Live from Stage 4 | Episode # 8| 12/09/2025 | Interview

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Guests

NA ZHAO, PH.D.

Assistant Professor, Lester & Sue Smith Breast Center, Baylor College of Medicine

Research Vision & Innovation

Aberrant gene expression is a hallmark of cancer, yet mRNA abundance explains <50 % of the variation in protein output. This gap underscores selective mRNA translation as a fundamental yet under-explored layer of oncogenic regulation. My long-term program tackles two questions:

(1) How do breast tumors rewire translational machinery to drive progression and evade immunity

(2) How can we therapeutically exploit these translation-centric vulnerabilities?

My approach: Leveraging ribosome profiling, spatial-omics, immunocompetent mouse mammary tumor models, and patient samples, my lab maps translation dependencies across every stage of tumor evolution to nominate actionable targets. This effort is powered by an NCI K22 Award and a Susan G. Komen Career Catalyst Research grant

Career updates after the recording of this episode

  • Baylor is working to transition Dr. Zhao into a tenure-track assistant professor position.

  • BCM (Baylor College of Medicine) is experiencing serious financial challenges, resulting in limited startup support for Na.

  • Despite these challenges, Na remains optimistic due to several grants from foundations such as Komen and Mary Kay Ash, and hopes her NIH career grant will be activated.

  • Na is confident she can make progress in her new role.

  • The CPR clinical trial grant was recently funded, enabling a phase one trial in metastatic triple negative breast cancer patients.

Quick Summary

In this episode we get urgent and personal: with deep cuts to NIH and NCI funding threatening labs, jobs, and future treatments, what happens to science — and to patients — when the pipeline is squeezed?

To make that real, we’re talking with Na Zhao, a research assistant professor at Baylor College of Medicine. We follow Na’s experience as she navigates a pivotal moment in her research career. Facing institutional financial challenges and limited startup support, Na remains undeterred, leveraging multiple foundation grants and the potential activation of her NIH career grant to continue her groundbreaking work.

Through resilience and determination, Na exemplifies the spirit of scientific progress in the face of adversity, offering hope for the future of cancer research and patient care.


This episode drops on the first day of the San Antonio Breast Cancer Symposium, where thousands including Dr. Zhao gather to share breakthroughs even as funding uncertainty looms. In this episode, we dive deep into the real-world impact of research funding cuts on scientists, patients, and the future of cancer care.
Wee’ll explore the struggles junior scientists face, the importance of advocacy, and why supporting research is crucial for everyone touched by cancer.
Whether you’re a patient, advocate, or simply passionate about science, this conversation will open your eyes to the human stories behind the headlines—and remind us all why the fight for research funding matters.
Let’s get started.

Key Takeaways

  1. Personal Motivation and Background:

    • The guest, Dr. Zhao, became a scientist due to a strong family history of breast cancer, losing her mother and aunt to the disease. Her personal experiences drive her passion for research, especially in metastatic breast cancer.

  2. Challenges in Academic Careers:

    • Securing a faculty position in academia is highly competitive and can take years, especially for junior scientists. Even after receiving a job offer and a grant, Na’s opportunity was lost due to institutional funding uncertainties.

  3. Impact of NIH Funding Cuts:

    • Proposed cuts to NIH (National Institutes of Health) and changes to indirect cost funding have a cascading negative effect on research institutions’ ability to hire and support junior scientists.

    • Indirect costs are crucial for providing startup packages and bridge funding for researchers between grants. Without these, institutions are less able to hire or retain talent.

  4. Broader Consequences for Science:

    • The reduction in available faculty positions and research funding leads to a “brain drain,” with talented scientists considering leaving the country or academia altogether.

    • Graduate students and undergraduates are also affected, struggling to find labs and opportunities, which threatens the future pipeline of researchers.

  5. The Role of Federal Funding:

    • Most early-stage, high-risk, and innovative research is funded by government grants, not by pharmaceutical companies or startups. Without federal support, many promising therapies would never reach patients.

  6. Research Focus and Progress:

    • Na’s research targets triple-negative breast cancer, exploring novel therapies that inhibit protein synthesis in tumor cells, showing promising results in preclinical models.

