Giving students the computational chops to tackle 21st-century challenges

With the growing use of AI in many disciplines, the popularity of MIT’s four “blended” majors has intensified.

Adam Zewe | MIT News
September 28, 2023

Graduate student Nikasha Patel ’22 is using artificial intelligence to build a computational model of how infants learn to walk, which could help robots acquire motor skills in a similar fashion.

Her research, which sits at the intersection of reinforcement learning and motor learning, uses tools and techniques from computer science to study the brain and human cognition.

It’s an area of research she wasn’t aware of before she arrived at MIT in the fall of 2018, and one Patel likely wouldn’t have considered if she hadn’t enrolled in a newly launched blended major, Course 6-9: Computation and Cognition, the following spring.

Patel was drawn to the flexibility offered by Course 6-9, which enabled her to take a variety of courses from the brain and cognitive sciences major (Course 9) and the computer science major (Course 6). For instance, she took a class on neural computation and a class on algorithms at the same time, which helped her better understand some of the computational approaches to brain science she is currently using in her research.

After earning her undergraduate degree last spring, Patel enrolled in the 6-9 master’s program and is now pursuing a PhD in computation and cognition. While a PhD wasn’t initially on her radar, the blended major opened her eyes to unique opportunities in cross-disciplinary research. In the future, she hopes to study motor control and the computational building blocks that our brains use for movement.

“Looking back on my experience at MIT, being in Course 6-9 really led me up to this moment. You can’t just think of the world through one lens. You need to have both perspectives so you can tackle these complex problems together,” she says.

Blending disciplines

The Department of Brain and Cognitive Sciences’ Course 6-9 is one of four blended majors available through the MIT Schwarzman College of Computing. Each of the majors is offered jointly by the Department of Electrical Engineering and Computer Science and a different MIT department. Course 6-7, Computer Science and Molecular Biology, is offered with the Department of Biology; Course 6-14, Computer Science, Economics, and Data Science, is offered with the Department of Economics; and Course 11-6, Urban Science and Planning with Computer Science, is offered with the Department of Urban Studies and Planning.

Each major is designed to give students a solid grounding in computational fundamentals, such as coding, algorithms, and ethical AI, while equipping them to tackle hard problems in different fields like neurobiology, economics, or urban design, using tools and insights from the realm of computer science.

The four majors, all launched between 2017 and 2019, have grown rapidly and now encompass about 360 undergraduates, or roughly 8 percent of MIT’s total undergraduate enrollment.

With so much focus on generative AI and machine learning in many disciplines, even those not traditionally associated with computer science, it is no surprise to associate professor Mehrdad Jazayeri that blended majors, and Course 6-9 in particular, have grown so rapidly. Course 6-9 launched with 40 students and has since quadrupled its enrollment.

Many students who come to MIT are enamored with machine-learning tools and techniques, so the opportunity to utilize those skills in a field like neurobiology is a great opportunity for students with varied interests, says Jazayeri, who is also director of education for the Department of Brain and Cognitive Sciences and an investigator at the McGovern Institute for Brain Research.

“It is pretty clear that new developments and insights in industry and technology will be heavily dependent on computational power. Fields related to the human mind are no different from that, from the study of neurodegenerative diseases, to research into child development, to understanding how marketing affects the human psyche,” he says.

Computation to improve medicine

Using the power of computer science to make an impact in biological research inspired senior Charvi Sharma to major in Course 6-7.

Though she was interested in medicine from a young age, it wasn’t until she came to MIT that she began to explore the role computation could play in medical care.

Coming to college with interests in both computer science and biology, Sharma considered a double major; however, she soon realized that what really interested her was the intersection of the two disciplines, and Course 6-7 was a perfect fit.

Sharma, who is planning to attend medical school, sees computer science and medicine dovetail through her work as an undergraduate researcher at MIT’s Koch Institute for Cancer Research. She and her fellow researchers seek to understand how signaling pathways contribute to a cell’s ability to escape from cell cycle arrest, or the inability of a cell to continue dividing, after DNA damage. Their work could ultimately lead to improved cancer treatments.

The data science and analysis skills she has honed through computer science courses help her understand and interpret the results of her research. She expects those same skills will prove useful in her future career as a physician.

