Smita Sahay-Kausar, PhD
M.D. Candidate 2027 · Ph.D. Neuroscience

Smita
Sahay-Kausar

I am a physician-scientist in training who is pursuing a career in otolaryngology-head and neck surgery. Drawing on my training in bioinformatics, neuroscience, and medicine, I aim to build a career as a surgeon-scientist, pairing research with equitable patient care.

My work spans basic science and translational research, clinical service, medical education, and mentorship.

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Smita Sahay-Kausar

University of Toledo College of Medicine and Life Sciences

About

Medical degree
M.D.
University of Toledo College of Medicine
and Life Sciences, expected 2027
Doctorate
Ph.D., Neuroscience and Neurological Disorders
University of Toledo College of Medicine
and Life Sciences, 2025
Post-baccalaureate
Biomedical Sciences
California State University, East Bay, 2018
Undergraduate
B.S., Bioengineering: Bioinformatics
University of California, San Diego, 2017
Languages
English, Hindi, Urdu

My path to medicine began with engineering. As a bioengineering student at UC San Diego, I worked on projects ranging from computational research in rare neurologic diseases to the development of a low-cost HIV viral load device for a clinic in Tijuana. I learned how to think about complex problems and, more importantly, how research can improve people’s lives.

During my M.D./Ph.D. training at the University of Toledo, I applied my background in biochemical laboratory techniques and bioinformatics to the study of neuropsychiatric illness. I examined how changes in metabolism and cellular signaling contribute to the pathophysiology of schizophrenia, major depression, and suicide, and used those findings to explore novel therapeutic targets. What kept me interested was not one method or disease, but the process of following a question wherever it led.

In medical school, I found that same intellectual range in otolaryngology-head and neck surgery. My background in neuroscience gave me the foundation to understand how closely head and neck function is tied to the nervous system, while surgery offered a new way to solve problems and care for patients. Several years of service through humanitarian work and free clinics have also shaped the kind of physician I hope to become. I aim to continue building a career in which research informs clinical decisions, improves patients’ lives, and widens access to care.

Outside the lab and clinic

I enjoy staying physically active through high-intensity interval training (HIIT), yoga, and hiking. I grew up in Salt Lake City, Utah, where my love of the outdoors began. I enjoy traveling as a way to learn about other cultures and some of my favorite trips have been to Peru, France, and the Philippines. My husband and I have grown a short-term rental business around our shared love of travel.

White Coat Ceremony
White Coat Ceremony
Hike to Silver Lake in Utah
HIKE TO SILVER LAKE, UTAH
Frog pose in yoga class
Frog pose in yoga class
Biking through Paris
Biking through Paris
Top of Rainbow Mountain, Peru
RAINBOW MOUNTAIN, PERU
Page 01
18
Peer-reviewed publications
22
Oral presentations
17
Conference abstracts
16
Students mentored

Research

SELECTED PUBLICATIONS

WITH LINKS TO EACH MANUSCRIPT

First Author
Airway & head and neck

Pediatric Occult Esophageal Foreign Body

A case I helped manage as a medical student. This child's presentation suggested a branchial cleft cyst but proved to be an occult esophageal foreign body. This case report highlights the importance of keeping foreign body ingestion on the differential for pediatric neck masses.

Otolaryngology-Head and Neck Surgery
Under review, 2026
Co-Author
Bioinformatics

drugfindR: Investigate iLINCS for candidate repurposable drugs

An open-source Bioconductor package that queries iLINCS signatures for candidate repurposable drugs. We are using this tool in multiple projects, including one that aims to identify sex-specific treatments in major depressive disorder.

First Author
Bioinformatics, Neurologic Disorders

Identifying Molecular Properties of Ataxin-2 Inhibitors for Spinocerebellar Ataxia Type 2 (SCA2) utilizing High-Throughput Screening and Machine Learning

This study applies machine learning to a high-throughput screen of over 1,300 compounds to find the chemical properties shared by those that inhibit ataxin-2, the protein that drives SCA2. We identify six compounds that warrant further investigation as therapeutic candidates.

First Author
Neuromodulation

Harnessing Neuroimaging-Guided Transcranial Magnetic Stimulation for precision therapy in Substance Use Disorders

A review of transcranial magnetic stimulation as a treatment for substance use disorders, where we compare stimulation protocols and clinical trial evidence. We propose that neuroimaging-guided targeting may reveal biomarkers that predict who responds well to treatment.

