Translational Hematology

"Our goal is to develop new treatments for patients with hematological tumors by understanding the pathogenesis of the disease."

DR. FELIPE PRÓSPER CARDOSO, M.D.
DIRECTOR. TRANSLATIONAL HEMATOLOGY RESEARCH GROUP

Myeloid diseases are disorders of the blood or hematopoietic stem cells (HPCs) of the myeloid lineage. Alteration in cell maturation or abnormal proliferation of these cells leads to infections, anemia, bleeding and cancers such as leukemias. These diseases commonly affect people between 65 and 70 years of age, and their prevalence is expected to increase in the coming decades.

Research progress in recent years in understanding the molecular basis of many hematologic cancers has translated into clinical benefit for the patient. However, among these myeloid neoplasms, myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML) are two very aggressive diseases that lack effective treatment.

For this reason, our Translational Immunomics in Hematological Neoplasms Group at Cima, integrated in the Cancer Center Clínica Universidad de Navarra, focuses on the study of the mechanisms of transformation of these two major diseases. Our research includes the identification of genetic and epigenetic changes (cellular reactions that change the functions of genes, without being part of the DNA), the development of new drugs that can be molecular targets in patients, and resistance to therapy determined by the tumor microenvironment.

We work in close collaboration with other researchers in the Hematology-Oncology Program at Cima and clinicians at the Clínica Universidad de Navarra with a primary focus on translational research and clinical trials exploring innovative treatments for these diseases.

Our program is linked to the Centro de Investigación Biomédica en la Red de Cáncer (CIBERONC) of the Instituto de Salud Carlos III (ISCIII), as well as to numerous academic and research centers nationally and internationally.

Dr. Felipe Prosper Cardoso

GROUP LEADER

   +34 948 194 700
   fprosper@unav.es
   Research profile

Oncology research integrated in the
Cancer Center Clinica Universidad de Navarra

Objectives of the Translational Hematology
Research Group

We seek to develop innovative strategies to improve the treatment of these aggressive hematological malignancies


To delve into the processes of oncogenesis of myeloid malignancies to decipher initial lesions and molecular alterations that lead to their progression.


Develop a combined functional strategy using multi-omics technologies, genetically modified animals and multiparametric flow cytometry.


To analyze the levels of organization and cellular relationships that occur in the bone marrow niche in homeostasis and after neoplastic transformation.

To identify the molecular mechanisms involved in the efficacy and resistance of CAR-T therapies.

FROM THE LABORATORY TO THE CLINIC

Innovation in epigenetic drugs

In recent years it has been shown that cancer is a disease caused by both genetic and epigenetic alterations. Epigenetics refers to inherited cellular reactions that change the functions of genes, without being part of the DNA.

With this knowledge our group has developed new compounds capable of inhibiting the action of several key enzymes in DNA methylation, one of the main epigenetic mechanisms.

Lines of research

Myelodysplastic syndromes (MDS) are characterized by inefficient hematopoietic differentiation, resulting in the deficiency of one or more mature blood cell types. Since genetic lesions fail to fully explain this aberrant differentiation, in our line of research we explore transcriptional alterations in order to better understand the molecular basis of this disease and to design new therapeutic strategies that are effective for these patients.

Objectives

The main objectives of this research line are:

  • Characterization of the transcriptional alterations suffered by the cells of origin of the disease, hematopoietic stem cells, in aging and MDS.
  • Identification of transcriptional dynamics altered throughout the early stages of hematopoietic differentiation in MDS.
  • Characterization of the heterogeneity of MDS patients by single cell studies.
  • Identification of new therapeutic targets for specific subgroups of MDS patients.
  • To develop this line of research the group counts with national collaborations within the Spanish group of myelodysplastic syndromes (GESMD) (María Diez Campelo (University Hospital of Salamanca), David Valcárcel (Val d'Hebron), Francesc Solé (Joseph Carreras Institute)), and international collaborations (Kevin Rouault-Pierre and Ana Rio (Barts Institute), Luca Malcovati (University of Pavia). In addition, the group collaborates closely with other CIMA groups, as well as with several physicians from the hematology service of the CUN. 

Our main objective is to understand the molecular mechanisms and different cellular interactions involved in CAR-T therapies. We combine multiparametric flow cytometry, multi-omics technologies, artificial intelligence and advanced gene editing technologies, to comprehensively understand, from patient samples and relevant animal models, the biological processes governing CAR-T cell response and to identify vulnerabilities that can be modulated to improve CAR-T cell efficacy.

Objetives:

  • Generate a comprehensive multi-omic map of CAR-T cells, immune cells and TME from patient and animal models treated with CAR-T therapies.
  • Understand the interactions between CAR-T cells and other immune populations of the TME.
  • Identify regulatory and/or metabolic alterations associated to the efficacy of CAR-T therapies using machine learning methods.
  • Identify and validate vulnerabilities and tumor resistance mechanisms for the development of improvement CAR-T therapies.

The tissue and organ organization characteristic of metazoans is closely dependent on homo- and heterotypic interactions between different cell types. However, our knowledge of tissue organization remains limited. Stem cell systems and their niches are highly controlled microenvironments that offer a unique opportunity to advance such knowledge. Reductionist approaches have proven highly useful for dissecting the complexity of stem cell niches in a unidirectional fashion. However, these approaches fail to recognize the complex three-dimensional structure of tissue.
In the laboratory, we are interested in understanding the different levels of organization and cellular relationships that occur in the bone marrow (BM) niche in homeostasis and after neoplastic transformation. To this end, we employ a systems biology strategy combined with the use of genetically modified animals, multi-parametric flow cytometry and multi-omics technologies.
Another major interest of our laboratory is the development of hematopoietic stem cell mobilization regimens, as well as the development of non-genotoxic conditioning agents that allow the use of hematopoietic progenitor transplantation in monogenic diseases and congenital and acquired immunodeficiencies.

Objectives:

  • Define the cellular and molecular complexity of the MO niche.
  • To delineate the homo- and heterotypic cellular interactions that define the functioning of the BM niche.
  • Describe the cellular and molecular changes that occur in the OM following neoplastic transformation.
  • Validate new therapeutic dependencies in leukemias resulting from their relationship with the cells of the OM microenvironment.

The tissue and organ organization characteristic of metazoans is closely dependent on homo- and heterotypic interactions between different cell types. However, our knowledge of tissue organization remains limited. Stem cell systems and their niches are highly controlled microenvironments that offer a unique opportunity to advance such knowledge. Reductionist approaches have proven highly useful for dissecting the complexity of stem cell niches in a unidirectional fashion. However, these approaches fail to recognize the complex three-dimensional structure of tissue.
In the laboratory, we are interested in understanding the different levels of organization and cellular relationships that occur in the bone marrow (BM) niche in homeostasis and after neoplastic transformation. To this end, we employ a systems biology strategy combined with the use of genetically modified animals, multi-parametric flow cytometry and multi-omics technologies.
Another major interest of our laboratory is the development of hematopoietic stem cell mobilization regimens, as well as the development of non-genotoxic conditioning agents that allow the use of hematopoietic progenitor transplantation in monogenic diseases and congenital and acquired immunodeficiencies.

Objectives:

  • Define the cellular and molecular complexity of the MO niche.
  • To delineate the homo- and heterotypic cellular interactions that define the functioning of the BM niche.
  • Describe the cellular and molecular changes that occur in the OM following neoplastic transformation.
  • Validate new therapeutic dependencies in leukemias resulting from their relationship with the cells of the OM microenvironment.

Meet the research team