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Single-cell spatial transcriptomics reveals tumor microenvironment heterogeneity in primary and lymph node-metastatic small cell lung cancer - PubMed

6 hours ago
  • #lymph node metastasis
  • #spatial transcriptomics
  • #tumor microenvironment
  • Single-cell spatial transcriptomics study of 105 primary and lymph node metastatic specimens from 75 small cell lung cancer (SCLC) patients.
  • Identified three lymph node metastasis (LNM)-enriched malignant subclusters with distinct metabolic and angiogenic programs linked to immune exclusion.
  • Revealed vascular-immune crosstalk with endothelial cells orchestrating immune activation by avoiding malignant cells and forming perivascular niches with cytotoxic T cells.
  • Cellular neighborhood analysis identified multicellular niches and a pan-immune hotspot (PIHs-1), whose abundance independently predicts survival.
  • Provides a high-resolution spatial map of SCLC tumor microenvironment during LNM, offering mechanistic insights and potential biomarkers.