Keyboard shortcuts

Press or to navigate between chapters

Press S or / to search in the book

Press ? to show this help

Press Esc to hide this help

Design the Study Before the Analysis

The experimental unit

If three patients contribute 5,000 cells each, the treatment comparison usually has three biological replicates per group, not 15,000 independent replicates. Cells from the same person share genetics, environment, collection, and processing. Treating them as independent is pseudoreplication.

This distinction changes the question:

  • “Which genes distinguish these two clusters in this dataset?” is exploratory.
  • “Which genes respond to treatment across patients?” requires patient-level replication and a model that accounts for it.

Start with a question table

Write this before opening the matrix:

FieldExample
PopulationAdults with treatment-resistant disease
ComparisonDrug vs matched baseline
Biological unitPatient
TissuePeripheral blood
Primary outcomeState change within CD8 T cells
Main confoundersPatient, processing day, sex, disease severity
ExclusionsPredefined low viability or failed library
ValidationIndependent cohort and orthogonal assay

The table prevents a visually interesting result from silently replacing the original question.

Balance biology and processing

If all controls are processed Monday and all treated samples Tuesday, treatment and processing day are confounded. No algorithm can prove which caused the difference. Randomize or balance samples across processing batches where possible. Record donor, condition, collection time, chemistry, lane, operator, and reference version.

Power is not only cell count

More cells improve the description of within-sample diversity and help detect rare populations. More independent samples improve inference about a population. Ten thousand cells from one donor do not substitute for additional donors when the claim concerns people.

Clinical and ethical context

Single-cell data can contain germline variants, disease information, and rare cell states that increase re-identification risk. Keep identifiers separate, apply appropriate access controls, record consent limitations, and avoid publishing unrestricted cell-level metadata that can expose a participant.

For clinical questions, define in advance whether the result is discovery, validation, or decision support. Do not move between those roles without new evidence and governance.

Analysis contract

Create a short analysis contract:

Question: Does treatment alter the inflammatory state of monocytes?
Unit: patient
Samples: 8 baseline, 8 treated, paired where available
Cell annotation: blinded marker review plus reference mapping
Primary comparison: monocyte pseudobulk counts, paired design
Sensitivity: alternate QC thresholds and cluster resolutions
Validation: held-out cohort plus flow cytometry panel

This plain-language contract is more valuable than a long script with no stated claim.