Functional precision medicine for leukemia

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Raphaël Itzykson

Team leader

Stéphanie CHAMBAUD

Research themes

Research themes

Our research, grounded in clinical trials and academic and industrial partnerships, aims at developing methods to allocate personalized therapeutic combinations to leukemia patients. Our approach is based on pharmacological screening using high-throughput cytometry and integration of clinical and genetic data to identify new biomarkers.

  • Acute Myeloid Leukemia
  • Chronic Myelomonocytic Leukemia

Research areas

By applying an ex vivo pharmacological screening method under pseudo-niche culture conditions with multiparametric cytometric revelation to primary samples from AML patients, coupled with a Bayesian dose-response curve ranking approach developed in collaboration with S. Chevret’s team, this program aims to nominate innovative therapeutic combinations whose efficacy, synergy and potential biomarkers can be explored in pre-clinical in vitro (cell lines) and in vivo (CDX, PDX) models.

Schema Raphael Itzykson - Figure_1 - Functional precision medicine

This program aims to assess the contribution of precision medicine combining genomics (France Médecine Génomique) and ex vivo pharmacological screening in the management of very high-risk AML (patients at adverse genetic risk or who have failed conventional treatments) accrued to a multicenter acute myeloid leukemia observatory [ALFAPPP].

Schema Raphael Itzykson - Figure_2 - Functional precision medicine

Following the identification of the xCT channel, responsible for importing the amino acid cystine into cells, as a vulnerability of leukemia cells, this axis aims to reposition sulfasalazine, non-selective inhibitor of the xCT system, in the management of AML (SALMA trial), to identify rational combinations including xCT targeting, and, in collaboration with a network of medicinal chemistry teams, to discover new pharmacological strategies for inhibiting this channel.

Schema Raphael Itzykson - Figure_3 - Functional precision medicine

Team members

Thorsten Braun
Professor of hematology
Nuria Alvarez-Pizarroso
PhD student
Kevin Boumeghar
Master student
Jeannig Berrou
Engineer
Typhaine Dumas-Rivero
Associate Professor of hematology
Mélanie Dupont
Assistant Engineer
Morgane Fontaine
Engineer
Delphine Lebon
Post-doctoral researcher
Catherine Lonchamp
Technician
Kim Pacchiardi
Engineer
Pierre-Yves Sansen
Visiting scientist

Scientific publications

A personalized approach to guide allogeneic stem cell transplantation in younger adults with acute myeloid leukemia

A personalized approach to guide allogeneic stem cell transplantation in younger adults with acute myeloid leukemia

Laurène Fenwarth & al, Blood, 2021
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Cystine uptake inhibition potentiates front-line therapies in acute myeloid leukemia

Cystine uptake inhibition potentiates front-line therapies in acute myeloid leukemia

Bryann Pardieu & al, Leukemia, 2022
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A multiparametric niche-like drug screening platform in acute myeloid leukemia

A multiparametric niche-like drug screening platform in acute myeloid leukemia

Reinaldo Dal Bello & al, Blood Cancer Journal, 2022
Lire la publication

Industrial partners

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Funding

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