Päivi Kristina Östling
About me
I specialize in precision cancer medicine at SciLifeLab and the Department of Oncology-Pathology at Karolinska Institutet (KI). My work focuse on individualized drug profiling and spatial mapping of bladder cancer, in collaboration with Anders Ullén (K and KI OnkPat), Charlotte Stadler (KTH and Spatial Biology unit SciLifeLab), as well as the Olli Kallioniemi research group (KI OnkPat). Since the pandemic, I have also been involved in drug repurposing for infectious diseases with the Remedi4All consortium. As co-lead of the PCM Program at KI, I aim to accelerate the implementation of precision cancer medicine (PCM) and foster cross-disciplinary exchange. I co-organize a national PCM course for MD-PhD students, showcasing SciLifeLab technologies, clinical examples, and early clinical trial concepts. This course emphasizes the importance of multidisciplinary teams in PCM research.
As the Scientific Lead of Precision Medicine at SciLifeLab, my role is to advance next-generation precision medicine infrastructure. I hold key positions in Swedish Life Science, including SWELife, Cancer Research KI, Karolinska Comprehensive Cancer Center Board, Genomic Medicine Sweden, and the PREDICT biobank. My extensive experience in research and strategic roles is invaluable for advancing precision medicine. Together with the Precision Medicine Team, I lead two major infrastructure projects: one on advancing clinical trials and the TEF-Health project, which supports Health AI providers across Europe.
Articles
- Journal article: ACTA ONCOLOGICA. 2026;65:375-378Welén K; Josefsson A; SPRINTR study group
- Article: PATTERNS. 2026;7(4):101453Kuzikov M; Kalman A; Karki R; Reinshagen J; Huchting J; Qian K; Axelsson H; Tampere M; Ostling P; Seashore-Ludlow B; Gadiya Y; Gribbon P; Zaliani A
- Article: NPJ PRECISION ONCOLOGY. 2026;10(1):117Struyf N; Gezelius H; Lundmark A; Barizza C; Ploeger H; Rico Pizarro L; Vesterlund M; Mermelekas G; Osterroos A; Bohlin A; Bengtzen S; Hamberg Levedahl K; Jafari R; Orre LM; Lehtio J; Ostling P; Seashore-Ludlow B; Nordlund J; Lehmann S; Kallioniemi O; Erkers T
- Article: NPJ PRECISION ONCOLOGY. 2026;10(1):116Nguyen T-H; Nguyen M-H; Nguyen H-N; Erkers T; Ostling P; Bohlin A; Osterroos A; Jafari R; Orre LM; Lehtio J; Lehmann S; Kallioniemi O; Pawitan Y; Vu TN
- Article: BIOMEDICINE & PHARMACOTHERAPY. 2025;191:118447Tampere M; H Le T; Asp E; Kalman A; Kaimal JM; Njenda D; Bäckström A; Axelsson U; Xu H; Ouyang W; Axelsson H; Marabita F; Moussaud-Lamodière E; Sepulveda CO; Seashore-Ludlow B; Vernersson C; Mirazimi A; Lundberg E; Östling P; Stadler C
- Article: MOLECULAR ONCOLOGY. 2025;19(9):2574-2593Gudoityte G; Sharma O; Leuenberger L; Wallin E; Fernebro J; Ostling P; Bergstroem R; Lindberg J; Joneborg U; Kallioniemi O; Seashore-Ludlow B
- Article: ESMO OPEN. 2025;10(8):105512Holmsten K; De Laere B; Sjodahl G; Lindberg J; Svedman FC; Ostling P; Eriksson P; Liedberg F; Ullen A
- Journal article: ELIFE. 2025;13Trac QT; Huang Y; Erkers T; Östling P; Bohlin A; Osterroos A; Vesterlund M; Jafari R; Siavelis I; Backvall H; Kiviluoto S; Orre L; Rantalainen M; Lehtiö J; Lehmann S; Kallioniemi O; Pawitan Y; Vu TN
- Journal article: CANCER RESEARCH. 2025;85(8):5300Panshikar P; Roberts EO; Krantz D; Ullman T; Sepulveda CO; Svedman F; Ostling P; Ullen A; Stadler C
- Journal article: BLOOD. 2024;144:1565Struyf N; Gezelius H; Lundmark A; Barizza C; Ploeger H; Pizarro LR; Uesterlund M; Mermelekas G; Osterroos A; Bohlin A; Bengtzen S; Levedahl KH; Jafari R; Orre LM; Lehtio J; Ostling P; Seashore-Ludlow B; Nordlund J; Lehmann S; Kallioniemi O; Erkers T
- Article: JOURNAL OF EXPERIMENTAL & CLINICAL CANCER RESEARCH. 2024;43(1):107Fonseca P; Cui W; Struyf N; Tong L; Chaurasiya A; Casagrande F; Zhao H; Fernando D; Chen X; Tobin NP; Seashore-Ludlow B; Lundqvist A; Hartman J; Gondor A; Ostling P; Holmgren L
