Team BENAJIBA & LOBRY

Identification and Targeting of Extrinsic and Epigenetic Regulators of Myeloid Hematological Malignancies (ITERM)

Hematology Immunology Oncology

Learn more about the team

Myeloid neoplasms arise from the accumulation of somatic mutations within hematopoietic stem cells and progenitor cells. The presence of these mutations can lead to pre-leukemic states, such as myeloproliferative neoplasms (MPN) or myelodysplastic syndromes (MDS), which may progress to acute myeloid leukemia (AML), associated with a poor prognosis. AML can also arise de novo, in the absence of any pre-existing hematological disorder. Accounting for approximately 25,000 new cases annually in Europe, AML is the most common acute leukemia in adults. Despite major advances in deciphering its pathogenesis, therapeutic improvement has stagnated, and the 5-year overall survival rate remains below 25%.

Epigenetic modulation and extrinsic signals — such as microenvironmental cues, treatment exposure, or sepsis — play a critical role in driving clonal advantage within the bone marrow, thereby defining pathways of myeloid oncogenesis that remain poorly understood. Our team’s primary goal is to understand how epigenetic and microenvironmental dysregulations dictate AML ontogeny and progression. Using physiologically relevant models, we aim to characterize these mechanisms to therapeutically exploit the environment- and epigenetic-driven clonal plasticity. Ultimately, this translational approach seeks to identify and validate innovative strategies to prevent disease development or relapse, thereby improving clinical outcomes for patients with AML and pre-leukemic myeloid disorders (MPN and MDS).

The team is also a member of the Institut de la Leucémie Paris Saint-Louis.

Lina BENAJIBA

MD, PhD, HDR – PU-PH || TeamLeader

Photo du co-chef d'équipe de l'équipe n°5 de l'IRSL : Directeur de Recherche Camille LOBRY (Identification et ciblage des régulateurs extrinsèques et épigénétiques des hémopathies myéloïdes)

Camille LOBRY

Research's director || Teamleader

Axes explorés

Lina BENAJIBA’s Group – Identification and targeting of extrinsic regulators of myeloid hematological malignancies
Photo de la cheffe d'équipe de l'équipe n°5 de l'IRSL : Lina BENAJIBA (Identification et ciblage des régulateurs extrinsèques et épigénétiques des hémopathies myéloïdes)

The presence of cell-intrinsic oncogenic mutations does not systematically lead to cancer development. This genotype-phenotype discordance underlies the crucial role of extrinsic mechanisms and the influence of the bone marrow microenvironment. Our groups aims at investigating the complex interactions between hematopoietic cells and their niche to identify novel, exploitable therapeutic targets.

Axis 1: Characterization of mechanisms driving MPN progression.

The development of innovative translational approaches to identify the key mechanisms underlying the development of acute myeloid leukemia (AML) post-MPN (myeloproliferative neoplasm) is critical to improve clinical outcomes. Leukemic transformation is a complex process with both the intrinsic accumulation of genetic alterations within pre-leukemic cells and the influence of extrinsic factors. These include long-term exposure to prior MPN therapies, as well as the dynamic cellular crosstalk within the bone marrow niche.

Consequently, microenvironmental signals and therapeutic interventions play a critical role in shaping clonal selection and subsequent leukemic transformation. Our goal is to determine whether treatment exposure actively selects for deleterious mutations and to decipher the mechanisms driving this clonal evolution. To comprehensively characterize these mechanisms, our team employs a translational approach integrating clinical database analyses, large-scale functional genomics strategies, and robust in vitro and in vivo models.

In parallel, we are developing innovative in vivo functional screening tools within relevant MPN models to discover and validate novel signaling pathways that participate in leukemic transformation through niche-hematopoiesis interactions.

Additionally, we are evaluating the systemic impact of MPN treatments on non-hematopoietic organs, with a specific focus on the skin. Ultimately, our findings will provide a comprehensive understanding of MPN clonal evolution driven by the tumor microenvironment, paving the way for targeted strategies to prevent leukemic transformation and mitigate disease-associated complications.

Axis 2: Role of the bone marrow niche in AML oncogenesis and persistence: toward therapeutic remodeling.

