DELITTO · FOSTER LABORATORY

Fibrosis · Immunity · Cancer

New perspectives.
New possibilities
for patients.

Understanding the tumor microenvironment to advance cancer treatment—and training the next generation of surgeon scientists.

Explore our research ↘
Delitto · Foster team at AACR 2026
IN GOOD COMPANY Our team at AACR 2026, San Diego
Our shared purpose

From the biology of fibrosis
to the possibility of better care.

We bring surgical questions to the laboratory, combining single-cell and spatial biology, computational approaches, and therapeutic development to study cancer and tissue repair.

Questions that drive us

Research with
translation in mind.

James pipetting in the laboratory

Discovery begins at the bench.

01The tumor microenvironment

Conservation across organs and species

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Coming soon to Nature
Coming soon to Nature

What do the cells surrounding a tumor have in common across cancers? By integrating more than 15.4 million cells from 3,381 human and mouse samples across 42 cancer types, we identify conserved stromal and immune programs in response to malignancy. This work connects shared features of the tumor microenvironment to clinical outcomes and provides an atlas and software framework for exploring potential therapeutic targets.

Conservation of the Tumor Microenvironment across Organs and Species

Explore TME Atlas ↗

Cancer-associated fibroblasts with Dr. Deshka Foster

Stanford Surgery Scrubcast · Fibroblast biology and the surgeon scientist pathway.

Watch on YouTube ↗
02MyD88 & antitumor immunity

Releasing the brakes on immune function

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Fibroblast MYD88 signaling and antitumor immunity in pancreatic cancer. Graphical abstract, Korah et al., Cell Reports (2025).
Fibroblast MYD88 signaling and antitumor immunity in pancreatic cancer. Graphical abstract, Korah et al., Cell Reports (2025).

Our work identifies fibroblast MYD88 signaling as a driver of immune suppression in pancreatic cancer. In preclinical models, disrupting this pathway enhances antitumor immunity and can improve response to immune checkpoint blockade.

Damon Runyon Clinical Investigator Award ↗ · NIH R37 ↗

Read the Cell Reports study ↗
Read the original Cancer Research study ↗

Exploring surgery and cancer research with Dr. Dan Delitto

Stanford Surgery Scrubcast · Fibroblasts, cancer immunity, and discovery.

Watch on YouTube ↗
03PancVax

Turning surgery into an opportunity for immunity

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PancVax implantation strategy and outcomes in a preclinical model.
PancVax implantation strategy and outcomes in a preclinical model.

We are developing an implantable vaccine platform designed to target residual tumor and generate systemic antitumor immune responses around the time of surgery.

American Cancer Society Discovery Boost Grant ↗

Read the original PancVax gel study ↗

Watch Dr. Delitto discuss the ACS Discovery Boost Grant and intraoperative hydrogel vaccine ↗
04Postoperative adhesions

Interrupting the signals that create scar tissue

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Control and T-5224 hydrogel treatment.
Control and T-5224 hydrogel treatment. Foster et al., Science Translational Medicine (2025).

A locally applied hydrogel delivers sustained JUN inhibition to reduce postoperative adhesions. Published mouse and pig studies support continued development toward clinical translation, including prevention of recurrence after adhesiolysis.

2026 SSAT Career Development Award ↗ · Deshka Foster
American College of Surgeons Surgical Adhesions Improvement Grant ↗

Read the published study ↗
05scTumor Atlas

Connecting tumor identity to experimental models

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Samples and cells across cancer types.
Samples and cells across cancer types.
Integrated scTumor Atlas of malignant cells.
Integrated scTumor Atlas of malignant cells.

A single-cell reference spanning 36 cancer types benchmarks cancer cell lines against patient tumors and links transcriptional programs to predicted genetic dependencies.

Computational oncology

Read the bioRxiv preprint ↗
06Rare tumor biology

Finding vulnerabilities in rare tumors

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Spatial organization of tumor and microenvironment cell states.
Spatial organization of tumor and microenvironment cell states. From the supplied uterine leiomyosarcoma manuscript.
Predicted drug sensitivities across tumor cell states.
Predicted drug sensitivities across tumor cell states. From the supplied uterine leiomyosarcoma manuscript.

Single-cell and spatial transcriptomics reveal distinct tumor cell states. We relate these programs to clinical outcomes and use computational drug-response predictions to prioritize hypotheses for testing.

Single-cell & spatial transcriptomics

Read the bioRxiv preprint ↗

Tumor states and therapeutic vulnerabilities with Dr. Maria Korah

Holman Day 2026 · Uterine leiomyosarcoma drug sensitivities and clinical outcomes.

Watch on YouTube ↗
07Tertiary lymphoid structures in PDAC

Organizing immunity within pancreatic tumors

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TLS-permissive and TLS-restrictive stromal niches. Figure 2, Hsu et al., Nature Communications (2026). © The authors. Reproduced without changes under CC BY-NC-ND 4.0.
TLS-permissive and TLS-restrictive stromal niches. Figure 2, Hsu et al., Nature Communications (2026). © The authors. Reproduced without changes under CC BY-NC-ND 4.0.

