Hema Now: Understanding B cell Metabolism in Lymphoma - European Medical Journal

Hema Now: Episode 15: Understanding B cell Metabolism in Lymphoma

Hematology

Hema Now | Episode 15

In this episode of Hema Now, Jonathan Sackier is joined by John Riches, Clinical Reader in Cancer Immunometabolism at the Barts Cancer Institute and Honorary Consultant Haemato-oncologist. They explore how metabolic shifts drive lymphoma progression, the potential of immunotherapy, and what the future holds for treating lymphoid malignancies.

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Speaker bio: 

John Riches

John Riches

John Riches is a Clinical Reader in Cancer Immunometabolism at the Barts Cancer Institute and an Honorary Consultant Haemato-oncologist at Barts Health NHS Trust. After earning his MD from Oxford University Medical School, he trained in haematology at Imperial College London and completed a PhD at Queen Mary University of London, supported by a Cancer Research UK Clinical Research Fellowship. 

Riches’ research focuses on the metabolic reprogramming of B cells during activation and lymphoma development. His early work investigated impaired T cell immunity in chronic lymphocytic leukaemia, specifically the effects of lenalidomide on T cell function. He has also contributed key insights into the role of genetic changes like MYC and p53 mutations in the transformation of chronic lymphocytic leukaemia to Richter’s syndrome. Riches is deeply involved in the development of immunotherapy and targeted therapies for lymphoid cancers, and has a growing interest in the wider implications of B cell metabolism for autoimmune diseases. 

Timestamps:     

00:00 – Introduction 

01:46 – Riches’ journey into haematology 

03:42 – What is T cell exhaustion? 

07:06 – The key role of metabolism in lymphoma 

09:33 – Richter’s syndrome 

13:17 – Breakthroughs in immunotherapy 

20:27 – The challenges of translational research 

25:39 – B cells in autoimmune diseases 

28:16 – The potential of breath biopsy 

32:58 – Riches’ three wishes for healthcare

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