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Deep Profiling of Mouse Splenic Architecture with CODEX Multiplexed Imaging
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Abstract
A highly multiplexed cytometric imaging approach, termed co-detection by indexing (CODEX), is used here to create multiplexed datasets of normal and lupus (MRL/lpr) murine spleens. CODEX iteratively visualizes antibody binding events using DNA barcodes, fluorescent dNTP analogs, and an in situ polymerization-based indexing procedure. An algorithmic pipeline for single-cell antigen quantification in tightly packed tissues was developed and used to overlay well-known morphological features with de novo characterization of lymphoid tissue architecture at a single-cell and cellular neighborhood levels. We observed an unexpected, profound impact of the cellular neighborhood on the expression of protein receptors on immune cells. By comparing normal murine spleen to spleens from animals with systemic autoimmune disease (MRL/lpr), extensive and previously uncharacterized splenic cell-interaction dynamics in the healthy versus diseased state was observed. The fidelity of multiplexed spatial cytometry demonstrated here allows for quantitative systemic characterization of tissue architecture in normal and clinically aberrant samples.
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![Figure S1 Benchmarking CODEX, Related to Figures 1 and 2 (A) Experimental scheme for mimicking the tissue with 30 distinct cell types. (B) Montage of a fragment of imaging field of the 15 cycles of CODEX used to render the mix of 30 barcoded spleens – first cycle top left last cycle bottom right. (C) Heatmap (cycles in columns, cells in rows) showing mean fluorescence per cell membrane for each cell per in each of the 15 CODEX cycles performed on cells of 30 barcoded spleens. Odd columns correspond to imaging after labeled base incorporation. Even columns correspond to imaging after inactivation of staining by TCEP. (D) Time-lapse profile of median intensity per cell membrane for individual cells marked by white arrows on (B). (E) Average intensity of CD45 antigen expression in “positive” (blue columns) and “negative” (red columns) cells in 15 CODEX cycles of the experiment. (Similar results were obtained for Cy3-positive populations – data not shown). Linear regression was performed to indicate trends in accumulation of background and signal decline associated with cycle number. (F) Table summarizing CODEX performance stats. Average signal to noise ratio was estimated from ratio of average signal of all positive cells across all cycles to the signal of all “negative” cells across all cycles. Efficiency of fluorophore removal was estimated from average ratio of ([signal after TCEP in cycle N]- [signal after TCEP in cycle (N-1)])/[signal in cycle N] for cells positive in cycle N across all cycles. Average expected signal deterioration was estimated using the trendline equation from (E). Average background accumulation was estimated by fitting linear trendline into the per cycle ratio of average background to average signal (not shown). (G) Image quantification approach used on CODEX data from (A): best focal planes of CODEX stacks were segmented by Cell Profiler. To account for local background the value corresponding to difference between the mean intensity value inside “cell membrane” object (left panel) and the mean intensity inside the external ring object (right panel) was chosen as a representation of the intensity of the antibody signal. In all other experiments custom (see STAR Methods) segmantation developed in this study was used. (H) Sample 500x500 px regions from two samples (BALBc-3 and MRL-4) showing hand-labeled cell centers (yellow crosshairs) and cell outlines detected by the segmentation algorithm (randomly colored). (I) Comparison between the hand-labeled cell identification and algorithm-based algorithm identification, expressed in 3 measures: %Nuclei found (how many of the hand-labeled nuclei centers ended up inside the segmented regions), % Singlets (how many of the cell regions with at least one hand-labeled nuclei center contained exactly one cell center) and %Unlabelled regions (how many segmented regions did not contain a hand-labeled cell center). (J) Summary statistics