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Author Spotlight: Advancing Alzheimer's Research – Exploring Early Detection and Multi-Omics Approaches
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Spatial Multi-Omics Workflow and Analytical Guidelines for Alzheimer's Neuropathology
Xuehan Sun1, Hannah R Hudson1, Timothy C Orr1
1Department of Neurology, Washington University School of Medicine in St Louis, MO, USA.
Biorxiv : the Preprint Server for Biology
|December 3, 2025
Summary
A new spatial biology pipeline analyzes whole-transcriptome and protein data in tissues. This framework ensures reproducible results for complex diseases like Alzheimer's and ALS.
Area of Science:
- Spatial biology
- Genomics
- Proteomics
- Neuroscience
Background:
- Spatial biology technologies offer high-dimensional tissue profiling.
- Standardized analytical frameworks are crucial for data quality and reproducibility.
- Existing platforms require robust methods for multi-omic data interpretation.
Purpose of the Study:
- To present an end-to-end pipeline for the GeoMx Digital Spatial Profiler.
- To enable simultaneous whole-transcriptome and protein measurements from user-defined tissue regions.
- To establish guidelines for reproducible spatial multi-omic analyses.
Main Methods:
- Developed an integrated workflow for morphology-guided region selection, quality control, and normalization.
- Applied the pipeline to formalin-fixed cortical tissues from Alzheimer's disease, dementia with Lewy bodies, amyotrophic lateral sclerosis, and controls.
- Utilized multi-modal data interpretation for transcript and protein analysis.
Main Results:
- The framework resolved spatially distinct molecular domains within complex tissues.
- Transcript and protein signals showed divergence across pathological regions (e.g., amyloid plaques).
- RNA-protein concordance varied by disease condition, and single-neuron profiling demonstrated protein assay sensitivity.
Conclusions:
- The presented dataset is a validated resource for spatial multi-omic analyses.
- The pipeline provides broadly applicable guidelines for reliable and reproducible tissue profiling.
- This approach enhances understanding of molecular and cellular organization in disease.