Co-First Author
Airway & global health

Addressing Education and Care Gaps in Tracheostomy Management: Insights from a Multi-Stakeholder Global Survey

A global survey of clinicians, patients, and caregivers that identifies where tracheostomy care and training fall short, conducted with the Global Tracheostomy Collaborative. Across 170 respondents in 14 countries, the shortage of clinicians with tracheostomy expertise ranks as the most severe problem, ahead of inequitable access and affordability.

First Author
Metabolism & signaling

Purinergic System Transcript Changes in the Dorsolateral Prefrontal Cortex in Suicide and Major Depressive Disorder

The first study to map the purinergic pathway across cortical layers of postmortem dorsolateral prefrontal cortex, comparing people with major depression who died by suicide to those who did not. P2Y receptor changes track with suicide rather than with depression itself, and most alterations are white matter- and female-specific.

Co-Author
Metabolism & signaling

Neuronal alterations in AKT isotype expression in schizophrenia

Here we measure AKT isotype expression in enriched pyramidal neurons rather than bulk brain tissue. All three AKT transcripts are elevated in schizophrenia despite earlier reports of unchanged protein levels. The increases are largely found in females and are independent of prior antipsychotic use.

First Author
Bioinformatics, Metabolism & Signaling

Metabolic insights into Neuropsychiatric Illnesses and Ketogenic Therapies: A Transcriptomic View

In this study, we compare metabolic pathway gene expression across schizophrenia, bipolar disorder, and major depression to that in models of ketosis. Glycolysis, the Krebs cycle, and the electron transport chain are the most disrupted in all three illnesses and several genes move discordantly under ketogenic conditions. This suggests that ketone bodies may reverse some of these changes and partly explains their utility as a treatment option.

First Author
Genetics, Metabolism and Signaling

Expression of WNT Signaling Genes in the Dorsolateral Prefrontal Cortex in Schizophrenia

This study pairs measurements of WNT pathway transcripts in postmortem dorsolateral prefrontal cortex with in silico data across published datasets. The WNT pathway governs cell growth, brain development, and synaptic plasticity. Region-level expression is unchanged, but cell-level data shows alterations and antipsychotic-specific effects, suggesting WNT changes depend on cell type.

First Author
Metabolism & signaling

Adenosine Receptor mRNA Expression in Frontal Cortical Neurons in Schizophrenia

This study measures the adenosine receptors A1 and A2A, which regulate glutamate and dopamine signaling, in pyramidal neurons isolated from postmortem anterior cingulate cortex. A1 is elevated in female subjects with schizophrenia, and A2A increases with dementia severity in females and males.

Cells, 2024
First Author
Metabolism & signaling

Activity of Protein Kinase A in the Frontal Cortex in Schizophrenia

The first study to measure protein kinase A (PKA) enzyme activity in the anterior cingulate and dorsolateral prefrontal cortex in schizophrenia, testing whether earlier predictions of raised PKA hold functionally. We find no difference at the region level, suggesting that any changes in PKA activity may be specific to particular cell types.

Co-First Author
Bioinformatics

Kaleidoscope: A Bioinformatics Web Application for In Silico Exploration of Omics Data

A bioinformatics application built by our laboratory that allows researchers to query and cross-reference published brain omics datasets without writing code. It is the foundation for much of the in silico work done in the studies highlighted on this page.

Book chapter

2025
Co-author
What is the Best Evidence for Bioenergetic Abnormalities in Severe Mental Illness?
Metabolic Neuropsychiatry, Springer
A survey of the evidence that brain energy metabolism is disrupted in schizophrenia, bipolar disorder, and major depression, and of the interventions being tested against it, including ketogenic and nutritional therapies and the metabolic effects of psychotropic medications.

