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Newsletter November 2011 - European Hematology Association

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The first EHA – ISTH Joint Fellowship Award<br />

was presented to Dr Astrid van Hylckama<br />

Vlieg by Professor Ian Peak (ISTH) and Professor<br />

Clara Camaschella (EHA). The EHA-<br />

ISTH Joint Fellowship program is intended<br />

to support the study of physiology of coagulation,<br />

bleeding and thrombosis.<br />

The title of the awarded project is: Ageing<br />

of the venous valves and the risk of venous<br />

thrombosis in the elderly.<br />

Dr Astrid van Hylckama Vlieg explains<br />

about her project.<br />

> “Increasing age is the strongest risk<br />

factor for deep venous thrombosis (DVT), a<br />

major cause of death and disability in the<br />

elderly. This steep age-gradient is, as yet,<br />

unexplained since the elderly are often excluded<br />

from research and are thus the<br />

least studied in the field of venous thrombosis.<br />

One of my interests is to identify<br />

specific risk factors for venous thrombosis<br />

in the elderly and elucidate the striking<br />

age gradient. I was recently awarded the<br />

joint fellowship of the <strong>European</strong> <strong>Hematology</strong><br />

<strong>Association</strong> (EHA) and the International<br />

Society of Thrombosis and Haemostasis<br />

(ISTH). This fellowship provides me the<br />

great opportunity to continue my work on<br />

the risk of venous thrombosis in the elderly.<br />

The aim of the proposed study is to find the<br />

mechanism underlying the age-gradient<br />

and the high risk of DVT in the elderly, by<br />

combining novel, in vivo imaging techniques<br />

to study degenerative changes in<br />

the venous valves and to study the coagulation<br />

system with specific and global hypercoagulability<br />

assays.<br />

We will perform a case-control study of<br />

patients with a first venous thrombosis<br />

and controls, all aged ≥70 years. Detailed<br />

clinical data (items on e.g., thrombosis,<br />

medical history, lifestyle factors that may<br />

affect thrombosis risk or ageing of the<br />

valves) will be combined with ultrasound<br />

imaging of the popliteal vein (non-affected<br />

leg in patients) and coagulation assays.<br />

This will be the first study in which the association<br />

between ageing of the valves and<br />

the risk of venous thrombosis will be investigated.<br />

It is crucial to increase knowledge<br />

on risk factors for venous thrombosis<br />

in elderly, in order to prevent morbidity<br />

and mortality“.<br />

Professor Ian Peake, the EHA-ISTH Award Winner Astrid van Hylckama Vlieg and Professor Clara Camaschella.<br />

The first EHA – JSH Fellowship Exchange<br />

Award was presented to Dr Michaela Gruber<br />

and Dr Naoki Kurita by Professor Yuzuru<br />

Kanakura (JSH President) and Professor<br />

Clara Camaschella (EHA). The<br />

EHA-JSH Fellowship Exchange Award will<br />

provide <strong>European</strong> and Japanese research<br />

institutes the opportunity to reciprocally<br />

exchange scientists for a short period (up<br />

to 4 months) in either country. The intent of<br />

the program is to give both clinical and laboratory-based<br />

researchers an opportunity<br />

to establish new collaborations and experience<br />

research in a different environment.<br />

Both winners introduce themselves here<br />

and write about their projects.<br />

> “My name is Michaela Gruber, I am a<br />

medical doctor and currently working as a<br />

researcher in the hematology lab at the<br />

Medical University of Vienna in Austria.<br />

Our group is particularly interested in<br />

chronic lymphocytic leukemia (CLL), which<br />

is the most frequent leukemia in Western<br />

countries but very rare in Asia. Within preliminary<br />

work, we identified expression of<br />

the enzyme uridine diphospho glucuronosyltransferase<br />

(UGT) 2B17 as a risk factor<br />

among Caucasian patients with CLL.<br />

UGT2B17 shows a remarkable copy number<br />

variation making it by far the most differentially<br />

expressed gene between ethnic<br />

groups. We initiated collaboration with the<br />

Japanese Study Group on CLL and Related<br />

Diseases. Together, we are investigating<br />

the role of UGT2B17 in Japanese patients<br />

with CLL as a starting point to establish a<br />

long-term Japanese-<strong>European</strong> cooperation<br />

studying predisposition and clinical<br />

course of the disease. When we discovered<br />

that EHA and the Japanese Society of <strong>Hematology</strong><br />

were initiating the new joint fellowship<br />

we immediately decided to apply.<br />

Luckily, our proposal “East-West Initiative:<br />

Establishing a Comparative Research Network<br />

on Chronic Lymphocytic Leukemia”<br />

was selected.<br />

As a recipient of the EHA-ASH Translational<br />

Research Training in <strong>Hematology</strong> Award<br />

in 2010 I already benefited from the EHA<br />

career development program. The EHA-<br />

JSH exchange grant provides me the support<br />

and the funding to collect the data for<br />

our research in Japan. And I think it will be<br />

only the beginning for future fruitful collaborations.<br />

Furthermore I am confident I<br />

will gain valuable new experiences and<br />

friendships and that the support from EHA<br />

and JSH will help to obtain more funding<br />

from other national and international institutions.<br />

In conclusion, I personally think<br />

that the EHA-JSH fellowship is an important<br />

step in my career towards becoming<br />

an independent researcher in hematology.<br />

Moreover, I believe that this collaboration<br />

can give new insights helping us to better<br />

understand and treat CLL in the future”.<br />

> “My name is Naoki Kurita from the<br />

Department of <strong>Hematology</strong>, Tsukuba University<br />

Hospital. My project is called Investigation<br />

on Cord Blood Transplantation.<br />

EHA <strong>Newsletter</strong> <strong>November</strong> <strong>2011</strong> > 17

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