ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapy

BackgroundNeoadjuvant immunotherapy with anti-programmed death-1 (neo-antiPD1) has revolutionized perioperative methods for improvement of overall survival (OS), while approaches for major pathologic response patients’ (MPR) recognition along with methods for overcoming non-MPR resistance are still...

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Main Authors: Jian Li, Zhouwenli Meng, Zhengqi Cao, Wenqing Lu, Yi Yang, Ziming Li, Shun Lu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1304183/full
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author Jian Li
Zhouwenli Meng
Zhengqi Cao
Wenqing Lu
Yi Yang
Ziming Li
Shun Lu
author_facet Jian Li
Zhouwenli Meng
Zhengqi Cao
Wenqing Lu
Yi Yang
Ziming Li
Shun Lu
author_sort Jian Li
collection DOAJ
description BackgroundNeoadjuvant immunotherapy with anti-programmed death-1 (neo-antiPD1) has revolutionized perioperative methods for improvement of overall survival (OS), while approaches for major pathologic response patients’ (MPR) recognition along with methods for overcoming non-MPR resistance are still in urgent need.MethodsWe utilized and integrated publicly-available immune checkpoint inhibitors regimens (ICIs) single-cell (sc) data as the discovery datasets, and innovatively developed a cell-communication analysis pipeline, along with a VIPER-based-SCENIC process, to thoroughly dissect MPR-responding subsets. Besides, we further employed our own non-small cell lung cancer (NSCLC) ICIs cohort’s sc data for validation in-silico. Afterward, we resorted to ICIs-resistant murine models developed by us with multimodal investigation, including bulk-RNA-sequencing, Chip-sequencing and high-dimensional cytometry by time of flight (CYTOF) to consolidate our findings in-vivo. To comprehensively explore mechanisms, we adopted 3D ex-vivo hydrogel models for analysis. Furthermore, we constructed an ADGRE5-centered Tsurv model from our discovery dataset by machine learning (ML) algorithms for a wide range of tumor types (NSCLC, melanoma, urothelial cancer, etc.) and verified it in peripheral blood mononuclear cells (PBMCs) sc datasets.ResultsThrough a meta-analysis of multimodal sequential sc sequencing data from pre-ICIs and post-ICIs, we identified an MPR-expanding T cells meta-cluster (MPR-E) in the tumor microenvironment (TME), characterized by a stem-like CD8+ T cluster (survT) with STAT5-ADGRE5 axis enhancement compared to non-MPR or pre-ICIs TME. Through multi-omics analysis of murine TME, we further confirmed the existence of survT with silenced function and immune checkpoints (ICs) in MPR-E. After verification of the STAT5-ADGRE5 axis of survT in independent ICIs cohorts, an ADGRE5-centered Tsurv model was then developed through ML for identification of MPR patients pre-ICIs and post-ICIs, both in TME and PBMCs, which was further verified in pan-cancer immunotherapy cohorts. Mechanistically, we unveiled ICIs stimulated ADGRE5 upregulation in a STAT5-IL32 dependent manner in a 3D ex-vivo system (3D-HYGTIC) developed by us previously, which marked Tsurv with better survival flexibility, enhanced stemness and potential cytotoxicity within TME.ConclusionOur research provides insights into mechanisms underlying MPR in neo-antiPD1 and a well-performed model for the identification of non-MPR.
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spelling doaj.art-191a451e7cfc4708a8b8d6e8e1ead9b92024-01-26T04:23:21ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-01-011510.3389/fimmu.2024.13041831304183ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapyJian LiZhouwenli MengZhengqi CaoWenqing LuYi YangZiming LiShun LuBackgroundNeoadjuvant immunotherapy with anti-programmed death-1 (neo-antiPD1) has revolutionized perioperative methods for improvement of overall survival (OS), while approaches for major pathologic response patients’ (MPR) recognition along with methods for overcoming non-MPR resistance are still in urgent need.MethodsWe utilized and integrated publicly-available immune checkpoint inhibitors regimens (ICIs) single-cell (sc) data as the discovery datasets, and innovatively developed a cell-communication analysis pipeline, along with a VIPER-based-SCENIC process, to thoroughly dissect MPR-responding subsets. Besides, we further employed our own non-small cell lung cancer (NSCLC) ICIs cohort’s sc data for validation in-silico. Afterward, we resorted to ICIs-resistant murine models developed by us with multimodal investigation, including bulk-RNA-sequencing, Chip-sequencing and high-dimensional cytometry by time of flight (CYTOF) to consolidate our findings in-vivo. To comprehensively explore mechanisms, we adopted 3D ex-vivo hydrogel models for analysis. Furthermore, we constructed an ADGRE5-centered Tsurv model from our discovery dataset by machine learning (ML) algorithms for a wide range of tumor types (NSCLC, melanoma, urothelial cancer, etc.) and verified it in peripheral blood mononuclear cells (PBMCs) sc datasets.ResultsThrough a meta-analysis of multimodal sequential sc sequencing data from pre-ICIs and post-ICIs, we identified an MPR-expanding T cells meta-cluster (MPR-E) in the tumor microenvironment (TME), characterized by a stem-like CD8+ T cluster (survT) with STAT5-ADGRE5 axis enhancement compared to non-MPR or pre-ICIs TME. Through multi-omics analysis of murine TME, we further confirmed the existence of survT with silenced function and immune checkpoints (ICs) in MPR-E. After verification of the STAT5-ADGRE5 axis of survT in independent ICIs cohorts, an ADGRE5-centered Tsurv model was then developed through ML for identification of MPR patients pre-ICIs and post-ICIs, both in TME and PBMCs, which was further verified in pan-cancer immunotherapy cohorts. Mechanistically, we unveiled ICIs stimulated ADGRE5 upregulation in a STAT5-IL32 dependent manner in a 3D ex-vivo system (3D-HYGTIC) developed by us previously, which marked Tsurv with better survival flexibility, enhanced stemness and potential cytotoxicity within TME.ConclusionOur research provides insights into mechanisms underlying MPR in neo-antiPD1 and a well-performed model for the identification of non-MPR.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1304183/fullnon-small cell lung cancerneo-adjuvant immunotherapy therapytumor microenvironmentScRNA-seqmultimodal
spellingShingle Jian Li
Zhouwenli Meng
Zhengqi Cao
Wenqing Lu
Yi Yang
Ziming Li
Shun Lu
ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapy
Frontiers in Immunology
non-small cell lung cancer
neo-adjuvant immunotherapy therapy
tumor microenvironment
ScRNA-seq
multimodal
title ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapy
title_full ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapy
title_fullStr ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapy
title_full_unstemmed ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapy
title_short ADGRE5-centered Tsurv model in T cells recognizes responders to neoadjuvant cancer immunotherapy
title_sort adgre5 centered tsurv model in t cells recognizes responders to neoadjuvant cancer immunotherapy
topic non-small cell lung cancer
neo-adjuvant immunotherapy therapy
tumor microenvironment
ScRNA-seq
multimodal
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1304183/full
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