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Lapuente-Santana, O.

Publications and source records attributed to Lapuente-Santana, O..

7 recordsLinked to original sources

A single-cell atlas linking intratumoral states to therapeutic vulnerabilities across cancers

Intratumoral heterogeneity (ITH) is a major determinant of therapeutic failure, yet its impact on drug response across cancers remains incompletely understood. Here, we present the Therapeutic Cancer Cell Atlas (TCCA), a pan-cancer single-cell resource integrating [~]1.8 million transcriptomes from 537 patients and 183 cancer cell lines spanning 34 tumor types. By combining single-cell transcriptomics with copy-number alteration inference and computational drug-response prediction, we systematically map therapeutic heterogeneity at subclonal resolution across cancers. Using this framework, we identify ten recurrent therapeutic clusters that capture conserved and context-specific drug vulnerabilities across tumor lineages. Notably, therapeutic heterogeneity is largely decoupled from genomic and transcriptomic diversity and instead arises from distinct functional transcriptional programs and tumor microenvironment (TME) states. Integration with transcriptional metaprograms and TME archetypes reveals how stress responses, proliferative states, lineage programs, and immune context shape drug sensitivity beyond tissue of origin. We further demonstrate the translational relevance of TCCA by linking therapeutic clusters to patient outcomes and validating predicted vulnerabilities using pharmacogenomic datasets, including clinically actionable examples in aggressive tumor subtypes. Together, TCCA provides a multidimensional atlas connecting subclonal states, microenvironmental context, and drug response, offering a scalable framework to guide therapeutic prioritization, drug repurposing, and combination strategies in precision oncology.

bioinformatics↗

MIF-induced CD74+ microglia/macrophages are clinically relevant disease-associated subpopulations in brain metastasis and other CNS disorders

The upregulation of CD74, a chaperone involved in MHC-II antigen processing 1,2, has been broadly reported in virtually all brain disorders analyzed by single-cell RNA sequencing 3-6. However, its expression is usually interpreted as indicative of antigen presentation. In parallel, CD74 expression has also been described in cancer cells across multiple tumor types, but interestingly in glioma its expression has been mainly identified in the microenvironment. However, the functional contribution of CD74 to disease progression in the brain, and specifically in secondary brain tumors, has not been directly addressed. Here we described that, in contrast to what it has been assumed, the presence of CD74+ microglia/macrophages, which is induced by increased levels of interferon gamma in the brain affected by metastases, does not relate to its canonical pathway. Instead, CD74s alternative function as cytokine receptor is pivotal. Rewired by increasing levels of its ligand MIF, produced by proliferating cancer cells, the CD74 receptor, upon binding to this ligand, translocates to the nucleus activating a NF-{kappa}B-dependent program promoting metastasis progression. A brain metastasis-associated CD74 signature involves a more aggressive progression of the local disease in patients, while it has no clinical correlation with the matched primary tumor. Furthermore, we identified the CD74+ myeloid population in additional brain disorders including Alzheimers disease and multiple sclerosis, which shared a pan-disease non-canonical signature with clinical relevance. The brain-penetrant drug ibudilast, which prevents the binding of MIF to CD74, decreases brain metastases in experimental models in vivo and in patient-derived organotypic cultures ex vivo in a primary tumor-agnostic manner. Our findings suggest that MIF/CD74-induced reprogramming of myeloid cells in brain disorders is a novel vulnerability that could be exploited therapeutically against brain metastases, and possibly other brain disorders, guided by a non-invasive molecular strategy.

cancer biology↗

Multimodal analysis unveils tumor microenvironment heterogeneity linked to immune activity and evasion

The cellular and molecular heterogeneity of tumors is a major obstacle to cancer immunotherapy. Here, we use a systems biology approach to derive a signature of the main sources of heterogeneity in the tumor microenvironment (TME) from lung cancer transcriptomic data. We demonstrate that this signature, which we called iHet, is conserved in different cancers and associated with antitumor immunity. Through the analysis of single-cell and spatial transcriptomics data, we trace back the cellular origin of the variability that explains the iHet signature. Finally, we demonstrate that iHet has predictive value for cancer immunotherapy, which can be further improved by disentangling three major determinants of anticancer immune responses: activity of immune cells, immune infiltration or exclusion, and cancer-cell foreignness. This work shows how transcriptomics data can be integrated to derive a holistic representation of the phenotypic heterogeneity of the TME, and ultimately to determine its unfolding and fate during immunotherapy with immune checkpoint blockers.

