Cited by 49Cutaneous Melanoma Detection and ManagementSingle-cell and spatial transcriptomicsMelanoma and MAPK Pathways

Delineating the early dissemination mechanisms of acral melanoma by integrating single-cell and spatial transcriptomic analyses

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Wei, Chuanyuan, Sun, Wei, Shen, Kangjie, Zhong, Jingqin, Liu, Wanlin, Gao, Zixu, Xu, Yu, Wang, Lu +13 more·2023·Nature Communications

Abstract

Acral melanoma (AM) is a rare subtype of melanoma characterized by a high incidence of lymph node (LN) metastasis, a critical factor in tumor dissemination and therapeutic decision-making. Here, we employ single-cell and spatial transcriptomic analyses to investigate the dynamic evolution of early AM dissemination. Our findings reveal substantial inter- and intra-tumor heterogeneity in AM, alongside a highly immunosuppressive tumor microenvironment and complex intercellular communication networks, particularly in patients with LN metastasis. Notably, we identify a strong association between MYC+ Melanoma (MYC+MEL) and FGFBP2+NKT cells with LN metastasis. Furthermore, we demonstrate that LN metastasis requires a metabolic shift towards fatty acid oxidation (FAO) induced by MITF in MYC+MEL cells. Etomoxir, a clinically approved FAO inhibitor, can effectively suppress MITF-mediated LN metastasis. This comprehensive dataset enhances our understanding of LN metastasis in AM, and provides insights into the potential therapeutic targeting for the management of early AM dissemination.

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Authors
Wei, C., Sun, W., Shen, K., Zhong, J., Liu, W., Gao, Z., Xu, Y., Wang, L., Hu, T., Ren, M., Li, Y., Zhu, Y., Zheng, S., Zhu, M., Luo, R., Yang, Y., Hou, Y., Qi, F., Zhou, Y., Chen, Y., & Gu, J.
Affiliations
  • Fudan University (CN)
  • Shanghai Medical College of Fudan University (CN)
Corresponding author
  • Zhou, Yuhong
  • Chen, Yong
  • Gu, Jianying
Venue
Nature Communications
Published
2023-12-08
Volume
14
Issue
1
Pages
8119-8119
ISSN
2041-1723 (ISSN-L)
OpenAlex
W4389481108
Cited by
49
References
66
Citations by year
2026: 20 · 2025: 19 · 2024: 10
FWCI
5.98
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Natural Science Foundation of China (82272891, 81972559, 82203528)
  • Shanghai Shenkang Hospital Development Centre Project
  • China Postdoctoral Science Foundation (2022M710769, 2022TQ0072)
  • Shanghai Sailing Program
Topics
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Melanoma and MAPK Pathways
Keywords
acral melanoma, lymph node metastasis, metastasis, tumor heterogeneity, immunosuppressive tumor microenvironment, intercellular communication, fatty acid oxidation, MITF, etomoxir, metabolic reprogramming
MeSH terms
Humans, Lymphatic Metastasis, Melanoma, Skin Neoplasms, Gene Expression Profiling, Tumor Microenvironment, Transcriptome

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