Department of Radiation Oncology and Shandong Provincial Key Laboratory of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan 250117, China.
Research Unit of Radiation Oncology, Chinese Academy of Medical Sciences, Jinan 250117, China.
Sci Adv. 2023 Jan 27;9(4):eadd8977. doi: 10.1126/sciadv.add8977.
Cervical squamous cell carcinoma (CESC) is a prototypical human cancer with well-characterized pathological stages of initiation and progression. However, high-resolution knowledge of the transcriptional programs underlying each stage of CESC is lacking, and important questions remain. We performed single-cell RNA sequencing of 76,911 individual cells from 13 samples of human cervical tissues at various stages of malignancy, illuminating the transcriptional tumorigenic trajectory of cervical epithelial cells and revealing key factors involved in CESC initiation and progression. In addition, we found significant correlations between the abundance of specific myeloid, lymphoid, and endothelial cell populations and the progression of CESC, which were also associated with patients' prognosis. Last, we demonstrated the tumor-promoting function of matrix cancer-associated fibroblasts via the NRG1-ERBB3 pathway in CESC. This study provides a valuable resource and deeper insights into CESC initiation and progression, which is helpful in refining CESC diagnosis and for the design of optimal treatment strategies.
宫颈鳞状细胞癌(CESC)是一种典型的人类癌症,其起始和进展阶段具有明确的病理特征。然而,对于 CESC 各个阶段的转录程序缺乏高分辨率的了解,仍存在一些重要的问题。我们对来自 13 个人类宫颈组织样本的 76911 个单个细胞进行了单细胞 RNA 测序,阐明了宫颈上皮细胞的转录致癌轨迹,并揭示了参与 CESC 起始和进展的关键因素。此外,我们发现特定髓样、淋巴样和内皮细胞群体的丰度与 CESC 的进展之间存在显著相关性,这些相关性也与患者的预后相关。最后,我们通过 NRG1-ERBB3 通路证明了基质癌症相关成纤维细胞在 CESC 中的促肿瘤功能。这项研究为 CESC 的起始和进展提供了有价值的资源和更深入的见解,有助于完善 CESC 的诊断,并为设计最佳治疗策略提供帮助。