TALKS AND POSTERS

Invited and oral presentations
Jul 2026
Version 9 Staging for Salivary Gland Carcinoma
University of Michigan Medical School, Ann Arbor, MI
Apr 2026
Reactive Thrombocytosis in Iron Deficiency Anemia
University of Toledo, Toledo, OH
Nov 2025
Clinical Management of Acute Pancreatitis
University of Toledo, Toledo, OH
Oct 2025
Differentiating Malingering vs. Conversion Disorder
University of Toledo, Toledo, OH
Mar 2025
Metabolic Perturbations in Severe Mental Illnesses, Doctoral Defense
University of Toledo, Toledo, OH
Jan 2025
Examining Purinergic Dysfunction in the Brain
University of Toledo, Toledo, OH
Nov 2024
Polished, Persuasive, Professional: Conference Presentation Success
University of Toledo, Toledo, OH
Feb 2024
Bioenergetic Dysfunction in Schizophrenia: Novel Findings and Treatment Approaches
CURESZ Foundation, University of Cincinnati, Cincinnati, OH
Feb 2024
Metamodulation of Glutamate Exocytosis
University of Toledo, Toledo, OH
Feb 2024
Purinergic System Perturbations in Schizophrenia
University of Toledo, Toledo, OH
Jul 2023
Metabolic Dysregulation across Neuropsychiatric Illnesses
University of Toledo, Toledo, OH
Jun 2023
Pathophysiology of Subarachnoid Hemorrhages
University of Toledo, Toledo, OH
Mar 2023
Gender Influencing Student Experiences in M.D.-Ph.D. Training
University of Toledo, Toledo, OH
Feb 2023
Effects of beta-hydroxybutyrate on MK-801 induced schizophrenia-like behavior in mice
University of Toledo, Toledo, OH
Sep 2022
Data Fabrication and Scientific Misconduct in Alzheimer’s Research
University of Toledo, Toledo, OH
Aug 2022
Environmental Toxins: Ending the use of Agent Orange
University of Toledo, Toledo, OH
Nov 2021
Gastrointestinal Pathophysiology: Acute Cholecystitis
University of Toledo, Toledo, OH
Jun 2021
The Neurobiology of Major Depressive Disorder
University of Toledo, Toledo, OH
Jun 2021
Gaining Insight into P2X Receptors and the NLRP3 Inflammasome in Schizophrenia
University of Toledo, Toledo, OH
Jun 2021
Optimizing Protein Kinase A Activity Assay and H-89 Inhibitor
University of Toledo, Toledo, OH
May 2021
The pH Meter and Spectrophotometer
University of Toledo, Toledo, OH
Aug 2015
SCA2 Drug Repurposing
University of Utah School of Medicine, Salt Lake City, UT
Abstracts and conference proceedings
Apr 2027
Occult Migrated Esophageal Foreign Body Presenting as a Pediatric Deep Neck Mass
ASPO-HNS Annual Meeting at COSM, Seattle, WA.
Submitted for consideration.
May 2026
Global Disparities in Tracheostomy Care Delivery and Education
RUSH Otolaryngology Global Health Symposium, Chicago, IL
Apr 2025
Molecular Signatures of Metabolic Stress and Ketogenic Therapies in Severe Mental Illness
Society of Biological Psychiatry Annual Meeting, Toronto, ON
Apr 2025
Sex-Based Variations and Metabolic Patterns in Mental Health Disorders: Findings from MIMIC-IV
Society of Biological Psychiatry Annual Meeting, Toronto, ON
Feb 2025
Transcranial Magnetic Stimulation for Substance Use Disorders
Neuroscience and Psychiatry Symposium, Toledo, OH
Oct 2024
Metabolic Insights into Neuropsychiatric Illnesses and Ketogenic Therapies: A Transcriptomic View
Society for Neuroscience Annual Meeting, Chicago, IL
May 2024
Sex-Specific Treatment of Major Depressive Disorder using Transcriptomic Profiling and LINCS analysis
Great Lakes Bioinformatics Annual Meeting, Pittsburgh, PA
Apr 2024
Towards timely Alzheimer’s diagnosis: a clinical data-driven approach to biomarker discovery
American Academy of Neurology Annual Meeting, Denver, CO
Mar 2024
Purinergic System Perturbations in Schizophrenia
Graduate Research Annual Forum, Toledo, OH
Jan 2024
Advancing the detection of early Alzheimer’s disease via clinical data mining
Neuroscience and Psychiatry Symposium, Toledo, OH
Nov 2023
Revamping the MMI: Enhancing Objectivity through Integration of AAMC Core Competencies
AAMC Learn Serve Lead Annual Meeting, Seattle, WA
Oct 2023
Cell-Subtype changes in Adenosine Receptor Expression in Schizophrenia
Ohio Physiological Society Annual Meeting, Perrysburg, OH
May 2023
Connecting the Dots: Understanding the Relationship Between Social Determinants and Schizophrenia
Bioinformatics Symposium, Toledo, OH
Nov 2021
Perturbation of Cell-Subtype Specific Active Kinome Networks in Schizophrenia
Society for Neuroscience, Chicago, IL
Nov 2021
Protein Kinase A Expression and Activity in Schizophrenia
Society for Neuroscience, Chicago, IL
May 2019
Variant Calling in E. coli
Post-Baccalaureate Symposium, Hayward, CA
Mar 2017
A Platform for the Detection of HIV through Viral Load Testing in Tijuana, Mexico
Undergraduate Research Symposium, La Jolla, CA
Jun 2015
Identifying Candidate Ataxin-2 Inhibitors in High Throughput Screening Data using Molecular Descriptors
AMIA Translational Summit, San Francisco, CA
2nd Place Poster, Ohio Physiological Society 2023 1st Place Poster, CSU East Bay 2019 1st Place & $25K Prize, Global Grand Challenges Summit 2017