    • Despite scientific progress, lack of resources limits the ability to pursue deeper investigations and prepare for clinical translation.

  7. Optimism and Resilience:

    • Despite setbacks, Na and her colleagues remain optimistic, supported by mentors and the scientific community. There is hope that advocacy and public awareness can influence policy and restore funding.

  8. Importance of Advocacy:

    • Patient advocates and the broader public play a crucial role in communicating the importance of science and research funding to policymakers.

    • Scientists urge advocates to make their voices heard and emphasize that investment in research benefits everyone.

  9. Alternative Funding Sources:

    • Nonprofit organizations provide some support, but their grants are smaller and cannot replace federal funding.

  10. Encouragement for Future Scientists:

    • Despite the challenges, Na encourages young people (including her own children) to pursue science, highlighting the fulfillment and impact that comes from discovery and helping others.

  11. Progress in Cancer Treatment:

    • Advances in research have already turned some forms of breast cancer into manageable chronic diseases, and there is hope for continued progress, though a complete cure remains elusive.

  12. Overall Message:
    The episode is a powerful discussion about the personal and systemic challenges facing cancer researchers, especially in the context of funding cuts. It highlights the essential role of federal support, the resilience of scientists, and the importance of advocacy to ensure continued progress in cancer research and treatment.

    If you’d like a more concise summary or a version tailored for a specific audience (e.g., patient advocates, policymakers), let me know!

More on Na’s Article in Nature Magazine

Read it here.

Summary

Na recounts how a newly accepted tenure-track job offer was rescinded due to university budget shifts and federal funding uncertainty, upending plans already strained by dual-career and family responsibilities. After a long, difficult job-search and grant-writing process, the loss forced her to confront practical dilemmas (spousal employment, childcare, startup funding) and emotional responses. Despite uncertainty about activating an NIH K award or securing a lab, she resolves to continue doing science, care for their family, and persistently pursue grants and opportunities as an act of resilience.

Main takeaways

- Academic career progress can reverse suddenly due to institutional budget decisions and shifting federal policy.

- Funding requirements (external grants) and university indirect-cost concerns heavily shape hiring outcomes.

- Dual-career and parenting realities add major practical constraints to academic moves and decisions.

- Even a fundable grant may be unusable without sufficient institutional startup support.

- Emotional tolls include anxiety, sleeplessness, and the need to balance career ambition with family commitments.

- Perspective helps: larger tragedies reframe personal setbacks and can foster acceptance.

- Practical resilience = continue doing the work (research, grant writing) and seeking options while managing family duties.

- Outcomes remain uncertain, but persistence, flexibility, and incremental efforts matter.

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More on Na’s Research

Imagine a factory where DNA is the instruction book, mRNA are the blueprints, and proteins are the finished products that keep a cell working. In some aggressive breast cancers called triple-negative breast cancer (TNBC), that factory goes haywire — not just at the blueprint stage, but in the step that turns blueprints into products. We studied a drug called zotatifin that interferes with a key “starter” protein the cell uses to make other proteins.

When zotatifin slows that starter, two things happen. First, the cancer cells stop making proteins they need to grow. Second — and unexpectedly — the cells start to sound an alarm from inside: they build up double‑stranded RNA, which the cell mistakes for a viral infection. That triggers a strong antiviral response, releasing interferon‑beta and switching on many immune‑related genes. In plain terms, the tumor begins to call the immune system for backup.

In mouse studies, combining zotatifin with the chemotherapy drug carboplatin worked much better than either drug alone — and the immune alarm was a big part of why. Blocking that interferon signal made the combo less effective, showing the immune response matters. In patient‑derived tumor models, some cancers completely disappeared, others shrank, and tumors that already had higher interferon activity responded best. That suggests we might be able to predict who will benefit.

Bottom line: zotatifin not only blocks cancer cells’ protein production but also flips a switch that helps the immune system attack the tumor. That dual action — plus a possible biomarker to pick patients — makes this a promising approach to test with chemotherapy in future trials.

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