State Key Laboratory of Molecular Oncology, CAMS Key Laboratory of Translational Research on Lung Cancer, Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Geneplus-Beijing Institute, Changping District, Beijing, China.
EBioMedicine. 2024 Apr;102:105092. doi: 10.1016/j.ebiom.2024.105092. Epub 2024 Mar 28.
BACKGROUND: The high heterogeneity of tumour and the complexity of tumour microenvironment (TME) greatly impacted the tumour development and the prognosis of cancer in the era of immunotherapy. In this study, we aimed to portray the single cell-characterised landscape of lung adenocarcinoma (LUAD), and develop an integrated signature incorporating both tumour heterogeneity and TME for prognosis stratification. METHODS: Single-cell tagged reverse transcription sequencing (STRT-seq) was performed on tumour tissues and matched normal tissues from 14 patients with LUAD for immune landscape depiction and candidate key genes selection for signature construction. Kaplan-Meier survival analyses and in-vitro cell experiments were conducted to confirm the gene functions. The transcriptomic profile of 1949 patients from 11 independent cohorts including nine public datasets and two in-house cohorts were obtained for validation. FINDINGS: We selected 11 key genes closely related to cell-to-cell interaction, tumour development, T cell phenotype transformation, and Ma/Mo cell distribution, including HLA-DPB1, FAM83A, ITGB4, OAS1, FHL2, S100P, FSCN1, SFTPD, SPP1, DBH-AS1, CST3, and established an integrated 11-gene signature, stratifying patients to High-Score or Low-Score group for better or worse prognosis. Moreover, the prognostically-predictive potency of the signature was validated by 11 independent cohorts, and the immunotherapeutic predictive potency was also validated by our in-house cohort treated by immunotherapy. Additionally, the in-vitro cell experiments and drug sensitivity prediction further confirmed the gene function and generalizability of this signature across the entire RNA profile spectrum. INTERPRETATION: This single cell-characterised 11-gene signature might offer insights for prognosis stratification and potential guidance for treatment selection. FUNDING: Support for the study was provided by National key research and development project (2022YFC2505004, 2022YFC2505000 to Z.W. and J.W.), Beijing Natural Science Foundation (7242114 to J.X.), National Natural Science Foundation of China of China (82102886 to J.X., 81871889 and 82072586 to Z.W.), Beijing Nova Program (20220484119 to J.X.), NSFC general program (82272796 to J.W.), NSFC special program (82241229 to J.W.), CAMS Innovation Fund for Medical Sciences (2021-1-I2M-012, 2022-I2M-1-009 to Z.W. and J.W.), Beijing Natural Science Foundation (7212084 to Z.W.), CAMS Key lab of translational research on lung cancer (2018PT31035 to J.W.), Aiyou Foundation (KY201701 to J.W.). Medical Oncology Key Foundation of Cancer Hospital Chinese Academy of Medical Sciences (CICAMS-MOCP2022003 to J.X.).
背景:肿瘤的高度异质性和肿瘤微环境(TME)的复杂性极大地影响了免疫治疗时代的肿瘤发展和癌症预后。在这项研究中,我们旨在描绘肺腺癌(LUAD)的单细胞特征景观,并开发一个综合特征,包括肿瘤异质性和 TME,用于预后分层。
方法:对 14 名 LUAD 患者的肿瘤组织和配对的正常组织进行单细胞标记逆转录测序(STRT-seq),以描绘免疫景观并选择候选关键基因用于特征构建。进行 Kaplan-Meier 生存分析和体外细胞实验以确认基因功能。从 11 个独立队列(包括 9 个公共数据集和 2 个内部队列)中获得了 1949 名患者的转录组谱进行验证。
结果:我们选择了 11 个与细胞间相互作用、肿瘤发展、T 细胞表型转化和 Ma/Mo 细胞分布密切相关的关键基因,包括 HLA-DPB1、FAM83A、ITGB4、OAS1、FHL2、S100P、FSCN1、SFTPD、SPP1、DBH-AS1、CST3,并建立了一个综合的 11 基因特征,将患者分为高评分或低评分组,以获得更好或更差的预后。此外,该特征的预后预测效力通过 11 个独立队列进行了验证,其免疫治疗预测效力也通过我们的内部队列进行了验证,该队列接受了免疫治疗。此外,体外细胞实验和药物敏感性预测进一步证实了该特征在整个 RNA 谱中的基因功能和通用性。
结论:这个单细胞特征的 11 个基因特征可能为预后分层提供见解,并为治疗选择提供潜在指导。
资助:本研究得到了国家重点研发计划(2022YFC2505004、2022YFC2505000 给 Z.W. 和 J.W.)、北京市自然科学基金(7242114 给 J.X.)、国家自然科学基金(82102886 给 J.X.、81871889 和 82072586 给 Z.W.)、北京市新星计划(20220484119 给 J.X.)、国家自然科学基金面上项目(82272796 给 J.W.)、国家自然科学基金特殊项目(82241229 给 J.W.)、中国医学科学院创新单元(2021-1-I2M-012、2022-I2M-1-009 给 Z.W. 和 J.W.)、北京市自然科学基金(7212084 给 Z.W.)、中国医学科学院肿瘤医院癌症转化医学重点实验室(2018PT31035 给 J.W.)、爱佑基金会(KY201701 给 J.W.)。中国医学科学院肿瘤医院肿瘤内科重点研究基金(CICAMS-MOCP2022003 给 J.X.)。
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