comparing the segmentation quality between BALBc and MRL/lpr samples. (K) Three step cleanup gating strategy based on 1) stain density (nuclear signal divided by cell size) and profile homogeneity (relative variance of signal from cycle to cycle), 2) removing objects with high background by gating on the signal accrued in “blank”(no stain) cycles 3) constraining the cell size. (L) Percentage of artifactual double-positive cells in CODEX data from sample BALBc-2 (as seen in the upper right quadrant biaxial flow style plots of mutually exclusive lineage markers IgD and CD5) depending on gating and spill compensation.](/paper-figures/e6ec20b71e6b48e59f53159042b711b5/deep-profiling-of-mouse-splenic-architecture-with-codex-multiplexed-imaging-figure-3.jpg)








![Figure 5 Autoimmune Disease Drives Changes in Splenic Composition and Cell-to-Cell Interactions (A) Post-segmentation diagrams of all objects (cells) colored according to cell types (see color map in Figure 3F) for all normal and MRL/lpr tissue sections imaged in the study. Full-size diagrams are available for every tissue analyzed in this study are available online (see STAR Methods). (B) Stacked bar graphs show dynamics of cell counts across dataset for manually annotated Vortex clusters (cell types on the left) across progression from normal to afflicted spleen. Colored bar sections indicate fraction of the total cells as detected at a particular stage/samples (1–9 annotation on the top). Cell types were split into four types according to the dynamics of counts across dataset as represented by average relative (normalized to 1) count; see line graphs on the right; x axis corresponds to stage/sample id. (C) Two examples of change in cell-to-cell interaction frequency during disease progression between the B cells and dendritic cells in normal and early MRL/lpr spleen and between B220+ DN T cells and CD4 T cells during progression from early MRL/lpr to intermediate. (D) Co-distribution of odds ratio log fold [log(odds ratio in early MRL/lpr) – log(odds ratio in BALBc)] on x axis and change in counts of interactions for early MRL/lpr versus control (BALBc) comparisons (on y axis). (E) Co-distribution of cumulative cell-frequency change [celltype1 freq. change + celltype2 freq. change] on x axis and change in counts of interactions for early MRL/lpr versus control (BALBc) comparisons (on y axis). (F) Bar graph showing chi-square values across conditions computed for odds ratio and direct interaction counts. See also Video S2 and Figure S6.](/paper-figures/f7305dd846f84dafbc6abd6577f5b900/deep-profiling-of-mouse-splenic-architecture-with-codex-multiplexed-imaging-figure-5.jpg)



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“For example, multiplexed antibody-based imaging (mABI) technologies such as imaging mass cytometry (IMC) [31] and codetection by indexing (CODEX) [32] can detect 20–50 selected genes simultaneously in each cell at the protein level, which is a useful complement to transcript-based detection – especially given the potential for poor correlation of transcriptomic and proteomic data sets implicated”
From The heterogeneity of cellular senescence: insights at the single-cell level (2023) · cites this paper as [32]
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Deciphering the tumour immune microenvironment cell by cell
Nabhan, M., Egan, D., Kreileder, M., Zhernovkov, V., Timosenko, E., Slidel, T. W. F., Dovedi, S. J., Glennon, K., Brennan, D. J., & Kölch, W. (2023) · Immuno-Oncology Technology · doi:10.1016/j.iotech.2023.100383 · Cited by 17
CODEX multiplexed tissue imaging
Goltsev, Y., & Nolan, G. P. (2023) · Nature reviews. Immunology · doi:10.1038/s41577-023-00936-z · Cited by 18
Heller, G., Fuereder, T., Grandits, A. M., & Wieser, R. (2023) · Oncology Research Featuring Preclinical and Clinical Cancer Therapeutics · doi:10.32604/or.2023.044774 · Cited by 19
Thermal-plex: fluidic-free, rapid sequential multiplexed imaging with DNA-encoded thermal channels
Fan, H. B., Kishi, J. Y., Delgado, R. N., Jeong, J., Saka, S. K., Su, H., Cepko, C. L., & Yin, P. (2023) · Nature Methods · doi:10.1038/s41592-023-02115-3 · Cited by 18
“We expect thermal-plex to be versatile and applicable to other imaging targets beyond RNA, for example, chromosomes 19,30 and proteins 11,31 .”
