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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
LUDWIG LINK | APRIL 2021
LUDWIG
                 IN THIS ISSUE

                 4 | Breaking          18 | Q&A with

LINK
                 news                  Lana Kandalaft
                 Ludwig opens a new    The challenges and
                 Branch at Princeton   hopes of developing

APRIL 2021       University            cancer vaccines

             1
                                          LIFE-CHANGING SCIENCE
LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
ON THE COVER

As a lighter take on scientific illustration, this artwork was created to depict
Ludwig Harvard Co-director Joan Brugge’s study demonstrating that NRF2
hyperactivation, in cooperation with GPX4, maintains the survival of inner
matrix-deprived cells within 3-dimensional tumor spheroids by mitigating
ferroptosis, the lipid peroxidation-induced non-apoptotic cell death.

The illustration, by Rachel Davidowitz, depicts the fate of inner spheroid cells
in the presence or absence of NRF2 hyperactivation. Inner spheroid cells
(represented as wooden houses) are vulnerable to lipid peroxidation (fire),
compared to outer cells (brick houses). NRF2 hyperactivation (firefighter

                                                                                   LUDWIG LINK | APRIL 2021
with water hose) and GPX4 (firefighter with bucket of water) neutralize lipid
peroxidation, resulting in the formation of filled spheroid structures. You can
read about the study on Page 16.

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
LUDWIG LINK
                                                                    ludwigcancerresearch.org             APRIL 2021

LETTER
                                                                       TABLE OF CONTENTS
                          Welcome to the spring issue of
                          Ludwig Link!                                 BREAKING NEWS                          4
                                                                        A 50th anniversary splash              4

                          This season is said to be all                Awards and distinctions                 5
                          about new beginnings, so it’s                 For enduring contributions             5
                          fitting that Ludwig just launched             For epigenetic research                5
                          a new Branch at Princeton
                                                                       In memoriam                             6
                          University dedicated to the
                                                                        José Baselga                           6
study of cancer metabolism. You can read all about it in
                                                                        Sir Derek Roberts                      6
here. Ludwig scientists at all the other locations have,                Angelika Amon                          7
meanwhile, given us much else to cover. You’ll read                     Pierre Languetin                       7
about how targeting certain gut bacteria might boost
the efficacy of radiotherapy, how a common nutritional                 Events                                  8
supplement could restore the activity of exhausted anti-                Virtual conference:

                                                                                                                      LUDWIG LINK | APRIL 2021
                                                                        Exercise and cancer prevention         8
cancer T cells in tumors—and much, much more.
                                                                       News roundup                            9
You’ll also see in here a brief report on an engaging virtual           Immune revival                          9
Cancer Prevention and Physical Activity Conference                      Gut reaction                          10
Ludwig convened in February in partnership with Cancer                  TAPS and more                         10
Research UK and with support from the Conrad N. Hilton                  Stop signal                            11
Foundation. The conference was one of several events                    Target: TNBC                           11
planned this year to celebrate Ludwig’s 50th anniversary.               The immunologic X-factor              12
                                                                        Fuel gauge                            12
                                                                        An essential inefficiency             13
On a sadder note, we share the loss of four friends
                                                                        Shattered sources                     13
of Ludwig—former Ludwig Institute Board members
                                                                        Structural solution                   14
Sir Derek Roberts and Pierre Languetin, Ludwig MIT                      Liquid crystal dysfunctions           14
investigator Angelika Amon and former Scientific Advisor                Tired TIL recharge                    15
José Baselga.                                                           Personal nanovaccine                  15
                                                                        Rescued from ROS                      16
The interview in this issue is with Ludwig Lausanne’s Lana              Direct-on predictions                 16
Kandalaft. And we asked Ludwig scientists to tell us how                Carts of mice                         17
the pandemic changed their perspective on balancing
                                                                       Clinical trials                        17
work and personal life. See some select responses in our                Going viral                           17
“Ask a scientist” section.
                                                                       Q&A with Lana Kandalaft                18
Happy reading!
                                                                       Ask a scientist                       23

Rachel Reinhardt                                                       Required reading                      25
Senior Vice President for Communications

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
Breaking news

A 50th ANNIVERSARY SPLASH
Ludwig Cancer Research announced on          Altered metabolism is a salient feature     The Ludwig Princeton team:
its 50th anniversary the newest Branch       of cancer biology, as cancer cells

                                                                                                                      Kim Sokoloff
of the Ludwig Institute for Cancer           must rewire their metabolic circuitry
Research. Based at Princeton University,     to sustain their proliferation. Such
the Ludwig Princeton Branch will be          adaptations not only drive tumor growth,
wholly dedicated to the study of cancer      but cripple the anti-tumor immune
metabolism and the clinical translation      response and compromise cancer
of its findings, which will be conducted     immunotherapy as well. Metabolic
in partnership with RWJBarnabas Health       dysfunction also causes the wasting
and Rutgers Cancer Institute of New          disorder known as cachexia that
Jersey and other institutions.               contributes enormously to cancer-
                                             related mortality. Yet the metabolic        Joshua Rabinowitz
“A more sophisticated understanding of       rewiring comes at a cost to cancer cells:

                                                                                                                      John O’Boyle
cancer metabolism holds considerable         it creates biochemical vulnerabilities

                                                                                                                                     LUDWIG LINK | APRIL 2021
promise for the optimization of cancer       that can be exploited for cancer
prevention and therapy, yet few              prevention and therapy.
organizations have assembled a critical
mass of experts dedicated exclusively to     The Ludwig Princeton Branch will
this promising frontier of research,” said   focus on three main areas of cancer
Chi Van Dang, scientific director of the     metabolism: metabolic interactions
Ludwig Institute for Cancer Research.        between the tumor and the rest of the
“The Ludwig Princeton Branch will fill       body, including how the body supports
that gap.”                                   tumor growth and metastasis, and            Eileen White
                                             how tumors induce cachexia; dietary

                                                                                                                      Kim Sokoloff
Ludwig Princeton is directed by              strategies for the prevention and
Princeton University’s Joshua                treatment of cancer; and the interplay
Rabinowitz, and two other scientists         of host metabolism, the gut microbiome
have been named founding Members of          and the anti-cancer immune response.
the Branch: Associate Director Eileen
White, of Rutgers University and Yibin       “Every one of us chooses, day-by-day,
Kang, also of Princeton University.          what to eat,” said Ludwig Princeton
                                             Branch Director Josh Rabinowitz.
“This new partnership goes to the heart      “These choices don’t just impact
of what Princeton is all about. It draws     metabolic health, but also immunity and     Yibin Kang
on Princeton’s breadth of excellence         cancer risk. We want to understand the
in fundamental research to drive real-       underlying biochemical mechanisms and
world breakthroughs at the cutting           apply this knowledge to find new ways to
edge of cancer care,” said Princeton         prevent and treat cancer.”
University Provost Deborah Prentice.