“A lot of the tools used in medicine do require some knowledge of technology. But more so than the technical skills that I’ve learned through my computer science foundation, I think the computational mindset — the problem solving and pattern recognition — will be incredibly helpful in treatment and diagnosis as a physician,” she says.

AI for better cities

While biology and medicine are areas where machine learning is playing an increasing role, urban planning is another field that is rapidly becoming dependent on big data and the use of AI.

Interested in learning how computation could enhance urban planning, senior Kwesi Afrifa decided to apply to MIT after reading about the blended major Course 11-6, urban sciences and planning with computer science.

His experiences growing up in the Ghanian capital of Accra, situated in the midst of a rapidly growing and sprawling metro area of about 5.5 million people, convinced Afrifa that data can be used to shape urban environments in a way that would make them more livable for residents.

The combination of fundamentals from Course 6, like software engineering and data science, with important concepts from urban planning, such as equity and environmental management, has helped him understand the importance of working with communities to create AI-driven software tools in an ethical manner for responsible development.

“We can’t just be the smart engineers from MIT who come in and tell people what to do. Instead, we need to understand that communities have knowledge about the issues they face, and tools from tech and planning are a way to enhance their development in their own way,” he says.

As an undergraduate researcher, Afrifa has been working on tools for pedestrian impact analysis, which has shown him how ideas from planning, such as spatial analysis and mapping, and software engineering techniques from computer science can build off one another.

Ultimately, he hopes the software tools he creates enable planners, policymakers, and community members to make faster progress at reshaping neighborhoods, towns, and cities so they meet the needs of the people who live and work there.

Individual neurons mix multiple RNA edits of key synapse protein, study finds

Neurons stochastically generated up to eight different versions of a protein-regulating neurotransmitter release, which could vary how they communicate with other cells.

David Orenstein | The Picower Institute for Learning and Memory
September 25, 2023

Neurons are talkers. They each communicate with fellow neurons, muscles, or other cells by releasing neurotransmitter chemicals at “synapse” junctions, ultimately producing functions ranging from emotions to motions. But even neurons of the exact same type can vary in their conversational style. A new open-access study in Cell Reports by neurobiologists at The Picower Institute for Learning and Memory highlights a molecular mechanism that might help account for the nuanced diversity of neural discourse.

The scientists made their findings in neurons that control muscles in Drosophila fruit flies. These cells are models in neuroscience because they exhibit many fundamental properties common to neurons in people and other animals, including communication via the release of the neurotransmitter glutamate. In the lab of Troy Littleton, Menicon Professor in MIT’s departments of Biology and Brain and Cognitive Sciences, which studies how neurons regulate this critical process, researchers frequently see that individual neurons vary in their release patterns. Some “talk” more than others.

In more than a decade of studies, Littleton’s lab has shown that a protein called complexin has the job of restraining spontaneous glutamate chatter. It clamps down on fusion of glutamate-filled vesicles at the synaptic membrane to preserve a supply of the neurotransmitter for when the neuron needs it for a functional reason, for instance to simulate a muscle to move. The lab’s studies have identified two different kinds of complexin in flies (mammals have four) and showed that the clamping effectiveness of the rare but potent 7B splice form is regulated by a molecular process called phosphorylation. How the much more abundant 7A version is regulated was not known, but scientists had shown that the RNA transcribed from DNA that instructs the formation of the protein is sometimes edited in the cell by an enzyme called ADAR.

In the new study from Littleton’s team, led by Elizabeth Brija PhD ’23, the lab investigated whether RNA editing of complexin 7A affects how it regulates glutamate release. What she discovered was surprising. Not only does RNA editing of complexin 7A have a significant impact on how well the protein prevents glutamate release, but also this can vary widely among individual neurons because they can stochastically mix and match up to eight different editions of the protein. Some edits were much more common than others on average, but 96 percent of the 200 neurons the team examined had at least some editing, which affected the structure of an end of the protein called its C-terminus. Experiments to test some of the consequences of this structural variation showed that different complexin 7A edits can dramatically affect the level of electrical current measurable at different synapses. That varying level of activity can also affect the growth of the synapses the neurons make with muscle. RNA editing of the protein might therefore endow each neuron with fine degrees of communication control.

“What this offers the nervous system is that you can take the same transcriptome and by alternatively editing various RNA transcripts, these neurons will behave differently,” Littleton says.

