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The single-cell transcriptional landscape of lung carcinoid tumors

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Item Type:Article
Title:The single-cell transcriptional landscape of lung carcinoid tumors
Creators: Bischoff, P. ORCID logoORCID: https://orcid.org/0000-0002-4442-7116, Trinks, A. ORCID logoORCID: https://orcid.org/0000-0001-9983-1506, Wiederspahn, J. ORCID logoORCID: https://orcid.org/0000-0003-0117-9754, Obermayer, B. ORCID logoORCID: https://orcid.org/0000-0002-9116-630X, Pett, J.P. ORCID logoORCID: https://orcid.org/0000-0002-5249-444X, Jurmeister, P. ORCID logoORCID: https://orcid.org/0000-0001-7745-3794, Elsner, A., Dziodzio, T. ORCID logoORCID: https://orcid.org/0000-0002-3337-4573, Rückert, J.C., Neudecker, J., Falk, C. ORCID logoORCID: https://orcid.org/0000-0003-1376-7318, Beule, D. ORCID logoORCID: https://orcid.org/0000-0002-3284-0632, Sers, C. ORCID logoORCID: https://orcid.org/0000-0002-6219-1514, Morkel, M. ORCID logoORCID: https://orcid.org/0000-0002-2553-9999, Horst, D. ORCID logoORCID: https://orcid.org/0000-0003-4755-5743, Klauschen, F. ORCID logoORCID: https://orcid.org/0000-0002-9131-2389 and Blüthgen, N. ORCID logoORCID: https://orcid.org/0000-0002-0171-7447
Abstract:Lung carcinoid tumors, also referred to as pulmonary neuroendocrine tumors or lung carcinoids, are rare neoplasms of the lung with a more favorable prognosis than other subtypes of lung cancer. Still, some patients suffer from relapsed disease and metastatic spread. Several recent single-cell studies have provided detailed insights into the cellular heterogeneity of more common lung cancers, such as adeno- and squamous cell carcinoma. However, the characteristics of lung carcinoids on the single-cell level are yet completely unknown. To study the cellular composition and single-cell gene expression profiles in lung carcinoids, we applied single-cell RNA sequencing to three lung carcinoid tumor samples and normal lung tissue. The single-cell transcriptomes of carcinoid tumor cells reflected intertumoral heterogeneity associated with clinicopathological features, such as tumor necrosis and proliferation index. The immune microenvironment was specifically enriched in non-inflammatory monocyte-derived myeloid cells. Tumor-associated endothelial cells were characterized by distinct gene expression profiles. A spectrum of vascular smooth muscle cells and pericytes predominated the stromal microenvironment. We found a small proportion of myofibroblasts exhibiting features reminiscent of cancer-associated fibroblasts. Stromal and immune cells exhibited potential paracrine interactions which may shape the microenvironment via NOTCH, VEGF, TGFβ and JAK/STAT signaling. Moreover, single-cell gene signatures of pericytes and myofibroblasts demonstrated prognostic value in bulk gene expression data. Here, we provide first comprehensive insights into the cellular composition and single-cell gene expression profiles in lung carcinoids, demonstrating the non-inflammatory and vessel-rich nature of their tumor microenvironment, and outlining relevant intercellular interactions which could serve as future therapeutic targets.
Keywords:Carcinoid Tumors, Lung Cancer, Neuroendocrine Tumors, Single-Cell Transcriptomics, Tumor Microenvironment
Source:International Journal of Cancer
ISSN:0020-7136
Publisher:Wiley
Volume:150
Number:12
Page Range:2058-2071
Date:15 June 2022
Official Publication:https://doi.org/10.1002/ijc.33995
PubMed:View item in PubMed

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