Single-cell ligand-receptor profiling reveals an immunotherapy-responsive subtype and prognostic signature in

Chuanzhi Chen1, Jiahui Qi2, Weichao Lin1

  • 1Department of Thyroid Surgery, National Key Clinical Specialty (General Surgery), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

PubMed
Abstract

Insights

This study identifies ligand-receptor interactions in triple-negative breast cancer (TNBC), revealing a prognostic score (LR.score) and the CXCL9-CXCR3 axis as key factors for predicting immunotherapy response and survival outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Triple-negative breast cancer (TNBC) lacks targeted therapies, and its intercellular communication via ligand-receptor (LR) interactions is poorly understood.
  • Investigating LR interactions is crucial for understanding TNBC heterogeneity and identifying prognostic/predictive markers.

Purpose of the Study:

  • To categorize TNBC subtypes based on single-cell RNA sequencing data.
  • To identify and evaluate the prognostic significance of ligand-receptor pairs in TNBC.
  • To develop and validate a prognostic scoring system (LR.score) for TNBC patients.

Main Methods:

  • Single-cell RNA sequencing analysis to define TNBC subgroups and cell types.
  • Identification and prognostic evaluation of ligand-receptor pairs in TNBC cohorts (METABRIC, GSE58812).
  • Development of an LR-based prognostic scoring system (LR.score) using Lasso regression and multivariate analysis.
  • Functional validation of the CXCL9/CXCR3 axis via siRNA knockdown in MDA-MB-231 cells.

Main Results:

  • Two molecular subtypes of TNBC were identified based on LR pair clustering.
  • The CXCL9-CXCR3 axis was identified as critical for immune cell recruitment and anti-tumor responses.
  • Silencing the CXCL9/CXCR3 axis reduced cancer cell proliferation and migration.
  • A higher LR.score correlated with poorer overall survival and reduced response to immune checkpoint inhibitors (ICIs).

Conclusions:

  • The LR.score is an independent prognostic factor and predicts immunotherapy response in TNBC.
  • Targeting key LR interactions, like the CXCL9-CXCR3 axis, can potentially improve TNBC treatment strategies and prognostic accuracy.

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