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
Awards and distinctions

FOR ENDURING CONTRIBUTIONS
In November, Ludwig Lausanne received a    conducted groundbreaking research
Team Science Award from the Society for    on individualized immunotherapies—
Immunotherapy of Cancer for landmark       such as dendritic cell vaccines and
research in basic and tumor immunology.    the engineering and reinfusion of
The award recognizes research teams        T cells for cancer therapy. Ludwig
around the world that have made lasting    Lausanne scientists have made
contributions to the field of cancer       significant discoveries on the immune
immunotherapy. Established in 1973         microenvironment of brain and ovarian
under the leadership of the immunologist   tumors, the identification of potent
Jean-Charles Cerottini, the Lausanne       patient-specific neoantigens for use
Branch initially led pioneering studies    in novel immunotherapies and the           George Coukos
on the development and functional          mechanisms by which cancer metabolism      Ludwig Lausanne
diversification of the immune system’s     thwarts the immune response. Several
T cells, the underlying mechanisms and     Ludwig researchers and alumni were also

                                                                                                             LUDWIG LINK | APRIL 2021
dynamics of their responses and their      recognized as members of other teams
recruitment for cancer immunotherapy.      that received Team Science Awards,
The Branch today, directed by George       including one led by former Ludwig CEO
Coukos, continues that tradition. It has   and Scientific Director Lloyd Old.

FOR EPIGENETIC RESEARCH
Stephen Baylin, the Virginia and D.K.      field and has led the development of
Ludwig Professor at Johns Hopkins          biomarkers for cancer diagnostics and
School of Medicine, has been elected       novel strategies that target epigenetic
Fellow of the American Association for     mechanisms for the treatment of
the Advancement of Science. He was         cancer. Stephen recently joined
recognized for his work on the influence   Ludwig Oxford as a visiting professor
of epigenetic modifications—chemical       of cancer epigenetics, where he will
“marks” made on DNA and its protein        advise the Branch on its research in
scaffolding—on gene expression and         cancer epigenetics and help guide its
cancer progression. More than 30 years     collaborations in that area. He has also
ago, Stephen co-discovered cancer-         been elected to the American Association   Stephen Baylin
specific changes in the distribution       of Physicians and is a member of the       Ludwig Johns Hopkins
of DNA methylation that aberrantly         National Academy of Sciences and
silence genes in cancer cells. He has      co-leader of a Stand Up To Cancer
since remained at the forefront of the     Dream Team for epigenetic therapy.

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
In memoriam

                                    JOSÉ BASELGA
                                    Former Scientific Advisor José Baselga,      cancer treatments, particularly against
                                    who helped guide the Ludwig Institute’s      breast cancer. He was also known for
                                    scientific strategy and staffing for         his contributions to our understanding
                                    ten years before leaving the Scientific      of how dysregulation of the PI3K
                                    Advisory Committee in 2016, died March       signaling pathway drives the genesis
                                    22nd from Creutzfeldt-Jakob disease,         of cancers, and the translation of that
                                    a rare, degenerative brain disorder.         understanding into cancer therapies.
                                    He was 61. At the time of his death,         He was a Fellow of the American
                                    José was executive vice president of         Association for Cancer Research and a
                                    oncology research and development for        former President of the organization. He
                                    AstraZeneca. José was renowned for his       is survived by his wife Silvia and his four
                                    work in developing and testing targeted      children.

                                                                                                                               LUDWIG LINK | APRIL 2021
                                    SIR DEREK ROBERTS
                                    Former Ludwig Institute Board Member         in industrial scientific research, first
                                    Sir Derek Roberts passed away on             at Plessy—one of Britain’s largest
                                    February 17th, one month shy of his 89th     electronics manufacturers—developing
                                    birthday, due to complications from          complex integrated circuits, and
                                    COVID-19. He served on the Board for         subsequently, heading up General
                                    nearly 14 years before stepping down in      Electric’s research activities. Elected
                                    2012. An engineer who was twice provost      a Fellow of the Royal Society and of the
                                    of University College London, Sir Derek      Royal Academy of Engineering in 1980,
Photo courtesy the Roberts family
                                    oversaw several successful projects          he was awarded a Commander of the
                                    and the university’s expansion during        British Empire in 1988 and knighted in
                                    his tenure, including its merger with        1995 for services to engineering and
                                    the Institute of Child Health. He was an     education. The following year, he was
                                    early pioneer of silicon-based integrated    elected president of the British Science
                                    circuit technology, now ubiquitous in        Association. Read an interview with Sir
                                    electronic devices from PCs to satellites.   Derek in the November 2012 issue of
                                    His professional life was spent primarily    Ludwig Link.

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
In memoriam

ANGELIKA AMON
Ludwig MIT investigator Angelika Amon        the world,” she said. “It’s like Christmas
passed away in October from ovarian          when you were five. The beauty of
cancer. A prolific scientist, Angelika       experimental science is that these
pioneered research on the underlying         eureka moments are often shared with
mechanisms and consequences of               other scientists, and I’m privileged to
chromosomal abnormalities, such as           have experienced this.” Angelika was
aneuploidy, on fundamental processes         a member of the National Academy of
of cellular life and demonstrated how        Sciences, the American Academy of
those dysfunctions contribute to             Arts and Sciences and the European
developmental disorders and cancer.          Molecular Biology Organization. She
Other studies in her laboratory yielded      was also a professor of Biology at
insights into the relationship between       MIT, Member of the Koch Institute for
stem cell size, function and tissue aging.   Integrative Cancer Research, and was
Angelika described what she loved most       recently named Co-director of the Alana

                                                                                          LUDWIG LINK | APRIL 2021
about science in 2019, when accepting        Down Syndrome Center at MIT. Click here
the Breakthrough Prize in Life Science.      for a short video of Angelika speaking
“Making a discovery is the best feeling in   about her work.

PIERRE LANGUETIN
Pierre Languetin, a former Ludwig            for Economic Cooperation and
Board Member, passed away in October.        Development and the European Free
A Swiss diplomat and central banker,         Trade Organization. In 1976, he began
he joined the Board of Directors of the      a decade-long stretch as a member
Ludwig Institute for Cancer Research         of the governing Board of the Swiss
in 1987 and served with distinction for      National Bank, and was named
two decades. Pierre was born on April        chairman of its Executive Board in
30, 1923, in Lausanne and was educated       1985. In addition to his service to the
at the University of Lausanne and the        Ludwig Institute, Pierre also served on
London School of Economics. A former         the boards of numerous organizations,
trade negotiator, he often represented       including Sandoz, Paribas Suisse and
Switzerland at the Organization              the Swiss Reinsurance Company.

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
Events

VIRTUAL CONFERENCE:
EXERCISE AND CANCER PREVENTION
When Ludwig Cancer Research and the Conrad N.             Others discussed technical issues in clinical studies of
Hilton Foundation launched a $10 million Cancer           exercise and cancer. Kirsten Rennie of the University
Prevention Initiative in 2015, among their stated         of Cambridge, for example, stressed the importance
goals was the promotion of cancer prevention in the       of measuring physical activity independently in free
scientific and medical community, and support for its     living, pointing to huge differences between self-
incorporation into public policy. A Cancer Prevention     reports and objective measures of exercise among
and Nutrition Conference, convened in London in           prostate cancer survivors. On the matter of behavioral
partnership with Cancer Research UK in 2018, along        interventions, Wendy Wood of the University of
with a publication that emerged from the meeting, was     Southern California argued that activities reinforced by
a first step in that direction. The second was taken      rewards—even just “fun”—are more likely to establish
from February 23rd to 25th, 2021, in an international,    healthful habits, and discussed why habit, more than
virtual Cancer Prevention – Physical Activity             rationale, might sustain healthful behaviors.
Conference organized by the same partnership.

