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Spatiotemporal Immune Landscape of Colorectal Cancer Liver Metastasis at Single-Cell Level.

Yingcheng WuShuaixi YangJiaqiang MaZechuan ChenGuohe SongDongning RaoYifei ChengSiyuan HuangYifei LiuShan JiangJinxia LiuXiaowu HuangXiaoying WangShuangjian QiuJian-Ming XuRuibin XiFan BaiJian ZhouJia FanXiaoming ZhangQiang Gao
Published in: Cancer discovery (2021)
Liver metastasis, the leading cause of colorectal cancer mortality, exhibits a highly heterogeneous and suppressive immune microenvironment. Here, we sequenced 97 matched samples by using single-cell RNA-seq and Spatial Transcriptomics. Strikingly, metastatic microenvironment underwent remarkable spatial reprogramming of immunosuppressive cells such as MRC1+ CCL18+ M2-like macrophages. We further developed scMetabolism, a computational pipeline for quantifying single-cell metabolism, and observed that those macrophages harbored enhanced metabolic activity. Interestingly, neoadjuvant chemotherapy could block this status and restore the antitumor immune balance in responsive patients, while the non-responsive patients deteriorated into a more suppressive one. Our work described the immune evolution of metastasis and uncovered the black box of how tumors respond to neoadjuvant chemotherapy.
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