PT - JOURNAL ARTICLE AU - Nicholas Hasle AU - Anthony Cooke AU - Sanjay Srivatsan AU - Heather Huang AU - Jason J. Stephany AU - Zachary Krieger AU - Dana Jackson AU - Weiliang Tang AU - Sriram Pendyala AU - Raymond J. Monnat, Jr. AU - Cole Trapnell AU - Emily M. Hatch AU - Douglas M. Fowler TI - Visual Cell Sorting: A High-throughput, Microscope-based Method to Dissect Cellular Heterogeneity AID - 10.1101/856476 DP - 2019 Jan 01 TA - bioRxiv PG - 856476 4099 - http://biorxiv.org/content/early/2019/11/26/856476.short 4100 - http://biorxiv.org/content/early/2019/11/26/856476.full AB - Microscopy is a powerful tool for characterizing complex cellular phenotypes, but linking these phenotypes to genotype or RNA expression at scale remains challenging. Here, we present Visual Cell Sorting, a method that physically separates hundreds of thousands of live cells based on their visual phenotype. Visual Cell Sorting uses automated imaging and phenotypic analysis to direct selective illumination of Dendra2, a photoconvertible fluorescent protein expressed in live cells; these photoactivated cells are then isolated using fluorescence-activated cell sorting. First, we use Visual Cell Sorting to assess the effect of hundreds of nuclear localization sequence variants in a pooled format, identifying variants that improve nuclear localization and enabling annotation of nuclear localization sequences in thousands of human proteins. Second, we use Visual Cell Sorting to recover cells that retain normal nuclear morphologies after paclitaxel treatment, then derive their single cell transcriptomes to identify multiple pathways associated with paclitaxel resistance in human cancers. Unlike alternative methods, Visual Cell Sorting depends on inexpensive reagents and commercially available hardware. As such, it can be readily deployed to uncover the relationships between visual cellular phenotypes and internal states, including genotypes and gene expression programs.