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Fig 1.

Spatial transcriptomics analysis of 8 high grade serious ovarian cancer patients.

(A): Workflow of the study. (B): Uniform Manifold Approximation and Projection (UMAP) plot of clustering results of spatial transcriptomics (ST) data. (C): Cluster distributions in each patient. (D): UMAP plot of marker expression for tumor (blue) and stromal (pink) samples. (E): Heatmap of pathway activity in tumor and stromal clusters.

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Fig 2.

Gene expression and pathway enrichment of tumor and stromal clusters.

(A): Spatial distribution of clusters in patients (From left to right: patient 1, patient 4, patient 8). (B): Visualization of clusters’ gene expression through dimensional reduction. (C): Heatmap of pathway activity in tumor clusters. (D): Heatmap of pathway activity in stromal clusters. (E): Heatmap of cell enrichment in two groups (divided by the different enrichment of Gene Set Variation Analysis (GSVA) signaling pathways) of stromal clusters.

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Fig 3.

Depict tumor heterogeneity based on copy number variation.

(A - B): Clonal evolutionary tree (left) and spatial visualization (middle and right) of patient 4 (A) and patient 8 (B). (C): Heatmap of pathway activity of different clones in patient 8. (D): Changes in gene expression potentially affected by copy number variations (CNVs) in patient 8.

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Fig 4.

Cellular meta-programs and cell-cell communication.

(A): Heatmap of expression programs in representative patients. (B): Shared meta-programs across different patients. (C): Sub-clustering of tumor cells. (D): Expression of meta-program signatures in tumor cell clusters. (E): Dot plot of cell-cell communication between tumor cells. (F): Chord plot of important ligand-receptor pairs in the communication of tumor cells.

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Fig 5.

NCL overexpression promotes tumor cells’ proliferation.

(A): NCL overexpression activates the AKT pathway (B): Effect of NCL overexpression on SKOV3 cell proliferation (N = 3). SKOV3 cells were transfected with an NCL overexpression plasmid or the corresponding empty vector. Cell Counting Kit-8 (CCK8) assays were utilized to evaluate cells’ proliferation in each group at different time points. Results are presented as mean ± standard deviation (SD) from three independent experiments. ** indicates P < 0.01. (C - F): Effect of NCL overexpression on gene expression(N = 3). The gene expressions of NCL (C), phosphatase and tensin homolog (PTEN) (D), AKT1 (E), and Ki-67 (F) in each group of cells were examined using quantitative polymerase chain reaction (qPCR). Results represent the mean ± SD from three independent experiments. ** indicates P < 0.01. (G - L): The effect of NCL overexpression on protein level. The protein expression levels of NCL (G, H), PTEN (G, I), AKT (G, J), p-AKT (S473) (G, K), and Ki67 (G, L) in the cells from each group were detected by Western Blot. Results are presented as mean ± SD from three independent experiments. **P < 0.01.

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Fig 6.

Cell type enrichments in different patients.

(A): Heatmap of copy number variations (CNVs) in patient 8 (B-C): Enrichment of cell type(B) and tumor score(C). Normalized enrichment of different cell types and tumor score (blue and black) in patient 8 (left). Hematoxylin and Eosin (H&E) staining image (right).(D): Tumor score in patients 1–8.

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Fig 7.

Analysis of macrophages in patients.

(A): Sub-clustering of macrophages. (B): Dot plot illustrating the expression of signatures. (C): Enrichment of different meta-programs across patients. (D): Enrichment of different groups of tumor cells and macrophages across patients. (E): Chord plot depicting important ligand-receptor pairs in cellular communication. (F): Dot plot visualizing cell-cell communication between tumor cells and macrophages.

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Fig 8.

Potential signaling pathways regulated by enriched MDK-NCL.

The potential pathways contribute to tumor progression regulated by the AKT pathway when MDK-NCL is highly enriched. Red represents up-regulate/activated, and blue represents down-regulated.

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