Recent advancements in high-resolution and high-throughput sequencing technologies have significantly enhanced the study of cell-cell communication inference using single-cell and spatial transcriptomics data. Over the past 6 years, this growing interest has led to the development of more than 100 bioinformatics tools and nearly 50 resources, primarily in the form of ligand-receptor databases. These tools vary widely in their requirements, scoring approaches, ability to infer inter- and/or intra-cellular communication, assumptions, and limitations. Similarly, cell-cell communication resources differ in many aspects, mainly in the number of annotated interactions, species coverage, and their focus on inter-cellular signaling or both inter- and intra-cellular communication. This abundance and diversity create challenges in identifying compatible and suitable tools and resources to meet specific user needs. In this collaborative effort, we aim to provide a comprehensive report on the current state of cell-cell communication analysis derived from single-cell or spatial transcriptomics data. The report reviews existing methods and resources, addressing all relevant aspects from the user's perspective. It also explores current limitations, pitfalls, and unresolved issues in cell-cell communication inference, offering an aggregated analysis of the existing literature on the topic. Furthermore, we highlight potential future directions in the field and consolidate the collected knowledge into CCC-Catalog (https://sysbiobig.gitlab.io/ccc-catalog), a centralized web platform designed to serve as a hub for bioinformaticians and researchers interested in cell-cell communication inference.

The analysis of single-cell disease atlases represents a challenge due to the presence of batch effects, low quality of disease samples, and the multiscale nature of the data, i.e. samples are described by different cell distributions. Because of these, few computational approaches are performing sample-level disease progression analysis so far. Here, we introduce Patient-Level Analysis with Optimal Transport based on Gaussian Mixture Variational Autoencoders (PILOT-GM-VAE). PILOT-GM-VAE explores the power of GM-VAE to estimate models describing complex single-cell distributions through efficient optimal transport algorithms for estimating the distance between Gaussian Mixtures. Extensive benchmarking on 12 single-cell disease atlases and competing approaches demonstrate the performance of PILOT-GM-VAE in sample-level clustering, sample-level trajectory inference, and batch correction tasks. Moreover, we performed a case study on a breast cancer disease atlas, where PILOT-GM-VAE highlighted cellular and molecular changes associated with breast cancer disease progression.

MOTIVATION: Combining single-cell sequencing with ligand-receptor (LR) analysis paves the way for the characterization of cell communication events in complex tissues. In particular, directed weighted graphs naturally represent cell-cell communication events. However, current computational methods cannot yet analyze sample-specific cell-cell communication events, as measured in single-cell data produced in large patient cohorts. Cohort-based cell-cell communication analysis presents many challenges, such as the nonlinear nature of cell-cell communication and the high variability given by the patient-specific single-cell RNAseq datasets. RESULTS: Here, we present scACCorDiON (single-cell Analysis of Cell-Cell Communication in Disease clusters using Optimal transport in Directed Networks), an optimal transport algorithm exploring node distances on the Markov Chain as the ground metric between directed weighted graphs. Benchmarking indicates that scACCorDiON performs a better clustering of samples according to their disease status than competing methods that use undirected graphs. We provide a case study of pancreas adenocarcinoma, where scACCorDion detects a sub-cluster of disease samples associated with changes in the tumor microenvironment. Our study case corroborates that clusters provide a robust and explainable representation of cell-cell communication events and that the expression of detected LR pairs is predictive of pancreatic cancer survival. AVAILABILITY AND IMPLEMENTATION: The code of scACCorDiON is available at https://scaccordion.readthedocs.io/en/latest/. and https://doi.org/10.5281/zenodo.15267648. The survival analysis package can be found at https://github.com/CostaLab/scACCorDiON.su.

Comparing graphs by means of optimal transport has recently gained significant attention, as the distances induced by optimal transport provide both a principled metric between graphs as well as an interpretable description of the associated changes between graphs in terms of a transport plan. As the lack of symmetry introduces challenges in the typically considered formulations, optimal transport distances for graphs have mostly been developed for undirected graphs. Here1, we propose two distance measures to compare directed graphs based on variants of optimal transport(OT): (i) an earth movers distance (Wasserstein) and (ii) a Gromov-Wasserstein (GW) distance. We evaluate these two distances and discuss their relative performance for both simulated graph data and real-world directed cell-cell communication graphs, inferred from single-cell RNA-seq data.

MOTIVATION: Ligand-receptor (LR) network analysis allows the characterization of cellular crosstalk based on single cell RNA-seq data. However, current methods typically provide a list of inferred LR interactions and do not allow the researcher to focus on specific cell types, ligands or receptors. In addition, most of these methods cannot quantify changes in crosstalk between two biological phenotypes. RESULTS: CrossTalkeR is a framework for network analysis and visualization of LR interactions. CrossTalkeR identifies relevant ligands, receptors and cell types contributing to changes in cell communication when contrasting two biological phenotypes, i.e. disease versus homeostasis. A case study on scRNA-seq of human myeloproliferative neoplasms reinforces the strengths of CrossTalkeR for characterization of changes in cellular crosstalk in disease. AVAILABILITY AND IMPLEMENTATION: CrosstalkeR is an R package available at: Github: https://github.com/CostaLab/CrossTalkeR. SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.