Mount Sinai Launches Center for Engineering and Precision Medicine: What Is it and Why Does it Matter?

Shirley Ann Jackson, PhD, President of Rensselaer Polytechnic Institute, Priti Balchandani, PhD, and Jonathan Dordick, PhD, attend the launch of the Center for Engineering and Precision Medicine.

The opening of the Center for Engineering and Precision Medicine (CEPM) brings together biomedical experts from the Icahn School of Medicine at Mount Sinai and engineering experts from Rensselaer Polytechnic Institute under the same roof.

The center, located on the West Side of Manhattan, represents a first in the city that would bring together two areas of research that greatly benefit from joint development: engineering and precision medicine. The center’s co-directors, Priti Balchandani, PhD, Professor of Diagnostic, Molecular and Interventional Radiology, Neuroscience, and Psychiatry at Icahn Mount Sinai, and Jonathan Dordick, PhD, Institute Professor of Chemical and Biological Engineering at Rensselaer, explain why this center is a big deal.

What is precision medicine?

Dr. Balchandani: With every patient being unique, diseases can sometimes occur differently across individuals. Precision medicine is a term meant to describe customized health care tailored to a specific group of patients. In order to do that, we need to apply new technologies engineered to understand causes of specific diseases and combine highly precise and sensitive physiological measurements to provide targeted treatment plans.

There are many areas in which precision medicine plays a big part. Cancer is one of them, as are various neurodegenerative diseases, such as Alzheimer’s disease, where having precise tools to measure and integrate different types of patient data is crucial not just to the development of tailored treatment plans, but also for understanding disease mechanisms.

If [engineers] are at the table at every stage of research, they can figure out the best solutions rather than look for what exists out there.

Dr. Jonathan Dordick

Co-Director of CEPM; Institute Professor of Chemical and Biological Engineering at Rensselaer Polytechnic Institute

How have precision medicine and engineering developed in the past?

Dr. Dordick: I wouldn’t say they were siloed, but advancements in either field have sometimes developed alongside each other, or on top of each other, rather than being fully integrated.

For example, devising a therapeutic at a broad level is a traditional path toward patient treatment, but then what are the ways and tools needed to individualize the treatment for an individual patient? How do we scale those methods? Engineering brings in infrastructure, such as using modeling or simulations, as well as broad systems-level expertise that can sometimes help answer those questions.

But there hadn’t really been a case where engineers and biomedical researchers got together to ask those questions from the get-go and figure out what tools might be needed. If they are at the table at every stage of research, they can figure out the best solutions rather than look for what exists out there.

What sort of innovation might this center enable?

Dr. Balchandani: Types of innovations include devices, algorithms, methods, and therapeutics to improve diagnosis, treatment, and surgical care of a wide range of diseases, including neurodegenerative disease, infectious diseases, and cancer.

There will be a mix of basic science and translational work. For example, the basic science work may be focused on revealing disease causes or mechanisms in order to drive new treatments. These preliminary clinical trials are important to establish safety and eventually help treatments receive regulatory approval.

Dr. Dordick: A co-located center in New York City primes us to answer pressing questions. Take COVID-19, for example: Why did some people develop severe disease while others didn’t? What are the mechanisms that lead to long COVID? Through the combined expertise of Rensselaer and Mount Sinai, we hope to learn answers at an individual level about this pandemic, which will make us better prepared for future crises.

I also envision us making strides in improving current therapeutics. Can we devise less invasive techniques for certain treatments? Can we better grow tissue that reduces the risk of rejection? Rensselaer is not a medical school, and through this partnership we’ll be able to know what are the right questions to ask.

Read more about what the new Center will focus on and its future plans

Our hope is that they will be designed with the intention of being tested in clinical trials immediately after development.

Dr. Priti Balchandani

Co-Director of CEPM; Professor of Diagnostic, Molecular and Interventional Radiology, Neuroscience, and Psychiatry at Icahn Mount Sinai

How soon can these innovations reach patients?

Dr. Balchandani: Our hope is that they will be designed with the intention of being tested in clinical trials immediately after development. We will also work with commercial partners to manufacture and deploy the inventions to patients as quickly as possible. We will create a “development lab” within the Center to facilitate this.

