Nicholas W Suek studies how to harness the power of the immune system to fight cancer and improve transplant success. He has developed a cutting-edge CRISPR platform that can modify T cells to better target cancer, achieving over 90% efficiency in removing their native receptors. Additionally, he explores ways to enhance the effectiveness of existing cancer treatments by activating different immune cells, particularly neutrophils, and optimizing strategies for organ transplants from pigs to humans, aiming to overcome immune rejection.
Key findings
Suek's CRISPR platform for T cell modification achieved over 90% removal efficiency of native receptors, leading to stronger tumor clearance in humanized mice models.
In clinical trials, patients with lower IL-10 levels and more neutrophils had better outcomes when treated with a combination of anti-CD40 antibody and IL-10 disruption.
In pig-to-human kidney transplants, a gene-modified pig kidney functioned for 61 days but faced rejection due to pre-existing T cells, providing critical insights for future xenotransplantation efforts.
Researchers identified specific T cell clones in kidney transplants that expanded significantly during rejection, which can help predict and prevent rejection early.
Activation of tumor-associated macrophages with the drug APR-246 improved T cell responses and enhanced the effectiveness of immunotherapy in early clinical trials.
Frequently asked questions
Does Dr. Suek study cancer treatment?
Yes, he focuses on immunotherapy and innovative techniques to enhance the immune response against cancer.
What is the significance of Dr. Suek's work in organ transplants?
His research aims to improve the success of transplanting pig organs into humans by understanding and overcoming immune rejection.
Has Dr. Suek conducted research on specific immune cells?
Yes, he studies various immune cells, including T cells and neutrophils, and their roles in fighting cancer and preventing organ rejection.
Khalil DN, Gomez R, Regev A, Samaan F, Marouf Y +32 more
Plain English This study found that combining an immune-activating antibody (anti-CD40) with a drug that blocks the suppressive signal IL-10 causes neutrophils—white blood cells not normally known for killing cancer—to directly destroy tumor cells through physical contact and degranulation. Data from two clinical trials confirmed that patients with lower IL-10 levels and more neutrophils fared better when treated with anti-CD40. This opens the possibility of boosting neutrophil numbers with G-CSF as a strategy to improve outcomes in anti-CD40-treated cancer patients.
A universal platform for simultaneous TCRα/β removal enables safer and more potent TCR therapies and autoimmune modeling.
2026
bioRxiv : the preprint server for biology
Zanetti G, Legut M, Chen A, Fathi F, Suek N +12 more
Plain English Scientists developed a CRISPR gene-editing method that removes both copies of a T cell's built-in receptor genes before inserting a new, cancer-targeting receptor, preventing the two types of receptors from interfering with each other. The engineered T cells showed stronger tumor killing and prevented graft-versus-host disease in mouse models, and the method also worked for T cells targeting insulin-producing cells relevant to type 1 diabetes research. This platform offers a safer and more effective approach to cell-based therapies for both cancer and autoimmune diseases.
Physiology and immunology of a pig-to-human decedent kidney xenotransplant.
2026
Nature
Montgomery RA, Stern JM, Fathi F, Suek N, Kim JI +48 more
Plain English A gene-edited pig kidney was transplanted into a brain-dead human and kept functioning for a planned 61-day study using only standard approved anti-rejection drugs. The kidney maintained stable electrolyte balance and eliminated the need for dialysis, but antibody-mediated rejection emerged on day 33 and was reversed with plasma exchange and complement inhibition. The study shows a minimally modified pig kidney can sustain human-equivalent kidney function and identifies pre-existing immune cells reactive to pig tissue as a key obstacle to long-term success.
Donor-reactive T cells and innate immune cells promote pig-to-human decedent xenograft rejection.
2025
Research square
Fathi F, Suek N, Vermette B, Breen K, Saad YS +14 more
Plain English This study tracked how donor-reactive immune cells behaved during a 61-day pig-to-human decedent kidney transplant. Specific T cell clones that attack pig tissue were detected expanding in blood and the organ, and innate immune cells also contributed to rejection. The findings clarify the combined immune barriers that must be overcome before pig-to-human transplants can succeed in living patients.
Coordinated circulating and tissue-based T cell responses precede xenograft rejection.
2025
bioRxiv : the preprint server for biology
Novikova E, Severa E, Chen H, Doepke E, Chacon F +24 more
Plain English Researchers transplanted a pig kidney-thymus combination into a deceased human and tracked the immune response over 61 days. T cells from the recipient infiltrated the organ and specific clones expanded in blood, tissue, and lymph nodes around rejection events. This reveals that T cell-driven rejection of pig organs in humans closely mirrors what happens with human-to-human transplants, informing how future immunosuppression strategies must be designed.
Immune cell profiling in intestinal transplantation.
2024
Human immunology
Suek N, Young T, Fu J
Plain English This review compiles decades of research on how different immune cell types behave after intestinal transplantation—the most immunologically complex solid organ transplant—and organizes findings around rejection, tolerance, and immune reconstitution. It introduces a framework centered on the bidirectional conflict where donor immune cells attack the host and host immune cells attack the graft simultaneously. The synthesis identifies gaps in current understanding and points toward more targeted immune monitoring and therapy strategies for intestinal transplant patients.
