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      Single‐cell transcriptome profiling reveals the key role of ZNF683 in natural killer cell exhaustion in multiple myeloma

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          Abstract

          Backgrounds

          Decreased cytotoxicity of natural killer (NK) cells has been shown in multiple myeloma (MM). However, the underlying molecular mechanisms remain unclear. Here, by using single‐cell RNA sequencing analysis and in vitro experiments, we aim to uncover and validate molecularly distinctive insights into identifying regulators for NK cell exhaustion and provide potential targets for novel immune therapies in MM.

          Methods

          Single‐cell RNA sequencing was conducted in the bone marrow and peripheral blood samples from 10 newly diagnosed MM patients and three healthy volunteers. Based on the cluster‐defining differentially expressed genes, we named and estimated functional states of each cluster via bioinformatics analyses. Functional significance of key findings obtained from sequencing analysis was examined in a series of in vitro experiments, including luciferase reporter assay, lentiviral expression vector construction, NK cell transfection, RT‐qPCR, flow cytometry, and cytotoxicity assay.

          Results

          We classified NK cells into seven distinct clusters and confirmed that a subset of ZNF683 + NK cells were enriched in MM patients with ‘exhausted’ transcriptomic profile, featuring as decreased expression of activating receptors and cytolytic molecules, as well as increased expression of inhibitory receptors. Next, we found a significant downregulation of SH2D1B gene that encodes EAT‐2, an adaptor protein of activating receptor SLAMF7, in ZNF683 + NK cells from MM patients versus healthy volunteers. We further proved that ZNF683 transfection in NK cells significantly downregulated SH2D1B expression via directly binding to the promoter of SH2D1B, leading to NK cell cytotoxic activity impairment and exhausted phenotypes acquisition. In contrast, ZNF683 knockout in NK cells from MM patients increased cytotoxic activity and reversed NK cell exhaustion.

          Conclusions

          In summary, our findings uncover an important mechanism of ZNF683 + NK cell exhaustion and suggest that transcriptional suppressor ZNF683 as a potential useful therapeutic target in immunotherapy of MM.

          Abstract

          Mechanism of ZNF683 + NK cell exhaustion in MM microenvironment.

          • A subset of ZNF683 + NK cells exhibiting exhausted phenotypes were enriched in MM patients.

          • ZNF683 transfection significantly downregulates SH2D1B expression via directly binding to its promoter in NK cells, thus attenuating SLAMF7‐mediated activating signals and eventually promoting NK cell exhaustion.

          • Knock out ZNF683 expression in NK cells from MM patients reverses their exhaustion phenotypes and promotes cytotoxicity.

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          Integrating single-cell transcriptomic data across different conditions, technologies, and species

          Computational single-cell RNA-seq (scRNA-seq) methods have been successfully applied to experiments representing a single condition, technology, or species to discover and define cellular phenotypes. However, identifying subpopulations of cells that are present across multiple data sets remains challenging. Here, we introduce an analytical strategy for integrating scRNA-seq data sets based on common sources of variation, enabling the identification of shared populations across data sets and downstream comparative analysis. We apply this approach, implemented in our R toolkit Seurat (http://satijalab.org/seurat/), to align scRNA-seq data sets of peripheral blood mononuclear cells under resting and stimulated conditions, hematopoietic progenitors sequenced using two profiling technologies, and pancreatic cell 'atlases' generated from human and mouse islets. In each case, we learn distinct or transitional cell states jointly across data sets, while boosting statistical power through integrated analysis. Our approach facilitates general comparisons of scRNA-seq data sets, potentially deepening our understanding of how distinct cell states respond to perturbation, disease, and evolution.
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            Pseudo-temporal ordering of individual cells reveals dynamics and regulators of cell fate decisions

