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EXO – Beyond the Cell is a quarterly, gold open-access journal published by Science Exploration Press. The journal highlights groundbreaking discoveries on how cells engage with their environments and how these interactions shape biology and medicine. With an emphasis on spatial organization, dynamic communication, and cross-scale integration, EXO – Beyond the Cell serves as a hub for innovative research at the interface of cell biology, technology, and translational science. By fostering rigor, creativity, and accessibility, the journal seeks to accelerate insights that redefine our understanding of life beyond the boundaries of the cell. more >
Articles
Democratizing the spatial view: STAMP technology from an analytical perspective
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Single-cell RNA sequencing (scRNA-seq) has transformed the profiling of cellular heterogeneity; however, tissue dissociation for scRNA-seq eliminates three critical classes of information that often define cell state: spatial organization, morphology, ...
MoreSingle-cell RNA sequencing (scRNA-seq) has transformed the profiling of cellular heterogeneity; however, tissue dissociation for scRNA-seq eliminates three critical classes of information that often define cell state: spatial organization, morphology, and protein localization. Spatial transcriptomics partially restores this context, yet many platforms are limited by cost, throughput, or experimental complexity. Single-cell transcriptomics analysis and multimodal profiling (STAMP) tackle these limitations by immobilizing cells or nuclei on a slide, enabling high-content imaging prior to molecular readout and consequently preserving each cell’s visual characteristics alongside high-plex transcript and/or protein measurements. This mini review focuses on the downstream analytical workflow for STAMP datasets using Python, illustrating how standard single-cell methods can be applied to image-derived cell-by-feature matrices enriched with per-cell covariates. The pooled MIX sub-STAMP serves as a working example to illustrate practical steps for quality control, normalization, dimensionality reduction, clustering or label transfer, and program-level interpretation. Morpho-transcriptomic coupling is highlighted as an exploratory strategy that links inferred gene programs to image-derived morphology. Collectively, these analyses establish STAMP as a practical bridge between single-cell transcriptomics and quantitative cell phenotype, enabling interpretable state inference that can be validated by imaging-derived measurements.
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Suresh Poudel, ... Douglas R. Green
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DOI: https://doi.org/10.70401/EXO.2026.0012 - June 03, 2026
Ferroptosis spreading through propagative signals
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Ferroptosis is a regulated mechanism of cell death caused by the uncontrolled peroxidation of cellular lipids that has an unusual ability to propagate or spread between cells. Here, we review studies identifying regulators of ferroptosis propagation to consider ...
MoreFerroptosis is a regulated mechanism of cell death caused by the uncontrolled peroxidation of cellular lipids that has an unusual ability to propagate or spread between cells. Here, we review studies identifying regulators of ferroptosis propagation to consider a working model that might explain this unusual feature. Recent findings implicating the spread of lipid peroxides and iron suggest that these main catalysts of ferroptosis may also be primary vehicles that can spread death between cells. Experiments revealing localized versus long-range effects of propagation are discussed, as well as sensitizing factors that may expand the propagative potential of death induced by Class II ferroptosis-inducing compounds. As ferroptosis propagation may underlie the loss of large groups of cells in degenerative diseases and may also have a specialized role in normal development, consideration of how ferroptosis can spread through propagative signals may be important for understanding both normal tissue dynamics and disease.
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Saloni K. Hombalkar, ... Michael Overholtzer
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DOI: https://doi.org/10.70401/EXO.2026.0011 - May 26, 2026
Computational workflows and data infrastructures for spatial omics analysis
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Spatial omics is a broad term referring to technologies that allow for biomolecules to be observed within their native tissue context. These technologies have been used by biomedical researchers to gain a better understanding of cellular interactions, tumor ...
MoreSpatial omics is a broad term referring to technologies that allow for biomolecules to be observed within their native tissue context. These technologies have been used by biomedical researchers to gain a better understanding of cellular interactions, tumor microenvironment dynamics, and immune cell infiltration. While the basic outputs, such as spatial coordinates, segmentation masks, and transcript/protein matrices, are provided by the instrument software, the true biological insights come from several downstream, specialized analysis steps. Since spatial omics remains a relatively new field, no unified analysis pipeline has yet been established to encompass all platforms. Most workflows are adapted from single-cell RNA sequencing analysis frameworks, while incorporating additional steps that are specific to spatial data, especially for imaging-based technologies. At the same time, the diversity of platforms, data modalities, and output formats has introduced substantial challenges for data representation, interoperability, and cross-platform integration, highlighting the need for flexible, spatially aware, and user-friendly data structures made specifically for imaging-based data, not merely adapted from other methods. This review summarizes the general analytical steps following spatial omics data acquisition, commonly used data infrastructures and tools, existing gaps, and future directions in the field.
