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A COMPREHENSIVE SINGLE-CELL ATLAS OF NONHEMATOPOIETIC CELLS IN HUMAN LYMPH NODE AND LYMPHOMA REVEALS LANDSCAPE OF STROMAL REMODELING
Author(s): ,
Yoshiaki Abe
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Mamiko Sakata-Yanagimoto
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Manabu Fujisawa
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Hiroaki Miyoshi
Affiliations:
Department of Pathology,Kurume University,Kurume,Japan
,
Yasuhito Suehara
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Keiichiro Hattori
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Manabu Kusakabe
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Tatsuhiro Sakamoto
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Hidekazu Nishikii
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Tran Nguyen
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
,
Chikashi Yoshida
Affiliations:
Department of Hematology,Mito Medical Center,Mito,Japan
,
Rikako Tabata
Affiliations:
Division of Hematology/Oncology,Kameda Medical Center,Kamogawa,Japan
,
Toshiki Terao
Affiliations:
Division of Hematology/Oncology,Kameda Medical Center,Kamogawa,Japan
,
Yohei Owada
Affiliations:
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery,University of Tsukuba,Tsukuba,Japan
,
Tsuyoshi Enomoto
Affiliations:
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery,University of Tsukuba,Tsukuba,Japan
,
Hiroko Bando
Affiliations:
Department of Breast and Endocrine Surgery,University of Tsukuba,Tsukuba,Japan
,
Masahiro Nakayama
Affiliations:
Department of Otolaryngology, Head and Neck Surgery,University of Tsukuba,Tsukuba,Japan
,
Koichi Ohshima
Affiliations:
Department of Pathology,Kurume University,Kurume,Japan
,
Kensuke Usuki
Affiliations:
Department of Hematology,NTT Medical Center Tokyo,Tokyo,Japan
,
Tatsuya Oda
Affiliations:
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery,University of Tsukuba,Tsukuba,Japan
,
Kosei Matsue
Affiliations:
Division of Hematology/Oncology,Kameda Medical Center,Kamogawa,Japan
Shigeru Chiba
Affiliations:
Department of Hematology,University of Tsukuba,Tsukuba,Japan
EHA Library. Abe Y. 06/09/21; 324634; S226
Yoshiaki Abe
Yoshiaki Abe
Contributions
Abstract
Presentation during EHA2021: All Oral presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: S226

Type: Oral Presentation

Session title: Lymphoma - Translational research

Background
Activities of nonhematopoietic cells (NHCs) in lymphoma, including mesenchymal stromal cells and endothelial cells, reportedly underlie lymphomagenesis. However, understanding of lymphoma NHC activities have been hampered by unexplained NHC heterogeneity even in normal human lymph node (LN). Particularly, human LN blood endothelial cells (BECs) and non-endothelial stromal cells (NESCs) have not been analyzed at single-cell resolution.

Aims
We aimed to complete a transcriptome atlas of human NHCs in homeostatic LN (HLN) and lymphoma to reveal previously unrecognized heterogeneity. We also sought to reveal the single-cell landscape of stromal remodeling in lymphomas, particularly in follicular lymphoma (FL), to advance understanding of stromal contributions in lymphomagenesis.

Methods
We performed single-cell RNA sequencing of NHCs (>100,000 cells) extracted from human HLN (n=9), nodal FL (n=10), peripheral T-cell lymphoma (PTCL; n=5), and diffuse large B-cell lymphoma (DLBCL; n=3) samples. Data from HLN samples was mainly used for the construction of NHC atlas. Immunofluorescence (IF) staining was performed to validate the results of single-cell analysis and to explore the topological localizations of each NHC subcluster in the LN. Using the NHC atlas, we performed comprehensive comparative analysis with FL NHCs by differentially-expressed gene (DEG) and intercellular ligand-receptor analyses. We also investigated the prognostic impact of putative stroma-derived biomarkers using deposited microarray data of FL patients.

Results
Graph-based clustering analysis revealed that the transcriptional features of NHC subpopulations in HLN are highly conserved in FL NHCs. Unsupervised sub-clustering analysis of BECs, lymphatic endothelial cells (LECs), and NESCs revealed 10, 8, and 12 subclusters, respectively, including some lacking mouse counterpart. IF staining successfully identified each NHC subcluster and its localization in the LN. In FL NHCs, the proportion of arterial BEC subclusters markedly increased relative to HLN, while the proportion of LECs decreased. In FL NESCs, the proportion of marginal reticular cells (MRCs) as well as follicular dendritic cells (FDCs) greatly increased. DEG analysis revealed that the greatest changes in gene expression occurs in NESC subclusters, particularly in MRCs, T-zone reticular cells (TRCs), perivascular stromal cells, and FDCs. Notably, in some NESC subclusters, we observed marked upregulation of genes relevant to solid cancers but previously not associated with lymphomagenesis (e.g. POSTNEGFL6, and FAP). Combined interactome and DEG analysis revealed that interactions mediated through CXCL12 was unexpectedly upregulated only at stromal cells at adventitia. Additionally, the CCR7-CCL19 interaction was extended to non-TRC stromal cell subclusters. Also, the CXCL13-CXCR5 axis was highly activated in MRCs, indicating that MRCs as well as FDCs participate in FL expansion. Based, on these data, we identified putative stroma-derived biomarker LY6H, LOX, TDO2, and REM1 as promising prognostic predictors in FL. We finally confirmed that our NHC atlas is also useful to assess NHCs in more aggressive lymphomas including PTCL and DLBCL.

