RNA 测序鉴定肺癌谱系并促进药物再定位。
RNA sequencing identifies lung cancer lineage and facilitates drug repositioning.
机构信息
Department of Basic Medicine, Army Medical University, Chongqing, China.
Cancer Institute, Xinqiao Hospital, Chongqing, China.
出版信息
PeerJ. 2024 Sep 24;12:e18159. doi: 10.7717/peerj.18159. eCollection 2024.
Recent breakthrough therapies have improved survival rates in non-small cell lung cancer (NSCLC), but a paradigm for prospective confirmation is still lacking. Patientdatasets were mainly downloaded from TCGA, CPTAC and GEO. We conducted downstream analysis by collecting metagenes and generated 42-gene subtype classifiers to elucidate biological pathways. Subsequently, scRNA, eRNA, methylation, mutation, and copy number variation were depicted from a phenotype perspective. Enhancing the clinical translatability of molecular subtypes, preclinical models including CMAP, CCLE, and GDSC were utilized for drug repositioning. Importantly, we verified the presence of previously described three phenotypes including bronchioid, neuroendocrine, and squamoid. Poor prognosis was seen in squamoid and neuroendocrine clusters for treatment-naive and immunotherapy populations. The neuroendocrine cluster was dominated by STK11 mutations and 14q13.3 amplifications, whose related methylated loci are predictive of immunotherapy. And the greatest therapeutic potential lies in the bronchioid cluster. We further estimated the relative cell abundance of the tumor microenvironment (TME), specific cell types could be reflected among three clusters. Meanwhile, the higher portion of immune cell infiltration belonged to bronchioid and squamoid, not the neuroendocrine cluster. In drug repositioning, MEK inhibitors resisted bronchioid but were squamoid-sensitive. To conceptually validate compounds/targets, we employed RNA-seq and CCK-8/western blot assays. Our results indicated that dinaciclib and alvocidib exhibited similar activity and sensitivity in the neuroendocrine cluster. Also, a lineage factor named KLF5 recognized by inferred transcriptional factors activity could be suppressed by verteporfin.
最近的突破性疗法提高了非小细胞肺癌(NSCLC)的生存率,但仍缺乏前瞻性验证的范例。患者数据集主要从 TCGA、CPTAC 和 GEO 下载。我们通过收集元基因并生成 42 个基因亚型分类器来进行下游分析,以阐明生物学途径。随后,从表型角度描绘了 scRNA、eRNA、甲基化、突变和拷贝数变异。为了增强分子亚型的临床转化能力,我们利用包括 CMAP、CCLE 和 GDSC 在内的临床前模型进行药物再定位。重要的是,我们验证了以前描述的三种表型的存在,包括支气管型、神经内分泌型和鳞状型。对于未经治疗和免疫治疗的人群,鳞状和神经内分泌簇的预后较差。神经内分泌簇主要由 STK11 突变和 14q13.3 扩增主导,其相关甲基化位点可预测免疫治疗。最大的治疗潜力在于支气管型簇。我们进一步估计了肿瘤微环境(TME)的相对细胞丰度,在三个簇中可以反映特定的细胞类型。同时,免疫细胞浸润的较高部分属于支气管型和鳞状型,而不是神经内分泌簇。在药物再定位中,MEK 抑制剂抵抗支气管型,但对鳞状型敏感。为了概念验证化合物/靶点,我们使用了 RNA-seq 和 CCK-8/western blot 测定。结果表明,dinaciclib 和 alvocidib 在神经内分泌簇中表现出相似的活性和敏感性。此外,通过推断转录因子活性识别的谱系因子 KLF5 可以被 verteporfin 抑制。