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Margaret Alexander, ... Jasmine Plummer
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DOI: https://doi.org/10.70401/EXO.2026.0010 - May 15, 2026
Nutrient-sensing and mTORC1 regulation in neuronal homeostasis: from metabolic signaling to neurodegeneration
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Neurons rely on precise nutrient-sensing mechanisms to sustain proteostasis and stress resilience across a lifetime. Among these, mechanistic target of rapamycin complex 1 (mTORC1) functions as a central metabolic hub, integrating amino acid availability, ...
MoreNeurons rely on precise nutrient-sensing mechanisms to sustain proteostasis and stress resilience across a lifetime. Among these, mechanistic target of rapamycin complex 1 (mTORC1) functions as a central metabolic hub, integrating amino acid availability, growth factor signals, and energetic status to coordinate protein synthesis, autophagy, and neuronal survival. Neuronal mTORC1 regulation is highly specialised, reflecting unique metabolic demands, axonal compartmentalisation, and dependence on long-term homeostatic control that is not shared by non-neuronal cell types. Beyond canonical PI3K–Akt and AMP-activated protein kinase (AMPK) signaling, emerging evidence highlights metabolic intermediates, most notably leucine-derived acetyl-coenzyme A (AcCoA), as critical upstream regulators that couple nutrient flux to mTORC1 activity via EP300-mediated Raptor acetylation. Chronic dysregulation of these pathways drives persistent mTORC1 hyperactivation, progressive autophagy impairment, and accumulation of proteotoxic species, collectively contributing to neurodegeneration. In Alzheimer’s disease, aberrant mTORC1 activity is linked to tau hyperphosphorylation and amyloid-β accumulation; in Parkinson’s disease, to α-synuclein aggregation and mitophagy failure; in Huntington’s disease, to impaired clearance of mutant huntingtin; and in amyotrophic lateral sclerosis (ALS), to dysregulated proteostasis in motor neurons. This mini review synthesizes current understanding of neuronal mTORC1 regulation, with an emphasis on the AcCoA–acetylation axis as an emerging metabolic control mechanism, its disease-specific implications across major neurodegenerative conditions, and the therapeutic opportunities these insights reveal upstream of mTORC1.
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Sung Min Son, ... David C. Rubinsztein
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DOI: https://doi.org/10.70401/EXO.2026.0009 - May 15, 2026
Approaches to deorphanize secretome: Classical, computational, and next generation strategies to reveal ligand-receptor networks
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Secreted proteins mediate intercellular and inter-organ communication and are essential for coordinating physiological processes across tissues. Advances in proteomics and proximity labeling have greatly expanded the catalog of circulating secreted ...
MoreSecreted proteins mediate intercellular and inter-organ communication and are essential for coordinating physiological processes across tissues. Advances in proteomics and proximity labeling have greatly expanded the catalog of circulating secreted factors; however, for many of these molecules, their cognate receptors and mechanisms of action remain unknown. This lack of receptor annotation represents a major bottleneck in understanding systemic signaling networks and translating secretome discoveries into biological insights. In this review, we summarize and evaluate the strengths and limitations of current strategies for deorphanizing secreted proteins, including 1) biochemical approaches such as affinity purification–mass spectrometry and crosslinking-based receptor capture, 2) genetic screening strategies in both in vivo and in vitro systems, including RNA interference and Clustered Regularly-Interspaced Short Palindromic Repeats (CRISPR)-based perturbation and activation platforms, and 3) computational frameworks based on AI-driven protein structure modeling. Finally, we outline future directions aimed at accelerating ligand–receptor identification, including multiplexed screening platforms, approaches to improve sensitivity for low-affinity interactions, synthetic biology tools that convert transient binding events into stable readouts, and integration with single-cell and spatial transcriptomic technologies. Together, these advances provide a roadmap for transforming classical ligand deorphanization into a scalable, context-aware framework for decoding inter-organ communication.
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Myeonghoon Han, Norbert Perrimon
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DOI: https://doi.org/10.70401/EXO.2026.0008 - May 11, 2026
Computational workflows and data infrastructures for spatial omics analysis
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Spatial omics is a broad term referring to technologies that allow for biomolecules to be observed within their native tissue context. These technologies have been used by biomedical researchers to gain a better understanding of cellular interactions, tumor ...
