Ciernik, L. | Search bioRxiv

bioRxiv2025

Digital Spatial Pathway Mapping Reveals Prognostic Tumor States in Head and Neck Cancer

Head and neck squamous cell carcinoma (HNSCC) is a morphologically and molecularly heterogeneous disease with limited effectiveness of genotype-informed therapies. Transcriptome-derived estimates of signaling pathway activity carry prognostic and therapeutic potential but remain inaccessible in routine diagnostics due to cost and tissue constraints. Here, we introduce Digital Spatial Pathway Mapping, an AI-based computational pathology framework that infers signaling pathway activities directly from routine hematoxylin and eosin (H&E) slides, enabling in-silico spatial molecular readouts from standard histology. Models trained on HPV-negative HNSCC from TCGA and externally validated on CPTAC robustly predicted transcriptome-derived activities in cancer-relevant signaling pathways. To achieve spatial interpretability, we applied layer-wise relevance propagation (LRP) to generate heatmaps that highlight positive versus negative evidence for pathway activation. These LRP heatmaps were technically validated by patch-flipping tests and biologically validated against pathway-relevant immunohistochemistry in an independent patient cohort. From these explanations, we derived a tumor area pathway activity score (TAPAS) quantifying the spatial fraction of activated tumor regions within a slide. Applied to a retrospective HNSCC cohort of 1,066 slides from 112 resection specimens, TAPAS captured intratumoral heterogeneity and revealed two biologically dis-tinct tumor states - an oncogenic growth phenotype with widespread pathway activation and a pathway quiescent phenotype associated with higher recurrence risk independent of clinicopathological variables. These findings establish Digital Spatial Pathway Mapping as a scalable, in-silico approach to recover systems-level molecular information from standard histopathology, enabling prognostic and mechanistically grounded patient stratification in head and neck cancer.

pathology↗

bioRxiv2023

ANS: Adjusted Neighborhood Scoring to improve assessment of gene signatures in single-cell RNA-seq data

In the field of single-cell RNA sequencing (scRNA-seq), gene signature scoring is integral for pinpointing and characterizing distinct cell populations. However, challenges arise in ensuring the robustness and comparability of scores across various gene signatures and across different batches and conditions. Here, we evaluated the stability of established methods such as Scanpy, UCell, and JASMINE in the context of scoring cells of different types and states. On eight cancer and healthy scRNA-seq datasets, we reported that none of the existing methods provide fair gene signature scores that can be used in unsupervised cell state annotation based on the highest signature values. Addressing this challenge, we introduced a new scoring method, the Adjusted Neighbourhood Scoring (ANS), that builds on the traditional Scanpy method and improves the handling of the control gene sets. We further exemplified the usability of ANS scoring in differentiating between cancer-associated fibroblasts and malignant cells undergoing epithelial-mesenchymal transition (EMT) in four cancer types, and evidenced excellent classification performance (AUCPR train: 0.95-0.99, AUCPR test: 0.91-0.99). In summary, our research introduces ANS as a robust and deterministic scoring approach that enables the comparison of diverse gene signatures and score-based annotation of cell types and states. The results of our study contribute to the development of more accurate and reliable methods for analyzing scRNA-seq data.

bioinformatics↗