                                                                                                                      LUDWIG LINK | APRIL 2021
                                                          On the final day, a fascinating session covered the role
After opening remarks by Scientific Director Chi Van      of the built environment in medical outcomes, with
Dang and Ludwig Oxford’s Peter Ratcliffe, speakers        speakers pointing out how little health considerations
covered the existing epidemiology on physical             factor into urban planning decisions. In one particularly
exercise and cancer, followed by a session on the         engaging talk, Rich Mitchell of the University of
molecular and physiological mechanisms that might         Glasgow discussed his studies examining how poverty
drive such effects. In the latter session, Ludwig         and the built environment interact with such things as
Harvard investigator Rakesh Jain discussed his lab’s      childhood activities and transportation to expose kids
discovery that exercise normalizes the vasculature of     to certain foods, tobacco and other factors with lasting
the tumor, improves anti-cancer immune responses          consequences for health.
and reduces metastasis in mouse models. Memorial
Sloan Kettering’s Lee Jones, meanwhile, presented         In a concluding Big Ideas session of the conference,
his preclinical studies on the significant benefit of     Chi noted the pressing need to figure out the
exercise on slowing progression of certain types of       mechanistic basis of exercise effects on the
breast cancer.                                            pathophysiology of cancer. He raised the intriguing
                                                          possibility that a mechanistic understanding could
The second day covered clinical studies of                also lead to pharmacological interventions with
physical exercise in cancer outcomes and those of         matching effects for patients who can’t exercise due
interventions that seek to instill healthier behaviors.   to their condition. A poll conducted during this session
One speaker, Robert Newton of Edith Cowan University,     suggested most attendees agreed that mechanistic
presented an ongoing study showing that changes in        studies are the order of the day. This should help guide
immune factors induced by exercise might slow growth      the research agenda of the field.
of prostate cancer cells even when men are resting.

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
News roundup

Taha Merghoub                   Sadna Budhu                    Jedd Wolchok
Ludwig MSK                      Ludwig MSK                     Ludwig MSK

IMMUNE REVIVAL

                                                                                          LUDWIG LINK | APRIL 2021
Phosphatidylserine (PS) is a small             effect was accompanied by an increase
molecule mainly found at high levels           in the proportion of pro-inflammatory
on the outer membrane of dying cells,          macrophages and an increase in the
from where it is known to promote an           recruitment and activation of T cells in
immunosuppressive microenvironment             tumors. Adding anti-PD-1 checkpoint
in tumors through its interaction with         blockade immunotherapy to the mix
its receptors. A study led by Ludwig           further enhanced T cell activation,
MSK researchers Taha Merghoub, Sadna           responses to radiotherapy and survival
Budhu and Jedd Wolchok published in            of the mice. The researchers also
Cell Reports in January found expression       showed that immune cells in the blood of
of PS on live tumor-infiltrating immune        melanoma patients who have received
cells rises after a single dose of radiation   radiotherapy similarly express higher
delivered to melanoma tumors in                levels of PS. These findings suggest
mice. The researchers found that PS-           that patients could benefit from the
blockade with the antibody mch1N11             concurrent blockade of PS and PD-1 in
enhanced the effects of radiotherapy           combination with radiotherapy.
and extended survival of the mice. The

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LUDWIG LINK IN THIS ISSUE - Ludwig Institute for Cancer Research
News roundup

GUT REACTION
In a study published in the Journal of       by Ralph and Yang-Xin have shown that
Experimental Medicine in January, Ludwig     radiation activates a signaling pathway in
Chicago Co-director Ralph Weichselbaum       dendritic cells that primes other immune
and Yang-Xin Fu of the University of Texas   cells—killer T cells—to attack tumors. This
Southwestern Medical Center showed           pathway, controlled by a protein named
how certain gut bacteria can reduce the      STING, ramps up the dendritic cells’
efficacy of radiotherapy. They identified    production of immune-stimulating factors
two families of bugs—Lachnospiraceae         known as type-1 interferons (IFN-I), which
and Ruminococcaceae—that interfere           boost T cell activation. In this study, they
with radiotherapy in mice and described      show that butyrate inhibits a step of the
how the short-chain fatty acid butyrate,     biochemical signaling cascade that links       Ralph Weichselbaum
a metabolic byproduct of these bacteria,     STING activation to the production of          Ludwig Chicago
undermines the therapy. The antibiotic       IFN-I. The researchers suggest that the
vancomycin decreased the abundance           highly selective targeting of butyrate-

                                                                                                                 LUDWIG LINK | APRIL 2021
of butyrate-producing gut bacteria and       producing gut microbiota may augment
enhanced antitumor responses following       the radiotherapy sensitivity of tumors and
radiotherapy in mice. Previous studies led   improve patient responses.

TAPS AND MORE
Chemical, or epigenetic, modifications       named TET-assisted pyridine borane
made to the DNA base cytosine play an        sequencing (TAPS). Now the gold
important role in the regulation of gene     standard of such technologies, TAPS
expression across the genome. The            was at the heart of a biotech spin-
base is chemically modified with four        off that was bought late last year by
chemically and functionally distinct         Exact Sciences, which will use the
“marks”, with 5-methylcytosine (5mC)         method in novel cancer diagnostics. In
being the most common and most               January, researchers led by Chunxiao
frequently disordered in cancer. The         and his University of Oxford colleague
others are 5-hydroxymethylcytosine           Ahmed Ahmed reported in Nature
(5hmC), 5-formylcytosine (5-fC) and          Communications an expanded toolkit for         Chunxiao Song
5-carboxycytosine (5caC). The Ludwig         the direct and quantitative sequencing         Ludwig Oxford
Oxford laboratory of Chunxiao Song           of all four cytosine epigenetic marks—a
reported in 2019 a sensitive, cost-          new version of TAPS for 5mC (named
effective and efficient method for the       TAPSβ) and brand new methods for the
whole-genome sequencing of 5mC               other three.

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News roundup

STOP SIGNAL                                                              TARGET: TNBC
During cell division, protein cables                                     Triple negative breast cancers (TNBC)
called microtubules latch on to a copy                                   bearing mutations to their BRCA genes
of every chromosome at a structure                                       can be treated with a class of drugs known
called the kinetochore and pull one of                                   as PARP inhibitors, but the benefits of this
each to opposite poles of the dividing                                   therapy are often fleeting. Since PARP
cell. In healthy cells, this choreographed                               inhibitors can also help stimulate anti-
segregation of chromosomes is                                            tumor immune responses, researchers
monitored by a “spindle checkpoint” that                                 are already examining their combination
halts cell division if even one kinetochore   Arshad Desai               with immunotherapy to improve
is not firmly attached to a microtubule,      Ludwig San Diego           outcomes. In a December paper in Nature
ensuring that chromosomes are equally                                    Cancer, a team led by Ludwig Harvard
distributed to each daughter cell. In                                    investigator Jennifer Guerriero exposed
a January paper in Science, Ludwig                                       a potential challenge to such strategies—
San Diego’s Arshad Desai, Pablo Lara-                                    and offered a possible solution. PARP

