Department of Oncology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, 210029, Jiangsu, China.
No. 1 Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, 210023, Jiangsu, China.
Sci Rep. 2024 Sep 30;14(1):22596. doi: 10.1038/s41598-024-73062-y.
As one of the two main histologic subtypes of gastric cancer (GC), diffuse-type gastric cancer (DGC) containing poorly cohesive gastric carcinoma (PCC) components has a worse prognosis and does not respond well to typical therapies. Despite the large number of studies revealing the complex pathogenic network of DGC, the molecular heterogeneity of DGC is still not fully understood. We obtained single-cell RNA-seq data and bulk data from the tumor immune single cell hub, the public gene expression omnibus, and the cancer genome atlas databases. A series of bioinformatics analyses were performed using R software. Immunofluorescence staining, hematoxylin and eosin staining, western blot, and functional experiments were used for experimental validation. Caudin-3, -4 and -7 were lowly expressed in DGC and their expression levels were further reduced in PCC. The PCC components were mainly located in the deeper layers of the DGC and had a high level of hypoxic Wnt/β-catenin signaling and stemness. We further identified Insulin Like Growth Factor Binding Protein 7 (IGFBP7) as a marker for PCC components in the deep layer. IGFBP7 is stimulated by hypoxia and promotes cancer cell invasiveness and reduced claudin expression. In addition, programmed death-1 ligand (PD-L1) was specifically expressed in the deep layer, reflecting deep layer-specific immunosuppression. The PCC components are predominantly situated in the deeper layers of DGC. Initial molecular characterization of these PCC components revealed distinct features, including low expression of claudin-3, -4, and -7, high expression of IGFBP7, and the presence of PD-L1. These molecular traits may partially account for the pronounced tumor heterogeneity observed in GC.
弥漫型胃癌(DGC)是胃癌的两种主要组织学亚型之一,包含黏附性差的胃癌(PCC)成分,其预后较差,对典型治疗方法反应不佳。尽管有大量研究揭示了 DGC 的复杂发病机制网络,但 DGC 的分子异质性仍未完全了解。我们从肿瘤免疫单细胞中心、公共基因表达综合数据库和癌症基因组图谱数据库中获得了单细胞 RNA-seq 数据和肿瘤块数据。使用 R 软件进行了一系列生物信息学分析。免疫荧光染色、苏木精和伊红染色、western blot 和功能实验用于实验验证。钙黏蛋白-3、-4 和 -7 在 DGC 中低表达,其表达水平在 PCC 中进一步降低。PCC 成分主要位于 DGC 的深层,具有高水平的缺氧 Wnt/β-catenin 信号和干性。我们进一步鉴定胰岛素样生长因子结合蛋白 7(IGFBP7)为深层 PCC 成分的标志物。IGFBP7 受缺氧刺激,促进癌细胞侵袭和 Claudin 表达降低。此外,程序性死亡配体-1(PD-L1)在深层特异性表达,反映了深层特异性免疫抑制。PCC 成分主要位于 DGC 的深层。对这些 PCC 成分的初步分子特征分析揭示了明显的特征,包括 Claudin-3、-4 和 -7 的低表达、IGFBP7 的高表达以及 PD-L1 的存在。这些分子特征可能部分解释了 GC 中观察到的明显肿瘤异质性。