{
  "abstract": "Spatial transcriptomics enables comprehensive characterization of tissue architecture, and the identification of spatially variable genes (SVGs) is a critical step for defining region-specific molecular markers and uncovering spatially regulated mechanisms across diverse biological contexts. However, most existing methods for SVG detection overlook cell density variations, a major confounding factor in complex tissues such as tumors, where heterogeneous cellularity frequently introduces false-positive calls. Here we present SpatioCAD, a computational framework that explicitly decouples genuine spatial expression patterns from confounding effects driven by cellularity. SpatioCAD introduces a graph diffusion model that inherently incorporates cell-density-aware conditions to simulate expression propagation, supporting the identification of SVGs across a broad range of expression levels. Systematic evaluations on simulated datasets demonstrate its superior statistical power and specificity. Applied to breast cancer, lung cancer, and glioma datasets, SpatioCAD identifies functionally diverse SVGs, including low‑abundance transcripts with established roles in tumor progression, while also recapitulates biologically meaningful tissue architecture features. Importantly, SpatioCAD is fast and scalable to large tissues. Author summary: Spatial transcriptomics maps where genes are active in tissues, providing a way to explore how tissue organization relates to biological function and disease. Interpreting these maps is challenging when different regions contain very different numbers of cells, as is common in tumors. Such differences can influence observed gene expression patterns and complicate the identification of informative spatial variation. We developed SpatioCAD to identify genes with spatially patterned expression while accounting for density-related variation. Using simulated data and datasets from human cancers and normal brain tissue, we show that SpatioCAD identifies genes with coherent spatial patterns across a broad range of expression levels. In cancer tissues, these genes represent diverse biological functions, providing a complementary view of molecular differences within the tumor environment. By supporting the detection of patterns in genes with both high and low expression, SpatioCAD helps researchers explore tissue heterogeneity more broadly. Our work provides a computational tool for investigating the molecular organization of complex tissues and generating hypotheses for further biological study.",
  "abstract_shown": true,
  "affiliations": [
    "School of Mathematical Sciences, Fudan University, Shanghai, China",
    "Department of Cardiology, First Affiliated Hospital of Ningbo University (Ningbo First Hospital), School of Medicine, Ningbo University, Ningbo, China",
    "Center for Applied Mathematics, Center for Integrative Spatial-Omics Research, and Shanghai Key Laboratory for Contemporary Applied Mathematics, Fudan University, Shanghai, China"
  ],
  "article_type": "Methods",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Hao Wen"
    },
    {
      "affs": [
        1
      ],
      "name": "Qunlun Shen"
    },
    {
      "affs": [
        2
      ],
      "name": "Shuqin Zhang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/66jxskd0mxk38.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pcbi.1014923",
  "fulltext_url": "https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1014923",
  "id": "66jxskd0mxk38",
  "issns": [
    "1553-7358"
  ],
  "landing_url": "https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1014923",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "1312|Single-cell and spatial transcriptomics"
    ],
    [
      "plos",
      "/Biology and life sciences/Computational biology/Genome analysis/Transcriptome analysis"
    ],
    [
      "plos",
      "/Biology and life sciences/Genetics/Gene expression"
    ],
    [
      "plos",
      "/Biology and life sciences/Genetics/Genomics/Genome analysis/Transcriptome analysis"
    ],
    [
      "plos",
      "/Biology and life sciences/Plant science/Plant anatomy/Flower anatomy/Sepals"
    ],
    [
      "plos",
      "/Medicine and health sciences/Neurology/Neurological tumors/Glioma"
    ],
    [
      "plos",
      "/Medicine and health sciences/Oncology/Cancers and neoplasms"
    ],
    [
      "plos",
      "/Medicine and health sciences/Oncology/Cancers and neoplasms/Breast tumors/Breast cancer"
    ],
    [
      "plos",
      "/Medicine and health sciences/Oncology/Cancers and neoplasms/Lung and intrathoracic tumors"
    ],
    [
      "plos",
      "/Medicine and health sciences/Oncology/Cancers and neoplasms/Malignant tumors"
    ],
    [
      "plos",
      "/Medicine and health sciences/Oncology/Cancers and neoplasms/Neurological tumors/Glioma"
    ]
  ],
  "openalex": "W7134903613",
  "pdf_url": "https://journals.plos.org/ploscompbiol/article/file?id=10.1371/journal.pcbi.1014923&type=printable",
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-02",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/66jxskd0mxk38.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T12:20:16Z",
      "native_id": "10.1371/journal.pcbi.1014923",
      "source": "plos",
      "url": "https://journals.plos.org/ploscompbiol/article?id=10.1371/journal.pcbi.1014923"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "plos:cancers and neoplasms",
      "subfield": "oncology"
    }
  ],
  "title": "SpatioCAD: Context-aware graph diffusion model for pinpointing spatially variable genes in heterogeneous tissues",
  "title_text": "SpatioCAD: Context-aware graph diffusion model for pinpointing spatially variable genes in heterogeneous tissues",
  "type": "peer-reviewed",
  "updated_at": "2026-11-04T12:20:44Z",
  "url": "https://research.draconitic.com/paper/66jxskd0mxk38",
  "venue": "PLOS Computational Biology",
  "versions": []
}