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Alex Rubinsteyn

@alexr.bsky.social

personalized cancer immunotherapy = genomics + immunology + machine learning + oncology (pirl.unc.edu)

5,979 Followers  |  1,164 Following  |  1,476 Posts  |  Joined: 24.04.2023  |  2.031

Latest posts by alexr.bsky.social on Bluesky


I dunno, but itโ€™s the kind of hubris that kicked our butts in Hammer Lab

25.02.2026 15:44 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

โ€œSuppose it takes a year for the clinical trials to work before youโ€™re getting revenue from drugsโ€

LOL

25.02.2026 14:39 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Making myself finish the Dario/Dwarkesh podcast bc it feels important to hear a main character interview butโ€ฆitโ€™s surprisingly thin. Maybe Iโ€™m already too familiar with his essays and heโ€™s otherwise holding cards close?

25.02.2026 14:28 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 1

open-source the means of production

16.02.2026 12:45 โ€” ๐Ÿ‘ 2    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Starting to see cracks emerging all over the traditional models of drug development, clinical trials, treatment/delivery, โ€œreimbursementโ€.

Itโ€™s chaotic but generally patient agency seems to be increasing alongside rate of medical progress.

Like emerging from a long dark tunnel

15.02.2026 00:01 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Emotionally, going from CS to biomed is rough.

Everything is slower, hierarchical, bureaucratized, entrained in Byzantine incentive structures, pay is bad for important roles bc of a tax on passion, public comms obfuscates behind concern for patients, &c

15.02.2026 00:00 โ€” ๐Ÿ‘ 6    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Preview
A small polymerase ribozyme that can synthesize itself and its complementary strand The emergence of a chemical system capable of self-replication and evolution is a critical event in the origin of life. RNA polymerase ribozymes can replicate RNA, but their large size and structural ...

word of the day: eutectic ice

www.science.org/doi/10.1126/...

pubmed.ncbi.nlm.nih.gov/12448990/

12.02.2026 19:05 โ€” ๐Ÿ‘ 4    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 1
Post image

Trial was revised many times, some of which look deeply confounding

eg v6 to v7 changed trial from observational to interventional and from immunotherapy alone to immunochemotherapy

13.02.2026 01:06 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

@quaidmorris.bsky.social want to collab? We have a long read RNA variant extraction tool that gives me all differences from reference in long read single cell RNA seq.

I want to pull this apart into {somatic, germline, noise} by EM (alternating with cell clustering). Does this already exist?

12.02.2026 17:56 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Luckily/unluckily the trial looks very unsound

12.02.2026 15:23 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

If you want any kind of say in what kinds of social rules and norms get put around a new technology you have to at least understand what it is.

Like, cars had a hideously distorting effect on the urban fabric of most countries but thereโ€™s no way you to mitigate that outcome by denying they go fast

12.02.2026 15:17 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Like, agriculture was like this (read Against the Grain), creating both oppressive social hierarchy and ecological destruction. Pastoralism / animal husbandry was even more ecologically destructive. Mining, metallurgy, industrial manufacturing, fossil fuels, plastics, &c

12.02.2026 15:13 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Yes!

We live atop a big stack of very destructive and society-rearranging technologies which are also inseparable from our material culture and standards of comfort. I guess a new one can be hard to think clearly about but thereโ€™s so much precedent.

12.02.2026 15:10 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I donโ€™t understand why itโ€™s difficult though.

Like, you can just try out all the tools and see what theyโ€™re good at, then think a little bit about the consequences

The social direction will be hyper-oligarchy -because- the tools are useful. If someone canโ€™t see that itโ€™s very weird

12.02.2026 15:01 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Moralizing AI to the point of refusing to understand it seems like such a political miss.

Biggest realignment of capital / labor / social norms & institutions in a long timeโ€ฆ

12.02.2026 14:29 โ€” ๐Ÿ‘ 5    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I donโ€™t think thatโ€™s quite right though, my Max & Pro subscriptions are squarely opex, just not wages. Itโ€™s turning labor into SaaS opex (except for the handful of companies serving the models, who have to spend a Manhattan project on capex)

12.02.2026 14:24 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I think this will be a big unlock for us.

Working on: EM alternating estimation of cluster membership vs variant category assignment

12.02.2026 14:18 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

And, not just recycling cliches or circularly referencing a pile of claims based on that one time someone tried 4o and it was somehow immoral

Like, whoโ€™s got Codex running in six tabs but is also talking about the social trend lines or even organizing towards the coming challenges?

12.02.2026 01:54 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Is there an AI savvy corner of the lefty political milieu?

Like, obviously this stuff is going to accelerate oligarch-ification, is there anyone publicly thinking about social consequences who has a grounded understanding of the frontier and trajectory?

12.02.2026 01:47 โ€” ๐Ÿ‘ 6    ๐Ÿ” 0    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0

I still have trouble with Anthropic models hallucinating references sometimes, which I havenโ€™t seen in like a year from the o3 / ChatGPT Pro line of models

11.02.2026 14:31 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I left xAI today.

I will never forget the friends I made in the extracorporeal deputrification chamber.

A brief reset and then onwards! 2026 will be the year we finally convert all living biomass into a perfect sphere. ๐Ÿš€๐Ÿš€๐Ÿš€

11.02.2026 14:30 โ€” ๐Ÿ‘ 5    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Crushing

11.02.2026 13:56 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

For the purpose I want (skipping DNAseq) it wonโ€™t be sufficient but yeah conceptually you could still a subset and in a high TMB cancer use that to confidently split out tumor cells

11.02.2026 13:02 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

real

11.02.2026 13:01 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

You can get germline + somatic together from Exacto (my lab is making it), need to make something on top to deconvolve tumor from normal

11.02.2026 12:39 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Interesting, which model is this?

11.02.2026 04:24 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

(Expectation Maximization)

11.02.2026 03:11 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

No! A magic other thing

11.02.2026 01:27 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Just realized you donโ€™t need DNA to find almost all expressed somatic variants if you have long read scRNA

11.02.2026 01:04 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Codex kicking off large training jobs on Modal and I feel like I'm ascending into a Sci-Fi hallucination

10.02.2026 16:50 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

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