MoreSpatial omics is a broad term referring to technologies that allow for biomolecules to be observed within their native tissue context. These technologies have been used by biomedical researchers to gain a better understanding of cellular interactions, tumor microenvironment dynamics, and immune cell infiltration. While the basic outputs, such as spatial coordinates, segmentation masks, and transcript/protein matrices, are provided by the instrument software, the true biological insights come from several downstream, specialized analysis steps. Since spatial omics remains a relatively new field, no unified analysis pipeline has yet been established to encompass all platforms. Most workflows are adapted from single-cell RNA sequencing analysis frameworks, while incorporating additional steps that are specific to spatial data, especially for imaging-based technologies. At the same time, the diversity of platforms, data modalities, and output formats has introduced substantial challenges for data representation, interoperability, and cross-platform integration, highlighting the need for flexible, spatially aware, and user-friendly data structures made specifically for imaging-based data, not merely adapted from other methods. This review summarizes the general analytical steps following spatial omics data acquisition, commonly used data infrastructures and tools, existing gaps, and future directions in the field.
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Margaret Alexander, ... Jasmine Plummer
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DOI: https://doi.org/10.70401/EXO.2026.0010 - May 15, 2026
EXO - Beyond the Cell, a journal about how cells interact with their environment
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Brent R. Stockwell
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DOI: https://doi.org/10.70401/EXO.2026.0001 - January 13, 2026
Human iPSC-derived macrophages for studying intrinsic and extrinsic factors in cystic fibrosis
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Background: Cystic fibrosis (CF) is a progressive genetic disease characterized by defective ion transport, mucus accumulation, chronic infection, and inflammation that drive airway damage and ultimately end-stage lung failure. Previous studies ...
MoreBackground: Cystic fibrosis (CF) is a progressive genetic disease characterized by defective ion transport, mucus accumulation, chronic infection, and inflammation that drive airway damage and ultimately end-stage lung failure. Previous studies show that high levels of proteolytic enzymes in the sputum of CF patients correlate with declining lung function, but the related effects on distal lung extracellular matrix (ECM) and immune responses are unclear.
Methods: To address this gap, induced pluripotent stem cell (iPSC) lines from healthy donors and CF patients were differentiated into macrophages, and stimulated with lipopolysaccharide (LPS) to compare their inflammatory responses. Bulk RNA sequencing, functional assays, and secreted protein profiling revealed key differences between healthy and CF-derived macrophages, providing insight into how these cells may contribute to inflammatory responses in CF patients. Further, human lung ECM from distal CF lung tissue was isolated, used to generate ECM biomaterials, and combined with iPSC-derived macrophages from healthy and CF donors in vitro. Macrophage phenotype was evaluated through cytokine profiling and RNA sequencing.
Results: CF macrophage inflammation was dysregulated, with elevated baseline IL-8, IL-18, and MCP-1 expression, and a blunted inflammatory response to CF ECM compared to healthy macrophages. By using CF ECM and healthy macrophages, we characterized how healthy cells may be altered in a persistent CF milieu after anticipated CFTR modulator therapy.
Conclusion: These findings reveal altered innate immune behavior in CF and demonstrate the utility of iPSC-derived macrophages for modeling extrinsic immune-ECM interactions in disease.
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Daniel Naveed Tavakol, ... Gordana Vunjak-Novakovic
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DOI: https://doi.org/10.70401/EXO.2026.0005 - April 10, 2026
Ferroptosis in BRCA-associated disorders: Extracellular vesicles as potential messengers beyond the cell
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BRCA1 and BRCA2 deficiencies are classically defined by impaired homologous recombination–mediated DNA repair; however, their pathological consequences extend far beyond cell-autonomous genomic instability. Accumulating evidence indicates that ...