New Center for Engineering and Precision Medicine Paves the Way for Two Fields to Work More Closely Together

Shirley Ann Jackson, PhD, President of Rensselaer Polytechnic Institute, Eric Nestler, MD, PhD, Director of The Friedman Brain Institute, and Andrew Kimball, president of the New York City Economic Development Corporation, sign a ceremonial agreement at the launch of the Center for Engineering and Precision Medicine.

The Icahn School of Medicine at Mount Sinai and the Rensselaer Polytechnic Institute on May 12 announced the opening of the Center for Engineering and Precision Medicine (CEPM), forming a new venture to bridge engineering and biomedical science expertise between the two organizations.

The center, located at 619 West 54th Street in Manhattan, focuses on three research areas—neuroengineering, immunoengineering, and regenerative and reparative medicine. Its footprint includes spaces for wet and dry laboratories, as well as offices for faculty and researchers.

In addition to research, CEPM will develop a joint PhD in engineering and precision medicine, and ultimately master’s degrees and certificate programs. Enrollment could occur as early as the fall of 2023, said Jonathan Dordick, PhD, Institute Professor of Chemical and Biological Engineering at Rensselaer and Co-Director of the Center.

The Center is the latest development borne from a partnership between Mount Sinai and Rensselaer—dating to 2013—that has secured more than $70 million in shared research funding. Milestone achievements have included an artificial pancreas system developed by the two institutions and a number of advances in improving treatment and health infrastructure during the COVID-19 pandemic.

“We identified that there was a need in New York City and the state for such a collaboration to be the foundation of a new path of innovation between engineering and precision medicine,” said Priti Balchandani, PhD, Professor of Diagnostic, Molecular and Interventional Radiology, Neuroscience, and Psychiatry at Icahn Mount Sinai and Co-Director of the Center.

FAST FACTS

  • Project planned since: 2018
  • Footprint: 14,000 usable square feet
  • Faculty size: Mount Sinai and Rensselaer jointly hope to recruit 20 faculty members within five years for the center
  • Planned academic programs: PhD in Engineering and Precision Medicine jointly awarded by Mount Sinai and Rensselaer, master’s programs, and certificate programs in entrepreneurship and other areas relevant to advanced education at the interface of medicine and engineering.

The creation of the Center sets the stage for engineers to consider the needs of biomedical researchers to develop tools, systems, and infrastructure needed to address unanswered questions, Dr. Dordick said. “As a field, we’ve been asking how engineering can play a closer role at each stage of development in biomedical science from bench to bedside.”

Read a Q&A from the leaders of the new Center on how bridging engineering and precision medicine can benefit patients

The Center will also serve as a hub for industry partners and collaborators. Its “Development Labs” will be working with Mount Sinai Innovation Partners, the team focused on commercializing innovations from Mount Sinai Health System, on technology transfers with industry partners, as well as fostering the creation of startups, Dr. Balchandani said.

“This partnership with Rensselaer is truly a first where not only are two organizations coming together for research and academic excellence,” she noted, “it is also creating a partnership that will augment translational work in the city.”

Mount Sinai is also growing its presence in the area by building laboratory spaces in a facility on 11th Avenue, adjacent to the Center, for the Mount Sinai West campus.

“Ultimately, the goal is to develop new innovations that will benefit patients,” Dr. Dordick said. “The work at the Center cannot start soon enough.”

Voices From the Class of 2022 at Icahn Mount Sinai’s Commencement

After two years of remote instruction and Zoom meetings, students graduating from the Icahn School of Medicine at Mount Sinai celebrated their big day in person. The ceremony was held at Carnegie Hall on May 11, and the energy was palpable—masks could not hide the glee that shone through smiling eyes, and family and friends beamed with pride watching the graduates walk and be hooded by faculty and mentors.

Learn about what some graduates from the class of 2022 had to say about their commencement being in person, and what their journey had been like as a student at Mount Sinai and in New York City.

Ayan Hussein, PhD, Neuroscience

Next steps: Weill Cornell Medicine, postdoctoral fellow

“This is a monumental day for me and my family. The vibrant, robust scientific culture at Mount Sinai was influential in shaping and steering me through my research. Even though conducting research during the pandemic was challenging, it helped me cope and escape from the harshness of the pandemic.”

