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Single-cell sequencing of ascites fluid illustrates heterogeneity and therapy-induced evolution during gastric cancer peritoneal metastasis

Medicine and Health

Single-cell sequencing of ascites fluid illustrates heterogeneity and therapy-induced evolution during gastric cancer peritoneal metastasis

X. Huang, M. Pang, et al.

This fascinating study delves into the complexities of peritoneal metastasis in gastric cancer, unveiling how certain immune cells evolve under therapy and their impact on prognosis. Conducted by a dedicated team of researchers, these insights shed light on the trajectories of cancer and immune cells during metastasis progression, promising innovative pathways for therapy-resistant cases.

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Playback language: English
Abstract
Peritoneal metastasis is a leading cause of death in gastrointestinal cancers. This study characterizes single-cell transcriptomes of ascites cancer/immune cells from 35 gastric cancer patients, revealing increased pro-angiogenic monocyte-like dendritic cells with reduced antigen-presenting capacity, correlating with poor prognosis. Therapy-induced evolution of these cells and regulatory/proliferative T cells is described, along with high-plasticity gastric cancer clusters prone to shifting to a high-proliferative phenotype via paligenosis. Autophagy-related genes (MARCKS and TXNIP) mark high-plasticity cancer with poor prognosis, and autophagy inhibitors induce apoptosis in patient-derived organoids. These findings offer insights into cancer/immune cell trajectories underlying metastasis progression and therapy resistance.
Publisher
Nature Communications
Published On
Feb 14, 2023
Authors
Xuan-Zhang Huang, Min-Jiao Pang, Jia-Yi Li, Han-Yu Chen, Jing-Xu Sun, Yong-Xi Song, Hong-Jie Ni, Shi-Yu Ye, Shi Bai, Teng-Hui Li, Xin-Yu Wang, Jing-Yuan Lu, Jin-Jia Yang, Xun Sun, Jason C. Mills, Zhi-Feng Miao, Zhen-Ning Wang
Tags
peritoneal metastasis
gastric cancer
immune cells
angiogenic dendritic cells
autophagy
prognosis
therapeutic resistance
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