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Molecular Characterization of T-Lineage Acute Lymphoblastic Leukemia by an Optimal-Transport Based Multi-Omics
Lusheng Li1, Jieqiong Wang2, Shibiao Wan1,3
1Department of Genetics, Cell Biology and Anatomy, University of Nebraska Medical Center, Omaha, NE.
Biorxiv : the Preprint Server for Biology
|June 5, 2026
Summary
We developed OTTER, a deep learning framework integrating gene expression and genomic data for precise T-ALL subtyping. This approach enhances understanding of T-ALL heterogeneity and aids targeted therapies.
Area of Science:
- Computational biology
- Genomics
- Pediatric oncology
Background:
- T-lineage acute lymphoblastic leukemia (T-ALL) is a complex pediatric cancer with significant molecular heterogeneity.
- Current subtyping methods are time-consuming and limited by single-data sources.
- Integrating multi-omics data for T-ALL characterization presents a computational challenge.
Purpose of the Study:
- To develop a novel computational framework for integrating multi-omics data in T-ALL.
- To improve molecular characterization and subtyping of T-ALL.
- To identify subtype-driving molecular features and cross-modal interactions.
Main Methods:
- Developed OTTER (Optimal Transport-based Transcriptomics and gEnomics Representation fusion), a multi-modal deep learning framework.
- Utilized variational autoencoders for modality-specific encoding and Gromov-Wasserstein optimal transport (GW-OT) for latent representation alignment.
- Applied the framework to the COG AALL0434 cohort (1,309 patients) and performed gradient-based interpretability analyses.
Main Results:
- OTTER effectively integrates RNA-seq and genomic variant data for T-ALL molecular characterization.
- Identified subtype-driving molecular features and coordinated cross-omics programs.
- Demonstrated the framework's ability to uncover the coordinated molecular landscape of T-ALL.
Conclusions:
- OTTER offers a principled, interpretable, and effective computational framework for multi-omics T-ALL characterization.
- The GW-OT approach enables geometry-preserving cross-modal alignment.
- The framework is generalizable to other cancers and multi-omics integration tasks.