            Single-cell expression profiling by RNA-Seq promises to exploit cell-to-cell variation in gene expression to reveal regulatory circuitry governing cell differentiation and other biological processes. Here, we describe Monocle, a novel unsupervised algorithm for ordering cells by progress through differentiation that dramatically increases temporal resolution of expression measurements in a model of skeletal muscle differentiation. This reordering unmasks switch-like changes in expression of key regulatory factors, reveals sequentially organized waves of gene regulation, and exposes novel regulators of cell differentiation. A loss-of function screen revealed that many of these inhibitors act through regulatory elements also used by pro-myogenic factors to activate downstream genes. This study demonstrates that single-cell expression analysis by Monocle can uncover novel regulatory interactions governing differentiation. Cell differentiation is governed by a vast and complex gene regulatory program. During differentiation, each cell makes fate decisions independently by integrating a wide array of signals from other cells, executing a complex choreography of gene regulatory changes. Recently, several studies carried out at single-cell resolution have revealed high cell-to-cell variation in most genes during differentiation 1–5 , even among key developmental regulators. Although high variability complicates analysis of such experiments 6 , it might define biological progression between cellular states, revealing regulatory modules of genes that co-vary in expression across individual cells 7 . Prior studies have used approaches from computational geometry 8,9 and supervised machine learning 10 to order bulk cell populations from time-series microarray experiments by progress through a biological process. Applying this concept to order individual cells could expose fine-grained gene expression dynamics as they differentiate. We have developed Monocle, an algorithm that harnesses single cell variation to sort cells in “pseudo time” according to progress through differentiation. Applying Monocle to the classic model of myogenesis unveiled dynamics at unprecedented resolution and exposed novel regulatory factors. Skeletal myoblasts undergo a well-characterized sequence of morphological and transcriptional changes during differentiation 11 . Global expression and epigenetic profiles have reinforced the view that a small cohort of transcription factors (e.g. MYOD, MYOG, MRF4, and MYF5) orchestrates these changes 12 . However, efforts to expand this set of factors and map the broader myogenic regulatory network have been hampered by the temporal resolution of global expression measurements, with thousands of genes following a limited number of coarse kinetic trends 13 . Single-cell measurements of markers of myogenesis have made clear that cells do not progress through differentiation in synchrony. A population of cells captured at the same time may thus cover a range of distinct intermediate differentiation states. Drawing conclusions from a group of individuals based on the properties of their average is a hazardous practice because the average can mask important trends among the individuals, resulting in phenomena such as Simpson's paradox 14 . Experimental synchronization or stringent isolation of myogenic precursors is often challenging and dramatically alters differentiation kinetics. We hypothesized that capturing complete expression profiles of individual cells might avoid these problems and dramatically increase temporal resolution in global transcriptome dynamics. In essence, a single-cell RNA-Seq experiment might constitute a time-series, with each cell representing a distinct time point along a continuum. To test this hypothesis we investigated the single cell transcriptome dynamics during myogenesis. We expanded primary human myoblasts under high mitogen conditions (GM), and then induced differentiation by switching to low-mitogen media (DM). We then captured 50–100 cells at each of four time points following serum switch using the Fluidigm C1 microfluidic system. RNA from each cell was isolated and used to construct mRNA-Seq libraries, which were then sequenced to a depth of ~4 million reads per library, resulting in a complete gene expression profile for each cell (Fig 1a, S1). Averaging expression profiles of cells collected at the same time correlated well with the corresponding bulk RNA-Seq libraries, and moderately expressed genes were detectable (≥ 1 FPKM) in a majority of individual cells (Fig 1b, S2, S3). However, markers of mature myocytes were present at all time points following serum switch, and many other genes showed similar temporal heterogeneity (Fig 1c) We speculated that the high variability in cell-to-cell gene expression levels was due to unsynchronized differentiation, with myoblasts, intermediate myocytes, and mature myotubes residing in the same well concurrently. Indeed, large, multinucleated MYH2+ cells were abundant after 72 hours in DM, but these cells were present at lower frequency even at 24 hours (Fig 1c). We reasoned that informatically ordering the cells by their progress through differentiation, rather than by the time they were collected, would distinguish genes activated early in differentiation from those activated later. To this end, we developed a novel unsupervised algorithm, Monocle, which