Nick Upright, PhD, Neuroscience

Next steps: deciding between four postdoctoral programs in Neuroscience

“It’s surreal having spent six years in a PhD program. There were definitely some lowlights, such as failed experiments and imposter syndrome. But there were just as many highlights. I’ve never had as much excitement defending my thesis, and I’ll always remember that—and the support my friends, faculty mentors, and family gave me at every step of the way. All the help I received throughout my PhD truly allowed me to become the best researcher I could be.”

Allison Kann, PhD, Biomedical Science

Next steps: Harvard University, postdoctoral fellow

“I’m so grateful to be done after six long years, and celebrating with friends and family is a really nice way to wrap things up. Seeing everybody here has reminded me how much we’ve relied on each other throughout our PhDs, and finishing the program during a pandemic has just increased that sense of community. I think we’ve all had to be much more resilient than we give ourselves credit for.”

Sayeeda Chowdhury, MD, MPH

Next steps: Institute for Family Health/Mount Sinai, residency in Family Medicine

“I feel a sense of relief and also gratefulness toward my family, friends and faculty. I lost my father to Covid, and I grew up in Queens, which had a huge battle with the pandemic. I’m grateful because I now have a clearer sense of my place and how I can play a bigger role in helping my community. This program has given me a clear purpose.”

Eziwoma Alibo, MD/PhD

Next steps: Mount Sinai, residency in Surgery

“I’m riding high, and while I’m excited, I know today could have been better for me. My parents couldn’t make it, they are in Nigeria and there were visa and COVID issues, but I have my sister and so many other friends and family here for me. I will say: an MD/PhD program is really hard! There were so many times I wondered if I could do it. But what was really special was the type of people who came to Mount Sinai. They were talented, caring, and we all helped each other through our low times. They were a family we created, and I’ll forever treasure them.”

Gabriela Frid, MD

Next steps: Columbia University, residency in OB-GYN

“Like others, a challenge I struggled with during medical school was imposter syndrome. When I got something wrong, I would wonder if it was because of my lack of ability. But my friends believed in me and supported me, as well as my OB-GYN adviser. New York City and Mount Sinai have been the best place for me to train and learn about who I am and want to be.”

Axel Epié, MD

Next steps: Mount Sinai, residency in Emergency Medicine

“I’m ecstatic. It’s been an amazing journey. While I expected to make sacrifices to be on this path, my colleagues helped me find a way to pursue a work-life balance that I did not think was possible. I thought to be in this field meant having to give up some of the things I had worked on outside of my work life, but thanks to the support of colleagues and friends, I’m sure this balance will no doubt help me become a better doctor.”

Evan Garden, MD

Next steps: Mount Sinai, residency in Urology

“The saying ‘It takes a village’ really applied here to my time at Mount Sinai. Studies were hard but my friends and family showed up for me in many ways. I will always remember how my mom and dad dropped off dinner and made sure I was fed when I got too busy, or how my family and friends checked in on me during the pandemic when we were isolated. It has also made me appreciate the importance of teamwork in medicine. I thought being a doctor was about an individual’s heroic effort, but I learned it was so much about being in a team, with different specialties coming together at all levels.”

Stephanie Jeong, MD

Next steps: Mount Sinai, residency in Internal Medicine

“There were so many great people I met at Mount Sinai and everyone really helped and supported each other here. For example, I remember during the early months of the COVID-19 pandemic, many of my classmates and I regularly checked in with each other, sent care packages to support each other, and kept each other accountable through board exam study sessions on Zoom. There are many hospitals where you can receive excellent medical training, but the program at Mount Sinai is unique among those, especially having played an essential role at the forefront of the pandemic in New York.”

Stephanie Hojsak, MD

Next steps: Mount Sinai, residency in Anesthesiology

“This had been a perfect end. My time in the school had been punctuated by indecision on my specialty. But with the help of my advisers, I feel confident in having found a place where I belong. Being in New York City during the pandemic was a jump start to my career and I was exposed to a level of training that was crucial not just clinically, but also for my empathy for patients.”

