A colorful computer generated image of DNA double helix.

Understanding the Earliest Steps in Going from Being at Risk to Developing an Overt Blood Cancer

General Audience

Dr. Churpek studies how inherited (passed-down) genetic changes can lead to blood and other cancers in adults. In the past, doctors didn’t think that inherited risk or family history played a big role in some of these cancers, especially when they started in adulthood or started after cancer-related exposures. But by leading research projects at the University of Chicago and the University of Wisconsin-Madison, she has helped discover new inherited risk factors and genetic conditions that increase the risk for these cancers.

Her team uses special tools to look closely at people’s DNA to find patterns that run in families. One of her main goals is to understand how someone goes from having a genetic risk to actually developing cancer. This helps doctors better understand both inherited and non-inherited (sporadic) blood cancers. In addition, it can help identify the earliest steps in going from normal cells to abnormal cells with the potential to prevent progression to cancer.

Scientific Audience

Vagher J, Zakas A, Donovan L, Shoger K, Naumer A, Bly J, Smith-Simmer K, Maese L, Schiffman J, Kohlmann W, Garzon R, Churpek JE, Osman AEG. Hematologic Malignancy Frequency, Phenotypes, and Outcomes in Li-Fraumeni Syndrome. JCO Precis Oncol. 2025 Jun;9:e2400860. doi: 10.1200/PO-24-00860. Epub 2025 Jun 20. PubMed PMID: 40540701.

Dr. Churpek investigates the genetic underpinnings of hematologic malignancies (HM) and their presence in adults with newly diagnosed cytopenias or hematologic cancers. Historically, hereditary susceptibility was not considered a major factor in adult-onset hematologic disease. However, through the management of large hereditary blood disorder and cancer registries at both the University of Chicago and the University of Wisconsin–Madison, she has identified novel inherited risk factors and contributed to defining multiple hereditary HM predisposition syndromes. Her research integrates targeted gene panels, whole exome and genome sequencing, and custom microarrays to uncover rare germline variants underlying familial patterns of disease. A key focus is understanding the stepwise progression from inherited risk to overt malignancy, providing insight into both hereditary and sporadic disease pathways and opening new avenues for prevention.

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Zhang MY, Churpek JE, Keel SB, Walsh T, Lee MK, Loeb KR, Gulsuner S, Pritchard CC, Sanchez-Bonilla M, Delrow JJ, Basom RS, Forouhar M, Gyurkocza B, Schwartz BS, Neistadt B, Marquez R, Mariani CJ, Coats SA, Hofmann I, Lindsley RC, Williams DA, Abkowitz JL, Horwitz MS, King MC, Godley LA, Shimamura A. Germline ETV6 mutations in familial thrombocytopenia and hematologic malignancy. Nat Genet. 2015 Feb;47(2):180-5. PubMed Central ID: PMC4540357.
Churpek JE, Pyrtel K, Kanchi KL, Shao J, Koboldt D, Miller CA, Shen D, Fulton R, O’Laughlin M, Fronick C, Pusic I, Uy GL, Braunstein EM, Levis M, Ross J, Elliott K, Heath S, Jiang A, Westervelt P, DiPersio JF, Link DC, Walter MJ, Welch J, Wilson R, Ley TJ, Godley LA, Graubert TA. Genomic analysis of germ line and somatic variants in familial myelodysplasia/acute myeloid leukemia. Blood. 2015 Nov 26;126(22):2484-90. PubMed Central ID: PMC4661171.
Kennedy AL, Myers KC, Bowman J, Gibson CJ, Camarda ND, Furutani E, Muscato GM, Klein RH, Ballotti K, Liu S, Harris CE, Galvin A, Malsch M, Dale D, Gansner JM, Nakano TA, Bertuch A, Vlachos A, Lipton JM, Castillo P, Connelly J, Churpek J, Edwards JR, Hijiya N, Ho RH, Hofmann I, Huang JN, Keel S, Lamble A, Lau BW, Norkin M, Stieglitz E, Stock W, Walkovich K, Boettcher S, Brendel C, Fleming MD, Davies SM, Weller EA, Bahl C, Carter SL, Shimamura A, Lindsley RC. Distinct genetic pathways define pre-malignant versus compensatory clonal hematopoiesis in Shwachman-Diamond syndrome. Nat Commun. 2021 Feb 26;12(1):1334. PubMed Central ID: PMC7910481.
Vagher J, Zakas A, Donovan L, Shoger K, Naumer A, Bly J, Smith-Simmer K, Maese L, Schiffman J, Kohlmann W, Garzon R, Churpek JE, Osman AEG. Hematologic Malignancy Frequency, Phenotypes, and Outcomes in Li-Fraumeni Syndrome. JCO Precis Oncol. 2025 Jun;9:e2400860. doi: 10.1200/PO-24-00860. Epub 2025 Jun 20. PubMed PMID: 40540701.
Sande CM, Chen S, Mitchell DV, Lin P, Abraham DM, Cheng JM, Gebhard T, Deolikar RJ, Freeman C, Zhou M, Kumar S, Bowman M, Bowman RL, Zheng S, Munkhbileg B, Chen Q, Stanley NL, Guo K, Lapite A, Hausler R, Taylor DM, Corines J, Morrissette JJ, Lieberman DB, Yang G, Shestova O, Gill S, Zheng J, Smith-Simmer K, Banaszak LG, Shoger KN, Reinig EF, Peterson M, Nicholas P, Walne AJ, Dokal I, Rosenheck JP, Oetjen KA, Link DC, Gelman AE, Reilly CR, Dutta R, Lindsley RC, Brundige KJ, Agarwal S, Bertuch AA, Churpek JE, Tague LK, Johnson FB, Olson TS, Babushok DV. ATMdependent DNA damage response constrains cell growth and drives clonal hematopoiesis in telomere biology disorders. J Clin Invest. 2025 Apr 15;135(8) PubMed Central PMCID: PMC11996883.

Papers in Plain Language

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