Harnessing Neutrophils to improve clinical outcomes for cancer patients undergoing chemotherapy – Roland Fiskesund Team

We are developing novel methods to employ terminally differentiated neutrophils to combat severe antibiotic-resistant infections in neutropenic patients. In addition to our ongoing efforts to investigate the treatment of already established infections in neutropenic patients, we are also exploring the differentiation of neutrophil progenitors from stem cells.

The team is part of the Petter Höglund research group at the Center for Hematology and Regenerative Medicine (HERM).

Our research 

Current cancer treatments rely on effective antibiotics to control infections during neutropenia induced by heavy chemotherapy. The increasing incidence of antibiotic-resistant microorganisms thus threatens to compromise one of the pillars supporting modern cancer therapies. We are developing novel methods to employ terminally differentiated neutrophils to combat severe antibiotic-resistant infections in neutropenic patients. 

In addition to our ongoing efforts to investigate the treatment of already established infections in neutropenic patients, we are also exploring the differentiation of neutrophil progenitors from stem cells. The effective pre-emptive use of neutrophil progenitors as a cell therapy holds the promise of decreasing the use of prophylactic antibiotics and preventing breakthrough infections. Decreasing antibiotic usage is desirable, as disruptions in gut microbiota following antibiotic treatment have been shown to decrease the potency of immunotherapies. This is likely due to disturbed microbiome-host interactions, which are required for effective T cell responses. 

Several hurdles still need to be overcome before we witness broad implementation of pre-emptive neutrophil progenitor transfusion to replace prophylactic antibiotics, and we are actively working on addressing these challenges. Collaborators include our Principal Investigator Petter Höglund (HERM), Hong Qian (HERM), and Joel Nordin (KI).