Abstract Spatial transcriptomics is a rapidly emerging field that allows for the study of gene expression within a tissue sample. This technology has the potential to provide valuable insights into the molecular mechanisms underlying cancer progression and could be particularly useful in identifying specific regional cancer progression. By studying the regional spatial trajectory of cancer progression, we can develop more targeted therapies and better predict the likelihood of metastasis. Additionally, analyzing gene expression patterns in specific regions of the tissue can reveal the molecular mechanisms driving cancer growth in those areas, potentially uncovering new therapeutic targets. In this study, we created a spatial trajectory analysis method, named as stLearn - PSeudo-Time-Space (PSTS) algorithm, to investigate specific regional cancer progression. Spatial trajectory analysis is a statistical method that allows for the identification of patterns of transitional gene expression over time and space within a tissue sample. In detail, this method incorporates spatial features, such as tissue sub-structure locations and gene expression changes, to model the trajectory from a single snapshot of transcriptomics data. Also, we evaluated the effectiveness of PSTS by utilizing the cancer progression model in human breast cancer samples. Using this approach, we were able to identify specific regions within the breast tissue that displayed distinct progression branching trajectories patterns of transitional gene expression associated with ductal carcinoma in situ and invasive ductal carcinoma. These regions were found to be characterized by a high level of cellular diversity and were associated with aggressive forms of breast cancer. The results of this study suggest that spatial transcriptomics and spatial trajectory analysis could be a powerful tool for identifying specific regional cancer progression and may help to inform the biomarkers for the development of targeted therapies for breast cancer. Overall, this study highlights the potential of spatial transcriptomics and spatial trajectory analysis to provide valuable insights into the molecular mechanisms underlying cancer progression and could have significant implications for the diagnosis and treatment of cancer. Citation Format: Duy Pham, Quan Nguyen. A novel spatial trajectory inference method for detecting regional breast cancer progression from spatial transcriptomics data [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 2 (Clinical Trials and Late-Breaking Research); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(8_Suppl):Abstract nr LB076.
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