CANCER
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Bloodwise 10<br />
STRATEGIC REPORT<br />
RESEARCH<br />
Revealing how blood cancer works underpins our<br />
ability to design new targeted and stratified treatment<br />
approaches, as well as our ability to constantly refine<br />
and increase the effectiveness of existing treatments<br />
and reduce their toxicity.<br />
There are cross cutting characteristics of all cancers,<br />
sometimes called ‘hallmarks’, that are mechanisms<br />
that must be disrupted for cancer to take hold. Because<br />
blood cancers are different to solid tumours, some of<br />
the hallmarks are more relevant for us than others.<br />
Understanding of these hallmarks is unparalleled in<br />
blood cancers and the progress that we’ve made in<br />
this respect has enhanced understanding of diseases<br />
beyond blood cancer.<br />
Each cell in our body is controlled by a molecular<br />
orchestra that governs its growth and movement. These<br />
involve factors that stimulate growth and division,<br />
safety switches that kick in if a cell is damaged,<br />
a hardwired finite lifespan, and signals between<br />
neighbouring cells to remain where they belong.<br />
Faults in the proteins that make up these critical<br />
control mechanisms can lead to the uncontrolled cell<br />
growth and abnormal cell behaviour characteristic<br />
of cancer. These faults arise when the DNA sequence<br />
within the cell, which provides the template for<br />
making new proteins, picks up errors.<br />
Increasingly, we’re defining diseases by more specific<br />
molecular changes in a cell that might respond to<br />
different therapies.<br />
This means we’re starting to collate patients into<br />
groups by virtue of their likelihood to benefit from<br />
differing therapies, rather than the traditional<br />
definitions of the symptoms patients present with<br />
at diagnosis and what their cells look like down a<br />
microscope. Exciting times!<br />
Over the next few pages we’ll give you a snapshot of<br />
some of the research we’ve invested in this year, in the<br />
context of the hallmarks that are relevant to us in the<br />
blood cancer community.<br />
Bloodwise trading as Leukaemia & Lymphoma Research Company limited by guarantee 738089<br />
Registered charity 216032 (England & Wales) SC037529 (Scotland)