Transcriptional state dynamics lead to heterogeneity and adaptive tumor evolution in urothelial bladder carcinoma.

Transcriptional state dynamics lead to heterogeneity and adaptive tumor evolution in urothelial bladder carcinoma.
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DOI:
10.1038/s42003-023-05668-3
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发表时间:
2023-12-21
影响因子:
5.9
通讯作者:
De, Subhajyoti
De, Subhajyoti
中科院分区:
生物学2区
文献类型:
--
作者:
Biswas, Antara;Sahoo, Sarthak;Riedlinger, Gregory M.;Ghodoussipour, Saum;Jolly, Mohit K.;De, Subhajyoti

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Intra-tumor heterogeneity contributes to treatment failure and poor survival in urothelial bladder carcinoma (UBC). Analyzing transcriptome from a UBC cohort, we report that intra-tumor transcriptomic heterogeneity indicates co-existence of tumor cells in epithelial and mesenchymal-like transcriptional states and bi-directional transition between them occurs within and between tumor subclones. We model spontaneous and reversible transition between these partially heritable states in cell lines and characterize their population dynamics. SMAD3, KLF4 and PPARG emerge as key regulatory markers of the transcriptional dynamics. Nutrient limitation, as in the core of large tumors, and radiation treatment perturb the dynamics, initially selecting for a transiently resistant phenotype and then reconstituting heterogeneity and growth potential, driving adaptive evolution. Dominance of transcriptional states with low PPARG expression indicates an aggressive phenotype in UBC patients. We propose that phenotypic plasticity and dynamic, non-genetic intra-tumor heterogeneity modulate both the trajectory of disease progression and adaptive treatment response in UBC. A set of functional genomics and statistical analyses identifies and establishes key determinants of transcriptional state dynamics and plasticity during tumor growth and under treatment in urothelial bladder carcinoma.
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