Reconstructing clone-resolved transcriptional programs from bulk tumor sequencing

Tumor clones acquire distinct transcriptional programs as they evolve, but bulk RNA-seq averages over clonal mixtures and obscures the lineage-specific biology that DNA-sequencing reveals. We present PICTographPlus, the first method to infer clone-resolved transcriptional programs by integrating bulk DNA-derived clonal phylogenies and proportions with bulk RNA-seq alone, without single-cell data. Benchmarked against experimentally measured ground truth, scDNA/scRNA co-profiled cells from a wellDR-seq cancer dataset, across 320 pseudo-bulk replicates spanning four tumor purities and four sample counts and evaluated under seven regularization models, PICTographPlus recovers clone-level expression at mean Pearson r ≥ 0.92 and localizes pathway gains and losses to correct evolutionary branches (median F1 0.31–0.40, well above a no-deconvolution baseline). Applied to multi-region NSCLC, pancreatic precursor lesions, and rapid-autopsy PDAC, it localizes metabolic reprogramming, precursor-to-invasive transitions, and organ-adapted metastatic states to specific clonal branches. PICTographPlus turns standard bulk assays into clone-resolved transcriptional maps, enabling retrospective analyses where single-cell profiling is impractical.