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Sequencing-Based Spatial Transcriptomics

Sequencing-based spatial methods capture the full transcriptome without requiring a pre-selected gene panel. They achieve this by spatially barcoding mRNA molecules on a tissue section, then reading out gene identity and location via next-generation sequencing. The trade-off: most methods capture at multi-cell or bin-level resolution, making computational deconvolution or bin-to-cell aggregation a necessary step.


Visium

How it works: Tissue is placed on a slide printed with ~5,000 barcoded spots (55 um diameter, 100 um center-to-center), each capturing mRNA from the overlying cells via poly-dT oligos.

Property Value
Resolution 55 um (~1-10 cells per spot)
Throughput Whole transcriptome (~20,000 genes)
Tissue area 6.5 mm x 6.5 mm capture area
Tissue type Fresh-frozen; FFPE via CytAssist
Commercial status Active (10x Genomics). Being superseded by Visium HD but still widely used.
Key paper Stahl et al., Science 2016; 10x Visium protocol

Recommended analysis tools

  • Pre-processing: SpaceRanger, SpotClean (ambient RNA correction)
  • Spatial domains: BayesSpace, STAGATE
  • Deconvolution: Cell2location, RCTD, Tangram
  • SVG detection: nnSVG, SPARK-X

Limitations: 55-um spots mix multiple cells, requiring deconvolution. Limited capture area restricts whole-organ studies. Sensitivity (~3,000-5,000 genes per spot) is lower than scRNA-seq.


Visium HD

How it works: Same capture chemistry as Visium but printed at 2-um resolution (continuous lawn of barcoded oligos), with counts aggregated into 2-um or 8-um bins computationally.

Property Value
Resolution 2 um bins (approaching single-cell)
Throughput Whole transcriptome
Tissue area 6.5 mm x 6.5 mm
Tissue type Fresh-frozen, FFPE
Commercial status Active (10x Genomics, launched 2024)
Key paper 10x Genomics Visium HD; Oliveira et al., Nature 2024

Recommended analysis tools

  • Bin-to-cell: Bin2Cell, ENACT
  • Spatial domains: BANKSY, STAGATE (must scale to millions of observations)
  • Deconvolution: Cell2location, RCTD (on 8-um bins if not using Bin2Cell)
  • See the Visium HD deep read for detailed guidance

Limitations: Raw 2-um bins are not cells -- aggregation is essential. Datasets are 10-100x larger than Visium, stressing memory and compute. Tooling ecosystem is still maturing. Per-bin sensitivity is low; aggregation improves it at the cost of resolution.


Slide-seq / V2

How it works: A "puck" coated with DNA-barcoded beads (10 um diameter) is placed on a tissue section. mRNA transfers to beads, is captured, and sequenced. Bead positions are decoded by in situ sequencing.

Property Value
Resolution 10 um (~1-2 cells per bead)
Throughput Whole transcriptome
Tissue area 3 mm diameter puck
Tissue type Fresh-frozen only
Commercial status Academic protocol (not commercially available)
Key paper Rodriques et al., Science 2019; Stickels et al., Nat Biotechnol 2021 (V2)

Recommended analysis tools

  • Deconvolution: RCTD (originally developed for Slide-seq), Cell2location
  • Spatial domains: BayesSpace, STAGATE

Limitations: Fresh-frozen only. Lower sensitivity than Visium per bead (V2 improved ~10x over V1). Small capture area limits applications. Requires custom bead synthesis and decoding.


Stereo-seq

How it works: DNA nanoballs (DNBs) are patterned on a chip at ~500 nm spacing, creating a dense grid of spatial barcodes. Tissue is placed on the chip and captured mRNA is sequenced.

