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Spatial transcriptomics: challenges and future directions in musculoskeletal diseases.

Keemo Delos Santos1,2, Jason S Rockel1, Mohit Kapoor1,2,3

  • 1Schroeder Arthritis Institute, University Health Network.

Current Opinion in Rheumatology
|November 20, 2025
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Spatial transcriptomics reveals gene expression within musculoskeletal tissues, advancing research into complex diseases. This technology offers new therapeutic avenues by detailing cellular and molecular insights.

Keywords:
musculoskeletal diseasesnext-generation sequencingspatial transcriptomics

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Area of Science:

  • Biomedical Research
  • Genomics
  • Molecular Biology

Background:

  • Next-generation sequencing enhances understanding of musculoskeletal (MSK) system heterogeneity.
  • Spatial transcriptomics enables in-situ gene expression analysis on intact tissues.

Purpose of the Study:

  • To review advancements in spatial transcriptomics for MSK research.
  • To explore current and potential applications in understanding MSK diseases.
  • To identify challenges and opportunities for spatial transcriptomics in MSK research.

Main Methods:

  • Review of emerging spatial transcriptomic techniques.
  • Analysis of spatial transcriptomics applications in MSK disease research.

Main Results:

  • Spatial transcriptomics provides in-situ gene expression data from MSK tissues.
  • Understanding spatial transcriptomes illuminates the complexity of MSK diseases.
  • Identified challenges and opportunities for broader MSK application.

Conclusions:

  • Spatial transcriptomics is a powerful tool for MSK research.
  • Addressing current challenges can improve spatial transcriptomics insights in MSK tissues.
  • Future considerations aim to enhance the utility of spatial transcriptomics for therapeutic development.