confirmed cohort of HPV-negative cancers with matched HPV-positive controls, link them to nationwide registries, and apply an integrated multi-omics strategy (whole-exome DNA sequencing, RNA sequencing, and DNA methylation profiling) to map genomic, transcriptomic, and epigenomic trajectories. Crucially, I will test the hit-and-run hypothesis by reanalyzing earlier screening samples from the same women retrieved from national biobanks. From these data, I will develop and validate clinically actionable biomarkers with a clear path to implementation, and pilot their integration into confirmatory testing and national screening audits.

The outcome will be a population-based molecular taxonomy of HPV-independent cervical cancer and a route to earlier detection for women whose cancers escape the HPV paradigm, directly supporting the World Health Organization’s cervical cancer elimination strategy and strengthening European screening practice.

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Programme(s)

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Topic(s)

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Funding Scheme

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HORIZON-ERC - HORIZON ERC Grants

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Call for proposal

Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.

(opens in new window) ERC-2026-STG

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Host institution

KAROLINSKA INSTITUTET
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 1 493 450,00
Address
NOBELS VAG 5
171 77 STOCKHOLM
Sweden

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Region
Östra Sverige Stockholm Stockholms län
Activity type
Higher or Secondary Education Establishments
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Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 493 450,00

Beneficiaries (1)