Single-nucleus and spatial transcriptome profiling of pancreatic cancer identifies multicellular dynamics associated with neoadjuvant treatment
Open accessAbstract
Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal and treatment-refractory cancer. Molecular stratification in pancreatic cancer remains rudimentary and does not yet inform clinical management or therapeutic development. Here, we construct a high-resolution molecular landscape of the cellular subtypes and spatial communities that compose PDAC using single-nucleus RNA sequencing and whole-transcriptome digital spatial profiling (DSP) of 43 primary PDAC tumor specimens that either received neoadjuvant therapy or were treatment naive. We uncovered recurrent expression programs across malignant cells and fibroblasts, including a newly identified neural-like progenitor malignant cell program that was enriched after chemotherapy and radiotherapy and associated with poor prognosis in independent cohorts. Integrating spatial and cellular profiles revealed three multicellular communities with distinct contributions from malignant, fibroblast and immune subtypes: classical, squamoid-basaloid and treatment enriched. Our refined molecular and cellular taxonomy can provide a framework for stratification in clinical trials and serve as a roadmap for therapeutic targeting of specific cellular phenotypes and multicellular interactions.
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A neural-like progenitor signature was identified, related to the de novo classical metaprogram and resembling a previously described PDAC transcriptional subtype.
“We additionally identified a neural-like progenitor signature related to our de novo classical metaprogram and resembling a previously described PDAC transcriptional subtype (52).”
From Mechanisms of Resistance to Oncogenic KRAS Inhibition in Pancreatic Cancer (2024) · cites this paper as [52]
Later murine PDAC studies identified the CD155/TIGIT axis as a candidate target for clinical trials aimed at improving immunotherapy.
“In line with these observations, subsequent studies using murine PDAC models have further implicated the CD155/TIGIT axis as a potential target to move forward to clinical trials to enhance immunotherapy278.”
From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [278]
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An Attractive Reelin Gradient Establishes Synaptic Lamination in the Vertebrate Visual System
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Pancreatic cancer: Advances and challenges
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Neoadjuvant therapy for pancreatic cancer
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Self-citationMechanisms of Resistance to Oncogenic KRAS Inhibition in Pancreatic Cancer
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“We additionally used a panel of PDAC transcriptional subtype signatures as well as multiple curated gene sets from the previously published work (44, 50, 52, 53, 88–91).”
MethodResultSelf-citationImpact of the Human Cell Atlas on medicine
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Perspectives on single-nucleus RNA sequencing in different cell types and tissues
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A Classical Epithelial State Drives Acute Resistance to KRAS Inhibition in Pancreatic Cancer
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- Authors
- Hwang, W. L., Jagadeesh, K. A., Guo, J. A., Hoffman, H. I., Yadollahpour, P., Reeves, J. W., Mohan, R., Drokhlyansky, E., Van Wittenberghe, N., Ashenberg, O., Farhi, S. L., Schapiro, D., Divakar, P., Miller, E., Zollinger, D. R., Eng, G., Schenkel, J. M., Su, J., Shiau, C., Yu, P., Freed-Pastor, W. A., Abbondanza, D., Mehta, A., Gould, J., Lambden, C., Porter, C. B. M., Tsankov, A., Dionne, D., Waldman, J., Cuoco, M. S., Nguyen, L., Delorey, T., Phillips, D., Barth, J. L., Kem, M., Rodrigues, C., Ciprani, D., Roldan, J., Zelga, P., Jorgji, V., Chen, J. H., Ely, Z., Zhao, D., Fuhrman, K., Fropf, R., Beechem, J. M., Loeffler, J. S., Ryan, D. P., Weekes, C. D., Ferrone, C. R., Qadan, M., Aryee, M. J., Jain, R. K., Neuberg, D. S., Wo, J. Y., Hong, T. S., Xavier, R., Aguirre, A. J., Rozenblatt-Rosen, O., Mino-Kenudson, M., Castillo, C. F.-D., Liss, A. S., Ting, D. T., Jacks, T., & Regev, A.
- Affiliations
- Broad Institute (US)
- Nanostring Technologies (United States) (US)
- Harvard University (US)
- Brigham and Women's Hospital (US)
- Koch Institute for Integrative Cancer Research At MIT (US)
- New York Medical College (US)
- Dana-Farber Cancer Institute (US)
- Corresponding author
- Jacks, Tyler
- Regev, Aviv
- ORCID
- Hwang, William L.
- Jagadeesh, Karthik A.
- Guo, Jimmy A.
- Hoffman, Hannah I.
- Yadollahpour, Payman
- Reeves, Jason W.
- Mohan, Rahul
- Drokhlyansky, Eugene
- Ashenberg, Orr
- Farhi, Samouil L.
- Schapiro, Denis
- Divakar, Prajan
- Miller, Eric
- Zollinger, Daniel R.
- Eng, George
- Schenkel, Jason M.
- Su, Jennifer
- Shiau, Carina
- Freed-Pastor, William A.
- Abbondanza, Domenic
- Mehta, Arnav
- Gould, Joshua
- Porter, Caroline B. M.
- Tsankov, Alexander
- Dionne, Danielle
- Waldman, Julia
- Cuoco, Michael S.
- Delorey, Toni
- Phillips, Devan
- Ciprani, Debora
- Roldan, Jorge
- Zelga, Piotr
- Chen, Jonathan H.
- Ely, Zackery
- Zhao, Daniel
- Fropf, Robin
- Beechem, Joseph M.
- Ryan, David P.
- Weekes, Colin D.
- Ferrone, Cristina R.
- Qadan, Motaz
- Aryee, Martin J.
- Jain, Rakesh K.
- Neuberg, Donna S.
- Wo, Jennifer Y.
- Hong, Theodore S.
- Xavier, Ramnik
- Aguirre, Andrew J.
- Rozenblatt-Rosen, Orit
- Mino-Kenudson, Mari
- Liss, Andrew S.
- Ting, David T.
- Jacks, Tyler
- Regev, Aviv
- Venue
- Nature Genetics
- Published
- 2022-07-28
- Volume
- 54
- Issue
- 8
- Pages
- 1178-1191
- ISSN
- 1061-4036 (ISSN-L)
- 1546-1718
- PMC
- PMC10290535
- OpenAlex
- W4288447807
- Cited by
- 426
- References
- 114
- Citations by year
- 2026: 113 · 2025: 120 · 2024: 98 · 2023: 81 · 2022: 14
- FWCI
- 32.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nature Genetics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Ludwig Institute for Cancer Research
- Lustgarten Foundation
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer Genomics and Diagnostics
- Keywords
- pancreatic ductal adenocarcinoma, neoadjuvant therapy, single-nucleus RNA sequencing, spatial transcriptomics, digital spatial profiling, tumor microenvironment, fibroblasts, tumor immune cells, chemotherapy, radiotherapy, molecular stratification, prognosis
- MeSH terms
- Humans, Pancreatic Neoplasms, Prognosis, Biomarkers, Tumor, Neoadjuvant Therapy, Gene Expression Profiling, Carcinoma, Pancreatic Ductal, Transcriptome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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