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FFPERescuer: deep unsupervised domain adaptation for the reconstruction of gene expression profiles derived from formalin-fixed paraffin-embedded samples

He, l.; Song, K.; Li, Y.; Dong, Y.; Wong, C. Y. N.; Qi, L.; Zhang, X.; Lenos, K.; Back, T. d.; Elbers, C.; Xu, C.; Leung, R. M. H.; Deng, R.; Zhang, Y.; Qiao, S.; Gao, F.; Chen, Y.; Ng, S. S.-M.; Zhou, S.; Vermeulen, L.; Wang, X.

2026-09-08 bioinformatics
10.64898/2026.09.02.748790 bioRxiv
Show abstract

Formalin-fixed paraffin-embedded (FFPE) tumor tissues often suffer from RNA degradation, posing a long-standing challenge for reliable transcriptomic profiling. Here, we propose FFPERescuer, a deep learning framework employing unsupervised domain adaptation, to rectify distorted gene expression data. FFPERescuer comprises a partial encoder that maps a small subset of genes to high-level representations and a decoder to reconstruct full gene expression profiles. On simulated data with varying noise levels, FFPERescuer faithfully recovered gene expression profiles, achieving high Pearson correlation coefficients (PCCs > 0.85) with the ground truth. In FF-FFPE-matched cohorts, FFPERescuer significantly enhanced expression profile concordance, with average PCCs increased by 23% (P < 0.05). Applying to cancer subtyping, FFPERescuer improved classification accuracy from 67% to 92%, recapitulated subtype-specific biological properties lost in the FFPE-derived data, and enhanced survival associations. Our studies provide a powerful framework for reliable transcriptomic profiling from FFPE-archived tumor samples that are widely available in the clinic.

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