# SM3DD with segmented PCA: a comprehensive method for interpreting 3D spatial transcriptomics

**Authors:** Tony Blick, Aaron Kilgallon, James Monkman, Caroline Cooper, Chin Wee Tan, Emily E Killingbeck, Liuliu Pan, Youngmi Kim, Yan Liang, Andy Nam, Michael Leon, Paulo S F Guimaraes, Seigo Nagashima, Ana P C Martins, Cleber Machado-Souza, Lucia de Noronha, John F Fraser, Gabrielle T Belz, Fernando Souza-Fonseca-Guimaraes, Arutha Kulasinghe

PMC · DOI: 10.1093/nargab/lqag007 · NAR Genomics and Bioinformatics · 2026-01-27

## TL;DR

The paper introduces SM3DD, a new method for analyzing 3D spatial RNA data to compare lung tissues from healthy individuals and SARS-CoV-2 patients.

## Contribution

SM3DD is a novel, segmentation-free approach that enables pathway discovery in spatial transcriptomics without requiring cell annotation.

## Key findings

- SM3DD identified significant gene distance changes in SARS-CoV-2 patients compared to normal individuals.
- Hierarchical clustering of SM3DD results grouped genes by function, aiding biological interpretation.
- Segmented PCA revealed pathways like 'SARS-CoV-2 infection' despite no viral transcripts being measured.

## Abstract

We developed Standardised Minimum 3D Distance (SM3DD), an entirely cell segmentation/annotation-free approach to the analysis of spatial RNA datasets, using it to compare lung tissue from 16 clinically normal individuals to that of 18 SARS-CoV-2 patients who died from acute respiratory distress syndrome. RNA spatial coordinates were determined using the CosMx™ Spatial Molecular Imager (Bruker Spatial Biology, US). For each individual transcript location, we calculated the three-dimensional distances to the nearest transcript of each transcript type, standardising the distances to each transcript type. Mean SM3DDs were compared between normal and SARS-CoV-2 patients. Notably, hierarchical clustering of the directional log10(P) values organized genes by functionality, making it easier to interpret biological contexts, and for FKBP11, where a decrease in distance to MZT2A was the most significant difference, suggesting a role in interferon signalling. Using a segmented principal components analysis of the entire SM3DD dataset, we identified multiple pathways, including ‘SARS-CoV-2 infection’, even though the assay did not include any SARS-CoV-2 transcripts.

## Linked entities

- **Genes:** FKBP11 (FKBP prolyl isomerase 11) [NCBI Gene 51303], MZT2A (mitotic spindle organizing protein 2A) [NCBI Gene 653784]
- **Diseases:** SARS-CoV-2 (MONDO:0100096), acute respiratory distress syndrome (MONDO:0006502)

## Full-text entities

- **Genes:** FKBP11 (FKBP prolyl isomerase 11) [NCBI Gene 51303] {aka FKBP19}, MZT2A (mitotic spindle organizing protein 2A) [NCBI Gene 653784] {aka FAM128A, MOZART2A}
- **Diseases:** died (MESH:D003643), SARS-CoV-2 infection (MESH:D000086382), acute respiratory distress syndrome (MESH:D012128)
- **Species:** Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12838529/full.md

## References

37 references — full list in the complete paper: https://tomesphere.com/paper/PMC12838529/full.md

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Source: https://tomesphere.com/paper/PMC12838529