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PreprintCC BY-NC-NDbioRxiv

Generalizable virtual staining from histopathology to spatial proteomics across biological scales

  1. 1The University of Hong Kong

Abstract

Large histology archives capture morphological correlates of molecular tissue states but lack direct spatial protein measurements. In this study, we show that routine hematoxylin and eosin (H&E) histology can provide a queryable, morphology-based representation of spatial protein expression that remains informative from pixels to patients. To achieve this, we developed QUEST, a model framework that represents protein markers as semantic queries for flexible multiplex immunofluorescence (MIF) prediction. Trained on a heterogeneous atlas of paired H&E and MIF images comprising over 10,000 tissue regions, QUEST captured morphological patterns associated with protein markers and reconstructed their expression intensities across diverse tissue types and cohorts. Its utility extended beyond image reconstruction and preserved biologically meaningful information across multiple scales: virtual staining preserved protein marker expression at the cellular and tissue scales, supported cell phenotyping, cellular neighborhood analysis, and characterization of spatial tissue organization, retained clinically relevant signals for patient stratification, and enabled H&E-based queries to retrieve MIF references with similar molecular profiles. These findings position virtual staining not simply as image generation but as a flexible interface between routine histology and spatial proteomics, expanding the analytical value of existing H&E archives.

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BibTeX
@misc{liu2026generalizable,
  title = {{Generalizable virtual staining from histopathology to spatial proteomics across biological scales}},
  author = {Y. Liu and O. Falik and Z. Zhong and L. Yu and R. Luo and C. Jin and H. Chen and A. T. Mayer and A. E. Trevino and P. Chou and Y. Dai and Z. Wu},
  howpublished = {bioRxiv},
  year = {2026},
  month = nov,
  doi = {10.64898/2026.11.02.763811},
  url = {https://www.biorxiv.org/content/10.64898/2026.11.02.763811v1},
  note = {CC BY-NC-ND},
}
RIS
TY  - UNPB
TI  - Generalizable virtual staining from histopathology to spatial proteomics across biological scales
AU  - Y. Liu
AU  - O. Falik
AU  - Z. Zhong
AU  - L. Yu
AU  - R. Luo
AU  - C. Jin
AU  - H. Chen
AU  - A. T. Mayer
AU  - A. E. Trevino
AU  - P. Chou
AU  - Y. Dai
AU  - Z. Wu
PY  - 2026
DA  - 2026/11/02
PB  - bioRxiv
DO  - 10.64898/2026.11.02.763811
UR  - https://www.biorxiv.org/content/10.64898/2026.11.02.763811v1
AB  - Large histology archives capture morphological correlates of molecular tissue states but lack direct spatial protein measurements. In this study, we show that routine hematoxylin and eosin (H&E) histology can provide a queryable, morphology-based representation of spatial protein expression that remains informative from pixels to patients. To achieve this, we developed QUEST, a model framework that represents protein markers as semantic queries for flexible multiplex immunofluorescence (MIF) prediction. Trained on a heterogeneous atlas of paired H&E and MIF images comprising over 10,000 tissue regions, QUEST captured morphological patterns associated with protein markers and reconstructed their expression intensities across diverse tissue types and cohorts. Its utility extended beyond image reconstruction and preserved biologically meaningful information across multiple scales: virtual staining preserved protein marker expression at the cellular and tissue scales, supported cell phenotyping, cellular neighborhood analysis, and characterization of spatial tissue organization, retained clinically relevant signals for patient stratification, and enabled H&E-based queries to retrieve MIF references with similar molecular profiles. These findings position virtual staining not simply as image generation but as a flexible interface between routine histology and spatial proteomics, expanding the analytical value of existing H&E archives.
ER  -