Research Axis
Immune Diseases and Cancer Axis
Research Theme
Cancers: mechanisms, new therapeutic approaches and disease outcomes
Address
CHUSJ - Centre de Recherche
Phone
514 345-4931 7602
Career Summary
I am a clinician-scientist who focuses on translating genomic discoveries into improved novel therapies for pediatric leukemias. My ten years of medical training, which includes a 2-year pediatric hematology-oncology fellowship at The Hospital for Sick Children, Toronto, has fostered a comprehensive clinical experience in the diagnosis, management and treatment of pediatric cancers. Furthermore, from July 2013 to July 2016, I joined Dr. Mignon Loh’s laboratory at the University of California, San Francisco (UCSF) for a three-year research training, focusing on the diagnosis, management and mechanims of resistance of Ph-like ALL. Ph-like ALL is a recently discovered high-risk subtype of B-lineage ALL (B-ALL) characterized by a gene expression profile (GEP) similar to that of Philadelphia (Ph) chromosome-positive ALL (Ph+ALL) but lacks the canonical BCR-ABL1 gene fusion. It comprises approximately 15% of childhood and 25% of adult B-ALL. Importantly, patients with Ph-like ALL have high rates of treatment failure and death compared to those without Ph-like ALL despite modern chemotherapy regimens. It has also been shown that Ph-like ALL harbors a diverse spectrum of kinase-activating alterations responding to different tyrosine kinase inhibitors (TKIs). Therefore, the incorporation of the relevant TKI into conventional chemotherapy backbone in Ph-like ALL will greatly improve outcomes, similar to the successful combination of imatinib and chemotherapy in Ph+ALL. In summary, the overarching goal is of my research program is to provide access to Ph-like ALL testing, improve diagnosis, refine risk stratification, identify novel therapies and implement these into clinical trials for Ph-like ALL.