Nature Communications (Sep 2024)

Genomic and immune heterogeneity of multiple synchronous lung adenocarcinoma at different developmental stages

  • Yue Zhao,
  • Jian Gao,
  • Jun Wang,
  • Fanfan Fan,
  • Chao Cheng,
  • Danwen Qian,
  • Ran Guo,
  • Yang Zhang,
  • Ting Ye,
  • Marcellus Augustine,
  • Yicong Lin,
  • Jun Shang,
  • Hang Li,
  • Yunjian Pan,
  • Qingyuan Huang,
  • Haiqing Chen,
  • Han Han,
  • Zhendong Gao,
  • Qiming Wang,
  • Shiyue Zhang,
  • Mou Zhang,
  • Fangqiu Fu,
  • Yueren Yan,
  • Shanila Fernandez Patel,
  • Roberto Vendramin,
  • Hui Yuan,
  • Yawei Zhang,
  • Jiaqing Xiang,
  • Hong Hu,
  • Yihua Sun,
  • Yuan Li,
  • Kevin Litchfield,
  • Zhiwei Cao,
  • Haiquan Chen

DOI
https://doi.org/10.1038/s41467-024-52139-2
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 14

Abstract

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Abstract Multiple synchronous lung cancers (MSLCs) constitute a unique subtype of lung cancer. To explore the genomic and immune heterogeneity across different pathological stages of MSLCs, we analyse 16 MSLCs from 8 patients using single-cell RNA-seq, single-cell TCR sequencing, and bulk whole-exome sequencing. Our investigation indicates clonally independent tumours with convergent evolution driven by shared driver mutations. However, tumours from the same individual exhibit few shared mutations, indicating independent origins. During the transition from pre-invasive to invasive adenocarcinoma, we observe a shift in T cell phenotypes characterized by increased Treg cells and exhausted CD8+ T cells, accompanied by diminished cytotoxicity. Additionally, invasive adenocarcinomas exhibit greater neoantigen abundance and a more diverse TCR repertoire, indicating heightened heterogeneity. In summary, despite having a common genetic background and environmental exposure, our study emphasizes the individuality of MSLCs at different stages, highlighting their unique genomic and immune characteristics.