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单细胞测序在癌症免疫治疗中的综合见解和临床应用。

Integrative insights and clinical applications of single-cell sequencing in cancer immunotherapy.

机构信息

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.

Interventional Institute of Zhengzhou University, Zhengzhou, 450052, Henan, China.

出版信息

Cell Mol Life Sci. 2022 Oct 31;79(11):577. doi: 10.1007/s00018-022-04608-4.

Abstract

Recently, immunotherapy has gained increasing popularity in oncology. Several immunotherapies obtained remarkable clinical effects, but the efficacy varied, and only subsets of cancer patients benefited. Breaking the constraints and improving immunotherapy efficacy is extremely important in precision medicine. Whereas traditional sequencing approaches mask the characteristics of individual cells, single-cell sequencing provides multiple dimensions of cellular characterization at the single-cell level, including genomic, transcriptomic, epigenomic, proteomic, and multi-omics. Hence, the complexity of the tumor microenvironment, the universality of tumor heterogeneity, cell composition and cell-cell interactions, cell lineage tracking, and tumor drug resistance mechanisms are revealed in-depth. However, the clinical transformation of single-cell technology is not to the point of in-depth study, especially in the application of immunotherapy. The newly discovered vital cells and tremendous biomarkers facilitate the development of more efficient individualized therapeutic regimens to guide clinical treatment and predict prognosis. This review provided an overview of the progress in distinct single-cell sequencing methods and emerging strategies. For perspective, the expanding utility of combining single-cell sequencing and other technologies was discussed.

摘要

近年来,免疫疗法在肿瘤学领域越来越受到关注。一些免疫疗法取得了显著的临床效果,但疗效各异,只有部分癌症患者从中受益。在精准医学中,突破限制和提高免疫疗法的疗效至关重要。传统的测序方法掩盖了单个细胞的特征,而单细胞测序则在单细胞水平上提供了多个细胞特征的描述,包括基因组、转录组、表观基因组、蛋白质组和多组学。因此,肿瘤微环境的复杂性、肿瘤异质性的普遍性、细胞组成和细胞间相互作用、细胞谱系追踪以及肿瘤耐药机制都得到了深入揭示。然而,单细胞技术的临床转化还远未深入,特别是在免疫疗法的应用中。新发现的重要细胞和大量生物标志物促进了更有效的个体化治疗方案的发展,以指导临床治疗和预测预后。本文综述了不同的单细胞测序方法和新兴策略的进展。展望未来,讨论了单细胞测序与其他技术相结合的广泛应用。

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