Single-cell dissection of intratumoral heterogeneity and lineage diversity in metastatic gastric adenocarcinoma.
Adenocarcinoma
/ genetics
Adult
Aged
Cell Lineage
/ genetics
Chromosomes, Human, Pair 17
/ genetics
Cohort Studies
DNA Copy Number Variations
Female
Gene Expression Profiling
Genetic Variation
Humans
Male
Middle Aged
Peritoneal Neoplasms
/ genetics
Prognosis
RNA-Seq
Single-Cell Analysis
Stomach Neoplasms
/ genetics
Journal
Nature medicine
ISSN: 1546-170X
Titre abrégé: Nat Med
Pays: United States
ID NLM: 9502015
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
04
08
2019
accepted:
09
10
2020
pubmed:
6
1
2021
medline:
23
1
2021
entrez:
5
1
2021
Statut:
ppublish
Résumé
Intratumoral heterogeneity (ITH) is a fundamental property of cancer; however, the origins of ITH remain poorly understood. We performed single-cell transcriptome profiling of peritoneal carcinomatosis (PC) from 15 patients with gastric adenocarcinoma (GAC), constructed a map of 45,048 PC cells, profiled the transcriptome states of tumor cell populations, incisively explored ITH of malignant PC cells and identified significant correlates with patient survival. The links between tumor cell lineage/state compositions and ITH were illustrated at transcriptomic, genotypic, molecular and phenotypic levels. We uncovered the diversity in tumor cell lineage/state compositions in PC specimens and defined it as a key contributor to ITH. Single-cell analysis of ITH classified PC specimens into two subtypes that were prognostically independent of clinical variables, and a 12-gene prognostic signature was derived and validated in multiple large-scale GAC cohorts. The prognostic signature appears fundamental to GAC carcinogenesis and progression and could be practical for patient stratification.
Identifiants
pubmed: 33398161
doi: 10.1038/s41591-020-1125-8
pii: 10.1038/s41591-020-1125-8
pmc: PMC8074162
mid: NIHMS1688918
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
141-151Subventions
Organisme : NCI NIH HHS
ID : R01 CA160433
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA016672
Pays : United States
Organisme : NIH HHS
ID : S10 OD024977
Pays : United States
Organisme : U.S. Department of Defense (United States Department of Defense)
ID : CA150334
Pays : International
Organisme : U.S. Department of Defense (United States Department of Defense)
ID : CA160433
Pays : International
Organisme : U.S. Department of Defense (United States Department of Defense)
ID : CA170906
Pays : International
Organisme : U.S. Department of Defense (United States Department of Defense)
ID : CA160445
Pays : International
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