Epithelial plasticity can generate multi-lineage phenotypes in human and murine bladder cancers.

TitleEpithelial plasticity can generate multi-lineage phenotypes in human and murine bladder cancers.
Publication TypeJournal Article
Year of Publication2020
AuthorsSfakianos JP, Daza J, Hu Y, Anastos H, Bryant G, Bareja R, Badani KK, Galsky MD, Elemento O, Faltas BM, Mulholland DJ
JournalNat Commun
Volume11
Issue1
Pagination2540
Date Published2020 05 21
ISSN2041-1723
Abstract

Tumor heterogeneity is common in cancer, however recent studies have applied single gene expression signatures to classify bladder cancers into distinct subtypes. Such stratification assumes that a predominant transcriptomic signature is sufficient to predict progression kinetics, patient survival and treatment response. We hypothesize that such static classification ignores intra-tumoral heterogeneity and the potential for cellular plasticity occurring during disease development. We have conducted single cell transcriptome analyses of mouse and human model systems of bladder cancer and show that tumor cells with multiple lineage subtypes not only cluster closely together at the transcriptional level but can maintain concomitant gene expression of at least one mRNA subtype. Functional studies reveal that tumor initiation and cellular plasticity can initiate from multiple lineage subtypes. Collectively, these data suggest that lineage plasticity may contribute to innate tumor heterogeneity, which in turn carry clinical implications regarding the classification and treatment of bladder cancer.

DOI10.1038/s41467-020-16162-3
Alternate JournalNat Commun
PubMed ID32439865
PubMed Central IDPMC7242345