Spatially resolved analysis of pancreatic cancer identifies therapy-associated remodeling of the tumor

Carina Shiau1,2,3,4, Jingyi Cao5, Dennis Gong1,2,3,4,6

  • 1Center for Systems Biology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

Nature Genetics
|September 3, 2024
PubMed

Insights

Single-cell spatial transcriptomics revealed how tumor microenvironment interactions change during pancreatic cancer treatment. This identified interleukin-6 signaling as a key driver of chemotherapy resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Bioinformatics

Background:

  • Tumor microenvironment (TME) interactions significantly influence cancer treatment outcomes.
  • Understanding these complex cellular crosstalks is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the remodeling of multicellular neighborhoods and cell-cell interactions in human pancreatic cancer under neoadjuvant therapy.
  • To identify molecular mechanisms driving therapeutic resistance within the TME.

Main Methods:

  • Utilized single-cell spatial transcriptomics to analyze TME composition and interactions.
  • Developed spatially constrained optimal transport interaction analysis (SCOTIA) integrating spatial and gene expression data.
  • Validated findings using orthogonal datasets, including ex vivo tumoroid coculture.

Main Results:

  • Observed significant alterations in ligand-receptor interactions between cancer-associated fibroblasts and malignant cells post-treatment.
  • Identified enrichment of interleukin-6 (IL-6) family signaling pathways.
  • Demonstrated that IL-6 signaling confers functional resistance to chemotherapy.

Conclusions:

  • Single-cell spatial transcriptomics is a powerful tool for dissecting TME dynamics and identifying resistance mechanisms.
  • The developed SCOTIA framework provides a novel approach for analyzing spatially resolved molecular interactions.
  • Targeting IL-6 signaling may represent a therapeutic strategy to overcome chemotherapy resistance in pancreatic cancer.