Moreover, Littleton and Brija’s team found that other key proteins involved in synaptic glutamate release, such as synapsin and Syx1A, are also sometimes edited at quite different levels among the same population of neurons. This suggests that other aspects of synaptic communication might also be tunable.

“Such a mechanism would be a robust way to change multiple features of neuronal output,” Brija, Littleton, and colleagues wrote.

The team tracked the different editing levels by meticulously extracting and sequencing RNA from the nuclei and cell bodies of 200 motor neurons. The work yielded a rich enough dataset to show that any of three adenosine nucleotides encoding two amino acids in the C-terminus could be swapped for another, yielding eight different editions of the protein. A slim majority of complexin 7A went unedited in the average neuron, while the seven edited versions composed the rest with widely varying degrees of frequency.

To investigate the functional consequences of some of the different editions, the team knocked out complexin and then “rescued” flies by adding back in unedited or two different edited versions. The experiments showed a stark contrast between the two edited proteins. One, which occurs more commonly, proved to be a less effective clamp than unedited complexin, barely preventing spontaneous glutamate release and upticks in electrical current. The other turned out to be more effective at clamping than the unedited version, keeping a tight lid on glutamate release and synaptic output. And while both of the edited versions showed a tendency to drift away from synapses and into the neuron’s axon, the long branch that extends from the cell body, the edition that clamped well prevented any overgrowth of synapses while the one that clamped poorly provided only a meager curb.

Because multiple editions are often present in neurons, Brija and the team did one more set of experiments in which they “rescued” complexin-less flies with a combination of unedited complexin and the weak-clamping edition. The result was a blend of the two: reduced spontaneous glutamate release than with just the weakly clamping edition alone. The findings suggest that not only does each edition potentially fine-tune glutamate release, but that combinations among them can act in a combinatorial fashion.

In addition to Brija and Littleton the paper’s other authors are Zhuo Guan and Suresh Jetti.

The National Institutes of Health, The JPB Foundation, and The Picower Institute for Learning and Memory supported the research.

School of Science welcomes new faculty in 2023

Sixteen professors join the departments of Biology; Chemistry; Earth, Atmospheric and Planetary Sciences; Mathematics; and Physics.

School of Science
September 25, 2023

Last spring, the School of Science welcomed seven new faculty members.

Erin Chen PhD ’11 studies the communication between microbes that reside on the surface of the human body and the immune system. She focuses on the largest organ: the skin. Chen will dissect the molecular signals of diverse skin microbes and their effects on host tissues, with the goal of harnessing microbe-host interactions to engineer new therapeutics for human disease.

Chen earned her bachelor’s in biology from the University of Chicago, her PhD from MIT, and her MD from Harvard Medical School, and she completed her medical residency at the University of California at San Francisco. Chen was also a Howard Hughes Medical Institute Hanna Gray Fellow at Stanford University and an attending dermatologist at UCSF and at the San Francisco VA Medical Center. Chen returns to MIT as an assistant professor in the Department of Biology, a core member of the Broad Institute of MIT and Harvard, and an attending dermatologist at Massachusetts General Hospital.

Robert Gilliard’s research is multidisciplinary and combines various aspects of organic, inorganic, main-group, and materials chemistry. The Gilliard group specializes in the chemical synthesis of new molecules that impact the development of new catalysts and reagents, including the discovery of unknown transformations of environmentally relevant small-molecules [e.g., carbon dioxide, carbon monoxide, and dihydrogen (H2)]. In addition, he investigates the design, characterization, and reactivity of boron-based luminescent and redox-active heterocycles for use in optoelectronic applications (e.g., stimuli-responsive materials, thermochromic materials, chemical sensors).

Gilliard earned his bachelor’s degree from Clemson University and his PhD from the University of Georgia. He completed joint postdoctoral studies at the Swiss Federal Institute of Technology (ETH Zürich) and Case Western Reserve University. He served on the faculty at the University of Virginia from 2017-22. Gilliard spent time in the MIT Department of Chemistry as a 2021-22 Dr. Martin Luther King Visiting Professor. He returns as the Novartis Associate Professor of Chemistry with tenure.