re-ordered the cells to maximize the transcriptional similarity between successive pairs (Fig 2a). The algorithm first represents the expression profile of each cell as a point in a high-dimensional Euclidean space, with one dimension for each gene. Second, it reduces the dimensionality of this space using Independent Component Analysis 15 . Third, Monocle constructs a minimum spanning tree (MST) on the cells, an approach now commonly used in other single-cell settings, such as flow or mass cytometry 16,17 . Fourth, the algorithm finds the longest path through the MST, corresponding to the longest sequence of transcriptionally similar cells. Finally, Monocle uses this sequence to produce a “trajectory” of an individual cell's progress through differentiation. Progress along a differentiation trajectory is measured in “pseudo-time”: the total transcriptional change a cell undergoes as it differentiates. This strategy is derived from a prior algorithm for temporally ordering microarray samples 8 , but extends it to allow for multiple cell fates stemming from a single progenitor cell type. As cells progress, they may diverge along two or more separate paths. After Monocle finds the longest sequence of similar cells, it examines cells not along this path to find alternative trajectories through the MST. These sub-trajectories are ordered and connected to the main trajectory, and each cell is annotated with both a trajectory and a pseudo-time value. Monocle thus orders cells by progress through differentiation and can reconstruct branched biological processes, which might arise when a precursor cell makes cell fate decisions that govern the generation of multiple subsequent lineages. Importantly, Monocle is unsupervised and needs no prior knowledge of specific genes that distinguish cell fates, and is thus suitable for studying a wide array of dynamic biological processes. Monocle decomposed myoblast differentiation into a two-phase trajectory and isolated a branch of non-differentiating cells (Fig 2b). The first phase of the trajectory was primarily composed of cells collected under high-mitogen conditions and which expressed markers of actively proliferating cells such as CDK1, while the second mainly consisted of cells collected at 24, 48, or 72 hours following serum switch. Cells in the second phase were positive for markers of muscle differentiation such as MYOG (Fig S4). A tightly grouped third population of cells branched from the trajectory near the transition between phases. These cells lacked myogenic markers but expressed PDGFRA and SPHK1, suggesting that they are contaminating interstitial mesenchymal cells and did not arise from the myoblasts. Such cells were recently shown to stimulate muscle differentiation 18 . Monocle's estimates of the frequency and proliferative status of these cells were consistent with estimates derived from immunofluorescent stains against ANPEP/CD13 and nuclear phosphorylated H3-Ser10 (Fig S4). Monocle thus enabled analysis of the myoblast differentiation trajectory without subtracting these cells by immunopurification, maintaining in vitro differentiation kinetics that resemble physiological cell crosstalk occurring in the in vivo niche. To find genes that were dynamically regulated as the cells progressed through differentiation, we modeled each gene's expression as a nonlinear function of pseudo-time. A total of 1,061 genes were dynamically regulated during differentiation (FDR = 0.8) to their relative order within the full data set. The algorithm retained the ability to detect dynamically regulated genes with high precision (>= 95%) over all designs and with increasing recall as more of the cells were included. (Fig S7) We next grouped genes with similar trends in expression, reasoning that such groups might share common biological functions and regulators. Clustering of genes according to direction and timing revealed six distinct trends (Fig 3). Genes downregulated early or upregulated late in pseudo-time were highly enriched for biological processes central to myogenesis, including cell-cycle exit and activation of muscle-specific structural proteins. However, the other clusters included many genes with broad roles in development, including mediators of cell-cell signaling, RNA export and translational control, and remodeling of cell morphology (Fig S8). A timeseries analysis of myoblast differentiation with bulk RNA-Seq identified up and down-regulated genes, but did not identify the transient clusters or distinguish the early from late regulation visible with pseudo-temporally ordered single cells (Fig S9). Furthermore, dynamic range of expression was compressed for most genes, confirming that failure to account for variability in progress through differentiation leads directly to the effects associated with Simpson's paradox. Pseudo-temporal cell ordering thus decomposes the coarse kinetic trends produced by conventional RNA-Seq into distinct, sequential waves of transcriptional reconfiguration. To identify factors driving myoblast differentiation, we performed a cis-regulatory analysis on genes in each pseudo-temporal cluster. Cis regulatory elements were first identified based on DNaseI hypersensitive sites in HSMM cells and HSMM-derived myotubes 20 , classified according to function according to histone marks 21 , and finally annotated with conserved transcription factor binding