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Species: human
Number of cells: 144417
Study size: 4GB

Immunology 
immuno-oncology 
Lung 
Non-small-cell lung cancer 
TP53 mutation 

CITEseq analysis of non-small-cell lung cancer lesions reveals an axis of immune cell activation associated with tumor antigen load and TP53 mutations (scRNA-seq and CITE-seq - 7 patients)

Andrew M. Leader, John A. Grout, Christie Chang, Barbara Maier, Alexandra Tabachnikova, Laura Walker, Alona Lansky, Jessica LeBerichel, Naussica Malissen, Melanie Davila, Jerome Martin, Giuliana Magri, Kevin Tuballes, Zhen Zhao, Francesca Petralia, Robert Samstein, Natalie Roy D’Amore, Gavin Thurston, Alice Kamphorst, Andrea Wolf, Raja Flores, Pei Wang, Mary Beth Beasley, Helene Salmon, Adeeb H. Rahman, Thomas U. Marron, Ephraim Kenigsberg, Miriam Merad

Immunotherapy is becoming a mainstay in the treatment of NSCLC. While tumor mutational burden (TMB) has been shown to correlate with response to immunotherapy, little is known about the relation of the baseline immune response with the tumor genotype. Here, we profiled 35 early stage NSCLC lesions using multiscale single cell sequencing. Unsupervised clustering identified in a subset of patients a key cellular module consisting of PDCD1+ CXCL13+ activated T cells, IgG+ plasma cells, and SPP1+ macrophages, referred to as the lung cancer activation module (LCAMhi). Transcriptional data from two NSCLC cohorts confirmed a subset of patients with LCAMhi enrichment, which was independent of overall immune cell content. The LCAMhi module strongly correlated with TMB, expression of cancer testis antigens, and with TP53 mutations in smokers and non-smokers. These data establish LCAM as a key mode of immune cell activation associated with high tumor antigen load and driver mutations. Note: The new version of this study will be updated when the paper was published.

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