BackgroundOne-Shot Single-Cell Proteome and Metabolome Analysis Strategy for the Same Single Cell
Wu, J., Xu, Q., Jiang, Y., Chen, J., Ying, W.-X., Fan, Q., Wang, H.-F., Wang, Y., Shi, S.-W., Pan, J., et al. (2024) · Analytical Chemistry · doi:10.1021/acs.analchem.3c05659 · Cited by 20
GraphCompass: spatial metrics for differential analyses of cell organization across conditions
Ali, M., Kuijs, M., Hediyeh-zadeh, S., Treis, T., Hrovatin, K., Palla, G., Schaar, A. C., & Theis, F. J. (2024) · Bioinformatics · doi:10.1093/bioinformatics/btae242 · Cited by 17
“…methods such as 10 × Genomics Visium (Ståhl et al. 2016) and Stereo-seq (Chen et al. 2022), as well as spatial proteomics methods such as CODEX (Goltsev et al. 2018) and multiplexed ion beam imaging by time of flight (MIBI-TOF) (Keren et al. 2019), can measure molecular profiles while…”
MethodPancreatlas: Applying an Adaptable Framework to Map the Human Pancreas in Health and Disease
Saunders, D. C., Messmer, J., Kusmartseva, I., Beery, M. L., Yang, M., Atkinson, M. A., Powers, A. C., Cartailler, J., & Briššová, M. (2020) · Patterns · doi:10.1016/j.patter.2020.100120 · Cited by 19
Next Generation Imaging Techniques to Define Immune Topographies in Solid Tumors
Pietrobon, V., Cesano, A., Marincola, F. M., & Kather, J. N. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2020.604967 · Cited by 18
Nanoscopic subcellular imaging enabled by ion beam tomography
Coskun, A. F., Han, G., Ganesh, S., Chen, S.-Y., Rovira‐Clavé, X., Harmsen, S., Jiang, S., Schürch, C. M., Bai, Y., Hitzman, C., et al. (2021) · Nature Communications · doi:10.1038/s41467-020-20753-5 · Cited by 22
Single-cell analysis of regions of interest (SCARI) using a photosensitive tag
van der Leun, A. M., Hoekstra, M. E., Reinalda, L., Scheele, C. L. G. J., Toebes, M., van de Graaff, M. J., Chen, L. Y. Y., Li, H., Bercovich, A., Lubling, Y., et al. (2021) · Nature Chemical Biology · doi:10.1038/s41589-021-00839-x · Cited by 19
SOAPy: a Python package to dissect spatial architecture, dynamics, and communication
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“Given an index cell, I-niche is defined as the proportion of cell types for its surrounding cells [55].”
Advances in Spatial Omics Technologies
Hui, T., Zhou, J., Yao, M., Xie, Y., & Zeng, H. (2025) · Small Methods · doi:10.1002/smtd.202401171 · Cited by 18
Advancements in Nanomaterials and Molecular Probes for Spatial Omics
Lin, Y., Hou, J., Li, B., Shu, W., & Wan, J. (2025) · ACS Nano · doi:10.1021/acsnano.4c18470 · Cited by 17
Single-cell spatiotemporal dissection of the human maternal–fetal interface
Wang, C., Zhou, Y., Wang, Y. J., Guha, T. K., Luo, Z., Mustafaraj, A., McIntyre, T. I., Schwab, M. E., Davidson, B. R., Reeder, G. C., et al. (2026) · Nature · doi:10.1038/s41586-026-10316-x · Cited by 17
Proteomic characterization of the human lens and Cataractogenesis
Cantrell, L. S., & Schey, K. L. (2021) · Expert Review of Proteomics · doi:10.1080/14789450.2021.1913062 · Cited by 17
“cron resolution in a semiquantitative manner [173].”
Unmixing for ultra-high-plex fluorescence imaging
Enninful, A., Baysoy, A., & Fan, R. (2022) · Nature Communications · doi:10.1038/s41467-022-31110-z · Cited by 15
Towards multiplexed immunofluorescence of 3D tissues
Cho, W., Kim, S., & Park, Y.-G. (2023) · Molecular Brain · doi:10.1186/s13041-023-01027-9 · Cited by 18
Spatial Proteomics for the Molecular Characterization of Breast Cancer
Brožová, K., Hantusch, B., Kenner, L., & Kratochwill, K. (2023) · Proteomes · doi:10.3390/proteomes11020017 · Cited by 19
Gosline, S. J. C., Veličković, M., Pino, J. C., Day, L. Z., Attah, I. K., Swensen, A., Danna, V., Posso, C., Rodland, K., Chen, J., et al. (2023) · Molecular & Cellular Proteomics · doi:10.1016/j.mcpro.2023.100592 · Cited by 19
Multiplex imaging in immuno-oncology
Zhao, C. N., & Germain, R. N. (2023) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2023-006923 · Cited by 21
“…iterative bleaching extends multiplexity (IBEX), 31 tissue-based cyclic immunofluorescence (t-CyCIF), 38 multiepitope-ligand cartography, 39 and multiplexed immunofluorescence (MxIF, Cell DIVE, PhenoCycler (formerly CODEX)) 40 41 can detect more than 60 markers in a single tissue section (table 1).”