Sally Kornbluth is president of MIT and a professor of biology. Before she closed her lab to focus on administration, her research focused on the biological signals that tell a cell to start dividing or to self-destruct — processes that are key to understanding cancer as well as various degenerative disorders. She has published extensively on cell proliferation and programmed cell death, studying both phenomena in a variety of organisms. Her research has helped to show how cancer cells evade this programmed death, or apoptosis, and how metabolism regulates the cell death process; her work has also clarified the role of apoptosis in regulating the duration of female fertility in vertebrates.

Kornbluth holds bachelor’s degrees in political science from Williams College and in genetics from Cambridge University. She earned her PhD in molecular oncology from Rockefeller University in 1989 and completed postdoctoral training at the University of California at San Diego. In 1994, she joined the faculty of Duke University and served in the administration as vice dean for basic science at the Duke School of Medicine (2006-2014) and later as the university’s provost (2014-2022). She is a member of the National Academy of Medicine, the National Academy of Inventors, and the American Academy of Arts and Sciences.

Daniel Lew uses fungal model systems to ask how cells orient their activities in space, including oriented growth, cell wall remodeling, and organelle segregation. Different cells take on an astonishing variety of shapes, which are often critical to be able to perform specialized cell functions like absorbing nutrients or contracting muscles. Lew studies how different cell shapes arise and how cells control the spatial distribution of their internal constituents, taking advantage of the tractability of fungal model systems, and addressing these questions using approaches from cell biology, genetics, and computational biology to understand molecular mechanisms.

Lew received a bachelor’s degree in genetics from Cambridge University followed by a PhD in molecular biology from Rockefeller University. After postdoctoral training at the Scripps Research Institute, he joined the Duke University faculty in 1994. Lew joins MIT as a professor of biology with tenure.

Eluned Smith uses rare beauty decays measured with the LHCb detector at CERN to search for new fundamental particles at mass scales above the collision energy of the Large Hadron Collider (LHC). Her group leverages data to elucidate the physics of beauty quarks, whose behavior cannot be explained by the Standard Model of particle physics. In doing so, her work aims to resolve whether the anomalies are misunderstood quantum chromodynamics or the first sign of beyond-the-Standard-Model-physics at the LHC.

Smith joins MIT as an assistant professor in the Department of Physics and the Laboratory for Nuclear Science. She earned her undergraduate and doctoral degrees at Imperial College London, which she completed in 2017. She did her first postdoc at RWTH Aachen before winning an Ambizione Fellowship from the Swiss National Science Foundation at the University of Zürich.

Gaia Stucky de Quay explores topographic signals and landscape evolution, in order to both de-convolve and quantify primary driving forces such as tectonics, climate, and local geological processes. She integrates fieldwork, lab work, modeling, and remote sensing to improve our quantitative understanding of such processes at compelling geological sites such as Martian valleys and lakes, the surfaces of icy moons, and volcanic islands in the Atlantic Ocean.

Stucky de Quay joins the Department of Earth, Atmospheric and Planetary Sciences as an assistant professor. Most recently, she was a Daly Postdoctoral Fellow at Harvard University. Previously, she was a postdoc at the University of Texas at Austin and a visiting student at the University of Chicago. Stucky de Quay earned her MS from the University College of London and a PhD from Imperial College London.

Brandon “Brady” Weissbourd uses the jellyfish, Clytia hemisphaerica, to study nervous system evolution, development, regeneration, and function. With a foundation is in systems neuroscience, his lab uses genetic and optical techniques to examine how behavior arises from the activity of networks of neurons; they investigate how the Clytia nervous system is so robust; and they use Clytia’s evolutionary position to make inferences about the ultimate origins of nervous systems.

Weissbourd received a BA in human evolutionary biology from Harvard University in 2009 and a PhD from Stanford University in 2016. He then completed postdoctoral research at Caltech and The Howard Hughes Medical Institute. He joins MIT as an assistant professor in the Department of Biology and an investigator in The Picower Institute for Learning and Memory.

This fall, the School of Science welcomes nine new faculty members.

Facundo Batista studies the fundamental biology of the immune system to develop the next generation of vaccines and therapeutics. B lymphocytes are the fulcrum of immunological memory, the source of antibodies, and the focus of vaccine development. His lab has investigated how, where, and when B cell responses take shape. In recent years, the Batista group has expanded into preclinical vaccinology, targeting viruses including HIV, malaria, influenza, and SARS-CoV-2.

