Hamon Center for Therapeutic Oncology Research, Division of Surgical Oncology, Department of Surgery, and.
Division of Hematology & Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
JCI Insight. 2019 Jul 23;5(16):129212. doi: 10.1172/jci.insight.129212.
Pancreatic ductal adenocarcinoma (PDA) is a major cause of cancer-related death with limited therapeutic options available. This highlights the need for improved understanding of the biology of PDA progression, a highly complex and dynamic process featuring changes in cancer cells and stromal cells. A comprehensive characterization of PDA cancer cell and stromal cell heterogeneity during disease progression is lacking. In this study, we aimed to profile cell populations and understand their phenotypic changes during PDA progression. To that end, we employed single-cell RNA sequencing technology to agnostically profile cell heterogeneity during different stages of PDA progression in genetically engineered mouse models. Our data indicate that an epithelial-to-mesenchymal transition of cancer cells accompanies tumor progression in addition to distinct populations of macrophages with increasing inflammatory features. We also noted the existence of three distinct molecular subtypes of fibroblasts in the normal mouse pancreas, which ultimately gave rise to two distinct populations of fibroblasts in advanced PDA, supporting recent reports on intratumoral fibroblast heterogeneity. Our data also suggest that cancer cells and fibroblasts may be dynamically regulated by epigenetic mechanisms. This study systematically describes the landscape of cellular heterogeneity during the progression of PDA and has the potential to act as a resource in the development of therapeutic strategies against specific cell populations of the disease.
胰腺导管腺癌 (PDA) 是癌症相关死亡的主要原因,目前可用的治疗选择有限。这凸显了需要更好地了解 PDA 进展的生物学特性,这是一个高度复杂和动态的过程,涉及癌细胞和基质细胞的变化。在疾病进展过程中,对 PDA 癌细胞和基质细胞异质性进行全面描述还很缺乏。在这项研究中,我们旨在对细胞群体进行分析,并了解它们在 PDA 进展过程中的表型变化。为此,我们采用单细胞 RNA 测序技术,在基因工程小鼠模型中对 PDA 进展的不同阶段进行无偏倚地分析细胞异质性。我们的数据表明,癌细胞的上皮-间充质转化伴随着肿瘤的进展,此外还有具有不断增加的炎症特征的巨噬细胞的独特群体。我们还注意到在正常小鼠胰腺中有三种不同的成纤维细胞分子亚型,它们最终在晚期 PDA 中产生了两种不同的成纤维细胞群体,这支持了关于肿瘤内成纤维细胞异质性的最近报道。我们的数据还表明,癌细胞和成纤维细胞可能受到表观遗传机制的动态调控。这项研究系统地描述了 PDA 进展过程中细胞异质性的图谱,并有潜力成为针对该疾病特定细胞群体的治疗策略的开发的资源。