bioinformatics↗

Mathematically mapping the network of cells in the tumor microenvironment

Cell-cell interaction networks are pivotal in cancer development and treatment response. These networks can be inferred from data; however, this process often combines data from multiple patients, and/or creates networks on a cell-types level. It creates a good average overview of cell-cell interaction networks but fails to capture patient heterogeneity and/or masks potentially relevant local network structures. We propose a mathematical model based on random graphs (called RaCInG) to alleviate these issues using prior knowledge on potential cellular interactions and patients bulk RNA-seq data. We have applied RaCInG to extract 444 network features related to the tumor microenvironment, unveiled associations with immune response and subtypes, and identified cancer-type specific differences in inter-cellular signaling. Additionally, we have used RaCInG to explain how immune phenotypes regulated by context-specific intercellular communication affect immunotherapy response. RaCInG is a modular pipeline, and we envision its application for cell-cell interaction reconstruction in different contexts.

systems biology↗

A Community Challenge to Predict Clinical Outcomes After Immune Checkpoint Blockade in Non-Small Cell Lung Cancer

PurposePredictive biomarkers of immune checkpoint inhibitors (ICIs) efficacy are currently lacking for non-small cell lung cancer (NSCLC). Here, we describe the results from the Anti-PD-1 Response Prediction DREAM Challenge, a crowdsourced initiative that enabled the assessment of predictive models by using data from two randomized controlled clinical trials (RCTs) of ICIs in first-line metastatic NSCLC. MethodsParticipants developed and trained models using public resources. These were evaluated with data from the CheckMate 026 trial (NCT02041533), according to the model-to-data paradigm to maintain patient confidentiality. The generalizability of the models with the best predictive performance was assessed using data from the CheckMate 227 trial (NCT02477826). Both trials were phase III RCTs with a chemotherapy control arm, which supported the differentiation between predictive and prognostic models. Isolated model containers were evaluated using a bespoke strategy that considered the challenges of handling transcriptome data from clinical trials. ResultsA total of 59 teams participated, with 417 models submitted. Multiple predictive models, as opposed to a prognostic model, were generated for predicting overall survival, progression-free survival, and progressive disease status with ICIs. Variables within the models submitted by participants included tumor mutational burden (TMB), programmed death ligand 1 (PD-L1) expression, and gene-expression-based signatures. The bestperforming models showed improved predictive power over reference variables, including TMB or PD-L1. ConclusionThis DREAM Challenge is the first successful attempt to use protected phase III clinical data for a crowdsourced effort towards generating predictive models for ICIs clinical outcomes and could serve as a blueprint for similar efforts in other tumor types and disease states, setting a benchmark for future studies aiming to identify biomarkers predictive of ICIs efficacy. Context summaryO_ST_ABSKey objectiveC_ST_ABSNot all patients with non-small cell lung cancer (NSCLC) eligible for immune checkpoint inhibitor (ICIs) respond to treatment, but accurate predictive biomarkers of ICIs clinical outcomes are currently lacking. This crowdsourced initiative enabled the robust assessment of predictive models using data from two randomized clinical trials of first-line ICI in metastatic NSCLC. Knowledge generatedModels submitted indicate that a combination of programmed death ligand 1 (PD-L1), tumor mutational burden (TMB), and immune gene signatures might be able to identify patients more likely to respond to ICIs. TMB and PD-L1 seemed important to predict progression-free survival and overall survival. Mechanisms including apoptosis, T-cell crosstalk, and adaptive immune resistance appeared essential to predict response. Relevance

cancer biology↗

easier: interpretable predictions of antitumor immune response from bulk RNA-seq data

Immunotherapy with immune checkpoint blockers (ICB) is associated with striking clinical success, but only in a small fraction of patients. Thus, we need computational biomarker-based methods that can anticipate which patients will respond to treatment. Current established biomarkers are imperfect due to their incomplete view of the tumor and its microenvironment. We have recently presented a novel approach that integrates transcriptomics data with biological knowledge to study tumors at a more holistic level. Validated in four different solid cancers, our approach outperformed the state-of-the-art methods to predict response to ICB. Here, we introduce estimate systems immune response (easier), an R/Bioconductor package that applies our approach to quantify biomarkers and assess patients likelihood to respond to immunotherapy, providing just the patients baseline bulk-tumor RNA-sequencing (RNA-seq) data as input.

systems biology↗

Predictive systems biomarkers of response to immune checkpoint inhibitors

Cancer cells can leverage several cell-intrinsic and -extrinsic mechanisms to escape immune system recognition. The inherent complexity of the tumor microenvironment, with its multicellular and dynamic nature, poses great challenges for the extraction of biomarkers of immune response and immunotherapy efficacy. Here, we use RNA-seq data combined with different sources of prior-knowledge to derive system-based signatures of the tumor microenvironment, quantifying immune-cell composition and intra- and inter-cellular communications. We applied multi-task learning to these signatures to predict different hallmarks of immune responses and derive cancer-type-specific models based on interpretable systems biomarkers. By applying our models to independent RNA-seq data from cancer patients treated with PD-1 inhibitors, we demonstrated that our method to Estimate Systems Immune Response (EaSIeR) accurately predicts therapeutic outcome. We anticipate that EaSIeR will be a valuable tool to provide a holistic description of immune responses in complex and dynamic systems such as tumors using available RNA-seq data.

cancer biology↗