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Single-cell atlas of tumor cell evolution in response to therapy in hepatocellular carcinoma and intrahepatic cholangiocarcinoma

Open access
Ma, Lichun, Wang, Limin, Khatib, Subreen A., Chang, Ching-Wen, Heinrich, Sophia, Dominguez, Dana A., Forgues, Marshonna, Candia, Julián, Hernandez, Maria O., Kelly, Michael, Zhao, Yongmei, Tran, Bao, Hernandez, Jonathan M., Davis, Jeremy L., Kleiner, David E., Wood, Bradford J., Greten, Tim F., Wang, Xin Wei·2021·Journal of Hepatology

Abstract

Background & Aims: Intratumor molecular heterogeneity is a key feature of tumorigenesis and is linked to treatment failure and patient prognosis. Here, we aimed to determine what drives tumor cell evolution by performing single-cell transcriptomic analysis. Methods: We analyzed 46 hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (iCCA) biopsies from 37 patients enrolled for interventional studies at the NIH Clinical Center, with 16 biopsies collected before and after treatment from 7 patients. We developed a novel machine learning-based consensus clustering approach to track cellular states of 57,000 malignant and non-malignant cells including tumor cell transcriptome-based functional clonality analysis. We determined tumor cell relationships using RNA velocity and reverse graph embedding. We also studied longitudinal samples from 4 patients to determine tumor cellular state and its evolution. We validated our findings in bulk transcriptomic data from 488 patients with HCC and 277 patients with iCCA. Results: Using transcriptomic clusters as a surrogate for functional clonality, we observed an increase in tumor cell state heterogeneity which was tightly linked to patient prognosis. Furthermore, increased functional clonality was accompanied by a polarized immune cell landscape which included an increase in pre-exhausted T-cells. We found that SPP1 expression was tightly associated with tumor cell evolution and microenvironmental reprogramming. Finally, we developed a user-friendly online interface as a knowledge base for a single-cell atlas of liver cancer. Conclusions: Our study offers insight into the collective behavior of tumor cell communities in liver cancer as well as potential drivers of tumor evolution in response to therapy.

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Metadata

Authors
Ma, L., Wang, L., Khatib, S. A., Chang, C.-W., Heinrich, S., Dominguez, D. A., Forgues, M., Candia, J., Hernandez, M. O., Kelly, M., Zhao, Y., Tran, B., Hernandez, J. M., Davis, J. L., Kleiner, D. E., Wood, B. J., Greten, T. F., & Wang, X. W.
Venue
Journal of Hepatology
Publisher
Elsevier BV
Published
2021-12
Volume
75
Issue
6
Pages
1397-1408
ISSN
0168-8278 (ISSN-L)
OpenAlex
W3175283754
Cited by
373
References
63
FWCI
16.37
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Single-cell atlas of tumor cell evolution in response to therapy in hepatocellular carcinoma and intrahepatic cholangiocarcinoma. https://app.cochat.ai/papers/10.1016/j.jhep.2021.06.028
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Ma, L., Wang, L., Khatib, S. A., Chang, C.-W., Heinrich, S., Dominguez, D. A., Forgues, M., Candia, J., Hernandez, M. O., Kelly, M., Zhao, Y., Tran, B., Hernandez, J. M., Davis, J. L., Kleiner, D. E., Wood, B. J., Greten, T. F., & Wang, X. W. (2021). Single-cell atlas of tumor cell evolution in response to therapy in hepatocellular carcinoma and intrahepatic cholangiocarcinoma. Journal of Hepatology. https://doi.org/10.1016/j.jhep.2021.06.028

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.