Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy

Abstract Background Immune cells that infiltrate lesions are important for atherosclerosis progression and immunotherapies. This study was aimed at gaining important new insights into the heterogeneity of these cells by integrating the sequencing results of multiple samples and using an enhanced sin...

Full description

Bibliographic Details
Main Authors: Jie Xiong, Zhaoyue Li, Hao Tang, Yuchen Duan, Xiaofang Ban, Ke Xu, Yutong Guo, Yingfeng Tu
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Biology
Subjects:
Online Access:https://doi.org/10.1186/s12915-023-01540-2
_version_ 1797863569040080896
author Jie Xiong
Zhaoyue Li
Hao Tang
Yuchen Duan
Xiaofang Ban
Ke Xu
Yutong Guo
Yingfeng Tu
author_facet Jie Xiong
Zhaoyue Li
Hao Tang
Yuchen Duan
Xiaofang Ban
Ke Xu
Yutong Guo
Yingfeng Tu
author_sort Jie Xiong
collection DOAJ
description Abstract Background Immune cells that infiltrate lesions are important for atherosclerosis progression and immunotherapies. This study was aimed at gaining important new insights into the heterogeneity of these cells by integrating the sequencing results of multiple samples and using an enhanced single-cell sequencing workflow to overcome the limitations of a single study. Results Integrative analyses identified 28 distinct subpopulations based on gene expression profiles. Further analysis demonstrated that these cells manifested high heterogeneity at the levels of tissue preferences, genetic perturbations, functional variations, immune dynamics, transcriptional regulators, metabolic changes, and communication patterns. Of the T cells, interferon-induced CD8+ T cells were involved in the progression of atherosclerosis. In contrast, proinflammatory CD4+ CD28null T cells predicted a poor outcome in atherosclerosis. Notably, we identified two subpopulations of foamy macrophages that exhibit contrasting phenotypes. Among them, TREM2- SPP1+ foamy macrophages were preferentially distributed in the hypoxic core of plaques. These glycolytic metabolism-enriched cells, with impaired cholesterol metabolism and robust pro-angiogenic capacity, were phenotypically regulated by CSF1 secreted by co-localised mast cells. Moreover, combined with deconvolution of the bulk datasets, we revealed that these dysfunctional cells had a higher proportion of ruptured and haemorrhagic lesions and were significantly associated with poor atherosclerosis prognoses. Conclusions We systematically explored atherosclerotic immune heterogeneity and identified cell populations underlying atherosclerosis progression and poor prognosis, which may be valuable for developing new and precise immunotherapies.
first_indexed 2024-04-09T22:37:37Z
format Article
id doaj.art-df0a07c73e714b4f9bb9d633678837bb
institution Directory Open Access Journal
issn 1741-7007
language English
last_indexed 2024-04-09T22:37:37Z
publishDate 2023-02-01
publisher BMC
record_format Article
series BMC Biology
spelling doaj.art-df0a07c73e714b4f9bb9d633678837bb2023-03-22T12:22:54ZengBMCBMC Biology1741-70072023-02-0121112310.1186/s12915-023-01540-2Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapyJie Xiong0Zhaoyue Li1Hao Tang2Yuchen Duan3Xiaofang Ban4Ke Xu5Yutong Guo6Yingfeng Tu7Department of Cardiology, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Cardiology, The Second Affiliated Hospital of Harbin Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical UniversityDepartment of Cardiology, The First Affiliated Hospital of Harbin Medical UniversityAbstract Background Immune cells that infiltrate lesions are important for atherosclerosis progression and immunotherapies. This study was aimed at gaining important new insights into the heterogeneity of these cells by integrating the sequencing results of multiple samples and using an enhanced single-cell sequencing workflow to overcome the limitations of a single study. Results Integrative analyses identified 28 distinct subpopulations based on gene expression profiles. Further analysis demonstrated that these cells manifested high heterogeneity at the levels of tissue preferences, genetic perturbations, functional variations, immune dynamics, transcriptional regulators, metabolic changes, and communication patterns. Of the T cells, interferon-induced CD8+ T cells were involved in the progression of atherosclerosis. In contrast, proinflammatory CD4+ CD28null T cells predicted a poor outcome in atherosclerosis. Notably, we identified two subpopulations of foamy macrophages that exhibit contrasting phenotypes. Among them, TREM2- SPP1+ foamy macrophages were preferentially distributed in the hypoxic core of plaques. These glycolytic metabolism-enriched cells, with impaired cholesterol metabolism and robust pro-angiogenic capacity, were phenotypically regulated by CSF1 secreted by co-localised mast cells. Moreover, combined with deconvolution of the bulk datasets, we revealed that these dysfunctional cells had a higher proportion of ruptured and haemorrhagic lesions and were significantly associated with poor atherosclerosis prognoses. Conclusions We systematically explored atherosclerotic immune heterogeneity and identified cell populations underlying atherosclerosis progression and poor prognosis, which may be valuable for developing new and precise immunotherapies.https://doi.org/10.1186/s12915-023-01540-2AtherosclerosisSingle-cell RNA sequencingImmune cellsHeterogeneityImmunotherapy
spellingShingle Jie Xiong
Zhaoyue Li
Hao Tang
Yuchen Duan
Xiaofang Ban
Ke Xu
Yutong Guo
Yingfeng Tu
Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy
BMC Biology
Atherosclerosis
Single-cell RNA sequencing
Immune cells
Heterogeneity
Immunotherapy
title Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy
title_full Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy
title_fullStr Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy
title_full_unstemmed Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy
title_short Bulk and single-cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy
title_sort bulk and single cell characterisation of the immune heterogeneity of atherosclerosis identifies novel targets for immunotherapy
topic Atherosclerosis
Single-cell RNA sequencing
Immune cells
Heterogeneity
Immunotherapy
url https://doi.org/10.1186/s12915-023-01540-2
work_keys_str_mv AT jiexiong bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy
AT zhaoyueli bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy
AT haotang bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy
AT yuchenduan bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy
AT xiaofangban bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy
AT kexu bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy
AT yutongguo bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy
AT yingfengtu bulkandsinglecellcharacterisationoftheimmuneheterogeneityofatherosclerosisidentifiesnoveltargetsforimmunotherapy