AML development is a complex process that is partly dependent on the intrinsic accumulation of genetic alterations within hematopoietic stem cells and progenitors. Recent work has highlighted a key role for the microenvironment in actively supporting leukemic cells and driving treatment resistance.

Our team aims to characterize novel vulnerabilities induced by niche-leukemia interactions. To achieve this, we combine single-cell omics and high-throughput functional screening across physiologically relevant in vitro and in vivo models. Notably, we are developing humanized murine models that faithfully recapitulate the bone marrow microenvironment supporting leukemic cell growth. In parallel, we use transcriptomic, epigenomic, and advanced microscopy approaches to decipher the molecular and cellular mechanisms of niche-leukemia crosstalk. Ultimately, this work aims to pioneer combinatorial therapeutic strategies that simultaneously target leukemic cells and their supportive niche, in order to improve patient survival.

We are establishing a robust validation pipeline for our identified targets. This framework encompasses the preclinical steps required for clinical translation, the discovery of novel response biomarkers, and the evaluation of therapeutic synergies.

Camille LOBRY’s Group – Genetic and epigenetic regulation of healthy and malignant hematopoiesis
Photo du co-chef d'équipe de l'équipe n°5 de l'IRSL : Directeur de Recherche Camille LOBRY (Identification et ciblage des régulateurs extrinsèques et épigénétiques des hémopathies myéloïdes)

Acute myeloid leukemia (AML) is the most frequently diagnosed acute leukemia in adults, characterized by poor overall survival rates and 50% of relapse rate after treatment. Since available targeted therapies remain limited and prone to resistance, it is critical to study the molecular mechanisms of tumor induction and progression.


While scientific efforts have traditionally prioritized the protein-coding genome – representing 2% of the total human material – the non-coding regions remains crucial in the regulation of gene transcription. These regions include elements such as insulators, enhancers, and non-coding RNAs.

By deciphering how these non-coding components control the complex gene expression programs driving oncogenesis, our team aims to uncover new vulnerabilities for the design of novel targeted therapeutic strategies.

Axis 1: Study of Super-Enhancer deregulation in AML pathogenesis.

Super-enhancers (SEs) are characterized by an exceptionally high enrichment of transcriptional coactivators and strong histone tail modifications across isolated or clustered enhancer regions. Defined across virtually all cell types, SEs tend to exhibit high tissue specificity. Notably, leukemic cells frequently display altered gene expression profiles compared to their healthy counterparts.

Intriguingly, SEs tend to be enriched preferentially around oncogenes, driving their aberrant expression. Our results demonstrate that SE profiles and activity are heavily dependent on specific oncogenic alterations; in particular, fusion oncogenes can hijack distinct genomic regions to assemble de novo SEs, thereby inducing oncogene overexpression.

To interrogate SE functionality and its impact on transcriptional regulation and leukemia progression, our team uses genome-wide transcriptomic and epigenomic approaches with high-throughput functional screening platforms, including CRISPR/Cas9, shRNA, and CRISPRi technologies.

Axis 2: Unraveling the interaction between epigenetics and metabolism in leukemic transformation.

Malignant transformation and leukemia progression are marked by profound metabolic reprogramming, driven by key oncogenes and regulatory networks such as MYC. This metabolic-epigenetic relationship is fundamentally bidirectional: the catalytic activity of many epigenetic regulators strictly depends on the availability of intermediary metabolites. Consequently, metabolic dysfunctions directly remodel the gene expression profiles of leukemic cells.

Understanding this functional synergy is critical for uncovering novel therapeutic vulnerabilities. In collaboration with Dr. Puissant’s laboratory, we use complementary in vitro and in vivo models alongside integrated multi-omic approaches to elucidate the complexity of these metabolic-epigenetic mechanisms.

Axis 3: Multi-omics methodology and bioinformatic pipelines.

The rapid evolution of high-throughput sequencing and multi-omic technologies has made cancer research increasingly dependent on complex computational biology and bioinformatic analyses. However, implementing these cutting-edge methodologies remains challenging for non-specialist biologists.

