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推动单细胞测序进入临床应用:在单细胞水平解析癌症微环境。

Forward single-cell sequencing into clinical application: Understanding of cancer microenvironment at single-cell solution.

作者信息

Liu Xuanqi, Powell Charles A, Wang Xiangdong

机构信息

Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Fudan University Shanghai Medical College, Shanghai Institute of Clinical Bioinformatics; Shanghai Engineering Research for AI Technology for Cardiopulmonary Diseases, Shanghai, China.

Division of Pulmonary, Critical Care and Sleep Medicine, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.

出版信息

Clin Transl Med. 2022 Apr;12(4):e782. doi: 10.1002/ctm2.782.

Abstract

Single-cell RNA sequencing (scRNA-seq) is considered an important approach to understand the molecular mechanisms of cancer microenvironmental functions and has the potential for clinical and translational discovery and development. The recent concerns on the impact of scRNA-seq for clinical practice are whether scRNA can be applied as a routine measurement of clinical biochemistry to assist in clinical decision-making for diagnosis and therapy. Pushing single-cell sequencing into clinical application is one of the important missions for clinical and translational medicine (CTM), although there still are a large number of challenges to be overcome. The present Editorial as one of serials aims at overviewing the history of scRNA-seq publications in CTM, sharing the understanding and consideration of the cancer microenvironment at the single-cell solution and emphasising the objective of translating scRNA-seq into clinical application. The dynamic characteristics and patterns of single-cell identity, regulatory networks, and intercellular communication play decisive roles in the properties of the microenvironment, malignancy and migrative capacity of cancer cells, and defensive capacity of immune cells. The microenvironmental single-cell transcriptomic profiles and cell clusters defined by scRNA-seq have great value for exploring the molecular mechanisms of diseases and predicting cell sensitivities to therapy and patient prognosis.

摘要

单细胞RNA测序(scRNA-seq)被认为是理解癌症微环境功能分子机制的重要方法,具有临床及转化研究与开发的潜力。近期关于scRNA-seq对临床实践影响的关注点在于,scRNA能否作为临床生物化学的常规检测手段,以辅助诊断和治疗的临床决策。尽管仍有大量挑战有待克服,但将单细胞测序推向临床应用是临床与转化医学(CTM)的重要任务之一。本社论作为系列文章之一,旨在概述CTM领域scRNA-seq出版物的历史,分享在单细胞层面理解和思考癌症微环境的情况,并强调将scRNA-seq转化为临床应用的目标。单细胞身份、调控网络和细胞间通讯的动态特征及模式,在微环境的性质、癌细胞的恶性程度和迁移能力以及免疫细胞的防御能力方面起着决定性作用。通过scRNA-seq定义的微环境单细胞转录组图谱和细胞簇,对于探索疾病的分子机制、预测细胞对治疗的敏感性及患者预后具有重要价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f734/9042796/13f4ce27110a/CTM2-12-e782-g001.jpg

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