[HTML][HTML] Multiple Nf1 Schwann cell populations reprogram the plexiform neurofibroma tumor microenvironment

LJ Kershner, K Choi, J Wu, X Zhang, M Perrino… - JCI insight, 2022 - ncbi.nlm.nih.gov
LJ Kershner, K Choi, J Wu, X Zhang, M Perrino, N Salomonis, JF Shern, N Ratner
JCI insight, 2022ncbi.nlm.nih.gov
To define alterations early in tumor formation, we studied nerve tumors in neurofibromatosis
1 (NF1), a tumor predisposition syndrome. Affected individuals develop neurofibromas,
benign tumors driven by NF1 loss in Schwann cells (SCs). By comparing normal nerve cells
to plexiform neurofibroma (PN) cells using single-cell and bulk RNA sequencing, we
identified changes in 5 SC populations, including a de novo SC progenitor–like (SCP-like)
population. Long after Nf1 loss, SC populations developed PN-specific expression of Dcn …
Abstract
To define alterations early in tumor formation, we studied nerve tumors in neurofibromatosis 1 (NF1), a tumor predisposition syndrome. Affected individuals develop neurofibromas, benign tumors driven by NF1 loss in Schwann cells (SCs). By comparing normal nerve cells to plexiform neurofibroma (PN) cells using single-cell and bulk RNA sequencing, we identified changes in 5 SC populations, including a de novo SC progenitor–like (SCP-like) population. Long after Nf1 loss, SC populations developed PN-specific expression of Dcn, Postn, and Cd74, with sustained expression of the injury response gene Postn and showed dramatic expansion of immune and stromal cell populations; in corresponding human PNs, the immune and stromal cells comprised 90% of cells. Comparisons between injury-related and tumor monocytes/macrophages support early monocyte recruitment and aberrant macrophage differentiation. Cross-species analysis verified each SC population and unique conserved patterns of predicted cell-cell communication in each SC population. This analysis identified PROS1-AXL, FGF-FGFR, and MIF-CD74 and its effector pathway NF-κB as deregulated in NF1 SC populations, including SCP-like cells predicted to influence other types of SCs, stromal cells, and/or immune cells in mouse and human. These findings highlight remarkable changes in multiple types of SCs and identify therapeutic targets for PN.
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