You have accessJournal of UrologyCME1 Apr 2023PD25-01 MACROPHAGE TRANSCRIPTOMIC SIGNATURE VALIDATION IN SCRNA SEQ AND OVERALL SURVIVAL DIFFERENCES IN UROTHELIAL CARCINOMA Laura Bukavina, Imran Safder, Spencer Bell, Daniel Geynishman, Ilaha Isali, Daniel Ranti, John Sfakianos, Henkel Valentine, Adam Calaway, Alexander Kutikov, Andres Correa, Robert Uzzo, Lee Ponsky, and Philip Abbosh Laura BukavinaLaura Bukavina More articles by this author , Imran SafderImran Safder More articles by this author , Spencer BellSpencer Bell More articles by this author , Daniel GeynishmanDaniel Geynishman More articles by this author , Ilaha IsaliIlaha Isali More articles by this author , Daniel RantiDaniel Ranti More articles by this author , John SfakianosJohn Sfakianos More articles by this author , Henkel ValentineHenkel Valentine More articles by this author , Adam CalawayAdam Calaway More articles by this author , Alexander KutikovAlexander Kutikov More articles by this author , Andres CorreaAndres Correa More articles by this author , Robert UzzoRobert Uzzo More articles by this author , Lee PonskyLee Ponsky More articles by this author , and Philip AbboshPhilip Abbosh More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003303.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: While the prognostic value of immune system biomarkers has been well explored, role of cancer associated macrophages in BC is unclear due to lack of consistent results, coupled with tissue nonspecific transcriptomic signature. METHODS: Data acquisition from 3,936 patients of The Cancer Genome Atlas (TCGA) in addition to Gene Expression Omninus (GEO) data sets GSE13507, GSE16945, GSE48277, GSE32894, GSE149582, as well as European Genotype Phenotype EGAS000001004507 was obtained (Figure 1A). To obtain bladder tissue residence macrophage signatures, scRNA seq was performed. Endpoint of OS were measured in months from the time of cystectomy to follow up. Statistical analysis was performed using R software. RESULTS: Based on previous literature highlighting “M1” macrophage role in creating an anti-tumor environment, we expected “M1” high tumors to correlate with improved survival, while “M2” tumors with worse OS. Surprisingly, presence of M1 infiltration was found to be associated with improved OS in two out of eight cohorts only (GSE32894, GSE70691, p<0.001), while the remainder detected no significant difference. To improve our understanding of tissue specific markers of macrophage population in bladder, we then analyzed macrophage clusters detected within scRNAseq of BC patients compared to healthy. A total of 8 populations of macrophages were detected among all cell types, with 22 unique macrophage markers present in BC only patients. (Figure 1 C, D).Reanalysis of 22 tissue specific markers for M1/M2 infiltration showed no difference in any of the 8 cohorts with M1 high vs low infiltration. Gene ontology enrichment analysis of functions within tumor specific macrophages demonstrated an exaggerated expression of mTORC1 signaling, PI3K/AKT/mTOR signaling, TGF beta and EGF receptor pathways compared to non-cancer controls. (Figure 1E). CONCLUSIONS: Our study represents the largest TAMs evaluation of BC across 8 cohorts with additional scRNA seq exploration of tissue specific signatures, demonstrating no association with OS. While these results imply that overall TAMs may not be utilized as a predictive marker for OS in bladder cancer, studies of TAM subtypes/populations are indicated to assess their role as prognostic indicators and therapeutic targets. Source of Funding: AUA Research Scholars © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e729 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Laura Bukavina More articles by this author Imran Safder More articles by this author Spencer Bell More articles by this author Daniel Geynishman More articles by this author Ilaha Isali More articles by this author Daniel Ranti More articles by this author John Sfakianos More articles by this author Henkel Valentine More articles by this author Adam Calaway More articles by this author Alexander Kutikov More articles by this author Andres Correa More articles by this author Robert Uzzo More articles by this author Lee Ponsky More articles by this author Philip Abbosh More articles by this author Expand All Advertisement PDF downloadLoading ...
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