- Journal article: CANCER RESEARCH. 2024;84(6):706Park SSW; Struyf N; Erkers T; Lehmann S; Meister MT; Drost J; Holstege FC; Herold N; Ostling P; Stenman J; Kallioniemi O; Henter J-I; Seashore-Ludlow B; Karlsson K
- Journal article: CANCER RESEARCH. 2024;84(6):4727Park SW; Liu E; Los A; Seashore-Ludlow B; Ostling P; Molenaar J; Kallioniemi O; Stenman J; Karlsson K
- Journal article: CANCER RESEARCH. 2024;84(6):7517Ullman T; Krantz D; Elofsson H; Sepulveda CO; Zieba-Wicher A; Ostling P; Ullen A; Basu S; Stadler C
- Journal article: CANCER RESEARCH. 2024;84(6):3100Potdar S; Ianevski F; Ianevski A; Tanoli Z; Wennerberg K; Seashore-Ludlow B; Kallioniemi O; Ostling P; Aittokallio T; Saarela J
- Article: NPJ PRECISION ONCOLOGY. 2024;8(1):38Struyf N; Osterroos A; Vesterlund M; Arnroth C; James T; Sunandar S; Mermelekas G; Bohlin A; Hamberg Levedahl K; Bengtzen S; Jafari R; Orre LM; Lehtio J; Lehmann S; Ostling P; Kallioniemi O; Seashore-Ludlow B; Erkers T
- Article: MOLECULAR ONCOLOGY. 2024;18(2):317-335Zaghmi A; Aybay E; Jiang L; Shang M; Steinmetz-Spah J; Wermeling F; Kogner P; Korotkova M; Ostling P; Jakobsson P-J; Seashore-Ludlow B; Larsson K
- Article: NPJ PRECISION ONCOLOGY. 2023;7(1):111Åkerlund E; Gudoityte G; Moussaud-Lamodière E; Lind O; Bwanika HC; Lehti K; Salehi S; Carlson J; Wallin E; Fernebro J; Östling P; Kallioniemi O; Joneborg U; Seashore-Ludlow B
- Article: NUCLEIC ACIDS RESEARCH. 2023;51(W1):W57-W61Potdar S; Ianevski F; Ianevski A; Tanoli Z; Wennerberg K; Seashore-Ludlow B; Kallioniemi O; Ostling P; Aittokallio T; Saarela J
- Journal article: CANCER RESEARCH. 2023;83(7):6612Erkers T; Struyf N; James T; Marabita F; Vesterlund M; Vu N; Arnroth C; Osterroos A; Bohlin A; Bengtzen S; Stahl M; Jafari R; Orre L; Pawitan Y; Seashore-Ludlow B; Lehtio J; Lehmann S; Ostling P; Kallioniemi O
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All other publications
- Preprint: RESEARCH SQUARE. 2026Svedman FC; Papantoniou D; Renberg S; Krantz D; Flaberg E; Holmsten K; Jawdat F; Ullman T; Hutyra-Gram R; Salmi MH; Rapisarda S; Rautiola J; Laurin O; Björklund J; Miyakawa A; Sanchez-Salas R; Grahn A; Thiel T; Akre O; Taavitsainen S; Verbiené I; Bruzelius M; Isaksson J; Hanberger P; Grønn-Weiss A; Wojtyna E; Isaksson S; Jänes E; Heurlin E; Söderkvist K; Willén L; Lindberg J; Stadler C; Östling P; Ullén A
- Preprint: BIORXIV. 2026Okasmaa L; Ullman T; Panshikar P; Hutyra-Gram R; Krantz D; Östling P; Ullén A; Stadler C
- Preprint: BIORXIV. 2026Huynh DL; Asp E; Ballante F; Puigvert JC; DeGrave A; Karki R; Nader K; Östling P; Pokharel B; Rietdijk J; Schlotawa L; Schmidt L; Seal S; Seashore-Ludlow B; Aittokallio T; Spjuth O
- Conference publication: 2026Huchting J; Kuzikov M; Reinshagen J; Pahl A; von Berlin L; Gadiya Y; Zaliani A; Ballante F; Seashore-Ludlow B; Vallin M; Kalman A; Qian K; Axelsson H; Asp E; Tampere M; Östling P; Tanoli Z; Aittokallio T; Spjuth O; Gustavsson A-L; Jenmalm-Jensen A; Gribbon P
- Preprint: MEDRXIV. 2026Ullman T; Krantz D; Avenel C; Lung M; Svedman FC; Holmsten K; Östling P; Ullén A; Stadler C
- Letter: ACTA ONCOLOGICA. 2026;65:45355-272Abel E; Ostling P; Hult EH; Kulbacka K; Babacic H; Baan A; Carneiro A; De Petris L; Fagman H; Friesland S; Frisell O; Hellstrom M; Lindahl G; Carlsson KS; Tamborero D; Valachis A; Ohlund D; Lehtio J; Rosenquist R; Edsjo A; Botling J; Backvall H; Fred R; Garvin S; Hallqvist A; Heidenblad M; Catela-Ivkovic T; von Sydow AK; Kohn L; Lagerhorn RC; Lofgren M; Melin M; Isaksson-Mettavainio M; Moens LNJ; Ny L; Nord H; Olauson H; Qvick A; Rapisarda S; Tham E