                                                                                                                        LUDWIG LINK | APRIL 2021
Gonzalez and colleagues detailed the                                     inhibitors, the researchers showed, can
mechanism by which the checkpoint                                        also promote an immune-suppressive
is generated by the association of two                                   tumor microenvironment (TME), pushing
proteins, Cdc20 and Mad2. Using a visual                                 immune cells known as macrophages in
probe that tracks one of the proteins,                                   the TME into an immunosuppressive state
the team detailed how Cdc20 and Mad2                                     through the reprogramming of their lipid
are geometrically constrained at the                                     metabolism. These immunosuppressive
kinetochore, held in a particular position    Pablo Lara-Gonzalez        macrophages express high levels of the
by phosphorylation events that prime          Ludwig San Diego           CSF-1 receptor, which is essential to their
their interaction, and how their enzymatic                               survival. Jennifer and her colleagues
substrates are locally delivered to them                                 demonstrated that treating mice bearing
to generate the wait signal. The findings                                BRCA-deficient TNBC tumors with a
help explain why that signal is generated                                combination of PARP inhibitors and
at kinetochores and not elsewhere                                        CSF-1R blocking antibodies extended
in the cell, thereby ensuring that no                                    survival of the animals. The effect
chromosome is left behind.                                               was mediated primarily by activation
                                                                         of cancer-targeting killer T cells in the
                                                                         less immunosuppressive TME. The
                                                                         authors suggest that combining PARP
                                                                         inhibition with CSF-1R inhibition could be a
                                                    Jennifer Guerriero   promising therapeutic strategy for BRCA-
                                                       Ludwig Harvard    deficient TNBCs.

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News roundup

THE IMMUNOLOGIC                                                    FUEL GAUGE
X-FACTOR
                                                                   Sick animals often lose their appetites.
                                                                   Though this behavior is widely observed
The liver X receptor β (LXRβ) is a nuclear                         across species, its consequences on the
receptor that plays a key role in the                              effector T cells battling infection was
regulation of lipid and cholesterol                                not clear. In a December paper in the
metabolism and inflammatory immune                                 Proceedings of the National Academy of
responses. Yet its precise role in T cell                          Sciences, Ludwig MSK Director Alexander
biology has thus far been unclear. In a                            Rudensky and colleagues showed that
December Brief Definitive Report in the      Alexander Rudensky    starvation during infection decreases
Journal of Experimental Medicine, a team     Ludwig MSK            the number of effector T cells in mice
led by Ludwig MSK’s Alexander Rudensky                             through mechanisms governed by the
and Clarissa Campbell revealed that the                            cells’ Farnesoid X Receptor (FXR), a
loss of LXRβ in a mouse model leads to a                           nuclear receptor also involved in liver
severe deficiency of T cells accompanied                           responses to fasting and refeeding. That

                                                                                                                 LUDWIG LINK | APRIL 2021
by the spontaneous activation of effector                          loss of effector T cells, they showed,
T cells. Studies of chimeric mice with                             could be reversed by the provision of the
mixed populations of LXRβ-deficient T                              sugar glucose, supporting the sugar’s
cells and normal T cells showed that the                           availability as a determinant of effector
receptor is needed for T cell fitness, and                         T cell survival. Deletion of FXR in T cells
that its loss especially compromises                               prevented their loss during starvation,
regulatory T cells (Tregs), which suppress                         altered their utilization of fuel from
effector T cells and protect tumors from       Clarissa Campbell   glucose to other nutrients and improved
anti-cancer immune responses. LXRβ             Ludwig MSK          their fitness. It also caused weight loss
deficiency, Alexander and his colleagues                           in the mice. The study, supported by
show, profoundly compromises Treg                                  the Ludwig-Hilton Cancer Prevention
function. Indeed, the loss of just one                             Initiative, identified a mechanism by
copy of the LXRβ gene in Tregs suffices                            which the host scales immune responses
to induce early and fatal autoimmune                               in reaction to nutrient availability, and
disease in mice. The researchers argue                             showed that FXR is the sensor in T cells
these findings suggest the receptor                                that triggers those responses.
could be a prime target for immunological
therapies.

                                                          12
News roundup

AN ESSENTIAL                                                              SHATTERED SOURCES
INEFFICIENCY
                                                                          Circles of DNA unassociated with
Cancer cells burn sugar using an                                          chromosomes, extrachromosomal
inefficient metabolic pathway known as                                    DNAs (ecDNA) encode multiple copies
fermentation, which captures much less                                    of cancer genes and drive tumor
energy as ATP and which most healthy                                      evolution, growth and drug resistance.
cells—except rapidly proliferating ones,                                  Identifying where ecDNA comes from
like activated T cells of the immune                                      has been an important challenge of
system—use mainly when starved of                                         cancer research. In December, a team
oxygen. A study led by Ludwig MIT’s          Matthew Vander Heiden        led by Ludwig San Diego’s Don Cleveland
Matthew Vander Heiden and published          Ludwig MIT                   and Peter Campbell of the Sanger
in December in Molecular Cell examined                                    Center reported in Nature that ecDNAs
why this is the case. Matthew and his                                     are formed by chromothripsis—or the
colleagues show that fermentation, or                                     shattering and shuffled reassembly
aerobic glycolysis, helps cells regenerate                                of chromosomes. While earlier work

                                                                                                                     LUDWIG LINK | APRIL 2021
large quantities of NAD+, a chemical                                      led by Don and Peter had established
essential to the synthesis of some large                                  that chromothripsis of missegregated
molecules like DNA that all cells need                                    chromosomes can produce the complex
to divide. Inhibiting fermentation and                                    genome rearrangements found in many
forcing cancer cells to make ATP, the                                     tumors, the researchers now report that
currency of cellular energy, through                                      chromothripsis drives the evolution of
aerobic respiration slowed their growth.                                  gene amplification in cancer through
When those cells were then additionally                   Don Cleveland   production of ecDNA, including the
treated with a drug that stimulates NAD+            Ludwig San Diego      induction of drug resistance through
regeneration, however, their proliferative                                the generation of ecDNAs carrying a
frenzy was restored. Cancer cells, it                                     gene that inactivates an anticancer
appears, need NAD+ more than they                                         drug. They showed that once formed,
do ATP. When ATP abounds, aerobic                                         ecDNA undergoes successive rounds
respiration slows down, and so does                                       of chromothripsis to spawn additional
mitochondrial NAD+ regeneration.                                          rearranged ecDNAs that drive increased
Cancer cells and activated T cells, the                                   drug resistance by further amplification
researchers demonstrate, maintain high                                    of genes responsible for the resistance.
levels of NAD+ by employing the less                                      The study lays the groundwork for
efficient generator of ATP: fermentation.                                 combination therapy in which a
The findings suggest drugs that force                                     chemotherapeutic drug is paired with
cancer cells into aerobic respiration or                                  another drug that prevents the DNA
inhibit NAD+ production could be useful as                                fragments created by chromosomal
cancer therapies.                                                         shattering from closing to form ecDNA
                                                                          circles.

                                                          13
News roundup

STRUCTURAL SOLUTION
The poison arsenic is a well-worn device of         to the large variety of p53 mutations,
crime novels. But in low doses it can also be       their diverse effects and a lack of
a useful treatment for acute promyelocytic          sites on the p53 protein that can be
leukemia. Building on the latter theme, a           easily targeted by drugs. However,
study led by Ludwig Oxford Director Xin             over half of all p53 mutations cause
Lu and Min Lu of the Shanghai Institute of          structural alterations that affect
Hematology performed a screen for drugs             p53 activity. These mutants were
that could reactivate mutant forms of the           the focus of the study reported in
p53 tumor suppressor and found that arsenic         Cancer Cell in December. For some
compounds—including arsenic trioxide—               of the structural mutations, arsenic
rescued some structural defects in p53.             trioxide was also able to reactivate           Xin Lu
Although p53, called the “guardian of the           the tumor suppressor function of               Ludwig Oxford
genome,” is the most frequently mutated             p53 in experimental models. It is now
gene in human cancer, efforts to devise             being tested in a phase I clinical trial

                                                                                                                      LUDWIG LINK | APRIL 2021
drugs that reactivate the mutated protein           in patients with p53-mutated blood
have generally come up short. This is due           cancers.