Conclusion
We constructed a comprehensive single-cell atlas of NHCs in human LN highly applicable to lymphoma NHC researches. Our study largely updates NHC taxonomy in LNs and provides a rich resource and deeper insights into lymphoma biology, a contribution that should advance lymphoma management and therapy.

Keyword(s): Endothelial cell, Follicular lymphoma, Lymphomagenesis, Stromal cell

Presentation during EHA2021: All Oral presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: S226

Type: Oral Presentation

Session title: Lymphoma - Translational research

Background
Activities of nonhematopoietic cells (NHCs) in lymphoma, including mesenchymal stromal cells and endothelial cells, reportedly underlie lymphomagenesis. However, understanding of lymphoma NHC activities have been hampered by unexplained NHC heterogeneity even in normal human lymph node (LN). Particularly, human LN blood endothelial cells (BECs) and non-endothelial stromal cells (NESCs) have not been analyzed at single-cell resolution.

Aims
We aimed to complete a transcriptome atlas of human NHCs in homeostatic LN (HLN) and lymphoma to reveal previously unrecognized heterogeneity. We also sought to reveal the single-cell landscape of stromal remodeling in lymphomas, particularly in follicular lymphoma (FL), to advance understanding of stromal contributions in lymphomagenesis.

Methods
We performed single-cell RNA sequencing of NHCs (>100,000 cells) extracted from human HLN (n=9), nodal FL (n=10), peripheral T-cell lymphoma (PTCL; n=5), and diffuse large B-cell lymphoma (DLBCL; n=3) samples. Data from HLN samples was mainly used for the construction of NHC atlas. Immunofluorescence (IF) staining was performed to validate the results of single-cell analysis and to explore the topological localizations of each NHC subcluster in the LN. Using the NHC atlas, we performed comprehensive comparative analysis with FL NHCs by differentially-expressed gene (DEG) and intercellular ligand-receptor analyses. We also investigated the prognostic impact of putative stroma-derived biomarkers using deposited microarray data of FL patients.

Results
Graph-based clustering analysis revealed that the transcriptional features of NHC subpopulations in HLN are highly conserved in FL NHCs. Unsupervised sub-clustering analysis of BECs, lymphatic endothelial cells (LECs), and NESCs revealed 10, 8, and 12 subclusters, respectively, including some lacking mouse counterpart. IF staining successfully identified each NHC subcluster and its localization in the LN. In FL NHCs, the proportion of arterial BEC subclusters markedly increased relative to HLN, while the proportion of LECs decreased. In FL NESCs, the proportion of marginal reticular cells (MRCs) as well as follicular dendritic cells (FDCs) greatly increased. DEG analysis revealed that the greatest changes in gene expression occurs in NESC subclusters, particularly in MRCs, T-zone reticular cells (TRCs), perivascular stromal cells, and FDCs. Notably, in some NESC subclusters, we observed marked upregulation of genes relevant to solid cancers but previously not associated with lymphomagenesis (e.g. POSTNEGFL6, and FAP). Combined interactome and DEG analysis revealed that interactions mediated through CXCL12 was unexpectedly upregulated only at stromal cells at adventitia. Additionally, the CCR7-CCL19 interaction was extended to non-TRC stromal cell subclusters. Also, the CXCL13-CXCR5 axis was highly activated in MRCs, indicating that MRCs as well as FDCs participate in FL expansion. Based, on these data, we identified putative stroma-derived biomarker LY6H, LOX, TDO2, and REM1 as promising prognostic predictors in FL. We finally confirmed that our NHC atlas is also useful to assess NHCs in more aggressive lymphomas including PTCL and DLBCL.

Conclusion
We constructed a comprehensive single-cell atlas of NHCs in human LN highly applicable to lymphoma NHC researches. Our study largely updates NHC taxonomy in LNs and provides a rich resource and deeper insights into lymphoma biology, a contribution that should advance lymphoma management and therapy.

Keyword(s): Endothelial cell, Follicular lymphoma, Lymphomagenesis, Stromal cell

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