Multiplexed single-cell analysis reveals prognostic and nonprognostic T cell types in human colorectal cancer.
2022
JCI insight
Masuda K, Kornberg A, Miller J, Lin S, Suek N +16 more
Plain English Researchers analyzed nearly 38,000 T cells from colorectal cancer tumors and surrounding normal tissue across 16 patients, identifying distinct T cell subtypes with opposite effects on patient outcomes. One type of killer T cell was linked to better survival, while another killer T cell subtype and a specific subset of regulatory T cells marked by CD38 were associated with worse outcomes despite appearing reactive to the tumor. These findings provide new targets—CD38-expressing regulatory T cells in particular—for therapies aimed at improving survival in colorectal cancer.
Increased p53 expression induced by APR-246 reprograms tumor-associated macrophages to augment immune checkpoint blockade.
2022
The Journal of clinical investigation
Ghosh A, Michels J, Mezzadra R, Venkatesh D, Dong L +22 more
Plain English Researchers found that activating the tumor-suppressor protein p53 in tumor-associated macrophages—either with a drug called APR-246 or genetically in mice—switches those macrophages from a tumor-protecting state to one that supports immune attack. This reprogramming reduced suppressive macrophage activity and boosted T cell responses, improving the effectiveness of checkpoint inhibitor immunotherapy in preclinical models. Early data from a clinical trial combining APR-246 with the checkpoint drug pembrolizumab showed the same pattern in responding patients.
Cyclophosphamide enhances the antitumor potency of GITR engagement by increasing oligoclonal cytotoxic T cell fitness.
2021
JCI insight
Hirschhorn D, Betof Warner A, Maniyar R, Chow A, Mangarin LM +9 more
Plain English Researchers combined cyclophosphamide chemotherapy, which depletes suppressive regulatory T cells and triggers immune homeostasis, with an antibody that activates the immune co-stimulatory receptor GITR, testing the combination in aggressive mouse melanoma models. The combination controlled tumor growth where neither treatment alone was effective, by expanding a small, highly active population of tumor-killing CD8 T cells while eliminating regulatory T cells. These results support testing this chemotherapy-immunotherapy combination in clinical trials for patients who do not respond to checkpoint inhibitors.
Targeted APC Activation in Cancer Immunotherapy to Enhance the Abscopal Effect.
2019
Frontiers in immunology
Suek N, Campesato LF, Merghoub T, Khalil DN
Plain English This review explains the abscopal effect—when treating one tumor causes distant untreated tumors to shrink—and argues that therapies targeting immune cells called antigen-presenting cells (APCs) are a key lever for reliably triggering it. Two APC-activating agents, TLR9 agonists and CD40 agonists, are highlighted as clinically tested approaches that can prime the immune system to attack tumors beyond the treatment site. The review provides a rationale for using these agents, particularly in combination with other immunotherapies, to turn local tumor treatment into a systemic immune response.
Light-based control of metabolic flux through assembly of synthetic organelles.
2019
Nature chemical biology
Zhao EM, Suek N, Wilson MZ, Dine E, Pannucci NL +3 more
Plain English Scientists engineered yeast cells to use light as an on/off switch for clustering metabolic enzymes into temporary synthetic compartments, allowing precise control over which chemical products are made and in what quantities. Switching the enzyme clusters on with light increased production of the target compound six-fold and improved product purity 18-fold by reducing unwanted side reactions. This optogenetic compartmentalization strategy offers a general tool for metabolic engineers to tune living cell factories with minimal wasted output.
In situ vaccination with defined factors overcomes T cell exhaustion in distant tumors.
2019
The Journal of clinical investigation
Khalil DN, Suek N, Campesato LF, Budhu S, Redmond D +16 more
Plain English Researchers injected a combination of two immune activators—a CD40 agonist and a TLR4 agonist—directly into one tumor and found it eliminated not just that tumor but also untreated distant tumors in multiple cancer mouse models. The treatment worked by reversing T cell exhaustion locally and generating a systemic cancer-specific immune response, while sparing healthy lymph nodes and spleen. Patients with similar immune gene-expression patterns showed better outcomes on anti-PD-1 therapy, suggesting this approach could overcome resistance to checkpoint blockade in the clinic.
Computer simulation of architectural and molecular weight effects on the assembly of amphiphilic linear-dendritic block copolymers in solution.
2008
Langmuir : the ACS journal of surfaces and colloids
Suek NW, Lamm MH
Plain English Computer simulations were used to study how the structure and size of a special class of branched polymers affect their tendency to self-assemble into tiny particles called micelles in water. Increasing the branching complexity raised the concentration needed to form micelles, while adding more flexible spacers between branch points lowered it. These findings help predict how to design polymer architectures for controlled drug delivery or materials applications where particle formation at precise concentrations is important.