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 ↘
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.

Hagey Laboratory

Founder, Hagey Laboratory








Research with
translation in mind.

Discovery begins at the bench.
01The tumor microenvironmentConservation across organs and species
+

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 immunityReleasing the brakes on immune function
+

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 ↗03PancVaxTurning surgery into an opportunity for immunity
+

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 adhesionsInterrupting the signals that create scar tissue
+

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 ↗
05scTumor AtlasConnecting tumor identity to experimental models
+


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 biologyFinding vulnerabilities in rare tumors
+


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 PDACOrganizing immunity within pancreatic tumors
+

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 ↗Recent publications.
Selected 2025–2026 publications by members of our team, spanning discovery, clinical care, and research methods.
Predicting Targeted and Immunotherapeutic Response Outcomes in Melanoma With Single-Cell Raman Spectroscopy and Artificial Intelligence
Team authors include: James Agolia · Dan Delitto
doi: 10.1200/PO-25-00591Protocol to interrogate the role of creeping fat and mechanical tension in Crohn’s disease using a surgical mouse model of intestinal fibrosis
Team authors include: Deshka Foster · Dan Delitto
doi: 10.1016/j.xpro.2026.104613Protocol for orthotopic implantation of a collagen hydrogel to model pancreatic ductal adenocarcinoma in mice
doi: 10.1016/j.xpro.2025.104337A Translational Surgical Porcine Model for Postoperative Intra-Abdominal Adhesion Formation
doi: 10.3791/70377NFAT mediates pro-tumorigenic inflammation in cancer-associated fibroblasts in pancreatic ductal adenocarcinoma
doi: 10.1016/j.celrep.2025.116849More recent publications +
A Developmental Roadmap Toward Abdominal Adhesions Prevention Technologies
Team authors include: Deshka Foster · Dan Delitto
doi: 10.1097/AS9.0000000000000637Creeping fat-derived mechanosensitive fibroblasts drive intestinal fibrosis in Crohn’s disease strictures
Team authors include: Deshka Foster · Maria Korah · Dan Delitto
doi: 10.1016/j.cell.2025.08.029Therapy-Induced ECM Remodeling Creates a Transient Immune Barrier in Residual Melanoma
doi: 10.1002/advs.202508451Disruption of fibroblast MYD88 signaling promotes antitumor immunity in pancreatic ductal adenocarcinoma
doi: 10.1016/j.celrep.2025.116347Surgical Strategies for Tumors of the Pancreas and Duodenum
doi: 10.3390/cancers17183091Consideration of tumor genomics in the management of synchronous colorectal liver metastases
doi: 10.1016/j.sopen.2025.07.009Cancer-derived mitochondria fuel fibroblasts to become pro-tumorigenic
doi: 10.1038/s43018-025-01005-1Objectivity in the Residency Application Process—Reply
doi: 10.1001/jama.2025.4422Postoperative adhesions are abrogated by a sustained-release anti-JUN therapeutic in preclinical models
doi: 10.1126/scitranslmed.adp9957Preprints.
Early findings shared publicly before journal peer review.
A Pan-Cancer Single-Cell Atlas to Evaluate Tumor Identity, Cell Line Concordance, and Dependency Mapping
doi: 10.64898/2026.02.14.705396Multidimensional Single-Cell Transcriptomic Profiling of Uterine Leiomyosarcomas Reveals Distinct Tumor States with Inferred Therapeutic Vulnerabilities
doi: 10.1101/2025.11.17.688894T Cells Tear Apart Confining Extracellular Matrix Via a Breaststroke-like Motion to Generate Migration Paths
doi: 10.1101/2025.10.03.680352Meet 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.
Co-Principal Investigators

Daniel Delitto, MD, PhD, FACS
Co-Principal Investigator
Assistant Professor of Surgery
John and Marva Warnock Faculty Scholar

Deshka Foster, MD, PhD
Co-Principal Investigator
Assistant Professor of Surgery
Our team

Andrea Delitto, PhD
Senior Scientist

Maria Korah, MD, PhD
Surgery Resident

Rosyli Reveron-Thornton, MD
Surgery Resident

Chuner Guo, MD, PhD
Surgery Resident

James Agolia, MD
Surgery Resident

Peter Xie
Graduate Student, Mechanical Engineering

Victoria Sanchez, MD
Surgery Resident

Yongqi (Rosen) Wu
Life Science Research Professional

Rithanya Sivasubramanian
Pre-Medical Student

Biren Reddy
Medical Student

Rishik Bethi
Medical Student

Chia-Hsin (Cindy) Hsu, PhD
Postdoctoral Fellow

Nataly Montano
Medical Student
Angela Tabora
Life Science Research Professional
Alumni

Kathleen Sochan
Administrative Assistant

Mahsa Fallah, PhD
Postdoctoral Fellow

Amanda Erckenbrack
Life Science Research Professional
Collaborators

Laura Attardi, MD
Catharine and Howard Avery Professor of the School of Medicine and Professor of Genetics

Ovijit Chaudhuri, PhD
Associate Professor of Mechanical Engineering and, by courtesy, of Bioengineering

Michael Longaker, MD, MBA
Deane P. and Louise Mitchell Professor of Surgery

Derrick Wan, MD
Johnson and Johnson Distinguished Professor in Surgery

Amanda Kirane, MD, FACS
Assistant Professor of Surgery
John and Marva Warnock Faculty Scholar

Jeffrey Norton, MD
Robert L. and Mary Ellenburg Professor of Surgery

Byrne Lee, MD, FACS
Clinical Professor of Surgery

Kristen Ganjoo, MD
Professor of Oncology

Edgar Engleman, MD, PhD
Professor of Pathology and of Medicine

Olivia Martinez, PhD
Johnson and Johnson Professor of Surgery

George Poultsides, MD, MS
Professor of Surgery

Brendan Visser, MD
Professor of Surgery

Monica Dua, MD
Clinical Professor of Surgery

Lipika Goyal, MD
Professor and Chief of GI Medical Oncology

Michael Januszyk, MD, PhD
Clinical Instructor

Gillian Fell, MD, PhD
Collaborator

Jeong Hyun, MD
Collaborator

Greg Tiao, MD
Collaborator

James Dunn, MD, PhD
Collaborator

Eric Appel, PhD
Associate Professor of Materials Science and Engineering

Gerlinde Wernig, MD
Associate Professor of Pathology

Mahati Mokkarala, MD
Assistant Professor of Radiology
Recent developments.
Celebrating our team’s awards, research support, and scientific milestones.
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.
A shared Holman Day win
Maria Korah and Rosyli Reveron-Thornton tied for the Basic Podium award at Holman Day. Their presentations explored tumor states in uterine leiomyosarcoma and immune organization in cholangiocarcinoma.
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.
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.
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.
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 +
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.
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.
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.
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.
Life in the lab.
Sharing ideas, celebrating milestones, and making time for each other.














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