Single-Cell Profiling of Sarcomas from Archival Tissue Reveals Programs Associated with Resistance to Immune

Karan Luthria1, Parin Shah1,2, Blake Caldwell1

  • 1Vagelos College of Physicians and Surgeons, Herbert Irving Comprehensive Cancer Center, Columbia University, New York, New York.

Abstract

Insights

This study reveals that genomic diversity in sarcoma decreases with successful immune checkpoint blockade (ICB) therapy. Understanding these genomic and microenvironmental features is key to improving sarcoma treatment outcomes.

Area of Science:

  • Oncology
  • Genomics
  • Immunotherapy

Background:

  • Sarcomas are a group of cancers resistant to therapies like immune checkpoint blockade (ICB).
  • Limited high-quality molecular data from sarcomas hinders understanding of resistance mechanisms.

Purpose of the Study:

  • To demonstrate the feasibility of generating multimodal single-cell genomics data from frozen sarcoma tissues.
  • To identify cancer cell intrinsic and tumor microenvironmental features associated with ICB response and resistance.

Main Methods:

  • Profiling 75,716 cell transcriptomes from five undifferentiated pleomorphic sarcoma and three intimal sarcoma samples.
  • Utilizing multimodal single-cell genomics and whole-genome sequencing on frozen tissues.
  • Analyzing paired tumor specimens from patients treated with ICB.

Main Results:

  • Genomic diversity decreased in patients responding to ICB.
  • Identified cancer cell programs associated with therapy resistance.
  • Increased T lymphocyte interactions in ICB responders, but CD8+ T cell expansion alone did not predict response.

Conclusions:

  • Established a framework for studying rare tumors like sarcomas.
  • Identified key cancer cell and tumor microenvironment features linked to sarcoma treatment response.

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