Batista is an MIT professor of biology with tenure as well as the associate director and scientific director of the Ragon Institute of MGH, MIT, and Harvard. He received his PhD from the International School of Advanced Studies in Trieste, Italy, and his undergraduate degree from the University of Buenos Aires, Argentina. Prior to MIT, Batista was a tenured member of the Francis Crick Institute, a professor at Imperial College London, and a professor of microbiology and immunology at Harvard Medical School.

Anna-Christina Eilers is an observational astrophysicist. Her research focuses on the formation of the first galaxies, quasars, and supermassive black holes in the early universe, during an era known as the Cosmic Dawn. In particular, Eilers is interested in the growth of the first supermassive black holes which reside in the center of luminous, distant galaxies known as quasars, to understand how black holes evolve from small stellar remnants to billion-solar-mass black holes within very short amounts of cosmic time.

Previously, Eilers received a bachelor’s degree in physics from the University of Goettingen, a master’s degree in astrophysics from the University of Heidelberg, and a PhD in astrophysics from the Max Planck Institute for Astronomy in Heidelberg. In 2019, she was awarded a NASA Hubble Fellowship and the Pappalardo Fellowship to continue her research at MIT. Eilers remains at MIT as an assistant professor in the Department of Physics and the MIT Kavli Institute for Astrophysics and Space Research.

Masha Elkin combines catalyst development, natural products synthesis, and machine learning to tackle important chemical challenges. Her group develops new transition metal catalysts that enable efficient bond disconnections and access to value-added compounds, leveraging these transformations for the synthesis of bioactive natural products that address outstanding needs in human health, and uses computational tools to explore all possible molecules and accelerate reaction discovery.

Elkin joins MIT as the D. Reid (1941) and Barbara J. Weedon Career Development Assistant Professor of Chemistry. She earned her bachelor’s degree in chemistry from Washington University in St. Louis in 2014, and her PhD from Yale University in 2019, then began as a postdoc at the University of California at Berkeley.

Mikhail Ivanov’s research has developed at the interface of theoretical physics and data analysis, bridging state-of-the-art theoretical ideas with observational data. The overarching aim of his research is to use Effective Field Theory in combination with astrophysical data in order to resolve fundamental challenges of modern physics, such as the nature of dark matter, dark energy, inflation, and gravity.

Ivanov joins MIT as an assistant professor in the Department of Physics and the Center for Theoretical Physics in the Laboratory for Nuclear Science. He obtained his PhD from the École Polytechnique Fédérale de Lausanne in 2019. During his PhD studies, he spent a year at the Institute for Advanced Study in Princeton, New Jersey, as a fellow of the Swiss National Science Foundation. Subsequently, he was a postdoc at New York University and a NASA Einstein Fellow at the Institute for Advanced Study.

Efforts to target pathogenic proteins with drugs or chemical probes can often be analogized to a lock and key, where the protein target is the “lock” and the molecule is the “key.” However, what happens when the target is flexible or lacks a defined structure? In all living things, molecular chaperone proteins have evolved to support proper folding of these moving targets. Yet, protein misfolding and aggregation is a hallmark of many myopathies and neurodegenerative diseases. Oleta Johnson uses chemical and biophysical tools to understand and tune the activity of molecular chaperone proteins in protein misfolding diseases. Thus, her research group will reveal the molecular underpinnings of molecular chaperone dysfunction in a broad array of disorders including Huntington’s disease and Parkinson’s disease. These tools and finding will be further developed to develop novel treatments for patients of these diseases.

Johnson joins the Department of Chemistry as an assistant professor. She earned her bachelor’s degree in biochemistry from Florida Agricultural and Mechanical University in 2013, and her PhD from the University of Michigan in 2018. Prior to MIT, Johnson completed postdoctoral research at the University of California at San Francisco.

Nicole Xike Nie is an isotope geo/cosmochemist using the chemical and isotopic compositions of extraterrestrial materials to understand the formation of our solar system. Her research is driven by fundamental questions about the origin and evolution of the early solar system. Leveraging geochemical methods, she wants to understand questions such as why all planetary bodies are depleted of volatile elements when their building block materials aren’t, and why the Earth’s chemical signatures are distinct from other planetary bodies.

