Single cell and spatial transcriptomics highlight the interaction of club-like cells with immunosuppressive myeloid

Antti Kiviaho1,2, Sini K Eerola1,2, Heini M L Kallio1,2

  • 1Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Nature Communications
|November 16, 2024
PubMed

Insights

Prostate cancer cells develop treatment resistance partly via interactions with the tumor microenvironment. Researchers identified club-like cells as key players, linking them to inflammation and resistance to androgen deprivation therapy.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Prostate cancer treatment resistance is a major clinical challenge.
  • Understanding the tumor microenvironment's (TME) role in resistance is crucial but incomplete.
  • Mechanisms of resistance often involve complex interactions between cancer cells and their surrounding TME.

Purpose of the Study:

  • To comprehensively map the transcriptomic landscape of the prostate TME during cancer treatment.
  • To identify specific cell types and molecular pathways involved in treatment resistance.
  • To investigate the relationship between epithelial cell subtypes and immune cell activity in the TME.

Main Methods:

  • Single-cell RNA sequencing (scRNA-seq) of TME cells from 120 prostate cancer patients.
  • Spatial transcriptomics to map cell locations and interactions within the TME.
  • Analysis of transcriptomic data at multiple time points during standard treatment.

Main Results:

  • Identified club-like cells as a novel epithelial subtype interfacing with the immune system.
  • Club-like cells exhibit depleted androgen signaling and upregulated luminal progenitor markers.
  • These cells show a senescence-associated secretory phenotype and correlate with increased polymorphonuclear myeloid-derived suppressor cell (PMN-MDSC) activity.
  • Enrichment of club-like cells is associated with myeloid inflammation linked to androgen deprivation therapy resistance.

Conclusions:

  • Club-like cells are a critical component of the prostate TME associated with treatment resistance.
  • These cells may mediate resistance through interactions with myeloid-derived suppressor cells and inflammation.
  • Targeting club-like cells presents a potential therapeutic strategy to overcome prostate cancer treatment resistance.