To bridge this gap, our team provides technical support and the implementation of advanced omics protocols—including RNA-seq, scRNA-seq, ChIP-seq, and ATAC-seq—alongside high-throughput functional screens (CRISPR/Cas9, shRNA). In parallel, standardized bioinformatic analysis pipelines are being developed to enable researchers to autonomously process and interpret their own multi-omic datasets.

Lara ZAFRANI’s Group – Severe acute complications of AML and their impact on disease evolution

Patients with Acute Myeloid Leukemia (AML) face a high risk of early mortality driven by severe, acute complications, including sepsis, leukemic tissue infiltration, leukostasis, and tumor lysis syndrome. Our group investigates the precise pathophysiological mechanisms underlying these acute life-threatening complications and subsequent organ failure. Our goal is to identify novel therapeutic strategies aimed at reducing mortality related to acute complications and limiting their long-term effects on disease progression.

Axis 1: Characterization of mechanisms of AML-Related organ failure (tumor lysis and leukostasis)

Approximately 5% to 20% of AML patients present with severe hyperleukocytosis. These patients are at high risk of life-threatening acute complications related to leukemic tissue infiltration, leukostasis, or tumor lysis syndrome.

Our team has previously demonstrated that endothelial dysfunction is crucial in acute kidney injury associated with tumor lysis syndrome. Through the expression of various adhesion molecules, interactions between leukemic and endothelial cells appear to play an important role in acute respiratory failure in AML patients.

Using in vivo AML models coupled with intravital microscopy, we aim to explore endothelial dysfunction in the various target organs affected by these complications. Deciphering the mechanisms of this bidirectional crosstalk between leukemic and endothelial cells will allow the identification of novel therapeutic targets to improve patient survival.

Axis 2: Impact of sepsis on the tumor microenvironment, leukemic proliferation, and AML progression

AML patients face an increased risk of early mortality due to severe infectious complications frequently requiring intensive care admission. Notably, the risk of sepsis in patients with hematological malignancies has been estimated at 15 times that of the general population – with AML patients exhibiting the highest sepsis-related mortality rate. Moreover, acute bacterial infection can profoundly remodel the tissue microenvironment, thereby influencing hematopoietic tumorigenesis.

The systemic inflammatory signals generated by the immune response upon sepsis directly impacts hematopoietic stem cells. Circulating cytokines appear to reach these cells within their niche via systemic circulation, promoting leukemic cells survival. Thus, pro-inflammatory cytokines critically regulate hematopoiesis, hematopoietic progenitors, and the bone marrow niche.

By inducing sepsis in relevant in vitro and in vivo AML and MPN (myeloproliferative neoplasm) models, we aim to explore the critical cellular and molecular signaling pathways triggered by sepsis-related inflammation. Our goal is to unravel how this systemic inflammatory response interacts with the leukemic microenvironment, which could exert a determining influence on disease progression.

Team members

Alexandre FAGNAN

PhD / Postdoctoral student

Aurélie CLAQUIN

MSc / PhD student

Camille LOBRY

Head of Research / TeamLeader

Camille MERESSE

MSc / Research Engineer

Carla ZINDEL

Master 2

Cécile CULEUX

MSc / Research Engineer, Lab Manager

Chloé ZÉDOUARD

MSc / PhD student

Emmanuel RAFFOUX

MD – Associate Professor / Medical assistant

Emmanuelle TOUZE

Master 2

Flore CUISIN

Master 2

Florence RABIAN

MD – Hospital Doctor / Medical assistant

Hélène PASQUER

MD, PhD – CCA-INSERM-Bettencourt / CCA-INSERM-Bettencourt

Ismail EL-AZRAK

MSc / Research Engineer

Lara ZAFRANI

MD, PhD, HDR – PU-PH / Principal Investigator

Léa PROVENT

MSc / Research Engineer

Lina BENAJIBA

MD, PhD, HDR – PU-PH / TeamLeader

MARCOS-KOVANDZIC Laura

PhD / Project Manager

Nabila SAKER

MSc / PhD student

Naelle GUILLON

MSc / Bioinformatics Research Engineer

Ranya ALAWADHI

Master 2

Séverine LECOURT

PhD / Research Engineer

Stéphanie PONS

MD, PhD – PHC / Principal Investigator

Valentine MARCHAND

PhD / Postdoctoral student

Team alumni

Alexia MONIER

Master 1

Blandine ROUX

Doctorante

Camille GONZALES

Master 1

Chiara GLEN

Stage de fin d’études

Clarissa MUJACIC

Master 2

Elsa BARREAU

Master 1

Elsa SALLES

Étudiante en L3 (Stage d’été)

