Signatures of plasticity, metastasis, and immunosuppression in an atlas of human small cell lung cancer

Published in Cancer Cell, 2021

Recommended citation: Chan, Joseph M., Álvaro Quintanal-Villalonga, Vianne Ran Gao, Yubin Xie, Viola Allaj, Ojasvi Chaudhary, and Ignas Masilionis et al. 2022. "Signatures Of Plasticity, Metastasis, And Immunosuppression In An Atlas Of Human Small Cell Lung Cancer". https://www.sciencedirect.com/science/article/pii/S1535610821004979

Small cell lung cancer (SCLC) is an aggressive malignancy that includes subtypes defined by differential expression of ASCL1, NEUROD1, and POU2F3 (SCLC-A, -N, and -P, respectively). To define the heterogeneity of tumors and their associated microenvironments across subtypes, we sequenced 155,098 transcriptomes from 21 human biospecimens, including 54,523 SCLC transcriptomes. We observe greater tumor diversity in SCLC than lung adenocarcinoma, driven by canonical, intermediate, and admixed subtypes. We discover a PLCG2-high SCLC phenotype with stem-like, pro-metastatic features that recurs across subtypes and predicts worse overall survival. SCLC exhibits greater immune sequestration and less immune infiltration than lung adenocarcinoma, and SCLC-N shows less immune infiltrate and greater T cell dysfunction than SCLC-A. We identify a profibrotic, immunosuppressive monocyte/macrophage population in SCLC tumors that is particularly associated with the recurrent, PLCG2-high subpopulation. Keywords: SCLC; metastasis; scRNA-seq; tumor atlas; single cell; PLCG2; myeloid

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Recommended citation: Chan, Joseph M., Álvaro Quintanal-Villalonga, Vianne Ran Gao, Yubin Xie, Viola Allaj, Ojasvi Chaudhary, and Ignas Masilionis et al. 2021. “Signatures Of Plasticity, Metastasis, And Immunosuppression In An Atlas Of Human Small Cell Lung Cancer”.