More than the sum of parts: deconstructing tissues in their spatial, temporal, and environmental contexts

The human body is composed of ~37,000,000,000,000 cells, exquisitely organized into tissues delivering emergent functions beyond individual cells’ capabilities (e.g., the brain’s seemingly-effortless computations, the liver’s wide-ranging chemical processing). In my PhD, I studied how healthy tissues arise from properties and interactions of constituent cells, and how disease outcomes stem from dysregulation of underlying cellular parts. 1) To study how cells’ spatial organization shapes tissue function, I created photochemistry tools to discover gradients in how immune cells combat cancer across a tumor’s core vs. periphery. 2) To then explore spatially-structured tissues, I turned to tuberculosis (TB) granulomas: just centimeters apart, the immune system can kill bacteria in one granuloma or permit years-long bacterial survival in another. Reconciling this paradox, I discovered that bacterial killing needs coordinated signaling across immune cells, but TB-permissive granulomas structurally remodel to inhibit TB spread at the expense of “walling out” immune cells. 3) Connecting disease to lifestyle exposures, I determined tobacco smoking increases TB risk via blood-to-lung migration of TB-permissive cells. 4) Intrigued by past stresses seeding future dysfunction, I studied similar themes in adaptations to high-fat diets, discovering tradeoffs where individual liver cells promote their own survival at the expense of reduced tissue function and increased cancer risk. Through these studies, I dissected tissues and diseases with unprecedented resolution via single-cell multi-omics and mechanistic perturbations, defining the parts, interactions, and causal regulators that underlie tissue (dys)function.

Name thesis:degree_name

Doctoral

Department dc:contributor.department

Harvard-MIT Program in Health Sciences and Technology

Grantor dc:publisher

Massachusetts Institute of Technology

Year dc:date.issued

2025

Author dc:creator

• Tzouanas, Constantine

Advisor dc:contributor.advisor

• Shalek, Alexander K.

Statement dc:rights

• In Copyright - Educational Use Permitted
• Copyright retained by author(s)

Licence dc:rights.uri

• https://rightsstatements.org/page/InC-EDU/1.0/

Handle dc:identifier.uri

https://hdl.handle.net/1721.1/158827

OAI identifier oai:identifier

oai:dspace.mit.edu:1721.1/158827