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Identification of Colorectal Cancer Cell Stemness from Single-Cell RNA Sequencing.
Kangyu Lin1, Saikat Chowdhury1, Mohammad A Zeineddine1
1Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Molecular Cancer Research : MCR
|December 29, 2023
Summary
This study introduces a new stemness signature to identify colorectal cancer stem cells (CSCs) using single-cell RNA sequencing. Higher stemness scores in colorectal cancer patients correlate with shorter disease-free survival, indicating relapse risk.
Area of Science:
- Oncology
- Genomics
- Cell Biology
Background:
- Colorectal cancer stem cells (CSCs) are crucial for metastasis, relapse, and treatment resistance.
- Existing markers for CSCs show heterogeneity and limited utility at the single-cell level.
Purpose of the Study:
- To identify colorectal CSCs at the single-cell level using RNA sequencing.
- To develop a robust stemness signature for colorectal CSCs.
Main Methods:
- Single-cell RNA sequencing was performed on primary colon tumors, liver metastases, and normal tissues.
- A novel single-cell stemness signature (SCS_sig) was developed to identify colorectal CSCs.
- Stemness levels were quantified and correlated with patient survival data.
Main Results:
- Classical CSC markers showed poor alignment in single-cell data.
- The novel SCS_sig effectively identified colorectal CSCs.
- Tumor cells exhibited a stemness continuum, unlike the bimodal distribution in normal cells, indicating greater plasticity.
- Higher SCS_sig scores were significantly associated with shorter disease-free survival.
Conclusions:
- The developed stemness signature provides a more accurate method for identifying colorectal CSCs at the single-cell level.
- Tumor cell stemness is a continuum, suggesting plasticity that may contribute to colorectal cancer progression.
- Increased stemness in colorectal cancer is linked to a higher risk of relapse.