MoreBRCA1 and BRCA2 deficiencies are classically defined by impaired homologous recombination–mediated DNA repair; however, their pathological consequences extend far beyond cell-autonomous genomic instability. Accumulating evidence indicates that BRCA deficiency is accompanied by iron dysregulation and persistent lipid peroxidation, placing cells under chronic ferroptotic pressure. Studies using BRCA1/2 rat models demonstrate that ferroptosis functions as a decisive biological checkpoint with gene-specific outcomes. Under BRCA1 haploinsufficiency, iron-driven oxidative stress accelerates carcinogenesis by selecting for ferroptosis-resistant clones, whereas BRCA2 haploinsufficiency enhances ferroptotic execution, thereby preventing iron-induced cancer promotion. In contrast, reproductive tissues lacking adaptive escape capacity manifest BRCA deficiency as a direct ferroptosis-driven cellular loss, resulting in male and female infertility. Importantly, ferroptosis is not a silent, cell-confined event. Experimental evidence from asbestos-induced carcinogenesis demonstrates that macrophages undergoing ferroptosis after asbestos phagocytosis release CD63-positive, ferritin-containing extracellular vesicles (EVs) that induce oxidative stress in recipient mesothelial cells, establishing EVs as active mediators of ferroptotic stress propagation. We propose that BRCA deficiency generates a state of ferroptotic priming in which oxidized lipids, iron-related factors, and nucleic acids are disseminated via EVs, thereby shaping tissue- and organ-level pathology. From an evolutionary perspective, the persistence of pathogenic BRCA variants may reflect adaptive advantages conferred by haploinsufficiency in iron-limited, short-lived ancestral environments; under modern conditions of iron abundance and extended lifespan, this once-adaptive state becomes maladaptive, predisposing carriers to cancer and degenerative disorders beyond the cell.
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Shinya Toyokuni, ... Yashiro Motooka
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DOI: https://doi.org/10.70401/EXO.2026.0002 - February 14, 2026
Heme, copper, and a new way to kill cancer cells
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Heme homeostasis influences mitochondrial metabolism and leukemia stem cell biology in acute myeloid leukemia. Lewis et al. uncover a surprising metabolic vulnerability in acute myeloid leukemia: suppression of heme biosynthesis primes leukemic ...
MoreHeme homeostasis influences mitochondrial metabolism and leukemia stem cell biology in acute myeloid leukemia. Lewis et al. uncover a surprising metabolic vulnerability in acute myeloid leukemia: suppression of heme biosynthesis primes leukemic cells for cuproptosis, a form of copper-dependent cell death. By linking heme depletion to mitochondrial cytochrome c oxidase (Complex IV) dysfunction, copper accumulation, and cuproptosis, the study integrates transcriptional regulation, mitochondrial metabolism, and metal homeostasis into a unified framework for selective cancer cell killing.
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Xi Zhao, ... Boyi Gan
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DOI: https://doi.org/10.70401/EXO.2026.0004 - March 19, 2026
Computational workflows and data infrastructures for spatial omics analysis
-
Spatial omics is a broad term referring to technologies that allow for biomolecules to be observed within their native tissue context. These technologies have been used by biomedical researchers to gain a better understanding of cellular interactions, tumor ...
MoreSpatial omics is a broad term referring to technologies that allow for biomolecules to be observed within their native tissue context. These technologies have been used by biomedical researchers to gain a better understanding of cellular interactions, tumor microenvironment dynamics, and immune cell infiltration. While the basic outputs, such as spatial coordinates, segmentation masks, and transcript/protein matrices, are provided by the instrument software, the true biological insights come from several downstream, specialized analysis steps. Since spatial omics remains a relatively new field, no unified analysis pipeline has yet been established to encompass all platforms. Most workflows are adapted from single-cell RNA sequencing analysis frameworks, while incorporating additional steps that are specific to spatial data, especially for imaging-based technologies. At the same time, the diversity of platforms, data modalities, and output formats has introduced substantial challenges for data representation, interoperability, and cross-platform integration, highlighting the need for flexible, spatially aware, and user-friendly data structures made specifically for imaging-based data, not merely adapted from other methods. This review summarizes the general analytical steps following spatial omics data acquisition, commonly used data infrastructures and tools, existing gaps, and future directions in the field.
Less -
Margaret Alexander, ... Jasmine Plummer
-
DOI: https://doi.org/10.70401/EXO.2026.0010 - May 15, 2026
Human iPSC-derived macrophages for studying intrinsic and extrinsic factors in cystic fibrosis
-
Background: Cystic fibrosis (CF) is a progressive genetic disease characterized by defective ion transport, mucus accumulation, chronic infection, and inflammation that drive airway damage and ultimately end-stage lung failure. Previous studies ...
MoreBackground: Cystic fibrosis (CF) is a progressive genetic disease characterized by defective ion transport, mucus accumulation, chronic infection, and inflammation that drive airway damage and ultimately end-stage lung failure. Previous studies show that high levels of proteolytic enzymes in the sputum of CF patients correlate with declining lung function, but the related effects on distal lung extracellular matrix (ECM) and immune responses are unclear.