Nie joins MIT as an assistant professor in the Department of Earth, Atmospheric and Planetary Sciences. Nie received a BS in geology from China University of Geosciences in 2010, an MS in geochemistry from Chinese Academy of Sciences in 2013, and a PhD in geo/cosmochemistry from the University of Chicago in 2019. After graduating she was a Carnegie Postdoc Fellow at Carnegie Institution for Science and a postdoc researcher at Caltech.

Tristan Ozuch works in the field of geometric analysis and focuses on Einstein manifolds and Ricci flows. His work has shed light on the moduli space of Einstein metrics in four dimensions, addressing questions that have lingered since the 1980s. These questions originated from the systematic study of Einstein’s equations and their degenerations since the 1970s, in both physics and mathematics.

After receiving a bachelor’s degree, master’s degree, and PhD from École Normale Supérieure, Tristan Ozuch joined MIT as a C.L.E. Moore Instructor of Mathematics. He continues in the Department of Mathematics as an assistant professor.

Climate scientist Talia Tamarin-Brodsky’s research is driven by questions on the interface between weather and climate. In her work, Tamarin-Brodsky combines theory, computational methods, and observational data to study Earth’s climate and weather and how they respond to climate change. Her interests include atmospheric dynamics, temperature variability, weather and climate extremes, and subseasonal-to-seasonal predictability. For example, she studies how nonlinear wave breaking events in the upper atmosphere influence surface weather and extremes, and the mechanisms shaping the spatial distribution of Earth’s near-surface temperature.

Tamarin-Brodsky received a bachelor’s degree in mathematics and geophysics as well as a master’s in physics from Tel Aviv University, Israel, before earning her PhD from the Weizmann Institute. She completed a postdoctoral project at the University of Reading, U.K., and a postdoctoral fellowship at Tel Aviv University. She joins the Department of Earth, Atmospheric and Planetary Studies as an assistant professor.

John Urschel PhD ’21 is a mathematician focused on matrix analysis and computations, with an emphasis on theoretical results and provable guarantees for practical problems. His research interests include numerical linear algebra, spectral graph theory, and topics in theoretical machine learning.

Urschel earned bachelor’s and master’s degrees in mathematics from Pennsylvania State University, then completed a PhD in mathematics at MIT in 2021. He was a member of the Institute for Advanced Study and a junior fellow at Harvard University before returning to MIT as an assistant professor of mathematics this fall.

Considering biological puzzles, one line of code at a time
Lillian Eden | Department of Biology
September 22, 2023
Fascination with regeneration led to summer program at MIT

Cryille Teforlack spent the summer investigating eye regeneration in flatworms as part of the BSG-MSRP-Bio program.

September 15, 2023
Study explains why certain immunotherapies don’t always work as predicted

The findings could help doctors identify cancer patients who would benefit the most from drugs called checkpoint blockade inhibitors.

Anne Trafton | MIT News
September 14, 2023

Cancer drugs known as checkpoint blockade inhibitors have proven effective for some cancer patients. These drugs work by taking the brakes off the body’s T cell response, stimulating those immune cells to destroy tumors.

Some studies have shown that these drugs work better in patients whose tumors have a very large number of mutated proteins, which scientists believe is because those proteins offer plentiful targets for T cells to attack. However, for at least 50 percent of patients whose tumors show a high mutational burden, checkpoint blockade inhibitors don’t work at all.

A new study from MIT reveals a possible explanation for why that is. In a study of mice, the researchers found that measuring the diversity of mutations within a tumor generated much more accurate predictions of whether the treatment would succeed than measuring the overall number of mutations.

If validated in clinical trials, this information could help doctors to better determine which patients will benefit from checkpoint blockade inhibitors.

“While very powerful in the right settings, immune checkpoint therapies are not effective for all cancer patients. This work makes clear the role of genetic heterogeneity in cancer in determining the effectiveness of these treatments,” says Tyler Jacks, the David H. Koch Professor of Biology and a member of MIT’s Koch Institute for Cancer Research.

Jacks; Peter Westcott, a former MIT postdoc in the Jacks lab who is now an assistant professor at Cold Spring Harbor Laboratory; and Isidro Cortes-Ciriano, a research group leader at EMBL’s European Bioinformatics Institute (EMBL-EBI), are the senior authors of the paper, which appears today in Nature Genetics.

