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Gene & Protein in Disease                                               Insights from In situ spatial profiling













































            Figure 2. Spatial gene expression profiling of a breast cancer formalin-fixed paraffin-embedded sample using in situ sequencing. Image created by the
            authors.
            Abbreviations: CAF: Cancer-associated fibroblasts; PVL: Perivascular-like cells.

            3. Spatial profiling in drug discovery             Spatial profiling to investigate cell types and signals within
                                                               organized cellular neighborhoods, such as the TME, is an
            Modern spatial genomics and transcriptomics technologies
            enable researchers to examine gene expression within   emerging approach that is beginning to yield significant
                                                               insights.
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            tissue samples at a subcellular level. By profiling molecular
            phenotypes while preserving spatial context, these   Spatial biology platforms hold the potential to expedite
            platforms are revealing novel interactions among signaling   the translational aspects of drug discovery by enabling
            molecules and advancing our understanding of disease   the examination of entire samples – ranging from tens to
            mechanisms.                                        thousands of tissue slides – with exceptional sensitivity
              Similar to humans, cells do not exist in isolation.   and reproducibility. Researchers typically initiate this
            Scientists are uncovering that cellular “neighborhoods”   process with a drug candidate, searching for biomarker
            consist  of  diverse  cell  types  that  influence  one  another.   signatures – genomic or transcriptomic – that reveal the
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            Within the tumor microenvironment (TME), these     drug’s mechanism of action, among other insights.  The
            neighborhoods form niches, where groups of cells interact   challenge lies not only in identifying co-expression and
            to create functional hubs.  Profiling these tumors and   spatial patterns but also in interpreting this information
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            their interactions at the neighborhood level provides new   within the context of substantial heterogeneity both
            insights into how they can be disrupted, thereby making   between and within patients. Typically, capturing a drug’s
            tumors less viable and aggressive. Extensive research has   biological signature requires identifying approximately
            focused on mapping different cell types and their potential   three to six biomarkers. While it is possible to include
            interactions in cancer, aiming to discover unknown drug   more, utilizing lower-plex panels simplifies the process of
            targets and expand the use of cancer immunotherapies.    scanning entire slides.
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            Volume 4 Issue 3 (2025)                         4                           doi: 10.36922/GPD025050007
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