PurposeUveal melanoma (UM) is the most common intraocular malignancy in adults. Previous studies have examined the intra-tumoral heterogeneity. However, the spatial distribution of tumor cells within the tumor microenvironment and its relationship with tumor progression still remains largely unclear. Our study aimed to analyze the correlation between cell distribution patterns and the prognosis of UM.MethodsIn this paper, we performed spatial transcriptomics (ST) sequencing on two UM samples to describe the different cellular distribution patterns. Gene Ontology (GO) and Kyoto Encyclopedia of Genes, Genomes (KEGG) functional enrichment analysis, and protein–protein interaction (PPI) network were performed to define the biological function of each cluster. Differentially expressed genes (DEGs) and survival analysis based on datasets from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) database further confirmed the correlation between cellular distribution and clinical prognosis.ResultsWe found two different patterns of tumor cell distribution. The focal tumor cells have a distinct ribosome synthesis and rRNA pathway. In contrast, the subpopulation tented to distribute diffusely was related to fatty acids metabolism profile, presumably supporting tumor growth by providing energy. The scattered tumor cell cluster was associated with malignant biological behaviors and was involved in extensive cellular interactions, including COLLAGEN. Moreover, pseudo-time analysis showed that migration started from the basal region through cell differentiation. According to the TCGA and GEO database, genes expressed characteristically in the scattered tumor cell cluster were related to poor prognosis.ConclusionsOur study drew the ST maps for UM for the first time. These findings revealed the distribution patterns of tumor cells associated with different biological functions and pointed towards specific tumor subpopulations with higher invasiveness as potential therapeutic targets. Together, our study displayed an overview of UM transcriptome and explored the intra-tumoral heterogeneity of UM at the spatial level.
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