KSTITCH links cellular morphology and gene expression in spatial transcriptomics.

In situ spatial (ISS) sequencing can uncover co-variation between cellular morphology and gene expression in vivo. However, a principled and interpretable mathematical representation of morphology has not yet been applied in this context. In particular, current deep learning-based representations of cell images confound a cell's shape with its size. We present an interpretable representation of cellular boundary contours, based on tangent principal component analysis (TPCA) in a Kendall shape manifold, that captures size-independent contour shape features. This approach successfully recovers shape-perturbing genes in an RNAi screen than a previous metric geometry-based approach. We build on TPCA to develop KSTITCH (Kendall Shape-TranscriptomIc Correlation and Harmonization), an approach to reveal covariation between cell morphology with gene expression in ISS datasets. In a Xenium dataset, KSTITCH recovers known morphology-transcriptomic relationships in keratinocytes, macrophages and endothelial cells. Across samples in a melanoma CosMx dataset, KSTITCH reproducibly associates elongated and triangular fibroblasts with proximity to malignant cells and myofibroblast-like transcriptional program. Finally, KSTITCH independently recovers a known link between mesenchymal-like malignant cell states and increased cell area in two melanoma cohorts. KSTITCH can thus yield interpretable morphology-transcriptome relationships across cell types, patients, and spatial transcriptomics platforms. KSTITCH is available at https://github.com/vishakagopalan/kstitch .