CLINICAL RESEARCH

into cholangiocarcinoma
& pancreatic cancer

LARA HEIJ

Working as a clinician-scientist fulfils me with a great sense of purpose and satisfaction. I aim to combine the responsibility of being an asset to my field as a diagnostic pathologist and navigating the challenging and competitive research field.ย My international collaborations in both the Netherlands and Germany let me experience and enjoy different cultures and languages daily.

RESEARCH

Our research focuses on cholangiocarcinoma, a type of cancer originating from the bile ducts in the liver. We hope that understanding more about the tumor microenvironment will increase patientsโ€™ chances of survival and improve their quality of life. Tumor microenvironment research is a dynamic field in which we mostly study nerve fibers, immune cells, and fibroblasts.

TEAM

Our multidisciplinary team is young and diverse, and we all share the goal of improving cancer survival rates. We use various methods such as wet lab laboratory techniques, computational methods and deep immunoprofiling. We love sharing experience and knowledge and are always open to new collaborations. This is meant to be a team effort in which everyone gets to use their skills and can find joy in their work. We learn from each other here and grow as a team.

FIGURES

The staggering number of yearly cases of cholangiocarcinoma clearly shows why this is such an important field of research. We hope that learning as much as we can about these types of cancer will advance the currently available treatments.

2nd most common primary liver
tumor type

40.000
new cases
each year

>50% recur
within 1 jear

10-30%
Eligible
for surgical resection

PROJECTS & RESEARCH

Lara Heijโ€™s work has given her extensive knowledge of the cancer microenvironment. Follow her journey as she endeavors to further the field of pancreatic cancer and cholangiocarcinoma research.

December 2022
The single cell laboratory work

Karman fellowship 2023: ย The single cell laboratory work I learned in Oxford with support of the Karman fellowship funding and START funding RWTH Aachen.

This work was the basis of multiple selected presentations at international conferences. One of my key findings is a specific immune reaction, which co-localizes with small nerve fibers, which are indicative of good survival in PDAC patients. This key finding created my interest and origin of my second research line: the spatiality of the immune environment. I started collecting fresh tumor tissue samples and turned them into single cell suspensions.

December 2022
Dutch Cow Hugging

Lab day-out! Cow hugging: A Dutch wellness tradition. The warm temperature of the cows and their embracing kindness slows you down. Because mental health matters and so many young students and researchers experience high stress levels, we went on a field trip. The day was to relax, connect and experience culture differences.

January 2023
START funding RWTH University Hospital Aachen

This grant provides funding for two years and we perform multiplexed immunohistochemistry and characterize the immune tumor microenvironment in Cholangiocarcinoma. We dissect molecular pathways, and we identify differentially expressed genes by isolating RNA.

February 2023
ICRN ENSCCA career award

This collaboration is a result from the ICRN ENSCCA career award: ENS-CCA/ICRN Mentor/Mentee Assignment for scientific and career advice mentorship. My assigned mentor, Prof F. Rocha, Oregon Health and Science University, USA, has coached me and introduced me to the international cholangiocarcinoma society. Also, we started research projects together. The monthly mentorship meetings have created a transatlantic collaboration and this provided access to cohorts from America and Europe.
Post: https://x.com/laraheij/status/1627532365391368194?s=20

April 2023
Selected oral presentation & Poster prize@CCF Annual Conference, Salt Lake City, USA

Nerve Fibers in the Tumor Microenvironment as a novel biomarker for oncological outcome in patients undergoing surgery for cholangiocarcinoma.

Besides the characteristic aggressive feature of cholangiocarcinoma called perinueral invasion which is identified in histology slides very often. I discovered protective nerve fibers as well. This phenomenon I called: nerve fiber density.

Future work will be the validation in larger cohorts and hopefully this biomarker can be integrated in the future in the pathology report of each resected patient.

June 2023
Selected oral presentation@ENSCCA Meeting Rome, Italy: Nerve fibers in cholangiocarcinoma collaborative proposal.
August 2023
o Pre-print: TIGIT drives the immunosuppressive environment by downregulation of metalloproteinases MMP2 and MMP14 in perihilar cholangiocarcinoma.

Authors: Lara Heij, Konrad Reichel, Willem de Koning, Jan Bednarsch, Xiuxiang Tan, Julia Campello Deierl, Marian Clahsen-van Groningen, Tarick Al-Masri, Ronald van Dam, Juan Garcia Vallejo, Florian Ulmer, Sven Lang, Tom Luedde, Flavio G. Rocha, Edgar Dahl, Danny Jonigk, Mark Kuehnel, Shivan Sivakumar, Ulf Neumann

bioRxiv: https://biorxiv.org/cgi/content/short/2023.08.14.553195v1

This manuscript was enabled by START funding from the University Hospital Aachen. I performed multiplexed immunohistochemistry and characterized the immune TME in CCA. To dissect the molecular pathways, we identified differentially expressed genes by isolating RNA. We collaborated with Professor Jonigk and Professor Kramann (both RWTH Aachen). This work has provided preliminary data and know-how to perform further phenotyping of low and high NFD patients.

RESEARCH METHODES

Different methods we use

CyTOF

snRNAseq

Nerve Fiber staining

Multiplex imaging

DNA isolation (PCR)

Deep learning

PUBLICATIONS

Learn more about the findings of Lara Heij and her team as they dive deeper into the tumor microenvironment, distinguishing predictive biomarkers and expanding knowledge about the behavior of nerve fibers in cancer cells.

BACKGROUND

Easy to read and stay up to date with new findings, publications and other crucial information relating to the work of Lara Heij and her team.ย 

SOCIAL FEED

Never miss an important event or publication. Let us continue to inspire one another as we work on understanding the nature of these diseases. Please find me on Twitter and follow my work and social life online: @laraheij

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CONTACT

Please contact us if you have any questions concerning our research or if you wish to contribute to this important work through collaboration, resources or funding.