Research AppraisalSystematic Review

Interpretation, extrapolation and perturbation of single cells.

Nature reviews. GeneticsDimitrov, Daniel, Schrod, Stefan, Rohbeck, Martin et al.1 May 2026DOI

Clinical Snapshot

5CEBM
Evidence: InsufficientSystematic Review

PICO Framework

P — PopulationNot applicable - this is a methodological review of computational approaches
I — InterventionNot applicable - review of analytical methods rather than clinical intervention
C — ComparatorNot applicable - methodological review
O — OutcomesNot applicable - methodological review

Bottom Line

This paper is a methodological review of computational approaches for single-cell analysis, not a systematic review or meta-analysis suitable for clinical evidence appraisal. While it may provide valuable insights for researchers working with single-cell technologies, it does not address clinical questions, patient outcomes, or therapeutic interventions. The work focuses on machine learning methods for cellular data interpretation rather than evidence synthesis for clinical practice. Healthcare professionals seeking evidence-based guidance for patient care should look for systematic reviews and meta-analyses that address specific clinical questions with defined populations, interventions, and health outcomes.

Evidence: Insufficient

Key Findings

  • Primary Outcome: Not applicable - methodological review

Clinical Application

Limited direct clinical application; primarily research methodology May inform research infrastructure and computational biology capabilities in Australian research institutions Researchers and computational biologists working with single-cell data

Abstract

Single-cell analyses have transitioned from descriptive atlasing towards inferring causal effects and mechanistic relationships that capture cellular logic. Technological advances and the growing scale of observational and interventional datasets have fuelled the development of machine learning methods aimed at identifying such dependencies and extrapolating perturbation effects. Here, we review and connect these approaches according to their modelling concepts (including representation learning, causal inference, mechanistic discovery, disentanglement and population tracing), underlying assumptions and downstream tasks. We propose a unifying ontology to guide practitioners in selecting the most suitable methods for a given biological question, with detailed technical descriptions provided in an online resource . Finally, we identify promising computational directions and underexplored data properties that could pave the way for future developments.

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