- Preprint: BIORXIV. 2025Asp E; Rietdijk J; Tampere M; Axelsson H; Njenda D; Potdar S; Kalman A; Georgieva P; Lapins M; Ballante F; Soler A; de Kort M; Aittokallio T; Zaliani A; Kuzikov M; Gribbon P; Lo D; Carreras-Puigvert J; Seashore-Ludlow B; Spjuth O; Östling P
- Preprint: BIORXIV. 2025Kuzikov M; Kalman A; Reinshagen J; Huchting J; Qian K; Axelsson H; Oestling P; Seashore-Ludlow B; Gadiya Y; Gribbon P; Zaliani A
- Review: NATURE REVIEWS DRUG DISCOVERY. 2025;24(7):521-542Tanoli Z; Fernandez-Torras A; Ozcan UO; Kushnir A; Nader KM; Gadiya Y; Fiorenza L; Ianevski A; Vaha-Koskela M; Miihkinen M; Seemab U; Leinonen H; Seashore-Ludlow B; Tampere M; Kalman A; Ballante F; Benfenati E; Saunders G; Potdar S; Garcia IG; Garcia-Serna R; Talarico C; Beccari AR; Schaal W; Polo A; Costantini S; Cabri E; Jacobs M; Saarela J; Budillon A; Spjuth O; Ostling P; Xhaard H; Quintana J; Mestres J; Gribbon P; Ussi AE; Lo DC; de Kort M; Wennerberg K; Fratelli M; Carreras-Puigvert J; Aittokallio T
- Preprint: ELIFE. 2025Trac QT; Huang Y; Erkers T; Ostling P; Bohlin A; Osterroos A; Vesterlund M; Jafari R; Siavelis I; Backvall H; Kiviluoto S; Orre L; Rantalainen M; Lehtio J; Lehmann S; Kallioniemi O; Pawitan Y; Vu TN
- Letter: NATURE MEDICINE. 2025;31(6):1730-1732Kampe A; Gudmundsson S; Walsh CP; Lindblad-Toh K; Johansson A; Clareborn A; Ameur A; Edsjo A; Fioretos T; Ehrencrona H; Eriksson D; Fall T; Franks PW; Gyllensten U; Haag M; Hagwall A; Johansson Soller M; Lehtio J; Lu Y; Magnusson PKE; Melen E; Melin B; Michaelsson K; Nordgren A; Nordlund J; Saal LH; Schwenk JM; Sikora P; Sundstrom J; Taylan F; Van Guelpen B; Wadelius M; Wedell A; Wirta V; Ostling P; Jacobsson B; Sjoblom T; Persson B; Rosenquist R; Lindstrand A; Lappalainen T
- Conference publication: 2025Tampere M; Asp E; Rietdijk J; Axelsson H; Kalman A; Njenda D; Lapins M; Ballante F; Carreras-Puigvert J; Spjuth O; Seashore-Ludlow B; Östling P
- Preprint: BIORXIV. 2024Trac QT; Huang Y; Erkers T; Östling P; Bohlin A; Österroos A; Vesterlund M; Jafari R; Siavelis I; Bäckvall H; Kiviluoto S; Orre L; Rantalainen M; Lehtiö J; Lehmann S; Kallioniemi O; Pawitan Y; Vu TN
- Preprint: BIORXIV. 2024Coelho R; Seashore-Ludlow B; Schütz S; Christopher Lombardo F; Moussaud-Lamodière E; Casanova R; Ficek-Pascual J; Brunhilde Labrosse K; Hensler M; Lopez-Nunez M; Rimmer N; Fedier A; Lima R; Montavon Sartorius C; Kurzeder C; Singer F; Bertolini A; Tumor Profiler Consortium; Fucikova J; Rätsch G; Bodenmiller B; Kallioniemi O; Östling P; David L; Heinzelmann-Schwarz V; Jacob F
- Review: JOURNAL OF INTERNAL MEDICINE. 2023;294(4):413-436Rosenquist R; Bernard E; Erkers T; Scott DW; Itzykson R; Rousselot P; Soulier J; Hutchings M; Ostling P; Cavelier L; Fioretos T; Smedby KE
- Conference publication: 2023Tampere M; Kalman A; Rietdijk J; Axelsson H; Njenda D; Kaimal JM; Lapins M; Ballante F; Le TH; Bäckström A; Seashore-Ludlow B; Lundberg E; Spjuth O; Carreras-Puigvert J; Stadler C; Östling P
- Preprint: RESEARCH SQUARE. 2023Erkers T; Struyf N; Arnroth C; Vesterlund M; James T; Sunandar S; Bohlin A; Hamberg-Levedahl K; Bengtzén S; Jafari R; Orre L; Lehtiö J; Lehmann S; Ostling P; Kallioniemi O; Seashore-Ludlow B
- Preprint: RESEARCH SQUARE. 2023Seashore-Ludlow B; Åkerlund E; Gudoityte G; Moussaud-Lamodière E; Lind O; Bwanika HC; Lehti K; Saheli S; Carlson J; Wallin E; Fernebro J; Ostling P; Kallioniemi O; Joneborg U
- Meeting abstract: CANCER RESEARCH. 2023;83(7):4578Carannante V; Sandstrom N; Olofsson K; Neo SY; Sandoz PA; Van Ooijen H; Verron Q; Fontana J; Toullec D; Moussaud-Lamodiere E; Seashore-Ludlow B; Frisk T; Takai M; Ostling P; Haglund F; Lundqvist A; Wiklund M; Onfelt B
- Conference publication: BLOOD. 2022;140:6299Erkers T; Marabita F; Struyf N; Vesterlund M; James T; Arnroth C; Bohlin A; Bengtzen S; Osterroos A; Stahl M; Jafari R; Orre L; Pawitan Y; Seashore-Ludlow B; Lehtio J; Lehmann S; Ostling P; Kallioniemi O
