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Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
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Quantifying pathological progression from single-cell transcriptomic data with scPSS.

Samin Rahman Khan1,2, M Saifur Rahman3, M Sohel Rahman4

  • 1Institute of Information and Communication Technology, Bangladesh University of Engineering and Technology, Dhaka-1000, Bangladesh.

Genome Research
|January 14, 2026
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Summary
This summary is machine-generated.

We developed single-cell Pathological Shift Scoring (scPSS) to quantify how diseased cells deviate from healthy cell states. This statistically rigorous method accurately measures pathological progression at the individual cell level.

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Area of Science:

  • Computational Biology
  • Genomics
  • Biostatistics

Background:

  • Single-cell data analysis is rapidly advancing, enabling comparisons across conditions.
  • A critical gap exists in quantifying pathological changes at the single-cell level from healthy states.
  • Existing methods lack the ability to measure cell-level pathological progression in a semisupervised manner.

Purpose of the Study:

  • To introduce single-cell Pathological Shift Scoring (scPSS), a novel statistical method for quantifying pathological shifts in individual cells.
  • To provide a statistically rigorous measure of how much a query cell deviates from a healthy reference population.
  • To enable pathological progression assessment without requiring labeled diseased data for training.

Main Methods:

  • scPSS calculates pathological shift scores based on the distance of a query cell to its k-th nearest reference cell in principal component space.
  • Euclidean distances are computed in the top n principal component space of gene expression data.
  • A null model is established using the distribution of shift scores from reference healthy cells, enabling P-value assignment.

Main Results:

  • scPSS provides a statistically rigorous and interpretable measure of pathological deviation for individual cells.
  • The method demonstrates superior accuracy and efficiency compared to adapted state-of-the-art supervised models in benchmarking.
  • Aggregated cell-level scPSS scores can effectively predict health conditions at the individual level.

Conclusions:

  • scPSS offers a powerful, semisupervised approach to quantify cell-level pathological shifts, addressing a key gap in single-cell analysis.
  • The method's statistical rigor and efficiency make it a valuable tool for disease research.
  • scPSS has potential applications in disease diagnosis and monitoring by enabling individual-level health predictions.