1. Single-cell dissection of intratumoral heterogeneity and lineage diversity in metastatic gastric adenocarcinoma
- Author
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Fang Wang, Minghao Dang, Ruiping Wang, Guang Peng, Ahmed Abdelhakeem, Brian D. Badgwell, Namita Shanbhag, Guangchun Han, Yanshuo Chu, Shuangtao Zhao, Yuanxin Wang, Jaffer A. Ajani, Mingyao Li, Kazuto Harada, George A. Calin, Dapeng Hao, Alexander J. Lazar, Shumei Song, Sinchita Roy-Chowdhuri, Andrew Futreal, Linghua Wang, Jianhua Zhang, Shaojun Zhang, Melissa Pool Pizzi, Ken Chen, Xingzhi Song, Meina Zhao, Jeannelyn S. Estrella, Mariela A. Blum Murphy, Samir M. Hanash, Ghia Tatlonghari, and Yang Lu
- Subjects
Adult ,Male ,0301 basic medicine ,Lineage (genetic) ,DNA Copy Number Variations ,Cell ,Adenocarcinoma ,Biology ,medicine.disease_cause ,Article ,General Biochemistry, Genetics and Molecular Biology ,Cohort Studies ,Transcriptome ,03 medical and health sciences ,0302 clinical medicine ,Single-cell analysis ,Stomach Neoplasms ,medicine ,Humans ,Cell Lineage ,RNA-Seq ,Peritoneal Neoplasms ,Aged ,Gene Expression Profiling ,Genetic Variation ,Cancer ,General Medicine ,Middle Aged ,Prognosis ,medicine.disease ,Phenotype ,Gene expression profiling ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Cancer research ,Female ,Single-Cell Analysis ,Carcinogenesis ,Chromosomes, Human, Pair 17 - Abstract
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.
- Published
- 2021
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