Other publications

Doctoral Dissertation · Mar 2025

Metabolic Perturbations in Severe Mental Illnesses

For my doctoral work, I paired postmortem human brain tissue with bioinformatics to study purinergic signaling, kinase activity, and bioenergetic gene expression across schizophrenia, bipolar disorder, major depression, and suicide. I examined ketogenic therapy as a way to correct these changes. I completed my Ph.D. and defended in three years.

The Toledo Blade · Dec 2024

The power struggle in our brain: energy imbalance in mental health

I wrote this piece for The Toledo Blade to explain what ATP, the molecule that carries energy in every cell of the body, has to do with mental illness. It draws on my research into the pathophysiology of suicide and makes the case that these conditions are illnesses with a biological basis rather than failures of will or character.

Way To Goal · Jan 2021

Health in the co-RONA 20s

I wrote this article for my company’s website on how telehealth reshaped patient care in the first months of COVID. It covers how practices chose a platform, how they held virtual visits to the same documentation standard as in-person care, and why patients rebooked cancelled appointments once they knew the option existed.

Research positions

2021 — 2025
Cognitive Disorders Research Lab
PRE-DOCTORAL RESEARCH ASSISTANT · TOLEDO, OH
Investigated metabolic dysfunction, ketogenic interventions, kinase networks, purinergic signaling, and differential gene expression across schizophrenia, bipolar disorder, major depression, and suicide.
2020 — 2021
Way To Goal
Healthcare Data Research Analyst · Phoenix, AZ
Ran research studies for pharmaceutical and biomedical clients across therapeutic areas and stages of product development, synthesizing clinical, scientific, and market data into client-facing analyses and recommendations for Fortune 500 companies.
2018 — 2019
California State University, East Bay
Undergraduate Research Assistant · Hayward, CA
Analyzed sequencing data to identify structural variants driving antibiotic resistance in patients.
2016 — 2017
WorldCare Technologies at UC San Diego
Undergraduate Research Assistant · La Jolla, CA
Developed a cost-effective open viral load HIV monitoring device for underserved patients in Tijuana, including microwell chips for blood dilution, and supported the launch of a second-generation prototype into clinical validation.
2016
UC San Diego School of Medicine
Undergraduate Research Assistant · La Jolla, CA
Designed ultra-sensitive pipelines to detect structural variants in Pontine Tegmental Cap Dysplasia, a rare neurological disorder.
2015 — 2016
University of Utah School of Medicine
Undergraduate Research Assistant · Salt Lake City, UT
Investigated molecular descriptors of compounds that may lower ataxin-2 as a therapeutic for Spinocerebellar Ataxia Type 2, and mapped disease terms to the Human Phenotype Ontology.
2013 — 2014
UC San Diego
Undergraduate Research Assistant · La Jolla, CA
Isolated MitoNEET protein and analyzed the iron-sulfur clusters that regulate oxidative capacity in outer mitochondrial membranes.

