Integrative single-cell RNA-seq and transcriptomic analysis uncovers cellular heterogeneity and immunotherapy

Yirou Wang1, Yingying Zhang2, Ziyong Mao1

  • 1BamRock Institute of Innovation, Suzhou, 215000, China.

Discover Oncology
|May 25, 2026
PubMed
Abstract

Insights

This study reveals that colorectal cancer (CRC) cells adapt to immunotherapy by altering their tumor microenvironment (TME). ASPHD1 is identified as a potential biomarker for predicting immunotherapy response in CRC patients.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Colorectal cancer (CRC) poses a significant health challenge, with immunotherapy offering new treatment avenues.
  • Understanding resistance mechanisms in CRC is crucial for improving patient outcomes.
  • Identifying reliable biomarkers can guide treatment selection and predict response.

Purpose of the Study:

  • To elucidate the molecular and cellular characteristics underlying immunotherapy resistance in colorectal cancer.
  • To identify potential predictive biomarkers for immunotherapy response in CRC.
  • To explore the interplay between malignant cells and the tumor microenvironment (TME) in treatment resistance.

Main Methods:

  • Single-cell RNA sequencing (scRNA-seq) of pre-treatment CRC samples to analyze tumor heterogeneity and TME.
  • Pseudotime trajectory and intercellular communication analyses to infer cellular states and interactions.
  • Bulk transcriptome analysis of TCGA-COAD and GSE39582 datasets for gene validation.
  • Immunohistochemistry and T cell cytotoxicity assays for experimental validation.

Main Results:

  • Distinct cell clusters and malignant epithelial cell populations were identified in CRC.
  • Gene expression differences in resistant tumors were linked to extracellular matrix (ECM) organization and metabolic reprogramming.
  • Resistant tumors showed reduced leukocyte chemotaxis, while responders exhibited enhanced CD8+ T-cell cytotoxicity.
  • Immunosuppressive macrophages and altered malignant cell-CD8+ T-cell interactions were observed in resistant TME.
  • ASPHD1 was found to be upregulated in CRC and associated with poor survival, suggesting its role as a potential biomarker.

Conclusions:

  • Immunotherapy resistance in CRC involves adaptive changes in malignant cells and TME remodeling.
  • ASPHD1 emerges as a candidate biomarker associated with immunotherapy response in CRC.
  • Further validation in larger cohorts and experimental studies is warranted to confirm these findings and the functional role of ASPHD1.

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