Medical Student Takes Detour to Understand the Potential of Artificial Intelligence

Interrupting your fourth-year medical studies is a bold decision. But that’s what Gabriel Marx did, immersing himself in the world of artificial intelligence (AI) through the Master of Science in Biomedical Data Science (MSBDS) program at the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai.

Mr. Marx is working with Mount Sinai’s Neuropathology Brain Bank and Research CoRE and the Crary Lab on AI-based computer vision algorithms that use digitized brain slides to enhance understanding of neurodegenerative disease and aging. For his master’s thesis, he created a novel model that predicts a person’s age based on a post-mortem slide section of the individual’s hippocampus, an area of the brain important for memory yet vulnerable to the effects of aging and Alzheimer’s disease. John F. Crary, MD, PhD, is Director of the Neuropathology Brain Bank and Research CoRE, and Professor of Pathology, Molecular and Cell-Based Medicine; and Neuroscience.

“I envision myself becoming an ambassador between the clinical side and the engineers and technicians who are on the development side, or even developing tools myself. Either way, my goal is to be on the forefront of harnessing AI for the benefit of dementia patients.”

Mr. Marx then applied this model on a cohort of deceased professional athletes with confirmed chronic traumatic encephalopathy, a neurodegenerative disease caused by repetitive concussions. He found that these athletes’ brains exhibited marked accelerating aging. “These athletes who passed away in their 60’s had brains that looked like they belonged to a 90-year- old,” he says. “This is some of the first quantitative evidence that repeated concussions can cause your brain to age faster.”

In continuing his research, Mr. Marx plans to use this model to discover genes and other environmental factors that either accelerate or protect against the effects of aging in the brain. Mr. Marx is also working with Mount Sinai researchers on a project that uses sophisticated AI models to look at digitized slides and determine the areas of the brain that are most predictive of cognitive impairment. Areas of interest include white matter and the vasculature. “The whole scientific community is still in a place of discovery regarding dementia and neurodegenerative disease,” he says. “Tools like these can form the foundation for effective treatments by advancing our understanding of what is going on in the brain.”

After earning his MSBDS, anticipated in spring 2022, Mr. Marx will return to the medical school where he is pursuing his MD.

Mr. Marx intends to specialize in cognitive impairment and neurological disease and sees AI playing a key role in his efforts to advance therapeutic treatment. “I envision myself becoming an ambassador between the clinical side and the engineers and technicians who are on the development side, or even developing tools myself,” he says. “Either way, my goal is to be on the forefront of harnessing AI for the benefit of dementia patients.”

Briana Bell Came to Mount Sinai for a Master of Public Health (MPH) and Discovered a World of Research Opportunities

Briana Bell planned to explore the knowledge and attitudes about mental health among farm workers and lower-caste members in India as her Applied Practice Experience project when she enrolled in the epidemiology track of the Master of Public Health (MPH) program at the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai—until the COVID-19 pandemic made that impossible.

When the pandemic also shut down her plans for another project to conduct health fairs for documented and undocumented individuals on both sides of the border in Nogales, Arizona, she began to wonder, “Would I ever be able to do research again?”

But Ms. Bell discovered other research opportunities in New York City, some that could make an impact during the pandemic. First, she connected with Contra COVID, an organization that is providing Latinx and immigrant families with information, health, and social resources. Passionate about its mission, she joined the workshop committee and began designing mental health workshops and delivering supporting booklets.

“I was also drawn [to Mount Sinai] by the extensive research experience of the program’s directors…their expertise and mentorship have been very beneficial for me.’’

She soon began pitching the successful workshops to other nonprofits, resulting in partnerships with the National Alliance on Mental Illness (New York City Metro), Ventanilla de Salud through the Mexican Consulate, Immigrant Health & Cancer Disparities at Memorial Sloan Kettering Cancer Center, and Pesquisa, a community of physicians and organizations based in the South Bronx.

During her studies, Ms. Bell also completed a research project for the Seaver Autism Center for Research and Treatment at Icahn Mount Sinai. Her preliminary findings—that most adults with autism could live independently but there are few interventions in place to support them—will be included in a manuscript Ms. Bell is preparing. “It is imperative we find solutions so that individuals with autism can function on their own without high insurance or out-of-pocket costs for daily needs,” she says, as she continues her research.