LIQUID CRYSTAL DYSFUNCTIONS
Loss of function of the RNA-binding protein        cores. In animal studies, inhibiting the
TDP-43 is seen in neurodegenerative                 proteasome—which degrades proteins—
diseases, such as ALS, Huntington’s                within neurons to mimic the aging-related
disease and Alzheimer’s disease. A study           decline in its activity induced the formation
led by Ludwig San Diego’s Don Cleveland            of TDP-43-containing spherical shells. The
reported online in Science in December that        shells convert into aggregates when ATP
RNA-binding deficient TDP-43—which is              levels drop. These findings suggest the TDP-
produced by neurodegeneration-causing              43 aggregation seen in neurodegenerative
mutations or biochemical modifications to          diseases may have its origins in anisosomes.
the protein—drives TDP-43 de-mixing into           The study also explains the peripheral
liquid spherical shells with liquid cores in the   neuropathy caused by bortezomib, a              Don Cleveland
nuclei of neurons. Don and his colleagues          proteasome inhibitor used to treat multiple     Ludwig San Diego
named these structures anisosomes and              myeloma. The researchers showed that
identified the major components of the             anisosomes form in sensory neurons in
liquid core to be HSP70 family chaperones,         bortezomib-treated mice and rats and are
whose activity, powered by the molecule            thus likely to form in multiple myeloma
ATP, maintains the liquidity of shells and         patients who develop peripheral neuropathy.

                                                              14
News roundup

TIRED TIL RECHARGE                                                        PERSONAL
                                                                          NANOVACCINE
Ludwig Lausanne’s Ping-Chih Ho and his
colleagues reported in Nature Immunology                                  Ludwig Chicago investigator Wenbin Lin
in October a novel mechanism by which                                     and his colleagues reported in Science
the harsh microenvironment of the                                         Advances in October their design and
tumor enervates tumor-infiltrating T                                      preclinical evaluation of a combined
lymphocytes (TILs). They also showed                                      nanotechnology-based radiotherapy
that a common nutritional supplement,                                     strategy that effectively generates a
nicotinamide riboside (NR), could                                         personalized cancer vaccine within the
revive the anti-tumor activity of the        Ping-Chih Ho                 body. It revolves around nanoparticles
TILs. Starved of oxygen and essential        Ludwig Lausanne              named nanoscale metal-organic
nutrients in tumors, TILs adjust metabolic                                frameworks (nMOFs) developed in
processes to compensate, in part by                                       Wenbin’s lab that amplify the cell-killing
making more mitochondria (the energy                                      free radicals generated by radiotherapy,
generators of the cell). Meanwhile,                                       boosting its effects. Wenbin’s team

                                                                                                                         LUDWIG LINK | APRIL 2021
prolonged and fruitless stimulation by                                    adapted their nMOFs to carry an adjuvant,
cancer antigens pushes TILs into an                                       a substance that stimulates vaccine-
exhausted state. Ping-Chih and his team                                   induced immune responses. The adjuvant,
found that exhausted TILs are packed                                      known as a CpG oligonucleotide, drives
with dysfunctional mitochondria, mainly                                   the maturation of the immune system’s
because the TILs can’t remove damaged                                     dendritic cells, which activate and direct
ones. This, they showed, is a cause, not a                                cytotoxic T cells toward cancer cells.
consequence, of exhaustion. NR has been                      Wenbin Lin   In mouse models of pancreatic and
shown by Ludwig Lausanne researchers                  Ludwig Chicago      colon tumors, which tend to harbor few
and others to improve mitochondrial                                       viable cytotoxic T cells and so resist
fitness, so Ping-Chih and his colleagues                                  immunotherapy, irradiating tumors
examined whether it might rescue TILs                                     treated with the nMOFs caused a release
from terminal exhaustion. Their cell                                      of the CpG adjuvant and the shedding of
culture experiments showed that NR                                        cancer antigens and molecular danger
improved the mitochondrial fitness                                        signals by dying cells. This drove dendritic
and function of T cells in conditions                                     cell maturation and activation, which
resembling those of the tumor. More                                       stimulated anti-tumor T cells and caused
notably, dietary supplementation with                                     regression of treated tumors. When
NR stimulated the anti-tumor activity                                     combined with anti-PD-L1 checkpoint
of TILs in mouse models of melanoma                                       blockade immunotherapy, the treatment
and colon cancer. When combined with                                      elicited immune responses against
checkpoint blockade immunotherapies, it                                   untreated tumors as well—and an 83%
also significantly inhibited the growth of                                cure rate in mice implanted with the
tumors in the mice.                                                       immunosuppressive colon cancer.

                                                        15
News roundup

RESCUED FROM ROS                                                          DIRECT-ON PREDICTIONS
Cancer-associated mutations are known                                     Immune checkpoint inhibitors like anti-
to stabilize the transcription factor,                                    PD-1 antibodies improve survival in
NRF2, that controls the expression of                                     advanced non-small cell lung cancer
genes involved in cellular antioxidant                                    (NSCLC). However, conventional imaging
defense systems, which shield DNA                                         often can’t identify which patients treated
and other vital molecules from highly                                     with these agents will benefit from such
reactive molecules called reactive oxygen                                 therapy. In a Cell paper published in
species (ROS). In a Molecular Cell paper                                  October, a team led by Ludwig Stanford’s
published in October, Ludwig Harvard         Joan Brugge                  Ash Alizadeh and Maximilian Diehn and
Co-director Joan Brugge and colleagues       Ludwig Harvard               Matthew Hellmann of Memorial Sloan
reported their analysis of how NRF2                                       Kettering Cancer Center reported a
contributes to cancer cell growth and                                     method to accurately predict early in
survival in experiments using lung cancer                                 treatment which patients with NSCLC
spheroid models—cultured, three-                                          are likely to benefit from PD-1 checkpoint

                                                                                                                        LUDWIG LINK | APRIL 2021
dimensional mimics of tumors. Their                                       blockade. Called DIREct-On, (for Durable
studies showed that its hyperactivation                                   Immunotherapy Response Estimation
is required for both proliferation and                                    by immune profiling and ctDNA-On
survival of spheroid cultures, though                                     treatment), the method incorporates
distinct signaling pathways control each                                  three types of biomarkers to predict
outcome. A pathway mediated by mTOR                                       treatment responses: the level of
supports proliferation. As for survival,                                  mutation in tumors, changes in levels
NRF2 activity protects cancer cells                        Ash Alizadeh   of circulating tumor DNA (ctDNA) and
within the spheroid that are deprived                Ludwig Stanford      levels of circulating cytotoxic T cells.
of contact with the extracellular matrix                                  DIREct-On benefits from the noninvasive
from a type of programmed cell death                                      measurement of biomarkers not only
known as ferroptosis, which is mediated                                   before but during treatment as well.
by ROS. But when cells lack NRF2, a                                       In preliminary studies, it accurately
critical suppressor of ferroptosis, GPX4,                                 predicted progression-free survival
and related proteins are expressed at                                     from blood samples collected after one
high levels. Joan and her team show that                                  treatment cycle and was more precise
inhibiting both NRF2 and GPX4 leads to                                    than use of any of the three variables
the death of cancer spheroids. The results                                alone. Combining all three resulted in
reveal a vulnerability in tumors dependent                                the prediction of durable clinical benefit
on NRF2 hyperactivation that might be                                     with a sensitivity of 94% and specificity
targeted for the development of novel                Maximilian Diehn     of 89%. DIREct-On could help physicians
cancer therapies.                                    Ludwig Stanford      quickly determine whether anti-PD-1
                                                                          immunotherapy should be continued,
                                                                          modified or stopped.

