Single-cell multi-omics in cancer immunotherapy: from tumor heterogeneity to personalized precision treatment

Jiayuan Le1,2,3,4,5, Yating Dian1,2,3,4,5, Deze Zhao6

  • 1Department of Dermatology, Xiangya Hospital, Central South University, 87 Xiangya road, Changsha, Hunan, 410008, China.

Molecular Cancer
|August 26, 2025
PubMed

Insights

Single-cell multi-omics technologies offer deep insights into cancer heterogeneity, improving cancer immunotherapy and personalized treatments. These advanced methods are crucial for precision oncology and overcoming treatment resistance.

Area of Science:

  • Oncology
  • Genomics
  • Immunology

Background:

  • Cancer immunotherapy has transformed oncology but faces challenges due to tumor complexity and heterogeneity.
  • Tumor heterogeneity within and between patients complicates personalized cancer treatment strategies.

Purpose of the Study:

  • To review advances in single-cell multi-omics technologies for dissecting tumor heterogeneity.
  • To highlight the impact of these technologies on cancer research, immunotherapy, and precision oncology.

Main Methods:

  • Single-cell sequencing technologies including genomics, transcriptomics, epigenomics, proteomics, and spatial omics.
  • Systematic examination of recent technological advancements and their applications in cancer research.

Main Results:

  • Single-cell multi-omics provide multi-layered insights into tumor biology and immune responses at single-cell resolution.
  • These technologies illuminate immune escape, treatment resistance, and enable neoantigen discovery.

Conclusions:

  • Single-cell multi-omics are revolutionizing precision oncology by enabling a deeper understanding of tumor heterogeneity.
  • These technologies are poised to become central to developing truly personalized cancer therapies and monitoring minimal residual disease.

Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
660
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.1K
Cancers Originate from Somatic Mutations in a Single Cell02:21

Cancers Originate from Somatic Mutations in a Single Cell

Cancer arises from mutations in the critical genes that allow healthy cells to escape cell cycle regulation and acquire the ability to proliferate indefinitely. Though originating from a single mutation event in one of the originator cells, cancer progresses when the mutant cell lines continue to gain more and more mutations, and finally, become malignant. For example, chronic myelogenous leukemia (CML) develops initially as a non-lethal increase in white blood cells, which progressively...
12.7K
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
509
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.8K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.9K