Tertiary lymphoid structures bring immune cells together within and around tumors. Our work explores how cancer-associated fibroblasts, extracellular matrix, and blood and lymphatic vessels shape these niches in pancreatic ductal adenocarcinoma (PDAC) and other cancers. Some stromal programs support organized T and B cell responses, while others create barriers that restrict immune access. TLS presence alone does not guarantee effective antitumor immunity: location, organization, and the surrounding stromal context matter. This framework highlights selective stromal reprogramming as a potential strategy to support antitumor immune responses.

Nature Communications (2026)

Read the Nature Communications manuscript ↗

Lymphoid organization with Dr. Rosyli Reveron-Thornton

Holman Day 2026 · CXCL13, B cells, and fibroblasts in cholangiocarcinoma.

Watch on YouTube ↗
From questions to evidence

Recent publications.

Selected 2025–2026 publications by members of our team, spanning discovery, clinical care, and research methods.

More recent publications +
Work in progress

Preprints.

Early findings shared publicly before journal peer review.

Meet the lab

Different perspectives.
A common purpose.

Led jointly by co-principal investigators Dan Delitto and Deshka Foster, our team brings surgeons, scientists, and students together to connect discovery with clinical questions.

People

Co-Principal Investigators

Daniel Delitto, MD, PhD, FACS

Daniel Delitto, MD, PhD, FACS

Co-Principal Investigator
Assistant Professor of Surgery
John and Marva Warnock Faculty Scholar

Deshka Foster, MD, PhD

Deshka Foster, MD, PhD

Co-Principal Investigator
Assistant Professor of Surgery

People

Our team

Andrea Delitto, PhD

Andrea Delitto, PhD

Senior Scientist

Maria Korah, MD, PhD

Maria Korah, MD, PhD

Surgery Resident

Rosyli Reveron-Thornton, MD

Rosyli Reveron-Thornton, MD

Surgery Resident

Chuner Guo, MD, PhD

Chuner Guo, MD, PhD

Surgery Resident

James Agolia, MD

James Agolia, MD

Surgery Resident

Peter Xie

Peter Xie

Graduate Student, Mechanical Engineering

Victoria Sanchez, MD

Victoria Sanchez, MD

Surgery Resident

Yongqi (Rosen) Wu

Yongqi (Rosen) Wu

Life Science Research Professional

Rithanya Sivasubramanian

Rithanya Sivasubramanian

Pre-Medical Student

Biren Reddy

Biren Reddy

Medical Student

Rishik Bethi

Rishik Bethi

Medical Student

Chia-Hsin (Cindy) Hsu, PhD

Chia-Hsin (Cindy) Hsu, PhD

Postdoctoral Fellow

Nataly Montano

Nataly Montano

Medical Student

AT

Angela Tabora

Life Science Research Professional

People

Alumni

Kathleen Sochan

Kathleen Sochan

Administrative Assistant

Mahsa Fallah, PhD

Mahsa Fallah, PhD

Postdoctoral Fellow

Amanda Erckenbrack

Amanda Erckenbrack

Life Science Research Professional

Working together

Collaborators

Laura Attardi, MD

Laura Attardi, MD

Catharine and Howard Avery Professor of the School of Medicine and Professor of Genetics

Ovijit Chaudhuri, PhD

Ovijit Chaudhuri, PhD

Associate Professor of Mechanical Engineering and, by courtesy, of Bioengineering