BackgroundApplication of spatial-omics to the classification of kidney biopsy samples in transplantation
Tasca, P., van den Berg, B. M., Rabelink, T. J., Wang, G., Heijs, B., van Kooten, C., de Vries, A. P. J., & Kers, J. (2024) · Nature Reviews Nephrology · doi:10.1038/s41581-024-00861-x · Cited by 17
“After the image acquisition, the reporters are removed with a solution that does not affect antibody bonds, and the cycle is repeated until all the antibodies of the panel are revealed 86 .”
Satou, A., Bennani, N. N., & Feldman, A. L. (2019) · Expert Review of Hematology · doi:10.1080/17474086.2019.1647777 · Cited by 17
Personal tumor antigens in blood malignancies: genomics-directed identification and targeting
Penter, L., & Wu, C. J. (2020) · Journal of Clinical Investigation · doi:10.1172/jci129209 · Cited by 17
“Likewise, the development of CRISPR/Cas9 gene editing (173), the discovery efforts with genome-wide screens (174), and developments in the area of spatial tissue-based characterization (175) will have important implications for the delivery of novel targets and subsequent engineering of immune responses.”
BackgroundBourriez, N., Bendidi, I., Cohen, E., Watkinson, G., Sanchez, M., Bollot, G., & Genovesio, A. (2024) · IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings · doi:10.1109/cvpr52733.2024.01098 · Cited by 16
“Unlike conventional pictures in RGB color format, microscopy images span a plethora of specialized types of image across various channels [21, 27, 44].”
BackgroundEmerging AI approaches for cancer spatial omics
Noorbakhsh, J., pour, A. F., & Chuang, J. H. (2025) · GigaScience · doi:10.1093/gigascience/giaf128 · Cited by 19
“Advances in multiplex techniques, such as CODEX [ 56 , 57 ], IMC [ 58 ], and Cell Dive [ 59 ], have allowed simultaneous measurement of many proteins at subcellular resolution.”
From Histology to High‐Resolution Mapping: The Rise of Spatial Omics in Immunology
Giovanni, M. D., Inverso, D., & Iannacone, M. (2025) · European Journal of Immunology · doi:10.1002/eji.70073 · Cited by 17
“CODEX (CO-Detection by Indexing, PhenoCycler platform from Akoya Biosciences) is a multiplexed imaging platform designed for high-resolution spatial proteomics, enabling the detection of up to 100 protein markers within intact tissue sections while preserving spatial context [30, 31].”
Integrative deep learning of spatial multi-omics with SWITCH
Li, Z., Qu, S., Liang, H., Tang, R., Zhang, X., Fan, L., Yang, J., Gan, Z., Gao, S., Zhang, Y., et al. (2025) · Nature Computational Science · doi:10.1038/s43588-025-00891-w · Cited by 20
“Spatial transcriptomics (ST) 1–4 was developed to overcome this constraint and has evolved to encompass spatial multi-omics, including spatial epigenomics 5–7 and proteomics 8,9 .”
Regulatory T cell therapies: from patient data to biological insights
Rodrigues, K. B., Eggenhuizen, P. J., Bacchetta, R., & Good, Z. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1675114 · Cited by 18
“…panel of up to 6,000 genes and support custom probes for engineered proteins, such as CAR or TCR. Spatial proteomics technologies, including MIBI (87) and CODEX (64, 88), can be used instead of or in parallel with spatial transcriptomics methods to learn insights from the relevant tissue biopsies.”
He, G., He, S., Jing, X., Dai, Y., Guo, X. N., Gao, J., & Zhang, W. (2025) · Oncogene · doi:10.1038/s41388-025-03635-2 · Cited by 19
“Goltsev et al. demonstrated the feasibility of CODEX for high-dimensional proteomic imaging of spleen and tumor tissues [87].”
Single‐Cell and Spatial Multiomics: Applications for Diseases
Li, W., Chen, C., Zhu, X., & Zhang, C. (2025) · MedComm · doi:10.1002/mco2.70553 · Cited by 16
“CODEX (codetection by indexing), an alternative method to highly multiplexed spatial proteomics, uses a library of DNA-barcoded antibodies and successive cycles of hybridization, imaging, and dye inactivation to visualize dozens of proteins at once on a standard fluorescence microscope [ 50 ].”
