Evidence map›Paper›PMID 42395348›Full record

ArticlebioRxiv : the preprint server for biology2026

SPEAK: Spatial Prompting with Expert Aligned Knowledge for Tissue Domain Identification in Spatial Transcriptomics.

Huanhuan Wei, Xiao Luo, Hongyi Yu, Jinping Liang, Luning Yang, Lixing Lin, Maor Sauler, Naftali Kaminski, Alexandra Popa, Xiting Yan

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Huanhuan WeiSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-5741-4114
Xiao LuoDepartment of Statistics, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Hongyi YuSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Jinping LiangSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Luning YangDepartment of Molecular, Cell and Systems Biology, University of California Riverside, California, USA.
Lixing LinSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Maor SaulerSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Naftali KaminskiSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-5917-4601
Alexandra PopaBoehringer Ingelheim RCV GmbH & Co KG, Doktor-Boehringer-Gasse 5-11, 1120 Vienna, Austria.
Xiting YanSection of Pulmonary, Critical Care and Sleep Medicine, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-8688-9004

Funding

Interrupting pro-inflammatory pulmonary-vascular cell interactions to reduce pulmonary capillary leak in critically ill children with bronchiolitisR01HL176019 · NHLBI · YALE UNIVERSITY · PI EDWARD VINCENT FAUSTINO, RICHARD W PIERCE · 2025 to 2026
$1.8M
Graph Learning of Cell-cell Communications in Spatial TranscriptomicsR01LM014087 · NLM · YALE UNIVERSITY · PI WANG, ZUOHENG, YAN, XITING · 2022 to 2025
$1.5M
Deep and Integrative Analysis of RNA Sequencing Data to Identify Pathogenesis Heterogeneity of Chronic Lung DiseaseR21LM012884 · NLM · YALE UNIVERSITY · PI YAN, XITING · 2018 to 2019
$415k
NHLBI NIH HHS R01 HL176019NLM NIH HHS R01 LM014087NLM NIH HHS R21 LM012884
6 · The paper itself

Abstract

Spatially resolved transcriptomic (SRT) data requires spatial domain identification to enable tissue microenvironment-specific downstream analyses. Here we present SPEAK (Spatial Prompting with Expert-Aligned Knowledge), a large language model (LLM) -based method to identify spatial domains from SRT data by taking advantage of the prior knowledge from both LLM and human experts. SPEAK constructs a spatial context prompt for each cell/spot based on cell types and marker genes of its neighboring cells, enabling zero-shot inference, expert-guided fine-tuning, and prototype updating through two-stage prompting. Applications to STARmap, Visium, MERFISH and Xenium datasets showed advantages of SPEAK over existing spatial domain identification methods in domain prediction accuracy, robustness to limited prior knowledge, biological interpretability, and capacity for efficient expert-guided fine-tuning with generalizability to other tissue sections.

Identifiers

PMID42395348
PMCPMC13320838

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.