Property Value
Resolution ~500 nm (subcellular)
Throughput Whole transcriptome
Tissue area Up to several centimeters
Tissue type Fresh-frozen
Commercial status Active (BGI/STOmics)
Key paper Chen et al., Cell 2022

Recommended analysis tools

  • Initial processing: SAW (BGI pipeline)
  • Spatial domains: STAGATE, BANKSY (must handle extreme scale)
  • Deconvolution: Cell2location (on aggregated bins)

Limitations: Generates the largest spatial datasets of any technology -- a single sample can produce hundreds of millions of data points. Most standard tools fail at this scale without subsampling. BGI ecosystem is less integrated with the Western scverse/Bioconductor toolchains. Fresh-frozen only.


Open-ST

How it works: Open-source protocol using commercially available reagents to create spatial barcoding arrays at subcellular resolution. Designed for accessibility -- any lab with standard molecular biology equipment can implement it.

Property Value
Resolution Subcellular (~0.5-1 um)
Throughput Whole transcriptome
Tissue area Variable (depends on array)
Tissue type Fresh-frozen
Commercial status Open-source (Rajewsky lab)
Key paper Schott et al., Cell 2024

Open-ST significance

Open-ST democratizes high-resolution spatial transcriptomics by removing the need for expensive commercial platforms. The trade-off is more hands-on protocol optimization and less turnkey support. Analysis follows patterns similar to Stereo-seq.


Seq-Scope

How it works: Repurposes Illumina sequencing flow cells as spatial barcoding arrays, achieving subcellular resolution by leveraging the existing cluster positions on the flow cell as spatial barcodes.

Property Value
Resolution Subcellular (~0.5-1 um)
Throughput Whole transcriptome
Tissue area Flow cell tile area
Tissue type Fresh-frozen
Commercial status Academic protocol
Key paper Cho et al., Cell 2021

Limitations: Requires access to an Illumina sequencing platform for array preparation. Protocol is technically demanding. Limited adoption outside the originating lab.


DBiT-seq

How it works: Deterministic barcoding in tissue using two sets of microfluidic channels (horizontal and vertical) that deliver DNA barcodes to create a grid of unique spatial addresses on the tissue.

Property Value
Resolution 10 um or 25 um (determined by channel width)
Throughput Whole transcriptome; also supports ATAC-seq and protein
Tissue area Variable (depends on microfluidic device)
Tissue type Fresh-frozen, FFPE
Commercial status Academic protocol (Fan lab, Yale)
Key paper Liu et al., Cell 2020

Multi-omic capability

DBiT-seq is notable as one of the earliest spatial multi-omic methods, enabling simultaneous measurement of transcriptome and chromatin accessibility (or protein) from the same tissue section. See Spatial Multi-Omics.


HDST

How it works: High-definition spatial transcriptomics using a bead array with 2-um beads, achieving the highest resolution of early bead-based methods.

Property Value
Resolution 2 um
Throughput Whole transcriptome
Tissue type Fresh-frozen
Commercial status Academic proof-of-concept (not widely adopted)
Key paper Vickovic et al., Nat Methods 2019

Limitations: Very low capture efficiency limited practical utility. Served as an important proof-of-concept for high-resolution sequencing-based spatial transcriptomics but was superseded by Slide-seq V2, Stereo-seq, and Visium HD.


Pixel-seq

How it works: Uses polony (polymerase colony) technology to create spatially barcoded arrays at subcellular resolution, with improved transcript capture compared to bead-based approaches.

Property Value
Resolution Subcellular
Throughput Whole transcriptome
Tissue type Fresh-frozen
Commercial status Academic protocol
Key paper Fu et al., Cell 2022

Limitations: Limited adoption. The polony-based approach is technically demanding to reproduce. Proof-of-concept data looks promising but independent validation is sparse.


Summary comparison

Technology Resolution Tissue area FFPE? Commercial? Maturity
Visium 55 um 6.5 mm Yes Yes High
Visium HD 2 um 6.5 mm Yes Yes Medium
Slide-seq V2 10 um 3 mm No No Medium
Stereo-seq 500 nm cm-scale No Yes Medium
Open-ST Subcellular Variable No Open-source Early
Seq-Scope Subcellular Flow cell No No Early
DBiT-seq 10-25 um Variable Yes No Early
HDST 2 um Small No No Superseded
Pixel-seq Subcellular Variable No No Early