Why people with sickle cell disease have higher risk of blood cancers

Mechanisms underlying increased risk of hematological malignancy in sickle cell disease.

NIH-funded research Cincinnati Childrens Hosp Med Ctr · NIH-11310848

This project is checking if oxidative DNA damage in blood stem cells explains the higher risk of blood cancers after transplants or gene therapy in adults with sickle cell disease.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionCincinnati Childrens Hosp Med Ctr NIH-funded
Lab location1 site (Cincinnati, United States)
Project IDNIH-11310848 on NIH RePORTER

What this research studies

From a patient's perspective, the team uses sickle cell mouse models and lab studies of blood stem cells to see how oxidative stress causes DNA damage and allows mutant clones to grow. They will deliberately increase or reduce oxidative damage in stem cells to see whether that changes the chance of clonal blood stem cell expansion and eventual blood cancer, comparing sickle cell models to healthy controls. The researchers will also mimic the heavy stem cell regeneration that follows transplantation or gene therapy to see if that amplifies risky clones. The goal is to connect lab findings to the higher cancer risk seen after curative therapies in people with sickle cell disease.

Who could benefit from this research

Good fit: Adults with sickle cell disease, particularly those considering or who have undergone hematopoietic stem cell transplant or gene therapy, would be most relevant.

Not a fit: People without sickle cell disease, children, or patients not facing transplant or gene therapy are unlikely to directly benefit from this specific work.

Why it matters

Potential benefit: If successful, this work could point to ways to protect blood stem cells or reduce DNA damage and thereby lower blood cancer risk after gene therapy or transplant.

How similar studies have performed: Clinical reports have observed higher blood cancer rates after gene therapy or transplant in sickle cell disease, but mechanistic laboratory studies addressing why are relatively new.

Where this research is happening

Cincinnati, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.