                                                       16
News roundup                                                     Clinical trials

CARTS OF MICE                                                    GOING VIRAL
Chimeric antigen-receptor (CAR)-T                                Targovax, a company developing
cell therapy involves taking a patient’s                         immune activators for combination
peripheral blood T cells and engineering                         therapy in solid tumors, completed
them with a receptor that redirects                              part 1 of its two-part, open label phase
them to attack their tumor. Though such                          1 trial evaluating the combination of
therapies have been approved for blood                           the oncolytic virus ONCOS-102 and the
cancers, their application to solid tumors                       checkpoint blockade durvalumab, a PD-
has proved challenging, in part because                          L1 inhibitor, for colorectal cancer (CRC)
the microenvironments of solid tumors        Melita Irving       and platinum-resistant ovarian cancer
suppress immune responses. Meanwhile,        Ludwig Lausanne     that has spread to the peritoneum—the
due to technical difficulties associated                         membrane that lines the inner wall of the
with developing mouse CAR-T cells,                               abdomen. ONCOS-102 is an experimental
new CAR therapies have typically been                            cancer therapy comprised of an
preclinically evaluated using human CAR-T                        engineered adenovirus that replicates

                                                                                                             LUDWIG LINK | APRIL 2021
cells in mice that lack an immune system.                        specifically inside cancer cells, leaving
The CAR-T cells are thus not challenged                          healthy cells unharmed. The trial met
in the context of inhibitory immune                              the pre-defined efficacy threshold
infiltrates in tumors. In November, Ludwig                       in the CRC cohort at week 24 and the
Lausanne’s Melita Irving, George Coukos,                         second part of the CRC expansion
Evripidis Lanitis and colleagues reported                        cohort is now open for recruitment. The
in the Journal of Experimental Medicine                          treatment did not meet that threshold
a method to overcome that difficulty         George Coukos       for the ovarian cancer cohort, which
involving, among other things, the           Ludwig Lausanne     is now closed. The trial was designed
sequential use of three immune factors                           with a dose-escalation phase assessing
known as interleukins (IL-2, 7 and 15) in                        three different dosing levels, followed
the cultivation of mouse CAR-T cells. The                        by an expansion phase. The study
team also developed “4th generation” (4G)                        is sponsored by Ludwig and led by
CAR-T cells engineered to co-express                             Ludwig MSK’s Dmitriy Zamarin. CRC is
the IL-15 protein, which stimulates T cell                       a challenging disease to treat, with a
proliferation and survival, and showed                           response rate to immune checkpoint
that their CAR-T cells were superior in                          inhibitor monotherapy of less than 5%.
persistence, fitness and efficacy in a                           The researchers are betting immune
mouse model of melanoma. Notably, the                            activation by ONCOS-102 will sensitize
4G CAR-T cells reprogramed the tumor                             these tumors to immune checkpoint
microenvironment by activating tumor-        Evripidis Lanitis   inhibition and improve the response
targeting natural killer cells and causing   Ludwig Lausanne     rate.
a decline in M2 macrophages that can
suppress anti-cancer responses.

                                                         17
Q&A

LANA
KANDALAFT
ASSOCIATE DIRECTOR
OF CLINICAL TRANSLATION,
LUDWIG LAUSANNE

Can you tell us about what excites you
most in your work right now?
We’re pretty unique here at the Ludwig
Lausanne Branch, in that there are not
many translational programs around the
world like ours. I have an amazing team to

                                                                                           LUDWIG LINK | APRIL 2021
work with in developing cancer vaccines
and other immunotherapy products for
our patients. And right now, we are in
an excellent position to deliver some
innovative products to them. Our work is
very gratifying because we are able to see
our technologies being implemented in
clinical protocols and witness first-hand
how a treatment is working and whether it
is benefitting an individual patient.

You’ve done a lot of research on
ovarian cancer. How optimistic are
you about near-term opportunities for
immunotherapy treatments for this kind
of cancer?
While we don’t have immunotherapy for         better response. Chemotherapy and PARP
ovarian cancer as yet, we have a lot of       inhibitors are viable combination partners
promising leads. I think the challenge is     for immunotherapy and combining
going to be defining exactly which patients   checkpoint inhibition with other drugs
may get the best results from different       may lead to some new options for
approaches. There are a couple of studies     patients. But none of these combinations
out whose results are encouraging and         are standard of care right now. Now
indicate we need combination therapies        the more that we understand the tumor
along with chemotherapy to produce a          microenvironment and its influence on a

                                                          18
Q&A

                                                                     handle. Number two, in order to ramp
                                                                     up production, you have to have the
                                                                     infrastructure to actually manufacture
It’s a different ballgame when you interact with                     these products. Producing them and
                                                                     getting them to patients is complex
patients and their husbands or mothers or sisters ...
                                                                     and very challenging. While it took us
part of my attachment to ovarian cancer stems                        quite a few years to build, the Center of
                                                                     Experimental Therapeutics (CTE) has
from my personal experience with patients.                           two GMP manufacturing facilities: the
                                                                     Tumor Processing Facility and the Cellular
                                                                     Manufacturing Facility. Just as CAR T-cell
                                                                     therapy has been approved for standard
                                                                     of care for some cancers, I believe these
                      patient’s response to therapy, the more        new immunotherapies will be as well.
                      we’ll be able to understand how various        And third, once we’ve developed these
                      combination therapies work and which           therapies there are some big questions

                                                                                                                       LUDWIG LINK | APRIL 2021
                      ones might work best.                          to answer. How will the world adapt?
                                                                     Will pharma make use of all the good
                      My interest is in vaccines, and I have a       technology we’ve developed and run with
                      paper out right now with my colleagues         it? Will every hospital in every country
                      here Alexandre Harari and Cheryl Chiang        and in every city have the infrastructure
                      at the Ludwig Lausanne Branch on a             in-house to treat its patients? Will these
                      personalized cancer vaccine strategy           therapies eventually become part of the
                      that recognizes the importance of T cells      standard of care? We have a lot of hurdles
                      for controlling ovarian cancer. Some           to overcome, but I’m confident they are all
                      interesting early data have come out that      doable.
                      may lead us in directions that we want
                      to go, but larger studies need to be done      Given all these challenges, what is it
                      to validate the findings. Vaccines are         about ovarian cancer that drives you?
                      not the cure, however. It’s my hope that       It’s what’s called the silent killer because
                      they will eventually be integrated into the    it’s a very tough cancer to detect and by
                      standard of care, but they will not be the     the time a woman receives a diagnosis,
                      definitive cure for ovarian cancer.            the disease is quite advanced, at either
                                                                     Stage III or IV. I started working on it at the
                      What worries you the most about                Ovarian Cancer Research Center at the
                      developing these therapies?                    University of Pennsylvania with George
                      First of all, they are difficult to develop,   Coukos and found it very challenging to
                      and the difficulty is the technology—          treat. The disease landscape is such that
                      choosing the right antigen, choosing           the cancer bounces back in 85% of women
                      the right TCR (T cell receptor). The           who undergo the standard of care, which is
                      T cells themselves are difficult to            surgery followed by chemotherapy. I think

                                                     19
Q&A

there is a watchful waiting period with this
disease where a vaccine could be given to
women in remission to prevent recurrence.

