Sarah Aitken

@s-j-aitken.bsky.social

Clinician Scientist & Pathologist Assistant Professor, Yale School of Medicine • posts≠employer www.aitkenlab.org #GenomicPathology

Can dietary interventions change how fast genomes accumulate mutations with age? We studied how caloric restriction (CR)—one of the most robust lifespan-extending interventions—affects somatic mutations across the genome in different tissues and cell types in mice.

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How long does DNA damage last? @aaronquinlan.bsky.social and I found evidence that lesions are transmitted from parent (P0) to offspring (F1) in C. elegans. If they segregate unrepaired for multiple cell divisions, lesions generate multi-allelism in the F1 germline. www.biorxiv.org/content/10.6...

Inherited DNA damage generates multi-allelic mutations in C. elegans

Exogenous and endogenous mutagens generate a wide variety of DNA lesions, including bulky adducts, chemical modifications, and single- or double-stranded breaks. A phenomenon called “lesion segregation,” in which lesions evade repair and persist for multiple cell divisions, has recently been documented in tumors and healthy somatic tissues from mice and humans, respectively. Persistent lesions can generate multi-allelic variants (MAVs) by serving as templates for multiple rounds of error-prone replication. By reanalyzing data from a large C. elegans mutagenesis experiment, we observed robust evidence for MAVs at a small fraction (∼0.2%) of mutated sites in the offspring of strains treated with alkylating agents. Because these sequencing data were derived from the progeny of a single F1 animal — itself the offspring of a mutagenized P0 — all mutations should be biallelic. The presence of multi-allelic variation implies that some DNA lesions are transmitted to the F1 zygote, evade repair, and are repeatedly bypassed by error-prone polymerases during embryogenesis. We suspect that many more lesions are inherited than is suggested by MAV prevalence, and that a large fraction of biallelic mutations are also caused by inherited lesions. Our results demonstrate that DNA lesions serve as durable, transgenerational templates for mutagenesis in C. elegans . We speculate that lesion segregation in the early embryo may be a source of mosaicism and genetic diversity in humans, as well. ### Competing Interest Statement The authors have declared no competing interest. National Institutes of Health, https://ror.org/01cwqze88, R01HG012252

biorxiv.org

Check it now! 💫 Exited to share this preprint, the result of a fantastic collaboration between Sarah Aitken’s and Martin Taylor’s labs. During my secondment at @yalecancer.bsky.social @yalepathology.bsky.social, I contributed to explore how H&E images can be used to predict tumour genomics

Sarah Aitken@s-j-aitken.bsky.social · 2mo ago

🔬NEW PREPRINT🔬 Explainable machine learning relates histological to genomic pathology www.biorxiv.org/content/10.6... From John Connelly and Barbara Hernando @bhernando.bsky.social, co-led with Martin Taylor @mstaylor.bsky.social - along with others from #LCEConsortium #genomicPathology #ml #ai

It's fantastic to see this finally published! Huge credit to @s-j-aitken.bsky.social and @mstaylor.bsky.social for their determination and creativity on this project, which went in many unexpected directions (with many people along for the ride) and way beyond the initial experimental questions

Sarah Aitken@s-j-aitken.bsky.social · 2mo ago

🧬NEW PAPER🧬 To what extent is cancer development deterministic? Does the germline genome affect that predictability? Find out in our #StrainDifferences paper @nature.com "Genetic background sets the trajectory of experimental cancer evolution" www.nature.com/articles/s41... 🧵[1/14]

Thread from @s-j-aitken.bsky.social explaining our new paper that finds strong epistatic interactions between germline genetic background and somatic driver mutations that set the course of cancer development.

Sarah Aitken@s-j-aitken.bsky.social · 2mo ago

🧬NEW PAPER🧬 To what extent is cancer development deterministic? Does the germline genome affect that predictability? Find out in our #StrainDifferences paper @nature.com "Genetic background sets the trajectory of experimental cancer evolution" www.nature.com/articles/s41... 🧵[1/14]

I’m very grateful to be one of the 2026 Pew-Stewart Cancer Research scholars! Thanks to @pew.org and The Alexander and Margaret Stewart Trust for supporting, @yalecancer.bsky.social for nominating, and my lab, mentors, collaborators, letter writers, and reviewers for their confidence in our work.

Yale Cancer Center@yalecancer.bsky.social · 4mo ago

Congratulations to Sarah Aitken, MBChB, PhD, @s-j-aitken.bsky.social, named to the 2026 class of the Pew-Stewart Scholars Program for Cancer Research. medicine.yale.edu/news-article... @pewtrusts.bsky.social @yalepathology.bsky.social

Congratulations to Dr Klaske Schukken for her postdoc work on aneuploidy dependencies: three different approaches, dozens of genome wide CRISPR screens, and functionally validated results. Well done Klaske 🤩

bioRxivpreprint@biorxivpreprint.bsky.social · 5mo ago

Paired CRISPR screens identify mitochondrial metabolism and UBE2H as aneuploid-specific dependencies in human cancer cell lines https://www.biorxiv.org/content/10.64898/2026.04.26.720636v1

Tumor promotion through the lens of evolution This review grew out of many long conversations, shared ideas, and lively discussions It has been a real pleasure to think together with Allan, Paul, Eve, and Abel about how tumours develop and how carcinogens shape cancer risk rdcu.be/fdC2J

Tumour promotion through the lens of evolution

Nature - This Review revisits tumour initiation and promotion in light of clonal diversity and the presence of cancer driver mutations in normal tissues, aiming to understand mechanisms that enable...

rdcu.be

Excited to share our latest work in Nature. Applying single-molecule and single-cell DNA sequencing methods, we uncover an extraordinary landscape of somatic mutations in immune checkpoint genes in autoimmune B cells, suggesting that somatic mutations may be key to autoimmunity [1/n] rdcu.be/fdqbr

Polyclonal selection of immune checkpoint mutations in thyroid autoimmunity

Nature - Polyclonal selection of immune checkpoint mutations in thyroid autoimmunity

rdcu.be