Single-cell RNA sequencing reveals immune cell dysfunction in the peripheral blood of patients with highly aggressive gastric cancer

  • Rui Ma 1,2 ,
  • Xuemeng Zhou 3 ,
  • Xiaohui Zhai 4 ,
  • Chuyue Wang 1,2 ,
  • Rong Hu 1,2 ,
  • You Chen 1,2 ,
  • Liyang Shi 3 ,
  • Xing Fang 5,6 ,
  • Yuan Liao 5 ,
  • Lifeng Ma 5 ,
  • Mengmeng Jiang 7 ,
  • Junqing Wu 5,7 ,
  • Renying Wang 5 ,
  • Jiao Chen 3 ,
  • Taiyuan Cao 4 ,
  • Ge Du 4 ,
  • Yingying Zhao 1,2 ,
  • Weili Wu 1,2 ,
  • Haide Chen 7 ,
  • Shanshan Li 4 ,
  • Qizhou Lian 8,9 ,
  • Guoji Guo , 5,6,7,10 ,
  • Jian Xiao , 11 ,
  • Andrew P. Hutchins , 3 ,
  • Ping Yuan , 1,2,12,13
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  • 1. Guangdong Institute of Gastroenterology, Guangzhou, China
  • 2. Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
  • 3. Shenzhen Key Laboratory of Gene Regulation and Systems Biology, Department of Biology, School of Life Sciences, Southern University of Science and Technology, Shenzhen, China
  • 4. Department of Medical Oncology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
  • 5. Center for Stem Cell and Regenerative Medicine, and Bone Marrow Transplantation Center of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
  • 6. Zhejiang Provincial Key Lab for Tissue Engineering and Regenerative Medicine, Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Hangzhou, China
  • 7. Liangzhu Laboratory, Zhejiang University Medical Center, Hangzhou, China
  • 8. Faculty of Synthetic Biology, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China
  • 9. Guangzhou Institute of Eugenics and Perinatology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
  • 10. Institute of Hematology, Zhejiang University, Hangzhou, China
  • 11. Department of Medical Oncology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China
  • 12. Department of General Surgery, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
  • 13. Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
ggj@zju.edu.cn
xiaojian@gdph.org.cn
andrewh@sustech.edu.cn
yuanp8@mail.sysu.edu.cn

Received date: 05 Oct 2023

Revised date: 12 Nov 2023

Accepted date: 06 Dec 2023

Copyright

2024 2024 The Authors. Cell Proliferation published by Beijing Institute for Stem Cell and Regenerative Medicine and John Wiley & Sons Ltd.

Abstract

Highly aggressive gastric cancer (HAGC) is a gastric cancer characterized by bone marrow metastasis and disseminated intravascular coagulation (DIC). Information about the disease is limited. Here we employed single-cell RNA sequencing to investigate peripheral blood mononuclear cells (PBMCs), aiming to unravel the immune response of patients toward HAGC. PBMCs from seven HAGC patients, six normal advanced gastric cancer (NAGC) patients, and five healthy individuals were analysed by single-cell RNA sequencing. The expression of genes of interest was validated by bulk RNA-sequencing and ELISA. We found a massive expansion of neutrophils in PBMCs of HAGC. These neutrophils are activated, but immature. Besides, mononuclear phagocytes exhibited an M2-like signature and T cells were suppressed and reduced in number. Analysis of cell-cell crosstalk revealed that several signalling pathways involved in neutrophil to T-cell suppression including APP-CD74, MIF-(CD74+CXCR2), and MIF-(CD74+CD44) pathways were increased in HAGC. NETosis-associated genes S100A8 and S100A9 as well as VEGF, PDGF, FGF, and NOTCH signalling that contribute to DIC development were upregulated in HAGC too. This study reveals significant changes in the distribution and interactions of the PBMC subsets and provides valuable insight into the immune response in patients with HAGC. S100A8 and S100A9 are highly expressed in HAGC neutrophils, suggesting their potential to be used as novel diagnostic and therapeutic targets for HAGC.

Cite this article

Rui Ma , Xuemeng Zhou , Xiaohui Zhai , Chuyue Wang , Rong Hu , You Chen , Liyang Shi , Xing Fang , Yuan Liao , Lifeng Ma , Mengmeng Jiang , Junqing Wu , Renying Wang , Jiao Chen , Taiyuan Cao , Ge Du , Yingying Zhao , Weili Wu , Haide Chen , Shanshan Li , Qizhou Lian , Guoji Guo , Jian Xiao , Andrew P. Hutchins , Ping Yuan . Single-cell RNA sequencing reveals immune cell dysfunction in the peripheral blood of patients with highly aggressive gastric cancer[J]. Cell Proliferation, 2024 , 57(5) : e13591 . DOI: 10.1111/cpr.13591

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