RT Journal Article SR Electronic T1 Functional immune mapping with deep-learning enabled phenomics applied to immunomodulatory and COVID-19 drug discovery JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.08.02.233064 DO 10.1101/2020.08.02.233064 A1 Michael F. Cuccarese A1 Berton A. Earnshaw A1 Katie Heiser A1 Ben Fogelson A1 Chadwick T. Davis A1 Peter F. McLean A1 Hannah B. Gordon A1 Kathleen-Rose Skelly A1 Fiona L. Weathersby A1 Vlad Rodic A1 Ian K. Quigley A1 Elissa D. Pastuzyn A1 Brandon M. Mendivil A1 Nathan H. Lazar A1 Carl A. Brooks A1 Joseph Carpenter A1 Pamela Jacobson A1 Seth W. Glazier A1 Jes Ford A1 James D. Jensen A1 Nicholas D. Campbell A1 Michael A. Statnick A1 Adeline S. Low A1 Kirk R. Thomas A1 Anne E. Carpenter A1 Sharath S. Hegde A1 Ronald W. Alfa A1 Mason L. Victors A1 Imran S. Haque A1 Yolanda T. Chong A1 Christopher C. Gibson YR 2020 UL http://biorxiv.org/content/early/2020/08/03/2020.08.02.233064.abstract AB Development of accurate disease models and discovery of immune-modulating drugs is challenged by the immune system’s highly interconnected and context-dependent nature. Here we apply deep-learning-driven analysis of cellular morphology to develop a scalable “phenomics” platform and demonstrate its ability to identify dose-dependent, high-dimensional relationships among and between immunomodulators, toxins, pathogens, genetic perturbations, and small and large molecules at scale. High-throughput screening on this platform demonstrates rapid identification and triage of hits for TGF-β- and TNF-α-driven phenotypes. We deploy the platform to develop phenotypic models of active SARS-CoV-2 infection and of COVID-19-associated cytokine storm, surfacing compounds with demonstrated clinical benefit and identifying several new candidates for drug repurposing. The presented library of images, deep learning features, and compound screening data from immune profiling and COVID-19 screens serves as a deep resource for immune biology and cellular-model drug discovery with immediate impact on the COVID-19 pandemic.Competing Interest StatementWe declare competing interests. All authors were employees of or advisors to Recursion during the course of this work. All authors have real or potential ownership interest in Recursion.