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Single-nucleus and spatial transcriptome profiling of pancreatic cancer identifies multicellular dynamics associated with neoadjuvant treatment.


ABSTRACT: Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal and treatment-refractory cancer. Molecular stratification in pancreatic cancer remains rudimentary and does not yet inform clinical management or therapeutic development. Here, we construct a high-resolution molecular landscape of the cellular subtypes and spatial communities that compose PDAC using single-nucleus RNA sequencing and whole-transcriptome digital spatial profiling (DSP) of 43 primary PDAC tumor specimens that either received neoadjuvant therapy or were treatment naive. We uncovered recurrent expression programs across malignant cells and fibroblasts, including a newly identified neural-like progenitor malignant cell program that was enriched after chemotherapy and radiotherapy and associated with poor prognosis in independent cohorts. Integrating spatial and cellular profiles revealed three multicellular communities with distinct contributions from malignant, fibroblast and immune subtypes: classical, squamoid-basaloid and treatment enriched. Our refined molecular and cellular taxonomy can provide a framework for stratification in clinical trials and serve as a roadmap for therapeutic targeting of specific cellular phenotypes and multicellular interactions.

SUBMITTER: Hwang WL 

PROVIDER: S-EPMC10290535 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Single-nucleus and spatial transcriptome profiling of pancreatic cancer identifies multicellular dynamics associated with neoadjuvant treatment.

Hwang William L WL   Jagadeesh Karthik A KA   Guo Jimmy A JA   Hoffman Hannah I HI   Yadollahpour Payman P   Reeves Jason W JW   Mohan Rahul R   Drokhlyansky Eugene E   Van Wittenberghe Nicholas N   Ashenberg Orr O   Farhi Samouil L SL   Schapiro Denis D   Divakar Prajan P   Miller Eric E   Zollinger Daniel R DR   Eng George G   Schenkel Jason M JM   Su Jennifer J   Shiau Carina C   Yu Patrick P   Freed-Pastor William A WA   Abbondanza Domenic D   Mehta Arnav A   Gould Joshua J   Lambden Conner C   Porter Caroline B M CBM   Tsankov Alexander A   Dionne Danielle D   Waldman Julia J   Cuoco Michael S MS   Nguyen Lan L   Delorey Toni T   Phillips Devan D   Barth Jaimie L JL   Kem Marina M   Rodrigues Clifton C   Ciprani Debora D   Roldan Jorge J   Zelga Piotr P   Jorgji Vjola V   Chen Jonathan H JH   Ely Zackery Z   Zhao Daniel D   Fuhrman Kit K   Fropf Robin R   Beechem Joseph M JM   Loeffler Jay S JS   Ryan David P DP   Weekes Colin D CD   Ferrone Cristina R CR   Qadan Motaz M   Aryee Martin J MJ   Jain Rakesh K RK   Neuberg Donna S DS   Wo Jennifer Y JY   Hong Theodore S TS   Xavier Ramnik R   Aguirre Andrew J AJ   Rozenblatt-Rosen Orit O   Mino-Kenudson Mari M   Castillo Carlos Fernandez-Del CF   Liss Andrew S AS   Ting David T DT   Jacks Tyler T   Regev Aviv A  

Nature genetics 20220728 8


Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal and treatment-refractory cancer. Molecular stratification in pancreatic cancer remains rudimentary and does not yet inform clinical management or therapeutic development. Here, we construct a high-resolution molecular landscape of the cellular subtypes and spatial communities that compose PDAC using single-nucleus RNA sequencing and whole-transcriptome digital spatial profiling (DSP) of 43 primary PDAC tumor specimens that either receive  ...[more]

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