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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)

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