MIT and Microsoft develop AI system CleaveNet to design sensors for early cancer detection

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Researchers from MIT and Microsoft created CleaveNet, an AI model that designs peptide-based molecular sensors to detect cancer in its earliest stages. The system generates peptides targeted by cancer-linked proteases, enabling diagnosis through a simple urine test that could be performed at home.

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AI Transforms Cancer Detection with Molecular Sensors

Researchers from MIT and Microsoft have developed CleaveNet, an artificial intelligence system that designs molecular sensors capable of detecting cancer in its earliest stages. The breakthrough, published in Nature Communications, addresses a critical challenge in oncology: identifying tumors when they are small and most treatable. Sangeeta Bhatia, the John and Dorothy Wilson Professor of Health Sciences and Technology at MIT and member of the Koch Institute for Integrative Cancer Research, leads the research alongside Ava Amini, a principal researcher at Microsoft Research. The team's approach centers on using AI-generated sensors that target cancer-linked proteases, enzymes that become overactive in malignant cells

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The innovation builds on more than a decade of work exploring protease activity as a biomarker for early cancer detection. The human genome encodes approximately 600 proteases, which function as enzymes that cut through structural proteins like collagen. In cancer cells, these proteases help tumors escape their original locations by breaking down the extracellular matrix that normally anchors cells in place. By coating nanoparticles with specially designed peptides that can be cleaved by specific proteases, the researchers created sensors that travel through the body and release detectable signals when they encounter cancerous activity

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From Trial-and-Error to AI-Driven Peptide Design

Previous research demonstrated diagnostic sensors for lung, ovarian, and colon cancers, but relied on a trial-and-error process to identify suitable peptides. This traditional approach had limitations: most identified peptides could be cleaved by multiple proteases, making it difficult to attribute signals to specific enzymes. While multiplexed arrays of different peptides produced distinctive signatures in animal models, the precise identity of responsible proteases remained unclear. CleaveNet changes this dynamic by enabling researchers to design peptide sequences that are cleaved efficiently and specifically by target proteases of interest

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The AI system allows users to input design criteria, and CleaveNet generates candidate peptides matching those specifications. This capability enables fine-tuning of both efficiency and specificity, directly improving diagnostic power. "If we know that a particular protease is really key to a certain cancer, and we can optimize the sensor to be highly sensitive and specific to that protease, then that gives us a great diagnostic signal," explains Amini. The computational approach addresses an enormous challenge: for a peptide containing just 10 amino acids, there are approximately 10 trillion possible combinations. Using AI to navigate this vast space accelerates discovery while substantially reducing experimental costs

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Simple Urine Test Could Enable At-Home Screening

The practical application of this technology involves ingesting or inhaling nanoparticles coated with the AI-designed peptides. As these particles circulate through the body, they encounter proteases. When cancer-linked proteases are present, they cleave the peptides from the nanoparticles. These cleaved peptides are then secreted in urine, where they can be detected using a paper strip similar to a pregnancy test. "We're focused on ultra-sensitive detection in diseases like the early stages of cancer, when the tumor burden is small, or early on in recurrence after surgery," says Bhatia. The peptide cleavage process is enzymatic, which means it amplifies signals from deep within the body, making detection possible even when tumor burden is minimal

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Depending on which proteases are detected, physicians could diagnose the particular type of cancer present. This specificity represents a significant advance over previous methods. The potential for at-home testing could democratize access to early cancer screening, particularly for populations with limited healthcare access. The research team includes Carmen Martin-Alonso, a founding scientist at Amplifyer Bio, and Sarah Alamdari, a senior applied scientist at Microsoft Research, as lead authors. Their work demonstrates how protein language models can predict amino acid sequences optimized for specific diagnostic applications

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What This Means for Cancer Diagnostics

The development of CleaveNet represents a shift from reactive to proactive cancer detection strategies. By enabling ultra-sensitive detection when tumors are small, the technology could catch cancers at stages when treatment success rates are highest. The system's ability to identify specific cancer types through protease signatures also means more targeted treatment approaches from the outset. Short-term implications include potential clinical trials to validate the urine test in human populations, while longer-term prospects involve integration into routine screening protocols. The collaboration between MIT and Microsoft highlights how computational power and biological expertise converge to address complex medical challenges. Watch for developments in regulatory approval pathways and expansion to additional cancer types beyond lung, ovarian, and colon cancers already demonstrated in animal models.

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