The Cut That Led to a Career

Khushi Patel '25
As a member of Professor Michelle Mondoux's lab for four years, Khushi Patel '25 conducted breakthrough research on the impact of high sugar diets on fertility.

A childhood injury set Khushi Patel ’25 on the path toward becoming a doctor, accomplishing breakthrough research on her way there.

Getting her finger caught in a door hinge as a child left a mark on Khushi Patel ’25 in more ways than one.

There’s the scar on her right index finger. But, more importantly, it inspired a deep passion and drive to become a doctor, just like the one who stitched her up.

She recalled how vividly she remembers that day – the friendly nurses and doctors, “Snow White” playing on the television. It wasn’t scary or traumatic. It was the day she knew what she wanted to do with her life.

“I see all the doctors and nurses and they’re just working with different patients, running around and everything, and when they get to me, I’m still not crying,” Patel said. “My mom tells me this every time, ‘I was in shock, I had tears in my eyes, but you didn’t shed a single tear!’”

That day led Patel to pursue the sciences first in high school, where she focused on health services and became a certified nursing assistant, to Holy Cross, where she was a biology major and neuroscience minor. While a student at Holy Cross, her experiences shadowing physicians, first as a medical scribe in the emergency department at UMass Memorial Medical Center in Worcester and then as a clinical research intern in the Department of Pediatrics at UMass Chan Medical School, confirmed what she’s known since she was 5 years old.

“Whenever I do have a shadowing experience, I ask myself, ‘Do I see myself doing this five days a week?’ Yes, I do. This is perfect for me,” Patel said.

Breakthrough research

But Patel’s ambitions don’t stop at earning her M.D. She also wants to pursue a Ph.D., thanks to the four years she spent working in Associate Professor of Biology Michelle Mondoux’s research lab.

Patel first joined Mondoux’s lab as a Seelos STEM Scholar, a program that provides science research and lab opportunities to select first-year students. She continued in the lab through funding from the J.D. Power Center Research Associates program and later for academic credit, adding up to a unique opportunity in which she spent all four years in the same lab.

Mondoux’s lab investigates the effects of sugar on cells – why cells from many organisms, including humans, need sugar to survive and how too much has a negative impact – using a microscopic worm called C. elegans, which process sugar by similar mechanisms as humans. Patel specifically examined the correlation between high sugar diets and infertility, and what sugar does to cells that decreases fertility in organisms – a problem Mondoux’s lab has been researching for 15 years. Thanks to the earlier work of Amanda Engstrom ’12 and other students working with Mondoux, the lab found evidence that sugar was killing egg cells, a phenomenon called apoptosis, or programmed cell death. Patel figured out how to look for that phenomenon under the microscope, using a technique that existed in the field but to that point had not been successful in Mondoux’s lab. 

“She managed to get that experiment to work, and she actually showed under the microscope that when you feed the worms a high sugar diet, the number of cells that are dying by programmed cell death goes up and you can actually count them under the microscope,” Mondoux said. “That alone would have been a big accomplishment for an undergraduate research project, but it was just the beginning of what Khushi was able to accomplish.”

These findings have implications not only for cell biology and the understanding of programmed cell death, but also for human health in the realm of infertility and beyond. “We are so much closer to understanding this phenomenon than we were when she started in the lab,” Mondoux added. 

‘You’re Wrong More Times Than You’re Right’

That breakthrough, made during Patel’s junior year, was just the beginning. She continued her work on the effects of high sugar diets on fertility, as well as sharing her work at various conferences such as the National Collegiate Research Conference at Harvard University and the Boston Area Worm Meeting, where she presented – and received feedback from – New England area C. elegans researchers, including Victor Ambros, just three weeks before he won the Nobel Prize in physiology or medicine.

For her senior thesis, Patel deepened her work on the correlation between a particular sugar – glucose – and infertility. She investigated whether an increase in glycogen – a carbohydrate made of glucose – increases apoptosis and, therefore, is the reason that an increase in glucose decreases fertility.

“We were trying to see if increased glycogen can lead to decreased fertility without a high glucose diet, because that would differentiate if there’s any other effects of a high glucose diet,” Patel explained. “But we had to figure out a way to increase glycogen.”

We are so much closer to understanding this phenomenon than we were when she started in the lab.

Michelle Mondoux, associate professor of biology

Almost an entire academic year later, everything was on track to support Patel’s hypothesis. She had tested a sugar-processing mutant and found that fertility decreased and programmed cell death increased, even in the absence of a high-sugar diet. Then, in one of her culminating experiments at the end of the spring semester, the data showed no increase in glycogen, even after replicating the experiment multiple times into finals week. The hypothesis didn’t pan out.

“That's when I had a mental breakdown,” Patel said. “I was, like, ‘Oh, my God, what is happening?’ Obviously the data is the data, so there was no increase in glycogen.”

But from Mondoux’s perspective, this wasn’t a setback – it was simply the business of being a scientist. 

“One of the things I tell students is you're wrong more times than you're right,” she said. “I mean, that's maybe true as humans, right? But for sure it's true as a biologist. We're wrong more times than we're right, and our experiments fail more times than they work. That is just a fact, no matter how smart you are, no matter how good you are. That is a fact. If being an experimental scientist teaches you anything, it is how to persevere and how to deal with failure, because you will fail more times than you succeed.” 

Even though the experiment didn’t pan out the way Patel predicted, her work still led to Patel being “the world's expert on how a high glucose diet and glycogen metabolism affect apoptosis in C. elegans,” Mondoux noted.

“When she was able to kind of step back and look at it as a piece of a body of work, it's just part of the business of being a scientist,” Mondoux said. “The fact is, none of us can ever finish. There's always more to discover. There's always more work to be done.”

Full Circle Moments

Even though there was no tidy conclusion to Patel’s research, the rest of her time in Mondoux’s lab came full circle as she moved from student to teacher. As the one of the youngest in the lab during her sophomore year, Patel taught her labmates how to use equipment, conduct experiments and more. In her senior year, she was named a Seelos STEM Scholar Mentor, guiding two first-year students in the lab and giving back to the program that gave her a start in research. “Seeing someone fall in love with research, just like I did, it’s just wonderful,” Patel said.

She even turned the tables on her professor and started teaching Mondoux new techniques in her own lab. 

“It's crazy, because freshman year she was teaching me how to use the microscope and how to work with the worms, and then at the end of senior year, I'm teaching her how to do these complicated biochemical assays, which is ‘Wow, a full circle moment,’” Patel said. “It is satisfying. And it really makes it feel like I have made the most out of my time here.”

Before she applies for future combined M.D.-Ph.D. programs, Patel is taking time to travel, prepare for medical school entrance exams and gain more clinical experience. And though she wants to explore a variety of medical specialities before making a decision, right now, Patel said interest currently lies in pediatrics – and becoming a doctor just like the ones who, using stitches and “Snow White,” set her on this path as a child.