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Grants
- Swedish Research Council1 January 2025 - 31 December 2028Drug combinations constitute an important therapeutic strategy, but the huge combinatorial space makes screening infeasible using conventional methods. The purpose of this project is to develop a novel phenotypic screening platform (ADONIS) that can autonomously explore and identify efficient drug combinations.We will develop iterative screening for drug combinations that shift cells towards a desired state. We use multiplexed microscopy imaging (Cell Painting) as profiling technology, which constitutes an excellent tradeoff between cost, speed, and information content. In our previous VR-funded project we developed a robotized lab and implemented fully automated Cell Painting, and in this project we will expand it to perform: i) autonomous screening for drug combinations towards soft-tissue sarcoma and colorectal cancerii) genetic knock-out experiments to illuminate drug resistanceand iii) generative AI to design novel drug leads.Our approach stands out by using image-based cell profiling data that allows for using the latest deep learning methods, and an AI model that selects the next batch of experiments to be carried out in an automated lab. This makes it possible to convert brute-force approaches, such as drug screening, into search problems that can be approached systematically with machine intelligence. With our project we will contribute to realizing this transition to more efficient scientific discoveries where AI iteratively interacts with the physical world.
- Swedish Research Council1 January 2023 - 31 December 2026The rapid development of technologies for molecular profiling paves the way for precision medicine approaches to match patients with effective treatment. Through the development of a coordinating support unit, we aim to provide access to SciLifeLab’s technology platforms to support academic and industry-initiated clinical trials. We will establish customized diagnostic packages jointly with clinical trials units across the country to strengthen our attractiveness as a clinical trial site and to ensure early access of patients to both innovative technologies and emerging treatments.Our goal is to identify mature technologies to be evaluated in observational studies and adopted in interventional biomarker-driven clinical trials. To build this capacity, connecting SciLifeLab national infrastructure to clinical practice, key developments supporting cross-platform data, sample and analysis flows with timelines and quality complying with the needs of clinical trials are needed. Our unit will unite services from current and emerging sequencing technologies, to proteome, metabolome, spatial biology techniques, and drug efficacy testing. Our competitive edge is the repertoire of technologies at SciLifeLab, which once combined provide a unique opportunity for clinical trials. With the ‘service packages’ we aim to make Sweden competitive as a trial site, catalyze academy-industry ecosystems and provide opportunities for early access to the latest diagnostic technologies and treatments.
- High-throughput siRNA and miRNA functional screening to identify key regulators of androgen signalling in prostate cancerResearch Council of Finland9 January 2011 - 31 December 2012
- High-throughput siRNA and miRNA functional screening to identify key regulators of androgen signalling in prostate cancerResearch Council of Finland1 January 2010 - 31 August 2011
Employments
- Principal Researcher, Department of Oncology-Pathology, Karolinska Institutet, 2022-
- Principal Researcher, Department of Clinical Neuroscience, Karolinska Institutet, 2025-2028