Peer review

2022 — Present
Translation Journal of Medical Sciences
Editorial Board Member and Reviewer · Toledo, OH
I review four to eight manuscripts a year across biomedical disciplines for the University of Toledo’s peer-reviewed journal, evaluating rationale, methodology, interpretation, and writing. Consistent and timely reviews led to my appointment to the editorial board, where I assign manuscripts to student and faculty reviewers.

GRANTS AND SCHOLARSHIPS

2022 — 2025
M.D./Ph.D. Graduate Scholarship
University of Toledo College of Medicine and Life Sciences
Graduate tuition for the Doctor of Philosophy program, awarded to select M.D./Ph.D. candidates.
2021 — Present
M.D./Ph.D. Dean’s Scholarship
University of Toledo College of Medicine and Life Sciences
Medical tuition for the Doctor of Medicine program, awarded to select M.D./Ph.D. candidates.
2015
Short-term Fellowship Research Training Grant
National Library of Medicine (T15-LM007124-18)
Funded an in silico investigation of a potential Spinocerebellar Ataxia Type 2 therapeutic.
Page 02

Clinical experience

2026
Rotations
Otolaryngology-Head and Neck Surgery Sub-Internships
Medical Student · Ann Arbor, MI · San Diego, CA · Boston, MA · New Haven, CT
During M4, I completed four visiting sub-internships at the University of Michigan, UC San Diego, Beth Israel Deaconess at Harvard, and Yale. Caring for patients across four departments exposed me to rare presentations and complex reconstructions I would not encounter at one institution. These rotations also allowed me to better appreciate the demands and challenges of the profession.
2026 — Present
Service
Hope Clinic
Medical Student Volunteer · Ann Arbor, MI
I work alongside University of Michigan otolaryngologists at a free specialty clinic for uninsured patients. I conduct focused histories and physical examinations, and participate in the management of hearing loss, thyroid disease, and head and neck cancer. I also take part in audiograms, endoscopies, ear procedures, biopsies, lesion excisions, and help connect patients to further care at Michigan Medicine.
2025 — 2026
Rotations
Core Clinical Rotations
Medical Student · Toledo, OH
During M3, my core clerkships included general surgery, family medicine, psychiatry, internal medicine, neurology, obstetrics and gynecology, and pediatrics, with additional surgical electives in otolaryngology, orthopedics, and plastic and reconstructive surgery.
2022 — PRESENT
Leadership
ENT Interest Group
Student Member · Ann Arbor, MI
I joined the University of Michigan’s interest group to build exposure to otolaryngology at an institution with a home program. Attending grand rounds and educational events connected me with mentors and residents in the field I would not otherwise have met.
2022 — Present
Service
CommunityCare Clinics
Medical Student Volunteer · Toledo, OH
This is a longitudinal commitment I began upon entering medical school, caring for underserved and uninsured patients across Northwest Ohio at the largest student-run free clinic in the country. I conduct histories and physical exams, perform Pap smears and vision screenings, and help patients access comprehensive care and free medications, including for otolaryngologic conditions.
2022 — 2025
Rotations
Otolaryngology-Head and Neck Surgery Clinical Electives
Medical Student · Toledo, OH
I elected otolaryngology for required clinical electives across multiple semesters of doctoral training, then completed a two-week intensive elective entering M3. Working in the operating room and clinic with a large group of ProMedica otolaryngologists, I saw cases spanning every subspecialty of the field, from otology and rhinology to head and neck oncology.
2021 — 2022
Rotations
ProMedica Integrated Clinical Experience
Medical Student · Toledo, OH
This was a one-year program that paired M2 coursework with time in practice through the University of Toledo and ProMedica partnership. I learned to take a history and perform components of the physical exam under physician supervision in family medicine, neurology, and psychiatry.
2020 — Present
Leadership
Otolaryngology Student ENTerest Group (OSEG)
Vice President, Student Member · Toledo, OH
As Vice President during M1 and M2, I created opportunities for students to explore otolaryngology at an institution without a home program, connecting them with community otolaryngologists for observerships. I have remained an active member and currently help organize physician panels, suturing workshops, and specialty education events.
2020 — 2021
Service
CommunityCare Vaccine Clinics
Medical Student Volunteer · Toledo, OH
I administered COVID-19 vaccines across the Greater Toledo community during the initial rollout. This was one of the first clinical roles I held in medical school.
2017 — 2018
Work
Allied Pain & Spine Institute
Medical Assistant · San Jose, CA
As a medical assistant, I assisted with in-office procedures, counseled patients on high-risk procedures, managed physician schedules, and served as liaison to insurers and referring clinics. In addition, I redesigned our clinical training guidelines to improve patient-provider appointment efficiency.
USMLE Step 2, 2026 USMLE Step 1, 2022 ACLS Provider BLS Provider Epilepsy First Aid Provider Adult Vision Screener
Page 03

