“…This assumption ignores person-to-person heterogeneity for cell-type-specific gene expression, and deviates from the biological fact that the gene expression profile could vary, even for one purified cell type, depending on environmental influences, age, sex, subject’s health status, and treatment paradigms (Kedlian et al, 2019; Di Biase et al, 2022; Findley et al, 2021; Idaghdour et al, 2010; Aguirre-Gamboa et al, 2016; Gibson, 2008; Çalişkan et al, 2015; Troester et al, 2004; Modlich et al, 2004). Mismatched reference signatures can impact the deconvolution results (Sutton et al, 2022; Ghaffari et al, 2023). The problem is even exacerbated when handling longitudinally observed and repeatedly-measured data, when intra-subject samples share information and inter-subject heterogeneities are relatively strong.…”