从组织病理学获得人工智能支持的虚拟空间蛋白质组学,用于在肺癌中发现可解释的生物标志物
Zhe Li1, Yuchen Li1, Jinxi Xiang1
1Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Nature medicine
|January 6, 2026
概括
我们开发了HEX,这是一种AI模型,可以从标准病理学幻灯片中预测空间蛋白质表达. 这种人工智能驱动的方法提高了癌症预后和免疫治疗反应预测,为精准医学提供了一个可扩展的工具.
科学领域:
- 生物医学成像学 生物医学成像学
- 计算病理学计算病理学
- 蛋白质组学是指蛋白质组学.
背景情况:
- 空间蛋白质组学提供了高分辨率的蛋白质表达映射,但面临着成本和可扩展性等临床翻译挑战.
- 标准的组织病理学幻灯片缺乏详细的蛋白质表达数据,这些数据对于了解疾病至关重要.
- 需要将AI整合到病理学中,以弥合成像和分子洞察力之间的差距.
研究的目的:
- 开发和验证一个人工智能模型 (HEX) 用于从血素和乙素 (H&E) 染色基因病理学幻灯片计算生成空间蛋白质组学概况.
- 评估HEX在预测蛋白质表达和提高癌症预后和预测准确性的性能.
- 探索整合人工智能衍生的虚拟空间蛋白质组与H&E图像的实用性,以改善临床决策.
主要方法:
- 开发了HEX,这是一款在819,000个组织病理学图像上训练的AI模型,并匹配了来自382个瘤样本的蛋白质表达数据.
- 验证了HEX在预测40种不同生物标志物的准确性,并将其性能与替代方法进行比较.
- 实施了多式联运数据集成方法,将H&E图像与AI衍生的虚拟空间蛋白质组合起来.
主要成果:
- HEX准确地预测了40种生物标志物的表达,比H&E图像中蛋白质预测的现有方法表现出更高的性能.
- 在6个独立的非小细胞肺癌队列 (2298名患者) 中,使用HEX的多模式整合提高了22%的预后准确性和24-39%的免疫治疗反应预测.
- 确定了特定的瘤免疫,例如响应者中的T辅助和细胞毒性T细胞共定位,以及非响应者中的免疫抑制细胞聚合物,以预测治疗结果.
结论:
- HEX提供了一种低成本,可扩展的方法,用于从标准基因病理学幻灯片分析空间生物学.
- 与H&E成像集成的AI衍生虚拟空间蛋白质学显著提高了对患者结果和治疗反应的预测.
- 赫克斯促进了可解释生物标志物的发现和临床翻译,为精准医学铺平了道路.
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