Yoffe Liron, Bhinder Bhavneet, Kang Sung Wook, Zhang Haoran, Singh Arshdeep, Ravichandran Hiranmayi, Markowitz Geoffrey, Martin Mitchell, Kim Junbum, Zhang Chen, Elemento Olivier, Tansey Wesley, Bates Stewart, McGraw Timothy E, Borczuk Alain, Lee Hyun-Sung, Altorki Nasser K, Mittal Vivek
Department of Cardiothoracic Surgery, Weill Cornell Medicine, 525 East 68th Street, New York, New York 10065, USA.
Department of Physiology and Biophysics, Weill Cornell Medicine, 525 East 68th Street, New York, New York 10065, USA.
bioRxiv. 2025 Jan 1:2024.12.31.630523. doi: 10.1101/2024.12.31.630523.
Computerized chest tomography (CT)-guided screening in populations at risk for lung cancer has increased the detection of preinvasive subsolid nodules, which progress to solid invasive adenocarcinoma. Despite the clinical significance, there is a lack of effective therapies for intercepting the progression of preinvasive to invasive adenocarcinoma. To uncover determinants of early disease emergence and progression, we used integrated single-cell approaches, including scRNA-seq, multiplexed imaging mass cytometry and spatial transcriptomics, to construct the first high-resolution map of the composition, lineage/functional states, developmental trajectories and multicellular crosstalk networks from microdissected non-solid (preinvasive) and solid compartments (invasive) of individual part-solid nodules. We found that early disease initiation and subsequent progression are associated with the evolution of immune-suppressive cellular phenotypes characterized by decreased cytotoxic CD8 T and NK cells, increased T cell exhaustion and accumulation of immunosuppressive regulatory T cells (Tregs) and M2-like macrophages expressing TREM2. Within Tregs, we identified a unique population of 4-1BB+ Treg subset enriched for the IL2-STAT5 suppressive pathway with transcription profiles supporting discrete metabolic alterations. Spatial analysis showed increased density of suppressive immune cells around tumor cells, increased exhaustion phenotype of both CD4 and CD8 T cells expressing chemokine CXCL13, and spatial microcomplex of endothelial and lymphocyte interactions within tertiary lymphoid structures. The single-cell architecture identifies determinants of early disease emergence and progression, which may be developed not only as diagnostic/prognostic biomarkers but also as targets for disease interception. Additionally, our dataset constitutes a valuable resource for the preinvasive lung cancer research community.
在肺癌高危人群中,计算机断层扫描(CT)引导下的筛查增加了对侵袭前亚实性结节的检测,这些结节会进展为实性侵袭性腺癌。尽管具有临床意义,但目前缺乏有效的治疗方法来阻断侵袭前腺癌向侵袭性腺癌的进展。为了揭示早期疾病发生和进展的决定因素,我们使用了整合的单细胞方法,包括单细胞RNA测序(scRNA-seq)、多重成像质谱流式细胞术和空间转录组学,来构建首个高分辨率图谱,描绘单个部分实性结节的微切割非实性(侵袭前)和实性部分(侵袭性)的组成、谱系/功能状态、发育轨迹和多细胞串扰网络。我们发现,早期疾病的起始和随后的进展与免疫抑制细胞表型的演变有关,其特征为细胞毒性CD8 T细胞和自然杀伤细胞减少、T细胞耗竭增加以及表达触发受体2(TREM2)的免疫抑制调节性T细胞(Tregs)和M2样巨噬细胞积累。在Tregs中,我们鉴定出一个独特的4-1BB + Treg亚群,该亚群富含IL2-STAT5抑制途径,其转录谱支持离散的代谢改变。空间分析显示肿瘤细胞周围抑制性免疫细胞密度增加、表达趋化因子CXCL13的CD4和CD8 T细胞的耗竭表型增加,以及三级淋巴结构内内皮细胞和淋巴细胞相互作用的空间微复合体。单细胞结构确定了早期疾病发生和进展的决定因素,这些因素不仅可以开发为诊断/预后生物标志物,还可以作为疾病拦截的靶点。此外,我们的数据集为侵袭前肺癌研究界提供了宝贵的资源。