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Therapy-Induced Evolution of Human Lung Cancer Revealed by Single-Cell RNA Sequencing.


ABSTRACT: Lung cancer, the leading cause of cancer mortality, exhibits heterogeneity that enables adaptability, limits therapeutic success, and remains incompletely understood. Single-cell RNA sequencing (scRNA-seq) of metastatic lung cancer was performed using 49 clinical biopsies obtained from 30 patients before and during targeted therapy. Over 20,000 cancer and tumor microenvironment (TME) single-cell profiles exposed a rich and dynamic tumor ecosystem. scRNA-seq of cancer cells illuminated targetable oncogenes beyond those detected clinically. Cancer cells surviving therapy as residual disease (RD) expressed an alveolar-regenerative cell signature suggesting a therapy-induced primitive cell-state transition, whereas those present at on-therapy progressive disease (PD) upregulated kynurenine, plasminogen, and gap-junction pathways. Active T-lymphocytes and decreased macrophages were present at RD and immunosuppressive cell states characterized PD. Biological features revealed by scRNA-seq were biomarkers of clinical outcomes in independent cohorts. This study highlights how therapy-induced adaptation of the multi-cellular ecosystem of metastatic cancer shapes clinical outcomes.

SUBMITTER: Maynard A 

PROVIDER: S-EPMC7484178 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Therapy-Induced Evolution of Human Lung Cancer Revealed by Single-Cell RNA Sequencing.

Maynard Ashley A   McCoach Caroline E CE   Rotow Julia K JK   Harris Lincoln L   Haderk Franziska F   Kerr D Lucas DL   Yu Elizabeth A EA   Schenk Erin L EL   Tan Weilun W   Zee Alexander A   Tan Michelle M   Gui Philippe P   Lea Tasha T   Wu Wei W   Urisman Anatoly A   Jones Kirk K   Sit Rene R   Kolli Pallav K PK   Seeley Eric E   Gesthalter Yaron Y   Le Daniel D DD   Yamauchi Kevin A KA   Naeger David M DM   Bandyopadhyay Sourav S   Shah Khyati K   Cech Lauren L   Thomas Nicholas J NJ   Gupta Anshal A   Gonzalez Mayra M   Do Hien H   Tan Lisa L   Bacaltos Bianca B   Gomez-Sjoberg Rafael R   Gubens Matthew M   Jahan Thierry T   Kratz Johannes R JR   Jablons David D   Neff Norma N   Doebele Robert C RC   Weissman Jonathan J   Blakely Collin M CM   Darmanis Spyros S   Bivona Trever G TG  

Cell 20200820 5


Lung cancer, the leading cause of cancer mortality, exhibits heterogeneity that enables adaptability, limits therapeutic success, and remains incompletely understood. Single-cell RNA sequencing (scRNA-seq) of metastatic lung cancer was performed using 49 clinical biopsies obtained from 30 patients before and during targeted therapy. Over 20,000 cancer and tumor microenvironment (TME) single-cell profiles exposed a rich and dynamic tumor ecosystem. scRNA-seq of cancer cells illuminated targetable  ...[more]

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