Enora LE GOFF

Master 2

Hélène CABANAS

Post-doctorante

Hélène LEDDEN-HASS

Ingénieure de Recherche

Imène RÉSINE

Master 2

Jiang HU

Post-doctorant

Juan PARDO

Master 2

Julie THÉVÉNOT

Master 1

Juliette BONTOUX

Master 1

Kathleen FLOSSEAU

Technicienne de laboratoire

Lauriane CHALON

Master 2

Maëlys TOSTAIN

Master 1

Marie-Charlotte LAIGUILLON

Post-doctorante

Marion ANTONINI

Master 1

Marta LUPERTO

Doctorante

Mirjam STRANZL

Stage de fin d’études

Morgane DENIS

Post-doctorante

Morgane GROSSET

Master 2

Nina KACI

Post-doctorante

Paul-Arthur MESLIN

Doctorant en bioinformathique

Raphaël MARIE

Ingénieur d’Etudes

Rayan DAHER

Master 2

Safaa MISKI

Stage de fin d’études

Salima BENBARCHE

Post-doctorante

Samia OUSSOUS

L3 Summer Student

Sarah KALFA

Étudiante en IUT

Yannis BELLOUCIF

Doctorant

Publications

2025 Blood

Advances in the critical care management for patients with hematological malignancies

Azoulay E, Zafrani L, Nates J, Maillard A, Chean D, Ferreyro B, Nelson JE, Bauer PR, Puxty K, Gutierrez C, Bigé N, Mariotte E, Valade S, Boell B, Puntillo K, Lafarge A, Soares M, Schellongowski P, Canet E, Castro P, Demoule A, Pène F, Munshi L, Shimabukuro-Vornhagen A, Staudinger T, Russell L, Fernandez S, Kochanek M, Lemiale V, von Bergwelt-Baildon M, Darmon M, Martin-Loeches I.

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2025 Hemasphere

Outcome of patients with accelerated and blast-phase myeloproliferative neoplasms not eligible for intensive chemotherapy or allogeneic hematopoietic cell transplantation treated by azacitidine alone or in combination-A FIM study

Orvain C, Tavitian S, Mediavilla C, Boyer F, Santagostino A, Venton G, Madene S, Marchand T, Turlure P, Lara D, Le Clech L, Le Du K, Robin JB, Willems L, Blouet A, Systchenko T, Wemeau M, Pasquer H, Mercier M, Nicol C, Legros L, Machet A, Nicolini FE, Roy L, Salvado C, Denis G, Lestang E, Laribi K, Luque Paz D, Kiladjian JJ, Lippert E, Benajiba L, Ianotto JC.

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2025 EMBO reports

AML patient blasts exhibit polarization defects upon interaction with bone marrow stromal cells

Khansa S., Benoît V., Louise B., Hélène P., Lois K., Stéphanie M., Cécile C., Raphael M., Paul Arthur M., Sofiane F., Paul C., Emeline K., Arnaud J., Emmanuel R., Rémy N., Camille L., Laurent B., Lina B. & Manuel T.

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2025 Nature Communications

JAK2 inhibition mediates clonal selection of RAS pathway mutations in myeloproliferative neoplasms

Nabih M., Nina K., Blandine R., Gabriela A., Raphael M., Hélène P., Emmanuelle V., Rafael D., Cécile C., Bochra M., Nicolas G., Fanny G., Lin-Pierre Z., Saravanan G., Panhong G., Frank L;, Juliette S., Nathalie P., William V., Emmanuel R., Rose A., Stéphane G., Caroline M., Isabelle P., Camille L., Kimberly S., Alexandre P., Jean-Jacques K., Bruno C. & Lina B.

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Funding