Case Studies/Drug Repurposing and Precision Stratification in Autoimmune Disease
Autoimmune Disease

Drug Repurposing and Precision Stratification in Autoimmune Disease

Sjogren's Disease is a chronic autoimmune disease with no approved disease-modifying therapy. Traditional drug discovery approaches have struggled to identify effective therapeutic targets, responsive patient populations, and biomarkers that reflect tissue-level disease activity.

From disease modeling to therapeutic nomination to clinical evaluation to biomarker discovery.

Stratica applied multimodal single-cell and spatial biology to patient-derived autoimmune disease tissues in collaboration with NIH investigators. Using StraticaOS, the team reconstructed disease-associated cellular ecosystems, identified dysregulated JAK-STAT signaling, and performed computational drug-to-cell matching to nominate a JAK inhibitor strategy for clinical evaluation.

The program has now entered a second phase: matched clinical trial tissues are returning for deeper Stratica analysis to compare responder and non-responder biology before and after treatment. These paired pre-treatment and post-treatment datasets are being used to identify predictive biomarkers, refine patient stratification strategies, evaluate companion diagnostic potential, and uncover additional therapeutic opportunities for future drug repurposing and development.

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JAK-STAT signaling identified as a disease-associated pathway

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JAK inhibitor therapeutic strategy nominated through tissue-based computational modeling

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Therapeutic hypothesis translated into prospective human clinical evaluation

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Paired pre-treatment and post-treatment Sjogren's Disease tissues profiled with Xenium spatial transcriptomics, spatial proteomics, bulk transcriptomics, and multi-biofluids proteomics

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Ongoing responder and non-responder analysis to support biomarker discovery, companion diagnostic development, and future patient stratification

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Clinical trial-linked tissue data now feeding back into disease modeling and next-generation therapeutic discovery

This program demonstrates the full biological intelligence loop: starting with human tissue, identifying disease-driving biology, nominating a therapeutic strategy, supporting clinical evaluation, and using patient response data to improve future disease models. Rather than ending with a single analysis, the program creates a continuously learning system for drug repurposing, biomarker discovery, companion diagnostics, and precision stratification in autoimmune disease.
Drug RepurposingBiomarker DiscoveryCompanion DiagnosticsResponse PredictionPatient StratificationPrecision Medicine
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