Gene signature related to cancer stem cells and fibroblasts of stem-like gastric cancer predicts immunotherapy response
Dear EditorThe stem-like patient group does not respond to immunotherapy and standard treatment and has the worst prognosis. 1,2 We attempted to uncover signatures associated with stem-like types from multiple viewpoints and predict immunotherapy responses utilizing stem-like signature genes discovered at the single-cell level. We demonstrated that the stem-like signature from PAM965 (Table S1) was enriched in cancer stem cells (CSCs) and fibroblasts in two distinct gastric cancer (GC) single-cell cohorts (Figure 1A-C). In cohort 1, cells with exceptionally high stem-like signature scores were found among tumour cells. Highly stem-like tumour cells exhibited cancer hallmarks and CSC characteristics (Figure 1D, Figure S1A,B). In cohort 2, the stem-like signature was enriched in fibroblasts (Figure 1C). 3 We confirmed that 14 pathways were highly upregulated in stem-like tumour cells (Figure 1D). Furthermore, we identified differentially expressed genes (DEGs) by distinguishing tumour cells with highly stem-like signatures from others, as well as the most significantly enriched pathways: blood vessel development and NABA core matrix signalling (Figure 1E). 4 SIG276 is genes in the cells that exhibited CSC characteristics and differed from other tumour cells were defined as signature 276. We identified 276 CSC markers (Table S2) of the stem-like type at the single-cell level, which were otherwise difficult to identify in the bulk stem-like type patient group.Based on five molecular subtypes, we identified 276 up-regulated genes between stem-like and other tumour cells at the single-cell level in the bulk Y497 cohort (Figure 2A). SIG276 activity was significantly high in the stem-like type (Figure 2A). Kaplan-Meier survival analysis of TCGA-STAD data revealed poor prognosis in the group with increased SIG276 expression (p = .022) (Figure 2B). Moreover, we identified 110 genes with significantly high expression in stem-like tumours through DEG analysis of stem-like tumour cells and fibroblasts at the single-cellThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.