1. Integrating single-cell and bulk RNA sequencing reveals CK19 + cancer stem cells and their specific SPP1 + tumor-associated macrophage niche in HBV-related hepatocellular carcinoma.
- Author
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Yang CL, Song R, Hu JW, Huang JT, Li NN, Ni HH, Li YK, Zhang J, Lu Z, Zhou M, Wang JD, Li MJ, Zhan GH, Peng T, Yu HP, Qi LN, Wang QY, and Xiang BD
- Subjects
- Humans, Hepatitis B virus genetics, Matrix Metalloproteinase 9 genetics, Keratin-19 genetics, Keratin-19 metabolism, Tumor-Associated Macrophages metabolism, Tumor-Associated Macrophages pathology, Neoplastic Stem Cells, Sequence Analysis, RNA, Tumor Microenvironment, Osteopontin genetics, Osteopontin metabolism, Carcinoma, Hepatocellular pathology, Liver Neoplasms pathology
- Abstract
Purpose: Cytokeratin 19-positive cancer stem cells (CK19 + CSCs) and their tumor-associated macrophages (TAMs) have not been fully explored yet in the hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC)., Experimental Design: Single-cell RNA sequencing was performed on the viable cells obtained from 11 treatment-naïve HBV-associated HCC patients, including 8 CK19 + patients, to elucidate their transcriptomic landscape, CK19 + CSC heterogeneity, and immune microenvironment. Two in-house primary HCC cohorts (96 cases-related HBV and 89 cases with recurrence), TCGA external cohort, and in vitro and in vivo experiments were used to validate the results., Results: A total of 64,581 single cells derived from the human HCC and adjacent normal tissues were sequenced, and 11 cell types were identified. The result showed that CK19 + CSCs were phenotypically and transcriptionally heterogeneous, co-expressed multiple hepatics CSC markers, and were positively correlated with worse prognosis. Moreover, the SPP1 + TAMs (TAM_SPP1) with strong M2-like features and worse prognosis were specifically enriched in the CK19 + HCC and promoted tumor invasion and metastasis by activating angiogenesis. Importantly, matrix metalloproteinase 9 (MMP9) derived from TAM_SPP1, as the hub gene of CK19 + HCC, was activated by the VEGFA signal., Conclusions: This study revealed the heterogeneity and stemness characteristics of CK19 + CSCs and specific immunosuppressive TAM_SPP1 in CK19 + HCC. The VEGFA signal can activate TAM_SPP1-derived MMP9 to promote the invasion and metastasis of CK19 + HCC tumors. This might provide novel insights into the clinical treatment of HCC patients., (© 2023. Asian Pacific Association for the Study of the Liver.)
- Published
- 2024
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