A diversity of mutations

Across all types of cancer, a small percentage of tumors have what is called a high tumor mutational burden (TMB), meaning they have a very large number of mutations in each cell. A subset of these tumors has defects related to DNA repair, most commonly in a repair system known as DNA mismatch repair.

Because these tumors have so many mutated proteins, they are believed to be good candidates for immunotherapy treatment, as they offer a plethora of potential targets for T cells to attack. Over the past few years, the FDA has approved a checkpoint blockade inhibitor called pembrolizumab, which activates T cells by blocking a protein called PD-1, to treat several types of tumors that have a high TMB.

However, subsequent studies of patients who received this drug found that more than half of them did not respond well or only showed short-lived responses, even though their tumors had a high mutational burden. The MIT team set out to explore why some patients respond better than others, by designing mouse models that closely mimic the progression of tumors with high TMB.

These mouse models carry mutations in genes that drive cancer development in the colon and lung, as well as a mutation that shuts down the DNA mismatch repair system in these tumors as they begin to develop. This causes the tumors to generate many additional mutations. When the researchers treated these mice with checkpoint blockade inhibitors, they were surprised to find that none of them responded well to the treatment.

“We verified that we were very efficiently inactivating the DNA repair pathway, resulting in lots of mutations. The tumors looked just like they look in human cancers, but they were not more infiltrated by T cells, and they were not responding to immunotherapy,” Westcott says.

The researchers discovered that this lack of response appears to be the result of a phenomenon known as intratumoral heterogeneity. This means that, while the tumors have many mutations, each cell in the tumor tends to have different mutations than most of the other cells. As a result, each individual cancer mutation is “subclonal,” meaning that it is expressed in a minority of cells. (A “clonal” mutation is one that is expressed in all of the cells.)

In further experiments, the researchers explored what happened as they changed the heterogeneity of lung tumors in mice. They found that in tumors with clonal mutations, checkpoint blockade inhibitors were very effective. However, as they increased the heterogeneity by mixing tumor cells with different mutations, they found that the treatment became less effective.

“That shows us that intratumoral heterogeneity is actually confounding the immune response, and you really only get the strong immune checkpoint blockade responses when you have a clonal tumor,” Westcott says.

Failure to activate

It appears that this weak T cell response occurs because the T cells simply don’t see enough of any particular cancerous protein, or antigen, to become activated, the researchers say. When the researchers implanted mice with tumors that contained subclonal levels of proteins that normally induce a strong immune response, the T cells failed to become powerful enough to attack the tumor.

“You can have these potently immunogenic tumor cells that otherwise should lead to a profound T cell response, but at this low clonal fraction, they completely go stealth, and the immune system fails to recognize them,” Westcott says. “There’s not enough of the antigen that the T cells recognize, so they’re insufficiently primed and don’t acquire the ability to kill tumor cells.”

To see if these findings might extend to human patients, the researchers analyzed data from two small clinical trials of people who had been treated with checkpoint blockade inhibitors for either colorectal or stomach cancer. After analyzing the sequences of the patients’ tumors, they found that patients’ whose tumors were more homogeneous responded better to the treatment.

“Our understanding of cancer is improving all the time, and this translates into better patient outcomes,” Cortes-Ciriano says. “Survival rates following a cancer diagnosis have significantly improved in the past 20 years, thanks to advanced research and clinical studies. We know that each patient’s cancer is different and will require a tailored approach. Personalized medicine must take into account new research that is helping us understand why cancer treatments work for some patients but not all.”

The findings also suggest that treating patients with drugs that block the DNA mismatch repair pathway, in hopes of generating more mutations that T cells could target, may not help and could be harmful, the researchers say. One such drug is now in clinical trials.

“If you try to mutate an existing cancer, where you already have many cancer cells at the primary site and others that may have disseminated throughout the body, you’re going to create a super heterogeneous collection of cancer genomes. And what we showed is that with this high intratumoral heterogeneity, the T cell response is confused and there is absolutely no response to immune checkpoint therapy,” Westcott says.

The research was funded by the Koch Institute Support (core) Grant from the U.S. National Cancer Institute, the Howard Hughes Medical Institute, and a Damon Runyon Fellowship Award.