Cancer stem cells that elude conventional treatments like chemotherapy are one of the reasons patients initially enter remission but relapse soon after. In acute myeloid leukemia, a form of blood cancer, the high probability of relapse means fewer than 15% of elderly patients live longer than five years.
However, cancer stem cells are difficult to isolate and study because of their low abundance and similarity to other stem cells, hampering international research efforts in developing precision treatments that target malignant cells while sparing healthy ones.
Researchers from the Centre for Genomic Regulation (CRG) and the European Molecular Biology Laboratory (EMBL) say they have overcome this problem by creating MutaSeq, a method that can be used to distinguish cancer stem cells, mature cancer cells, and otherwise healthy stem cells based on their genetics and gene expression. They published their study “Identification of leukemic and pre-leukemic stem cells by clonal tracking from single-cell transcriptomics” in Nature Communications.
“Here, we demonstrate that LSCs [leukemic stem cells], HSCs [hematopoietic stem cells], and pre-leukemic stem cells can be identified and molecularly profiled by combining single-cell transcriptomics with lineage tracing using both nuclear and mitochondrial somatic variants,” write the investigators. “While mutational status discriminates between healthy and cancerous cells, gene expression distinguishes stem cells and progenitor cell populations. Our approach enables the identification of LSC-specific gene expression programs and the characterization of differentiation blocks induced by leukemic mutations. Taken together, we demonstrate the power of single-cell multi-omic approaches in characterizing cancer stem cells.”
“RNA provides vital information for human health. For example, PCR tests for coronavirus detect its RNA to diagnose COVID-19. Subsequent sequencing can determine the virus variant,” explains Lars Velten, PhD, group leader at the CRG and author of the paper. “MutaSeq works like a PCR test for coronavirus, but at a much more complex level and with a single cell as starting material.”
To determine if a single cell is a stem cell, the researchers used MutaSeq to measure thousands of RNAs simultaneously. To then find out if the cell is cancerous or healthy, the researchers carried out additional sequencing and looked for mutations. The resulting data helped researchers track if stems cells are cancerous or healthy and helped determine what makes the cancer stem cells different.
“There are a huge number of small molecule drugs out there with demonstrated clinical safety, but deciding which cancers and more specifically which patients these drugs are well suited for is a daunting task,” notes Lars Steinmetz, PhD, professor at Stanford University, Group Leader at EMBL Heidelberg and author of the paper. “Our method can identify drug targets that might not have been tested in the right context. These tests will need to be carried out in controlled clinical studies, but knowing what to try is an important first step.”
The method is based on single cell sequencing, which provides a detailed molecular profile of complex tissues and cancers, opening new avenues for research.
“We have now brought together clinical researchers from Germany and Spain to apply this method in much larger clinical studies,” says Velten. “We are also making the method much more streamlined. Our vision is to identify cancer stem cell specific drug targets in a personalized manner, making it ultimately as easy for patients and doctors to look for these treatments as it is testing for coronavirus.”