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Spatially Resolved Single-Cell Assessment of Pancreatic Cancer Expression Subtypes Reveals Co-expressor Phenotypes and Extensive Intratumoral Heterogeneity.


ABSTRACT: Pancreatic ductal adenocarcinoma (PDAC) has been classified into classical and basal-like transcriptional subtypes by bulk RNA measurements. However, recent work has uncovered greater complexity to transcriptional subtypes than was initially appreciated using bulk RNA expression profiling. To provide a deeper understanding of PDAC subtypes, we developed a multiplex immunofluorescence (mIF) pipeline that quantifies protein expression of six PDAC subtype markers (CLDN18.2, TFF1, GATA6, KRT17, KRT5, and S100A2) and permits spatially resolved, single-cell interrogation of pancreatic tumors from resection specimens and core needle biopsies. Both primary and metastatic tumors displayed striking intratumoral subtype heterogeneity that was associated with patient outcomes, existed at the scale of individual glands, and was significantly reduced in patient-derived organoid cultures. Tumor cells co-expressing classical and basal markers were present in > 90% of tumors, existed on a basal-classical polarization continuum, and were enriched in tumors containing a greater admixture of basal and classical cell populations. Cell-cell neighbor analyses within tumor glands further suggested that co-expressor cells may represent an intermediate state between expression subtype poles. The extensive intratumoral heterogeneity identified through this clinically applicable mIF pipeline may inform prognosis and treatment selection for patients with PDAC.

Significance

A high-throughput pipeline using multiplex immunofluorescence in pancreatic cancer reveals striking expression subtype intratumoral heterogeneity with implications for therapy selection and identifies co-expressor cells that may serve as intermediates during subtype switching.

SUBMITTER: Williams HL 

PROVIDER: S-EPMC10548885 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Spatially Resolved Single-Cell Assessment of Pancreatic Cancer Expression Subtypes Reveals Co-expressor Phenotypes and Extensive Intratumoral Heterogeneity.

Williams Hannah L HL   Dias Costa Andressa A   Zhang Jinming J   Raghavan Srivatsan S   Winter Peter S PS   Kapner Kevin S KS   Ginebaugh Scott P SP   Väyrynen Sara A SA   Väyrynen Juha P JP   Yuan Chen C   Navia Andrew W AW   Wang Junning J   Yang Annan A   Bosse Timothy L TL   Kalekar Radha L RL   Lowder Kristen E KE   Lau Mai Chan MC   Elganainy Dalia D   Morales-Oyarvide Vicente V   Rubinson Douglas A DA   Singh Harshabad H   Perez Kimberly K   Cleary James M JM   Clancy Thomas E TE   Wang Jiping J   Mancias Joseph D JD   Brais Lauren K LK   Hill Emma R ER   Kozak Margaret M MM   Linehan David C DC   Dunne Richard F RF   Chang Daniel T DT   Koong Albert C AC   Hezel Aram F AF   Hahn William C WC   Shalek Alex K AK   Aguirre Andrew J AJ   Nowak Jonathan A JA   Wolpin Brian M BM  

Cancer research 20230201 3


Pancreatic ductal adenocarcinoma (PDAC) has been classified into classical and basal-like transcriptional subtypes by bulk RNA measurements. However, recent work has uncovered greater complexity to transcriptional subtypes than was initially appreciated using bulk RNA expression profiling. To provide a deeper understanding of PDAC subtypes, we developed a multiplex immunofluorescence (mIF) pipeline that quantifies protein expression of six PDAC subtype markers (CLDN18.2, TFF1, GATA6, KRT17, KRT5  ...[more]

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