Teaching

2018 — 2024
Tutor Corps and Pacific Preparatory School
Private Tutor and Instructor · San Francisco, CA
I advanced to expert-level one-on-one tutor teaching advanced STEM courses, English, SAT preparation, and college admissions, then trained as a Pacific Preparatory instructor, developing curricula for a middle school student with autism. Working with learners across ages and abilities taught me to tailor how I teach to how someone learns.
2019 — 2020
Pleasanton Reads
ESL Volunteer Tutor · Pleasanton, CA
I built relationships with underserved residents to strengthen their written and conversational English literacy, and recruited volunteers to expand the program, which shortened the wait for a student to be matched with an instructor.
2017 — 2018
California State University, East Bay
Graduate Teaching Assistant · Hayward, CA
I helped students build a deeper understanding of graduate-level science coursework, including epidemiology and advanced biochemistry, through office hours and supplemental teaching sessions.
2015 — 2017
Reality Changers
Volunteer Tutor · San Diego, CA
I mentored more than 25 students from low-income backgrounds in English and STEM subjects, all of whom aimed to become first-generation college students and reached that goal.
Page 04

Mentorship

2021 — PRESENT
Basic and Translational Neuroscience
Graduate Mentor · Toledo, OH
I have mentored 15+ medical, undergraduate, and high school students, guiding them from research question and study design through wet-lab and bioinformatics methods, data interpretation, scientific writing, and presentation. I adapt to each trainee’s experience and goals, and several projects have resulted in publications. I also mentored Toledo regional high school students through the Department of Neurosciences High School Summer Lab Camp in 2023 and 2024.
2021 — 2023
American Medical Student Association
Pre-Medical Student Mentor · Toledo, OH
Through AMSA, the oldest and largest independent student-run organization for physicians in training, I guided undergraduate pre-medical students through academic planning, the application process, and decisions about careers in medicine. Two of my mentees matriculated into medical school and a third moved into a research-focused career.
2022
REACH Program
Volunteer · Toledo, OH
I volunteered with the nationally recognized Research Experience and Awareness of Clinical Health program, which introduces under-represented high school students to clinical research. I held information panels and discussion sessions and helped students prepare their research presentations.
Page 05

Leadership

2021 — Present
M.D. Admissions Committee
SENIOR MEMBER AND MMI COMMITTEE STUDENT LEAD · TOLEDO, OH
I was one of a small number of students selected to serve the admissions committee, first conducting final reviews and voting on admission decisions and later joining the faculty-only Primary Review Committee to evaluate applications and vote on interview invitations. I also chaired a six-student committee that redesigned the Multiple Mini Interview process to improve objectivity and align assessment with AAMC Core Competencies, work that was presented at the AAMC Learn Serve Lead conference in 2023.
2022 — Present
Department of Neurosciences and Psychiatry
Inclusion and Opportunities Committee Member · Toledo, OH
I help build a training environment where faculty, staff, and trainees all feel they belong. I organize events that bring the department together and track whether we follow through on what we commit to.
2022 — 2024
College of Biomedical Graduate Studies
Executive Board Member · Toledo, OH
I served as the contact point and liaison for M.D./Ph.D. students on the college’s executive board, organizing career fairs, research meetings, professional development workshops, and team-building events.
Page 06

Organizations

American Association for the Advancement of Science
Student Member
American Physician Scientists Association
Student Member
American Medical Association
Student Member
College of Biomedical Graduate Studies
Past Board Member, Current Student Member
Graduate Student Association
Student Member
Page 07

Get in touch

For residency correspondence, research collaborations, or speaking invitations.

smitasahay8@gmail.com
LinkedInProfile
Google ScholarProfile
ORCiD0009-0003-4377-8963
InstitutionUniversity of Toledo College of Medicine and Life Sciences