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通过整合单细胞和空间转录组分析,描绘肢端黑色素瘤的早期播散机制

英文原题:Delineating the early dissemination mechanisms of acral melanoma by integrating single-cell and spatial transcriptomic analyses.

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Delineating the early dissemination mechanisms of acral melanoma by integrating single-cell and spatial transcriptomic analyses.

PubMed 2023/12/08(内容时间) Nat Commun Q1 · IF 18.1(JCR 2025)

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中文摘要

肢端黑色素瘤(AM)是一种罕见的黑色素瘤亚型,其特征是淋巴结(LN)转移发生率高,而淋巴结转移是肿瘤播散和治疗决策的关键因素。在此,我们采用单细胞和空间转录组分析来研究早期AM播散的动态演化。我们的研究结果揭示了AM中存在显著的肿瘤间和肿瘤内异质性,同时伴有高度免疫抑制的肿瘤微环境和复杂的细胞间通讯网络,尤其是在淋巴结转移患者中。值得注意的是,我们发现MYC + 黑色素瘤(MYC + MEL)和FGFBP2 + NKT细胞与淋巴结转移之间存在强关联。此外,我们证明淋巴结转移需要MYC + MEL细胞中由MITF诱导的向脂肪酸氧化(FAO)的代谢转变。依托莫司(Etomoxir),一种临床批准的FAO抑制剂,可以有效抑制MITF介导的淋巴结转移。这一综合数据集增强了我们对AM中淋巴结转移的理解,并为早期AM播散管理的潜在治疗靶向提供了见解。

展开英文摘要原文

Acral melanoma (AM) is a rare subtype of melanoma characterized by a high incidence of lymph node (LN) metastasis, a critical factor in tumor dissemination and therapeutic decision-making.

Here, we employ single-cell and spatial transcriptomic analyses to investigate the dynamic evolution of early AM dissemination.

Our findings reveal substantial inter- and intra-tumor heterogeneity in AM, alongside a highly immunosuppressive tumor microenvironment and complex intercellular communication networks, particularly in patients with LN metastasis.

Notably, we identify a strong association between MYC + Melanoma (MYC + MEL) and FGFBP2 + NKT cells with LN metastasis.

Furthermore, we demonstrate that LN metastasis requires a metabolic shift towards fatty acid oxidation (FAO) induced by MITF in MYC + MEL cells. Etomoxir, a clinically approved FAO inhibitor, can effectively suppress MITF-mediated LN metastasis. This comprehensive dataset enhances our understanding of LN metastasis in AM, and provides insights into the potential therapeutic targeting for the management of early AM dissemination.

论文信息

作者
Wei C、Sun W、Shen K、Zhong J、Liu W、Gao Z、Xu Y、Wang L
第一作者单位
Department of Plastic and Reconstructive Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, P. R. China.China
通讯作者单位
Department of Plastic and Reconstructive Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, P. R. China. prof_jianyinggu@163.com.China
文献类型
非美国政府资助研究
期刊
Nature communications2023 Dec 8
原文标识
PubMed 38065972 · DOI 10.1038/s41467-023-43980-y