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Spatial multiomics in biomedical research: advances beyond transcriptomics
Xinchen Mao, Zhuo Chen, Emily J. Hwang, Jun Liu, Junrou Huang, Haikuo Li
Xinchen Mao, Zhuo Chen, Emily J. Hwang, Jun Liu, Junrou Huang, Haikuo Li
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Review

Spatial multiomics in biomedical research: advances beyond transcriptomics

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Abstract

Coordinated changes in gene expression, epigenetic regulation, protein and metabolic activities together drive disease progression and determine clinical outcomes. While spatially resolved transcriptomics has been widely adopted across biomedical fields, it offers an incomplete picture limited to transcriptomic levels. Here, we survey the latest developments in spatial multiomics technologies, with particular emphasis on platforms that extend beyond conventional transcriptomics and profile genomics, epigenomics, proteomics, or metabolomics within intact tissues. These approaches are rapidly becoming commercialized, and here we highlight major technical breakthroughs, enhanced sample compatibility, emerging applications, and computational tools for data analysis. This Review aims to equip researchers with a clear understanding of the current technological landscape and to accelerate the adoption of spatial multiomics methods in biomedical research.

Authors

Xinchen Mao, Zhuo Chen, Emily J. Hwang, Jun Liu, Junrou Huang, Haikuo Li

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Figure 3

Core technologies for spatial proteomics.

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Core technologies for spatial proteomics.
Schematic overview of the 3 ma...
Schematic overview of the 3 major technological classes that enable spatially resolved proteome profiling in tissues. On the left, sequencing-based spatial proteomics uses oligonucleotide-barcoded antibodies — e.g., CITE-seq (67), cellular indexing of transcriptomes and epitopes by sequencing (spatial-CITE-seq) (12), spatially resolved CITE-seq (SM-omics) (68), and spatial multi-omics — to jointly capture RNA and protein signals, which are subsequently decoded through next-generation sequencing to provide spatially indexed protein maps. The middle panel shows imaging-based approaches — e.g., cyclic immunofluorescence (cycIF); co-detection by indexing (CODEX), CosMx (69), and CosMx spatial molecular imager; iterative bleaching extends multiplexing (IBEX) (20); and imaging mass cytometry (IMC) (70) — which rely on iterative staining, imaging, and signal cycling or multiplexed ion-based detection to achieve high-plex, subcellular-resolution protein localization. On the right, MS-based spatial proteomics integrates tissue microdissection or imaging MS — e.g., laser capture microdissection coupled with liquid chromatography–tandem MS (LCM-LC-MS/MS), deep visual proteomics (DVP) (73), and filter-aided expanded proteomics (FAXP) (74) — to spatially quantify thousands of proteins. TOF, time of flight. Collectively, these platforms enable reconstruction of spatial protein abundance, posttranslational modification patterns, and cell-cell interaction landscapes across tissue architectures.

Copyright © 2026 American Society for Clinical Investigation
ISSN 2379-3708

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