Deciphering the tumor immune microenvironment of imatinib-resistance in advanced gastrointestinal stromal tumors at single-cell resolution

© 2024. The Author(s)..

The heterogeneous nature of tumors presents a considerable obstacle in addressing imatinib resistance in advanced cases of gastrointestinal stromal tumors (GIST). To address this issue, we conducted single-cell RNA-sequencing in primary tumors as well as peritoneal and liver metastases from patients diagnosed with locally advanced or advanced GIST. Single-cell transcriptomic signatures of tumor microenvironment (TME) were analyzed. Immunohistochemistry and multiplex immunofluorescence staining were used to further validate it. This analysis revealed unique tumor evolutionary patterns, transcriptome features, dynamic cell-state changes, and different metabolic reprogramming. The findings indicate that in imatinib-resistant TME, tumor cells with activated immune and cytokine-mediated immune responses interacted with a higher proportion of Treg cells via the TIGIT-NECTIN2 axis. Future immunotherapeutic strategies targeting Treg may provide new directions for the treatment of imatinib-resistant patients. In addition, IDO1+ dendritic cells (DC) were highly enriched in imatinib-resistant TME, interacting with various myeloid cells via the BTLA-TNFRSF14 axis, while the interaction was not significant in imatinib-sensitive TME. Our study highlights the transcriptional heterogeneity and distinct immunosuppressive microenvironment of advanced GIST, which provides novel therapeutic strategies and innovative immunotherapeutic agents for imatinib resistance.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Cell death & disease - 15(2024), 3 vom: 05. März, Seite 190

Sprache:

Englisch

Beteiligte Personen:

Liu, Xuechao [VerfasserIn]
Yu, Jing [VerfasserIn]
Li, Yi [VerfasserIn]
Shi, Hailei [VerfasserIn]
Jiao, Xuelong [VerfasserIn]
Liu, Xiaodong [VerfasserIn]
Guo, Dong [VerfasserIn]
Li, Zequn [VerfasserIn]
Tian, Yulong [VerfasserIn]
Dai, Fan [VerfasserIn]
Niu, Zhaojian [VerfasserIn]
Zhou, Yanbing [VerfasserIn]

Links:

Volltext

Themen:

8A1O1M485B
Cytokines
Imatinib Mesylate
Journal Article

Anmerkungen:

Date Completed 07.03.2024

Date Revised 26.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1038/s41419-024-06571-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369331729