Bridging scales: From cell biology to physiology using in situ single-cell technologies
Nagle, M. P., Tam, G. S., Maltz, E., Hemminger, Z., & Wollman, R. (2021) · Cell Systems · doi:10.1016/j.cels.2021.03.002 · Cited by 15
Lu, G., Baertsch, M., Hickey, J. W., Goltsev, Y., Rech, A. J., Mani, L., Forgó, E., Kong, C. S., Jiang, S., Nolan, G. P., et al. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.981825 · Cited by 16
“The CODEX dataset acquired on a Keyence microscope has the following parameters (1): tile: a single field of view (2); region: tissue region of interest composed of single tile or multiple tiles collected as rectangular grids (3); z: the number of z planes acquired in the axial direction that includes the best focus p…”
BackgroundMethodInfluentialImproving and evaluating deep learning models of cellular organization
Sun, H., Fu, X., Abraham, S., Shen, J., & Murphy, R. F. (2022) · Bioinformatics · doi:10.1093/bioinformatics/btac688 · Cited by 15
Spatial subcellular organelle networks in single cells
Venkatesan, M., Zhang, N. Y., Marteau, B. L., Yajima, Y., Garcia, N. O. D. Z., Fang, Z., Hu, T., Cai, S., Ford, A., Olszewski, H., et al. (2023) · Scientific Reports · doi:10.1038/s41598-023-32474-y · Cited by 17
Proteome-Scale Tissue Mapping Using Mass Spectrometry Based on Label-Free and Multiplexed Workflows
Kwon, Y. M., Woo, J. J., Yu, F., Williams, S., Markillie, L. M., Moore, R., Nakayasu, E. S., Chen, J., Campbell‐Thompson, M., Mathews, C. E., et al. (2024) · Molecular & Cellular Proteomics · doi:10.1016/j.mcpro.2024.100841 · Cited by 16
“While spatial transcriptomics provide valuable insights into cellular heterogeneity, they do not directly infer the expression levels of proteins, which are the actual functional molecules in signaling pathways 10, 11 .”
MuSpAn: a toolbox for multiscale spatial analysis
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Visual cohort comparison for spatial single-cell omics-data
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“pher differences in tissue composition in murine normal and diseased spleen at single-cell resolution.(159) Its applicability to clinical human samples, however, still needs to be shown in large-scale studies.”
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Multi-Omics Profiling of the Tumor Microenvironment
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A multiplexed epitope barcoding strategy that enables dynamic cellular phenotypic screens
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Metadata
- Authors
- Goltsev, Y., Samusik, N., Kennedy-Darling, J., Bhate, S., Hale, M., Vazquez, G., Black, S., & Nolan, G. P.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Nolan, Garry P.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 174
- Issue
- 4
- Pages
- 968-981.e15
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC6086938
- OpenAlex
- W2949238013
- Cited by
- 1,501
- References
- 20
- Citations by year
- 2026: 231 · 2025: 244 · 2024: 232 · 2023: 198 · 2022: 194 · 2021: 194 · 2020: 125 · 2019: 72 · 2018: 9
- FWCI
- 35.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Cell (publishedVersion, cc-by)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- US NIH (U19AI057229, 1U19AI100627, R01CA184968, 1R33CA183654-01, R33CA183692, 1R01GM10983601, 1R21CA183660, 1R01NS08953301, 5UH2AR067676, 1R01CA19665701, R01HL120724, R01HL128173)
- Bill and Melinda Gates foundation (OPP1113682)
- Department of Defense (W81XWH-14-1-0180)
- Northrop-Grumman Corporation (7500108142)
- NIH (U54-CA209971)
- Rachford & Carlotta A. Harris Endowed Chair
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biophysics › Cell Image Analysis Techniques
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biophysics › Advanced Fluorescence Microscopy Techniques
- Keywords
- codices, splenic architecture, MRL/lpr mice, systemic lupus erythematosus, cell-cell interactions, autoimmune disease
- MeSH terms
- Animals, Antibodies, Disease Models, Animal, Female, Image Processing, Computer-Assisted, Lupus Erythematosus, Systemic, Male, Mass Spectrometry, Spleen, Oligonucleotide Probes, Mice, Inbred MRL lpr, Mice
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