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      DIMPLE: An R package to quantify, visualize, and model spatial cellular interactions from multiplex imaging with distance matrices

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          Summary

          A major challenge in the spatial analysis of multiplex imaging (MI) data is choosing how to measure cellular spatial interactions and how to relate them to patient outcomes. Existing methods to quantify cell-cell interactions do not scale to the rapidly evolving technical landscape, where both the number of unique cell types and the number of images in a dataset may be large. We propose a scalable analytical framework and accompanying R package, DIMPLE, to quantify, visualize, and model cell-cell interactions in the TME. By applying DIMPLE to publicly available MI data, we uncover statistically significant associations between image-level measures of cell-cell interactions and patient-level covariates.

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          Highlights

          • DIMPLE is an R package to analyze and visualize multiplex imaging data

          • DIMPLE provides a scalable framework to quantify cellular interactions

          • Statistical modeling links tumor microenvironment to patient-level outcomes

          The bigger picture

          The tumor microenvironment (TME), the ecosystem of immune cells, extracellular matrix, blood vessels, and other cells that surrounds a tumor, is emerging as the next frontier in cancer research. It is firmly established that the presence and prevalence of specific immune cells within and around the tumor can predict patient outcomes, including their response to treatment and the progression of cancer. Multiplex imaging (MI) technologies such as PhenoImager, PhenoCycler, MIBI, and others provide a detailed view of the TME. These rapidly evolving technologies enable the discrimination of numerous cell types while preserving their spatial context. This allows for quantification of spatial cellular interactions or the tendency of cell types to co-locate. Evidence is mounting that these cellular interactions, beyond mere presence and prevalence, are associated with patient outcomes.

          Abstract

          The tumor microenvironment consists of multiple cell types that can interact in complex ways. Multiplex imaging technologies such as Vectra Polaris or PhenoCycler can be used to identify the precise spatial locations and phenotypes of cells in tissue samples of the tumor microenvironment. Masotti et al. present a software package, DIMPLE, that provides an end-to-end pipeline to quantify, visualize, and model spatial cellular interactions in multiplex imaging data.

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          Most cited references19

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          The tumor microenvironment

          A tumor is not simply a group of cancer cells, but rather a heterogeneous collection of infiltrating and resident host cells, secreted factors and extracellular matrix. Tumor cells stimulate significant molecular, cellular and physical changes within their host tissues to support tumor growth and progression. An emerging tumor microenvironment is a complex and continuously evolving entity. The composition of the tumor microenvironment varies between tumor types, but hallmark features include immune cells, stromal cells, blood vessels, and extracellular matrix. It is believed that the "tumor microenvironment is not just a silent bystander, but rather an active promoter of cancer progression" (Truffi et al., 2020). Early in tumor growth, a dynamic and reciprocal relationship develops between cancer cells and components of the tumor microenvironment that supports cancer cell survival, local invasion and metastatic dissemination. To overcome a hypoxic and acidic microenvironment, the tumor microenvironment coordinates a program that promotes angiogenesis to restore oxygen and nutrient supply and remove metabolic waste. Tumors become infiltrated with diverse adaptive and innate immune cells that can perform both pro- and anti- tumorigenic functions (Figure 1). An expanding literature on the tumor microenvironment has identified new targets within it for therapeutic intervention.
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            Coordinated Cellular Neighborhoods Orchestrate Antitumoral Immunity at the Colorectal Cancer Invasive Front

            Summary Antitumoral immunity requires organized, spatially nuanced interactions between components of the immune tumor microenvironment (iTME). Understanding this coordinated behavior in effective versus ineffective tumor control will advance immunotherapies. We re-engineered co-detection by indexing (CODEX) for paraffin-embedded tissue microarrays, enabling simultaneous profiling of 140 tissue regions from 35 advanced-stage colorectal cancer (CRC) patients with 56 protein markers. We identified nine conserved, distinct cellular neighborhoods (CNs)—a collection of components characteristic of the CRC iTME. Enrichment of PD-1+CD4+ T cells only within a granulocyte CN positively correlated with survival in a high-risk patient subset. Coupling of tumor and immune CNs, fragmentation of T cell and macrophage CNs, and disruption of inter-CN communication was associated with inferior outcomes. This study provides a framework for interrogating how complex biological processes, such as antitumoral immunity, occur through concerted actions of cells and spatial domains.
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              The Second-Order Analysis of Stationary Point Processes

              B. Ripley (1976)
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                Author and article information

                Contributors
                Journal
                Patterns (N Y)
                Patterns (N Y)
                Patterns
                Elsevier
                2666-3899
                20 November 2023
                08 December 2023
                20 November 2023
                : 4
                : 12
                : 100879
                Affiliations
                [1 ]University of Michigan, Department of Biostatistics, Ann Arbor, MI 48109, USA
                [2 ]University of Michigan, Department of Computational Medicine and Bioinformatics, Ann Arbor, MI 48109, USA
                Author notes
                []Corresponding author mmasotti@ 123456umich.edu
                [3]

                Lead contact

                Article
                S2666-3899(23)00271-4 100879
                10.1016/j.patter.2023.100879
                10724356
                38106614
                4b93d1b2-87a5-48c7-b8a1-3eb2d0e79e4f
                © 2023 The Author(s)

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 7 July 2023
                : 11 September 2023
                : 24 October 2023
                Categories
                Descriptor

                multiplex imaging,point process,spatial statistics
                multiplex imaging, point process, spatial statistics

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