CSHL interview: Elham Azizi on AI models for mapping the tumor microenvironment
Cold Spring Harbor Laboratory interviewed Columbia's Elham Azizi about using machine learning, from probabilistic models to generative and foundation models, to characterize the tumor microenvironment from spatial transcriptomics, including deconvolution of mixed signals in sequencing-based platforms like Starfish. In ER-positive breast cancer, her cell-interaction algorithms suggest cytotoxic T cell infiltration correlates with worse outcomes, possibly because T cells increase tumor dependence on estrogen receptor programs, pointing to better treatment combinations. Her long-term goal is a TME foundation or world model that predicts patient trajectories across treatment doses and schedules, requiring large paired pre- and post-treatment cohorts and out-of-distribution generalization.
Why it matters: Shows how spatial transcriptomics and foundation models could turn TME analysis into predictive treatment selection.
