25Osteosarcoma (OS) has high heterogeneity and poor prognosis. In order to explore the 26 molecular mechanism of OS and the tumor micro-environment (TME) on OS, we 27 employed single-cell RNA-sequencing (scRNA-seq) on 110,745 individual cells from 28 65 chromosomal lesions, including structural variations (SVs) and copy number 66 alterations (CNAs); however, few recurrent point mutations in protein-encoding genes 67 have been identified in OS [11][12][13][14][15].Low expression of immune-associated genes is 68 another significant phenotype for OS [16]. How to convert the immunosuppressive 69 microenvironment into the one that favors the induction of antitumor immunity is 70 indispensable for effective cancer immunotherapy.
71Here, we employed single cell transcriptome approach to dissect the 72 heterogeneity of OS cells. We analyzed the transcriptomic profiles of a total of 73 110745 cells from 7 primary tumors, 2 lung metastatic and 2 recurrent OS tissues. We 74 first divided the OS cells into 5 sub-clusters and osteoclast into 3 subtypes. The 75 profiles of OS, OC and immune-system cells were analyzed. We found that the TME 76 of the recurrent and lung metastatic OS exhibited more significant suppressivity than 77 primary tumor tissue. Thus, the results in this study improve the understanding of the 78 immune-suppressivity observed in advanced OS including distant metastasis and 79 recurrence, and are potentially valuable in novel treatment strategy for OS.
80Of importance, we are the first to uncover that Treg cells in OS expressed 81 TIGIT. TIGIT is a coinhibitory receptor expressed on effector T cells, natural killer 82 (NK) cells, T regulatory cells (Treg) and T follicular helper (TFH) cells. It has gained 83 attention as a potential therapeutic target in wide variety of tumors[17-19]. The 84 antibodies of TIGIT, named BGB-A1217, had registered and recruited on August 85 2019. Here we explored the preclinical significance of blocking of TIGIT. 86 Method 87 Patients 88 The eleven patients for scRNA-seq analysis enrolled in this study were hospitalized 89 during the period of The study was approved by Shanghai Sixth People's Hospital Ethics Committee. Each 91 patient was provided a written signed consent. All patients were diagnosed according 92 to the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines 93 in Oncology with the terms of Bone Cancer (Version 2.2019). Among 11 patients for 94 scRNA-seq, 7 were derived from the primary sites of patients who received traditional 95 first line combination chemotherapy for OS, including Adriamycin(ADM), 96 cisplatin(DDP), methotrexate(MTX) and Ifosfamide(IFO) and surgical therapy. 2 lung 97 metastatic patients and 2 recurrent patients all received the gemcitabine combined 98 with Docetaxel(GT) chemotherapy treatment. The BC17, one of the lung metastasis 99 patients, had enrolled in clinical trial NCT03676985 and undergone the anti-PD-L1 100 treatment for 6 times. For this clinical trial, all enrolled patients had finished the 101 neoadjuvant...