Michael Longaker, MD, MBA

Michael Longaker, MD, MBA

Deane P. and Louise Mitchell Professor of Surgery

Derrick Wan, MD

Derrick Wan, MD

Johnson and Johnson Distinguished Professor in Surgery

Amanda Kirane, MD, FACS

Amanda Kirane, MD, FACS

Assistant Professor of Surgery
John and Marva Warnock Faculty Scholar

Jeffrey Norton, MD

Jeffrey Norton, MD

Robert L. and Mary Ellenburg Professor of Surgery

Byrne Lee, MD, FACS

Byrne Lee, MD, FACS

Clinical Professor of Surgery

Kristen Ganjoo, MD

Kristen Ganjoo, MD

Professor of Oncology

Edgar Engleman, MD, PhD

Edgar Engleman, MD, PhD

Professor of Pathology and of Medicine

Olivia Martinez, PhD

Olivia Martinez, PhD

Johnson and Johnson Professor of Surgery

George Poultsides, MD, MS

George Poultsides, MD, MS

Professor of Surgery

Brendan Visser, MD

Brendan Visser, MD

Professor of Surgery

Monica Dua, MD

Monica Dua, MD

Clinical Professor of Surgery

Lipika Goyal, MD

Lipika Goyal, MD

Professor and Chief of GI Medical Oncology

Michael Januszyk, MD, PhD

Michael Januszyk, MD, PhD

Clinical Instructor

Gillian Fell, MD, PhD

Gillian Fell, MD, PhD

Collaborator

Jeong Hyun, MD

Jeong Hyun, MD

Collaborator

Greg Tiao, MD

Greg Tiao, MD

Collaborator

James Dunn, MD, PhD

James Dunn, MD, PhD

Collaborator

Eric Appel, PhD

Eric Appel, PhD

Associate Professor of Materials Science and Engineering

Gerlinde Wernig, MD

Gerlinde Wernig, MD

Associate Professor of Pathology

Mahati Mokkarala, MD

Mahati Mokkarala, MD

Assistant Professor of Radiology

Momentum & milestones

Recent developments.

Celebrating our team’s awards, research support, and scientific milestones.

Recognition

Residents recognized for ABSITE performance

Victoria Sanchez, James Agolia, Maria Korah, and Rosyli Reveron-Thornton received ABSITE Outstanding Performance Awards at the 2026 Greco Grand Rounds.

Research funding

Foster receives SSAT Career Development Award

Deshka Foster received the Society for Surgery of the Alimentary Tract Career Development Award to study sustained JUN inhibition and prevention of abdominal adhesion reformation after surgical lysis.

Research funding

Delitto awarded NCI R37 MERIT Award

Dan Delitto received a highly prestigious NIH R37 MERIT grant from the National Cancer Institute to investigate reprogramming inflammatory fibroblasts to overcome therapeutic resistance in pancreatic cancer. The award offers up to seven years of funding: up to five years initially, with an opportunity for two additional years following review.

Research funding

Guo receives TRAM pilot grant

Chuner Guo received a Stanford TRAM pilot grant to study alarm signal-responsive cancer-associated fibroblasts and immune crosstalk in gastric cancer.

Research funding

Continued support from Damon Runyon

Dan Delitto received a Damon Runyon Clinical Investigator Award Continuation Grant, supporting further work at the intersection of pancreatic cancer, fibrosis, and antitumor immunity.

More awards & milestones +
Research award

Guo earns Resident Research Award

Chuner Guo received Stanford General Surgery’s Resident Research Award for a manuscript on NFAT-mediated inflammation in pancreatic cancer-associated fibroblasts. James Agolia was also recognized among the year’s ABSITE award recipients.

Lab milestone

Advancing spatial biology with G4X

Stanford Surgery highlighted Rosyli Reveron-Thornton and James Agolia’s completion of the Hagey Lab’s first independent G4X run, generating spatial transcriptomic data in cholangiocarcinoma.

Fellowship announcement

Agolia selected for 2025 TTE Fellowship Award

James Agolia was selected for the Transplant and Tissue Engineering Center of Excellence’s 2025 Fellowship Award to support research on uterine leiomyosarcoma with Dan Delitto. Stanford announced the selection in July 2024.

Mentorship award

Delitto receives George P. Yang Assistant Professor Award

Dan Delitto received the 2024 George P. Yang, MD Award, recognizing assistant professors for mentorship and contributions to the clinical and academic careers of Stanford surgical residents.

Beyond the experiments

Life in the lab.

Sharing ideas, celebrating milestones, and making time for each other.

Team at AACR 2025
AACR 2025 · Chicago
Team dinner in San Diego
Around the tableTeam dinner · AACR 2026, San Diego
Peter presenting a poster at AACR 2026
Poster presentations at AACR 2026
Maria and Rosyli at Holman 2026
Celebrating discoveryBest Translational Science Presentation, Holman 2026
Dan presenting Grand Rounds at Mass General Brigham
Taking the conversation furtherMGB Department of Surgery Grand Rounds
Biren presenting a poster at AACR 2026.
Poster presentations at AACR 2026
James presenting a poster at AACR 2026.
Poster presentations at AACR 2026
Chuner with a poster at AACR 2026.
Poster presentations at AACR 2026
Maria presenting a poster at AACR 2026.
Poster presentations at AACR 2026
Farewell dinner for Amanda
Farewell dinner for Amanda
Team dinner at AACR 2025 in Chicago.
Team dinner · AACR 2025, Chicago
Life in the lab with Maria and Chuner.
Korah Corner
Office education with Rosyli, Maria, and James.
Office education
Mahsa and Maria at AACR 2024 in San Diego.
AACR 2024 · San Diego
A closer look

Fibrosis and immunity
in pancreatic cancer.

Explore the science behind our work.

Watch on YouTube ↗

Cutting-edge approaches to fibrolamellar hepatocellular carcinoma

Dr. Delitto discusses emerging approaches with the FibroFighters Foundation.

Watch the FibroFighters Foundation discussion ↗

Start a conversation

Great questions
bring people together.

Interested in our research, collaboration, or training opportunities?

Dan Delitto and Deshka Foster · Co-Principal Investigators