Nature methods · 2026

High-parameter spatial multi-omics through histology-anchored integration

Liu Y, Wang C, Wang Z, Chen L, Li Z, Song J, Zou Q, Gao R, Qian BZ, Feng X, Guan R, Yuan Z

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  • Liu YKey Laboratory of Symbolic Computation and Knowledge Engineering of the Ministry of Education, College of Computer Science and Technology, Jilin University, Changchun, China.
  • Wang CKey Laboratory of Symbolic Computation and Knowledge Engineering of the Ministry of Education, College of Computer Science and Technology, Jilin University, Changchun, China.
  • Wang ZCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Institute of Science and Technology for Brain-Inspired Intelligence, MOE Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence, Center for Integrative Spatial-Omics Research, Fudan University, Shanghai, China.
  • Chen LDepartment of Computer Science and Technology, College of Mathematics and Computer, Shantou University, Shantou, China.
  • Li ZNational Clinical Research Center for Laboratory Medicine, Department of Laboratory Medicine, The First Hospital of China Medical University, Shenyang, China.
  • Song JBiomedicine Discovery Institute and Department of Biochemistry and Molecular Biology, Monash University, Melbourne, Victoria, Australia.
  • Zou QCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Institute of Science and Technology for Brain-Inspired Intelligence, MOE Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence, Center for Integrative Spatial-Omics Research, Fudan University, Shanghai, China.
  • Gao RCenter of Intelligent Medicine, School of Control Science and Engineering, Shandong University, Jinan, China.
  • Qian BZFudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, The Human Phenome Institute, Zhangjiang-Fudan International Innovation Center, Fudan University, Shanghai, China.
  • Feng XKey Laboratory of Symbolic Computation and Knowledge Engineering of the Ministry of Education, College of Computer Science and Technology, Jilin University, Changchun, China. fengxy@jlu.edu.cn.
  • Guan RKey Laboratory of Symbolic Computation and Knowledge Engineering of the Ministry of Education, College of Computer Science and Technology, Jilin University, Changchun, China. guanrenchu@jlu.edu.cn.
  • Yuan ZCenter for Medical Research and Innovation, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Institute of Science and Technology for Brain-Inspired Intelligence, MOE Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence, Center for Integrative Spatial-Omics Research, Fudan University, Shanghai, China. zhiyuan@fudan.edu.cn.
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Spatial omics face challenges in achieving high-parameter, multi-omics coprofiling. Serial-section profiling of complementary panels mitigates technical trade-offs but introduces the spatial diagonal integration problem. To address this, here we present SpatialEx and its extension SpatialEx+, computational frameworks leveraging histology as a universal anchor to integrate spatial molecular data across tissue sections. SpatialEx combines a pretrained hematoxylin and eosin foundation model with hypergraph and contrastive learning to predict single-cell omics from histology, encoding multi-neighborhood spatial dependencies and global tissue context. SpatialEx+ further introduces an omics cycle module that encourages cross-omics consistency via slice-invariant mappings, enabling seamless integration without comeasured training data. Extensive validations show superior hematoxylin and eosin-to-omics prediction, panel diagonal integration and omics diagonal integration across various biological scenarios. The frameworks scale to datasets exceeding 1 million cells, maintain robustness with nonoverlapping or heterogeneous sections and support unlimited omics layers in principle. Our work makes multimodal spatial profiling broadly accessible.

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