But it might have been my exposure to
patients when I was at Penn that changed
my mentality and the way I approach
this disease. It’s a different ballgame
when you interact with patients and their
husbands or mothers or sisters or other
close relatives. And I think part of my
attachment to ovarian cancer stems from
my personal experience with patients,
many of whom have become friends.

Can you tell us what you find most

                                                                                                                                 LUDWIG LINK | APRIL 2021
                                               Lana with Ludwig Lausanne’s Alexandre Harari, left, and Director George Coukos.
stimulating about the research
environment at Ludwig Lausanne?
At Ludwig we are really very lucky. The
leadership has set a specific direction        operation focused on vaccines. It was
for the organization, and everyone on the      difficult because we didn’t have a Good
team has a shared sense of purpose, and        Manufacturing Practice (GMP) facility
we are all working towards one goal. Or,       and had to outsource everything. Here
as I like to say, we’re all drumming to the    in Lausanne, we built a department
same beat. Our focus is on translational       that has it all. We’re one of the largest
science—primarily tumor immunology             immunotherapy centers in Europe, and
and the design and development of              we have it all right here—the researchers,
novel immunotherapies. I admit it can be       the doctors and the patients. Within the
daunting in terms of career development        CHUV’s Department of Oncology, we
because not every member can become            created the CTE, which I run with a staff
their own PI or have their own lab or run      of 140. We have a clinical investigation
their own Branch. But at the end of the        unit to run our clinical trials and two
day, we’re all working on something that       GMP manufacturing facilities for cancer
will eventually get to our patients and        immunotherapies. Without these
hopefully make a difference.                   resources, we could not have achieved
                                               what we are achieving right now.
What has it enabled you to do that you
could not do previously?                       Your training has been very international.
Prior to coming here, I worked with George     What perspective does that provide for
at Penn developing immune therapies for        you?
ovarian cancer patients. It was a small        That you can be whoever you want to

                                                             20
Q&A

                                                                               I lack the time right now to even think
                                                                               about using social media. I would need the
                                                                               support of a very good communications
                                                                               team to even start.

                                                                               What would our readers be surprised to
                                                                               know about you?
                                                                               I’m aware that people perceive me as a
                                                                               workaholic, and I know they think that
                                                                               I have no private life. But I do. I am a
                                                                               mother with two amazing boys. I’m a
                                                                               very good cook and have even mastered
                                                                               a Lebanese lamb dish that my dad said
                                                                               was even better than my mother’s. Music
                                                                               is a big part of my life. I wrote my entire
                                                                               PhD thesis to Jon Bon Jovi’s music—

                                                                                                                              LUDWIG LINK | APRIL 2021
Lana with Ludwig Lausanne Director George Coukos.                              played very loud. And since moving to
                                                                               Switzerland, I have fallen in love with the
                                                                               mountains and ski touring. It’s my new
                                 be wherever you are. It doesn’t matter        passion. Exhausting, but so beautiful.
                                 if you’re in India, Spain, the U.S. or
                                 Switzerland. All it takes is the right        Would you share a story that led to you
                                 mindset and the right attitude. Every new     choosing your field of work?
                                 venue presents a different challenge.         It was in Cardiff, Wales, where I was
                                 Each institution has a lot to offer. You      working on my PhD in pharmaceutical
                                 have to adapt, as each has its own mission    drug delivery. I had just started a course
                                 and its own way of doing things. There        in pharmaceutical biology that was
                                 are new languages to learn, new cultures      interesting, but I couldn’t see a real-world
                                 to embrace and new techniques to learn.       application. One evening when I was
                                 But since I left home at such a young age,    sitting at the bench next to my computer,
                                 I was able to adapt quite easily and absorb   I came across a paper written by Doug
                                 everything around me like a sponge. And       Hanahan and Bob Weinberg entitled The
                                 bottom line, science is science, whether      Hallmarks of Cancer. I said to myself, “Ah,
                                 you are working in the U.S. or Switzerland.   Lana, this is what you need to do. You need
                                                                               to deliver drugs to cancer. This is what you
                                 What is the most effective/best way for       must do.” So I immediately started looking
                                 scientists to use social media to engage,     into postdoc opportunities at the National
                                 communicate and interact?                     Cancer Institute in Bethesda. That was
                                 Honestly, I don’t know. It’s very important   a turning point in my life. When I came
                                 to communicate about your work and            to Lausanne in 2012, and first saw Doug
                                 share it with others, but I have to admit     Hanahan, I was so excited and thrilled to

                                                             21
Q&A

actually meet him that I know my face
turned completely red. I kept saying to
myself, Doug Hanahan is here, and it was
his amazing paper that really touched me         Since I left home at such a young age, I was able to
and changed my life.
                                                 adapt quite easily and absorb everything around me
When you’re not wearing your many                like a sponge. And bottom line, science is science,
science hats, what other activities are
you involved in?
                                                 whether you are working in the U.S. or Switzerland.
I’m at a stage in my life where my role as
a mother has changed. I have a different
connection with my two sons, who are
now 10 and five years old, than I did when
they were younger. While I encourage
them to be independent, they will often          matter whether you are male or female,
bike alongside me when I run. I still play       everyone is working towards the same

                                                                                                        LUDWIG LINK | APRIL 2021
a lot of tennis and in winter we ski a lot       goal. Here at the CHUV, women are well
on the weekends. Opera is not my thing,          represented as 69% of the employees
sports are. And I watch a lot of movies          are female, and many are in leadership
with the boys and, of course, listen to          positions.
music.
                                                 My role as a mentor is very important to
What kind of music do you listen to?             me, and I often wish I had more time to
I’m into French rap because it’s what my         devote to it. I am often approached by
kids are listening to, and I want to be cool.    young women who want to know how I
I also listen to a lot of oldies because         was able to achieve what I did, what my
growing up, my dad was always playing            life is like, and ask whether a life outside
them. But it’s definitely the music from         the lab possible. Mentoring the younger
the 80’s that gets me pumped up. It’s great      generation is key to helping them reach
music to run to.                                 the next level. I had one very talented
                                                 female postdoc who came to work for
There has been a lot of discussion in the        me and over the years received a number
media lately about women in science.             of promotions, and ultimately became
What has been your experience as a               a key member in our department here
female scientist? How do you see your            at the CHUV. She now works in the
role in helping to mentor women?                 pharmaceutical industry. One day, she
Again, I have been very lucky in that I have     came to me and said, “Lana, you didn’t just
always worked in an environment where            give me a job, you gave me a career.” That
the leadership has been nothing but              touched me deeply and reinforced how
supportive of women. The field of science        important it is to mentor and inspire the
is challenging as it is, and it doesn’t really   next generation.

