Single-molecule localization microscopy (SMLM) achieves nanoscale imaging of complex protein structures in the cell. However, the ability to capture structural variability across cell conditions (cell lines, gene expression, treatment) from 3D point cloud SMLM data remains limited. We present siMILe, a weakly supervised multiple instance learning machine learning method to close this gap in interpretable subcellular discovery. siMILe identifies condition-specific changes in protein assemblies by leveraging their shape and network features, without requiring structure-level supervision. siMILe improves structure classification by extending embedded instance selection through adversarial erasing and a symmetric classifier. We validated siMILe by detecting caveolae from caveolin-1 (Cav1) labeled PC3 prostate cancer cells differentially expressing cavin-1. In PC3-CAVIN1 cells, cavin-1 closely associates with siMILe-identified caveolae, to a lesser extent with higher-order noncaveolar Cav1 scaffolds, but not small Cav1 oligomers corresponding to 8S complexes, supporting a role for progressive cavin-1 interaction in 8S complex oligomerization. We also validated siMILe on simulated SMLM data and in detecting inhibitor-induced structural variations within clathrin-coated pit data. These results highlight siMILe's potential to identify differential molecular structures in distinct cell conditions. siMILe extends the SuperResNET SMLM software platform with the ability to detect interpretable structural differences across conditions.
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