Metallomics Reviews

Spatial Metallomics in Colorectal Cancer: Metals-Pathway Map

November 11, 2025

What was reviewed and who was studied

Original proof-of-concept study integrating elemental imaging with spatial transcriptomics in a single human colorectal cancer (CRC) case. The subject was a 55–60-year-old female with a left-colon, microsatellite-stable primary tumor and liver metastasis; one FFPE tumor section was analyzed with adjacent serial sections. Primary matrix: FFPE tumor tissue (with tumor core, tumor–interface, muscularis propria, serosa annotated); no secondary biofluids. Laser ablation ICP-TOF-MS (LA-ICP-TOF-MS) provided 5-μm elemental maps; 10x Visium CytAssist profiled spatial transcriptomes (∼18,000 genes; 55-μm spots) with single-cell RNA-seq from a serial section for cell-type deconvolution. Spatial co-registration used TRACE; analysis included Getis-Ord Gi* hotspot statistics, Cell2Location, Spearman correlations, Enrichr pathway analysis, MEFISTO factorization, and MISTy spatial modeling. Design: observational, cross-sectional.

Major Findings

Copper (Cu), magnesium (Mg), iron (Fe), and manganese (Mn) were enriched intratumorally; zinc (Zn), potassium (K), and calcium (Ca) were highest at the tumor–interface/muscularis. Cu hotspots colocalized with immune and endothelial compartments, while Fe associated with a mesenchymal/stromal phenotype and the tumor’s proliferative front

Metal(s)Spatial enrichment & pathway associations (adjusted p)
Cu, Mg, Fe, MnEnriched intratumorally; Cu hotspots co-localize with immune/endothelial niches.
Zn, K, CaHighest at tumor–interface/muscularis.
CuInterferon-γ response (1.09×10⁻¹²); G2–M checkpoint (1.30×10⁻⁷).
FeEMT (4.38×10⁻²¹); hypoxia (8.81×10⁻⁴); angiogenesis (1.04×10⁻²); KRAS signaling up (1.60×10⁻¹⁶); aligned with mesenchymal/stromal phenotype and proliferative front.
Zn, KMyogenesis and smooth-muscle programs (p ≤ 1.69×10⁻¹⁷).

Implications for Microbial Metallomics

The metallome’s spatial heterogeneity tracked immune activation, stromal remodeling, and epithelial–mesenchymal transitions, indicating that metal availability and transporters shape tumor-microenvironment physiology in situ.

ConceptImplication
Cu hotspots with interferon/JAK–STAT signaturesMetal-linked nutrient immunity readouts in immune niches
Cu–ATOX1/ATP7A with SOD3 downregulationTransporter–chaperone axis tied to extracellular redox and immune tone
Fe with EMT genes (FN1, SPARC, MMP9)Iron-rich stromal fronts as invasion/remodeling micro-domains
Zn/K with myogenesis/smooth-muscle signalingInterface metallome reflects muscularis programs relevant to barrier function
Mn with dendritic cells and PD-1 pathwaysMn-linked antigen-presenting cell niches and checkpoint context
Predictive spatial models (R² >75%)Joint metallome–transcriptome features can serve as spatial diagnostics

Limitations

Single-patient, single-timepoint analysis limits generalizability and causal inference. FFPE preparation and paraffin retention can attenuate/redistribute elements; LA-ICP-TOF-MS cannot assign oxidation state/speciation.Absolute concentrations were not reported; analyses relied on Gi* z-scores.

Key takeaways for Researchers and Clinicians

This single-case CRC study integrated LA-ICP-TOF-MS with Visium and single-cell deconvolution on FFPE sections using TRACE. Cu, Fe, Zn, Mg, Mn, Ca, and K showed distinct spatial programs, with Cu linked to interferon/G2–M pathways and Fe to EMT/hypoxia/angiogenesis. Gene-level correlations highlighted Cu transport/chaperone networks and Fe-associated ECM remodeling; spatial models explained >75% of variance for multiple elements. Methodologically, Gi* hotspotting plus spatial modeling provided interpretable, tissue-contextual features. Spatial metallome–transcriptome integration is poised to yield diagnostic and therapeutic biomarkers at immune and invasive fronts.

Citation

Srivastava A, Shaik N, Lu Y, et al. Integration of elemental imaging and spatial transcriptomic profiling for proof-of-concept metals-based pathway analysis of colon tumor microenvironment. Metallomics. 2025;17:mfaf034. doi:10.1093/mtomcs/mfaf034