基于患者来源的类器官模型的差异转录入侵特征定义了头颈部癌症的一种功能性预后工具。
Differential transcriptional invasion signatures from patient derived organoid models define a functional prognostic tool for head and neck cancer.
机构信息
Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Center for Molecular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
出版信息
Oncogene. 2024 Aug;43(32):2463-2474. doi: 10.1038/s41388-024-03091-4. Epub 2024 Jun 28.
Clinical outcome for patients suffering from HPV-negative head and neck squamous cell carcinoma (HNSCC) remains poor. This is mostly due to highly invasive tumors that cause loco-regional relapses after initial therapeutic intervention and metastatic outgrowth. The molecular pathways governing the detrimental invasive growth modes in HNSCC remain however understudied. Here, we have established HNSCC patient derived organoid (PDO) models that recapitulate 3-dimensional invasion in vitro. Single cell mRNA sequencing was applied to study the differences between non-invasive and invasive conditions, and in a collective versus single cell invading PDO model. Differential expression analysis under invasive conditions in Collagen gels reveals an overall upregulation of a YAP-centered transcriptional program, irrespective of the invasion mode. However, we find that collectively invading HNSCC PDO cells show elevated levels of YAP transcription targets when compared to single cell invasion. Also, collectively invading cells are characterized by increased nuclear translocation of YAP within the invasive strands, which coincides with Collagen-I matrix alignment at the invasive front. Using gene set enrichment analysis, we identify immune cell-like migratory pathways in the single cell invading HNSCC PDO, while collective invasion is characterized by overt upregulation of adhesion and migratory pathways. Lastly, based on clinical head and neck cancer cohorts, we demonstrate that the identified collective invasion signature provides a candidate prognostic platform for survival in HNSCC. By uncoupling collective and single cell invasive programs, we have established invasion signatures that may guide new therapeutic options.
HPV 阴性头颈部鳞状细胞癌 (HNSCC) 患者的临床预后仍然较差。这主要是由于侵袭性很强的肿瘤,这些肿瘤在初始治疗干预后会导致局部复发和转移性生长。然而,控制 HNSCC 有害侵袭性生长模式的分子途径仍研究不足。在这里,我们建立了能够重现体外 3 维侵袭的 HNSCC 患者来源类器官 (PDO) 模型。我们应用单细胞 mRNA 测序来研究非侵袭性和侵袭性条件之间的差异,以及在集体与单细胞侵袭性 PDO 模型中。在胶原凝胶中进行侵袭性条件下的差异表达分析显示,无论侵袭模式如何,均整体上调了以 YAP 为中心的转录程序。然而,我们发现,与单细胞侵袭相比,集体侵袭性 HNSCC PDO 细胞中 YAP 转录靶标水平升高。此外,在侵袭性链中,集体侵袭性细胞的 YAP 核易位增加,这与侵袭前沿的 Collagen-I 基质排列一致。通过基因集富集分析,我们在单细胞侵袭性 HNSCC PDO 中鉴定出具有免疫细胞样迁移途径的基因集,而集体侵袭则以明显上调的粘附和迁移途径为特征。最后,基于临床头颈部癌症队列,我们证明了所鉴定的集体侵袭特征提供了 HNSCC 生存的候选预后平台。通过分离集体和单细胞侵袭程序,我们建立了侵袭特征,这些特征可能指导新的治疗选择。