“The opportunity to write a manuscript was one reason I chose Mount Sinai,” she explains. “Many programs do not offer that. I was also drawn by the extensive research experience of the program’s instructors. Most have worked at the Department of Health or the Centers for Disease Control and Prevention, and their expertise and mentorship have been very beneficial for me.”

Nils Hennig, MD, PhD, MPH, Director of Mount Sinai’s Graduate Program in Public Health, says, “Briana represents the best of our program and our students: a strong commitment to research and to serving the community. A small group of thoughtful, committed people can change the world.”

Ms. Bell received her MPH in 2021. Now, Ms. Bell is working for NYU Langone Health, conducting intervention-based clinical research, and she is looking at growing Contra COVID, which she co-leads, into a 501(c)(3) not-for-profit organization. She is interested in applying her epidemiology expertise in other ways. “My goal is to take my experience with Contra COVID to start a similar program in the next 10 years overseas,” she says. “Prayerfully, I will get there.”

Aleta Murphy, MSBS: How a Brother With Autism Started a Mount Sinai Graduate Student on a Scientific Journey

Watching her younger brother, Patrick, grow up with autism, Aleta Murphy saw how much support he needed. “I became interested in how broad this diagnosis is and how autism can be associated with different genetic influences,” she recalls. “I decided to explore those influences and how they manifest as different neuropsychiatric disorders.”

That interest led Ms. Murphy to the Master of Science in Biomedical Science Program at the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai. “Mount Sinai appealed to me because of the strong focus on biology as it relates to human diseases and medicine,” she says. In particular, Ms. Murphy was intrigued by the fact that the graduate school is part of a medical institution that facilitates research on human induced pluripotent stem cell modeling, which she wanted to explore.

Ms. Murphy was drawn to the lab of Kristen Brennand, PhD, which is using stem cell modeling to identify novel insights into the molecular and cellular phenotypes of mental illness. An Adjunct Professor of Neuroscience, and Genetics and Genomic Sciences, Dr. Brennand is also a Professor of Psychiatry at Yale University.

“Mount Sinai appealed to me because of the strong focus on biology as it relates to human diseases and medicine.”

For her thesis project, Ms. Murphy explored the impacts of deletions in neurexin 1, a gene associated with neuropsychiatric disorders. Using stem cells donated by a control group and two patient groups with different deletions in neurexin 1, she grew two different brain organoid types modeled after the dorsal and ventral forebrain.

She found that the organoids grown from the control group were initially larger than those of the patient groups, but the patient group organoids became larger than those of the control group within 40 to 80 days. This, she says, was suggestive of differences in the rate of cell proliferation and maturation in early brain development between the patient groups and the control group.

Separately, Ms. Murphy found differences in the expression of the Ki-67 protein in neural rosettes of the organoids—areas that model the ventricular and subventricular zones of the brain, which contain progenitor cells. Ki-67 is a marker for cell proliferation. One patient group had significantly higher Ki-67 expression in the dorsal forebrain organoids, but both patient groups had significantly less Ki-67 expression in the ventral forebrain organoids than the control group. Again, the results implicate differences in rates of neurogenesis.

“Taken together, these findings suggest that distinct cell types might be affected differently by the gene deletion,” she explains. “That means that the type of cells or the region of the brain you target for treatment would differ from patient to patient.”

Her findings, which could eventually lead to therapeutic targets for neuropsychiatric disorders, earned Ms. Murphy a Master of Science in Biomedical Science Award for Scientific Excellence from the graduate school. “That was amazing because I had some self-doubt at the beginning of the program,” she says. “Winning this award, I felt like all my hard work was validated.”

Ms. Murphy graduated from the program in 2021 and is continuing this line of research at Mount Sinai in the neuroscience PhD program. While she has always been interested in basic research, Ms. Murphy will also explore a career in academia or science policy related to autism education and treatment.

“Having the intersectional knowledge of being a scientist and having a family member with autism, I want to synthesize my experiences to help guide future decisions about how state services are structured to provide care for people with autism, especially in times of a pandemic like COVID-19,” she says.

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