Single-Cell RNA-Seq Reveals AML Hierarchies Relevant to Disease Progression and Immunity

被引:732
作者
van Galen, Peter [1 ,2 ,3 ,4 ,5 ]
Hovestadt, Volker [1 ,2 ,3 ,4 ,5 ]
Wadsworth, Marc H., II [4 ,6 ,7 ,8 ]
Hughes, Travis K. [4 ,6 ,7 ,8 ]
Griffin, Gabriel K. [1 ,2 ,3 ,4 ,5 ,9 ]
Battaglia, Sofia [1 ,2 ,3 ,4 ,5 ]
Verga, Julia A. [1 ,2 ,3 ,4 ,5 ]
Stephansky, Jason [3 ,9 ,10 ]
Pastika, Timothy J. [3 ,9 ,10 ]
Story, Jennifer Lombardi [2 ,5 ]
Pinkus, Geraldine S. [9 ]
Pozdnyakova, Olga [9 ]
Galinsky, Ilene [10 ]
Stone, Richard M. [10 ]
Graubert, Timothy A. [2 ,5 ]
Shalek, Alex K. [4 ,6 ,7 ,8 ]
Aster, Jon C. [3 ,9 ]
Lane, Andrew A. [3 ,10 ]
Bernstein, Bradley E. [1 ,2 ,3 ,4 ,5 ]
机构
[1] Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USA
[2] Harvard Med Sch, Boston, MA 02114 USA
[3] Harvard Med Sch, Ludwig Ctr, Boston, MA 02115 USA
[4] Broad Inst MIT & Harvard, Cambridge, MA 02142 USA
[5] Massachusetts Gen Hosp, Ctr Canc Res, Boston, MA 02114 USA
[6] MIT, Dept Chem, Inst Med Engn & Sci, Cambridge, MA 02139 USA
[7] MIT, Koch Inst Integrat Canc Res, Cambridge, MA 02139 USA
[8] Ragon Inst MGH MIT & Harvard, Cambridge, MA 02139 USA
[9] Brigham & Womens Hosp, Dept Pathol, 75 Francis St, Boston, MA 02115 USA
[10] Dana Farber Canc Inst, Boston, MA 02215 USA
关键词
STEM-CELLS; SUPPRESSOR-CELLS; LEUKEMIA; PROGENITOR; CANCER; GENOMICS; FUTURE;
D O I
10.1016/j.cell.2019.01.031
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Acute myeloid leukemia (AML) is a heterogeneous disease that resides within a complex microenvironment, complicating efforts to understand how different cell types contribute to disease progression. We combined single-cell RNA sequencing and genotyping to profile 38,410 cells from 40 bone marrow aspirates, including 16 AML patients and five healthy donors. We then applied a machine learning classifier to distinguish a spectrum of malignant cell types whose abundances varied between patients and between subclones in the same tumor. Cell type compositions correlated with prototypic genetic lesions, including an association of FLT3-ITD with abundant progenitor-like cells. Primitive AML cells exhibited dysregulated transcriptional programs with co-expression of stemness and myeloid priming genes and had prognostic significance. Differentiated monocyte-like AML cells expressed diverse immunomodulatory genes and suppressed T cell activity in vitro. In conclusion, we provide single-cell technologies and an atlas of AML cell states, regulators, and markers with implications for precision medicine and immune therapies.
引用
收藏
页码:1265 / +
页数:41
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