Methods: To address this gap, induced pluripotent stem cell (iPSC) lines from healthy donors and CF patients were differentiated into macrophages, and stimulated with lipopolysaccharide (LPS) to compare their inflammatory responses. Bulk RNA sequencing, functional assays, and secreted protein profiling revealed key differences between healthy and CF-derived macrophages, providing insight into how these cells may contribute to inflammatory responses in CF patients. Further, human lung ECM from distal CF lung tissue was isolated, used to generate ECM biomaterials, and combined with iPSC-derived macrophages from healthy and CF donors in vitro. Macrophage phenotype was evaluated through cytokine profiling and RNA sequencing.
Results: CF macrophage inflammation was dysregulated, with elevated baseline IL-8, IL-18, and MCP-1 expression, and a blunted inflammatory response to CF ECM compared to healthy macrophages. By using CF ECM and healthy macrophages, we characterized how healthy cells may be altered in a persistent CF milieu after anticipated CFTR modulator therapy.
Conclusion: These findings reveal altered innate immune behavior in CF and demonstrate the utility of iPSC-derived macrophages for modeling extrinsic immune-ECM interactions in disease.
Less -
Daniel Naveed Tavakol, ... Gordana Vunjak-Novakovic
-
DOI: https://doi.org/10.70401/EXO.2026.0005 - April 10, 2026
Ferroptosis in BRCA-associated disorders: Extracellular vesicles as potential messengers beyond the cell
-
BRCA1 and BRCA2 deficiencies are classically defined by impaired homologous recombination–mediated DNA repair; however, their pathological consequences extend far beyond cell-autonomous genomic instability. Accumulating evidence indicates that ...
MoreBRCA1 and BRCA2 deficiencies are classically defined by impaired homologous recombination–mediated DNA repair; however, their pathological consequences extend far beyond cell-autonomous genomic instability. Accumulating evidence indicates that BRCA deficiency is accompanied by iron dysregulation and persistent lipid peroxidation, placing cells under chronic ferroptotic pressure. Studies using BRCA1/2 rat models demonstrate that ferroptosis functions as a decisive biological checkpoint with gene-specific outcomes. Under BRCA1 haploinsufficiency, iron-driven oxidative stress accelerates carcinogenesis by selecting for ferroptosis-resistant clones, whereas BRCA2 haploinsufficiency enhances ferroptotic execution, thereby preventing iron-induced cancer promotion. In contrast, reproductive tissues lacking adaptive escape capacity manifest BRCA deficiency as a direct ferroptosis-driven cellular loss, resulting in male and female infertility. Importantly, ferroptosis is not a silent, cell-confined event. Experimental evidence from asbestos-induced carcinogenesis demonstrates that macrophages undergoing ferroptosis after asbestos phagocytosis release CD63-positive, ferritin-containing extracellular vesicles (EVs) that induce oxidative stress in recipient mesothelial cells, establishing EVs as active mediators of ferroptotic stress propagation. We propose that BRCA deficiency generates a state of ferroptotic priming in which oxidized lipids, iron-related factors, and nucleic acids are disseminated via EVs, thereby shaping tissue- and organ-level pathology. From an evolutionary perspective, the persistence of pathogenic BRCA variants may reflect adaptive advantages conferred by haploinsufficiency in iron-limited, short-lived ancestral environments; under modern conditions of iron abundance and extended lifespan, this once-adaptive state becomes maladaptive, predisposing carriers to cancer and degenerative disorders beyond the cell.
Less -
Shinya Toyokuni, ... Yashiro Motooka
-
DOI: https://doi.org/10.70401/EXO.2026.0002 - February 14, 2026
EXO - Beyond the Cell, a journal about how cells interact with their environment
-
Brent R. Stockwell
-
DOI: https://doi.org/10.70401/EXO.2026.0001 - January 13, 2026
Heme, copper, and a new way to kill cancer cells
-
Heme homeostasis influences mitochondrial metabolism and leukemia stem cell biology in acute myeloid leukemia. Lewis et al. uncover a surprising metabolic vulnerability in acute myeloid leukemia: suppression of heme biosynthesis primes leukemic ...
MoreHeme homeostasis influences mitochondrial metabolism and leukemia stem cell biology in acute myeloid leukemia. Lewis et al. uncover a surprising metabolic vulnerability in acute myeloid leukemia: suppression of heme biosynthesis primes leukemic cells for cuproptosis, a form of copper-dependent cell death. By linking heme depletion to mitochondrial cytochrome c oxidase (Complex IV) dysfunction, copper accumulation, and cuproptosis, the study integrates transcriptional regulation, mitochondrial metabolism, and metal homeostasis into a unified framework for selective cancer cell killing.
Less -
Xi Zhao, ... Boyi Gan
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DOI: https://doi.org/10.70401/EXO.2026.0004 - March 19, 2026