                                                              22
Ask a scientist

How has the pandemic changed your perspective
on balancing your work and personal life?

                  Prior to the pandemic, I had a system and support structure that allowed me to
                  balance my work in the lab and the clinic with caring for and spending good time
                  with my husband and our four children. That system of balance disappeared
                  when the pandemic hit and schools shut down. My husband (who is also in
                  academic medicine) and I have been doing 100% work and 100% childcare
                  at the same time, all the time it seems. To cope with this new unbalanced
                  reality, I have been learning to say “no” more to work commitments, to reset
                  my expectations of what I can accomplish every day, and to seek and cherish
                  those rare quiet and un-interrupted moments when I can think creatively about

                                                                                                       LUDWIG LINK | APRIL 2021
                  an experiment or write a paper. It has been hard. But the extra time with my
                  children and a chance to take a break from frequent academic travel has been
                  really wonderful, and my ability to multi-task has improved to a new level.

                  MICHELLE MONJE DEISSEROTH
                  Ludwig Stanford

                  Prior to the pandemic, research was the center of my life, and I had to
                  travel frequently for scientific meetings. I see now that my mindset was not
                  sustainable, especially on maintaining my personal life, as well as supporting
                  the development of my lab members. After the shocking experience and a
                  ‘valuable’ reset happened in 2020, I realize that work-life balance is key to
                  sustaining my research motivation and appreciate the fact that everyone in
                  my lab is heading to our goal in their own way. Although this pandemic is sad in
                  many ways, I do feel that it brings positive changes for our research and training
                  culture.

                  PING-CHIH HO
                  Ludwig Lausanne

                                                     23
Ask a scientist

                  This pandemic has brought a general sense of uncertainty and disorientation.
                  The possibility to go to conferences and build a good network is still missing,
                  and I fear this will have a negative impact on my career. However, I will do my
                  best and fight to keep my research and progress going even in this tough
                  period.

                  FRANCESCA ALFEI
                  Ludwig Lausanne

                  With hours limited by the shift system, I have found I am able
                  to achieve more than I expected by being more efficient, whilst
                  the extra time at home has highlighted the indispensable nature
                  of interests outside of work. I have also learned not to worry about
                  things that you have no control over.

                                                                                                        LUDWIG LINK | APRIL 2021
                  MICHAEL McCLELLAN
                  Ludwig Oxford

                  For me, the pandemic has emphasized the importance of having firm
                  boundaries between work and personal time. Home-schooling whilst in a lab
                  meeting, responding to emails whilst shushing a crying baby, cramming in lab
                  time then rushing home for childcare, etc. This is not conducive either to good
                  research or to good parenting. In the future I will be very grateful to work and to
                  parent at separate times and with my full focus.

                  ALICE NEAL
                  Ludwig Oxford

                  I’ve realized that achieving a work-life balance is not just a worthwhile goal—
                  it is vital for mental and physical health and future success. I’ve learned that
                  mastery of work-life balance comes down to how well we can prioritize the
                  aspects of our lives that we most enjoy, whether professional or personal.

                  SEAN PITRODA
                  Ludwig Chicago

                                                     24
Required reading

                                                                                                                      Cancer Cell
Ludwig Chicago                       Ludwig Lausanne                             Ludwig MSK
                                                                                                                      2020 December 7
Journal of                           Journal of                                  Cell Reports                         Online ahead of print
Experimental Medicine                Experimental Medicine                       2021 January 12
                                                                                                                      Arsenic Trioxide Rescues
2021 January 26                      2020 November 6                             Targeting phosphatidylserine         Structural p53 Mutations
Suppression of local type I          Optimized gene engineering                  enhances the anti-tumor              through a Cryptic Allosteric Site.
interferon by gut microbiota-        of murine CAR-T cells reveals               response to tumor-directed
                                                                                                                      Chen S, Wu JL, Liang Y, Tang YG,
derived butyrate impairs             the beneficial effects of IL-15             radiation therapy in a preclinical
                                                                                                                      Song HX, Wu LL, Xing YF, Yan N,
antitumor effects of ionizing        coexpression.                               model of melanoma.
                                                                                                                      Li YT, Wang ZY, Xiao SJ, Lu X,
radiation.                           Lanitis E, Rota G, Kosti P, Ronet C,        Budhu S, Giese R, Gupta A,           Chen SJ, Lu M.
Yang K, Hou Y, Zhang Y, Liang        Spill A, Seijo B, Romero P, Dangaj          Fitzgerald K, Zappasodi R, Schad
H, Sharma A, Zheng W, Wang L,        D, Coukos G, Irving M.                      S, Hirschhorn D, Campesato LF,
Torres R, Tatebe K, Chmura SJ,                                                   De Henau O, Gigoux M, Liu C, Mazo    Ludwig San Diego
Pitroda SP, Gilbert JA, Fu YX,                                                   G, Deng L, Barker CA, Wolchok        Science 2021 January 1
                                     Nature Immunology
Weichselbaum RR.                                                                 JD, Merghoub T.
                                     2020 October 5 Online                                                            A tripartite mechanism
                                     ahead of print                                                                   catalyzes Mad2-Cdc20 assembly
Science Advances                                                                 Journal of Experimental              at unattached kinetochores.
                                     Disturbed mitochondrial
2020 October 2                                                                   Medicine
                                     dynamics in CD8+ TILs reinforce                                                  Lara-Gonzalez P; Kim T; Oegema
                                                                                 2020 December 29
Nanoscale metal-organic              T cell exhaustion.                                                               K; Corbett K; Desai A
frameworks for x-ray activated                                                   Nuclear receptor LXRβ controls
                                     Yu YR, Imrichova H, Wang H, Chao
in situ cancer vaccination.                                                      fitness and functionality of
                                     T, Xiao Z, Gao M, Rincon-Restrepo

                                                                                                                                                           LUDWIG LINK | APRIL 2021
                                                                                 activated T cells.                   Science 2020 December 17
Ni K, Lan G, Guo N, Culbert A, Luo   M, Franco F, Genolet R, Cheng                                                    Online ahead of print
T, Wu T, Weichselbaum RR, Lin W.     WC, Jandus C, Coukos G, Jiang               Michaels AJ, Campbell C, Bou-
                                     YF, Locasale JW, Zippelius A, Liu           Puerto R, Rudensky AY.               HSP70 chaperones RNA-
                                     PS, Tang L, Bock C, Vannini N,                                                   free TDP-43 into anisotropic
                                     Ho PC.                                                                           intranuclear liquid spherical
Ludwig Harvard                                                                   Proceedings of the National          shells.
                                                                                 Academy of Sciences USA
Nature Cancer                                                                                                         Yu H, Lu S, Gasior K, Singh D,
                                                                                 2020 December 14 Epub
2020 December 14                     Ludwig MIT                                                                       Vazquez-Sanchez S, Tapia O,
                                                                                 FXR mediates T cell-intrinsic        Toprani D, Beccari MS, Yates
Targeting immunosuppressive          Molecular Cell                              responses to reduced feeding         JR 3rd, Da Cruz S, Newby JM,
macrophages overcomes PARP           2020 December 22 Online ahead               during infection.                    Lafarga M, Gladfelter AS, Villa E,
inhibitor resistance in BRCA1-       of print
associated triple-negative                                                       Campbell C, Marchildon F,            Cleveland DW.
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