sites. While downregulated genes were enriched at near significant levels with binding sites for genes that play roles in proliferation (e.g. MAX, E2F, and NMYC), nearly all significantly enriched motifs fell near upregulated genes. These genes were highly enriched for regulatory elements containing binding motifs for 175 transcription factors, including numerous well-known regulators of myogenesis, such as MYOD, MYOG, PBX1, MEIS1, and the MEF2 family (Fig S10). Some, but not all, of these factors were revealed by a regulatory element analysis performed using bulk RNA-Seq data, underscoring the power of increased (pseudo) temporal resolution of single-cell analysis (Fig S11). A similar analysis of microRNA target sites identified miR-1, miR-206, miR-133, and numerous others as regulators of genes activated during myogenesis (Fig S12). Of these, only miR-1/206 target sites were significantly enriched among genes found to be transiently upregulated and then sharply downregulated. This may suggest that miR-1 and miR-206, which are expressed at an intermediate stage of myoblast differentiation, may act to strongly suppress a subset of genes activated earlier. Many of the transcription factors implicated by our cis regulatory analysis to govern differentiation had no previously appreciated role in muscle development. To test potential roles of these factors we performed an RNAi mediated loss of function screen for 11 candidates. Briefly, we virally expressed proliferating myoblasts with one of 44 distinct shRNAs targeting either one of these factors or a mock (non-targeting) control, followed by serum-induced differentiation for five days. We then measured the frequency and size of myosin heavy chain 2 (MYH2)-positive cells with a high-throughput immunofluorescence pipeline. Of the targets we tested, MZF1, ZIC1, XBP1, and USF1 showed significantly altered differentiation kinetics (Fig 4a,b, Fig S13) when depleted with two or more independent hairpins (FDR < 5%). Knockdown of XBP1, USF1, ZIC1, and MZF1 enhanced myotube formation, with larger myotubes containing a higher fraction of total nuclei than mock shRNA controls. Depletion of CUX1, ARID5B, POU2F1, and AHR also increased differentiation efficiency, albeit less significantly. Importantly, whole-well nuclei counts were similar between knockdowns and mock controls, indicating that enhanced differentiation was not simply a result of higher initial cell counts or increased proliferation. With the exception of ZIC1, forced overexpression did not substantially alter differentiation kinetics (data not shown). Notably, several of these factors have binding motifs that are highly enriched in promoters and enhancers that also have motifs for known muscle regulators (Fig 4c). For example, USF1 motifs are enriched in enhancers that also have MYOD motifs. Together, these results confirm that the transcription factors identified as possible regulators in fact play a role in myoblast differentiation, and demonstrate the power of Monocle for identifying key differentiation genes. Here, we report that individual myoblasts progress through differentiation in an unsynchronized manner, but that they can be reordered according to progress through differentiation. This pseudo-time ordering pinpoints key events in differentiation that are masked both by conventional bulk cell expression profiling, and by single-cell expression profiles ordered by time collected. The reordering resolves sequentially activated transcriptional sub-programs that are regulated by common factors. The temporal resolution offered by hundreds of ordered cells might enable future efforts to computationally infer novel gene-regulatory modules. For example, the enrichment of transiently upregulated genes for common microRNA target sites raises the question of whether those microRNAs are expressed later, curtailing what would have been higher levels of expression. Sequencing-based measurements of small RNAs and mRNAs from the same cell will provide answers to such systems-level questions. Moreover, single-cell analysis distinguishes cells of interest from contaminating cell types such as interstitial mesenchymal cells without experimental isolation that might disrupt cell-cell interactions important in the in vivo niche. We identified eight previously unappreciated transcription factors that dramatically influence the course of myoblast differentiation, thus proving the principle of pseudo-temporal analysis and expanding the catalog of regulators in this well-studied system. Several of the eight factors reported here may normally repress differentiation by competing with pro-myogenic factors for these regulatory elements. Alternatively, these inhibitors may co-occupy regulatory elements with pro-myogenic factors, preventing transactivation of their targets (Fig. 4d). Previous studies in other contexts provide mechanistic data supporting both of these models. USF1 inhibits MyoD autoactivation in Xenopus by competing with MyoD at its promoter through an alternative E-box 22 . Our results suggest that USF1 may repress a broad array of targets via E-box competition. CUX1 represses targets in several developmental contexts through binding site competition 23 . XBP1 was recently reported to inhibit myoblast differentiation in mice, potentially through the mechanisms proposed here 24 . Further experiments in these HSMM cells and myoblasts from other anatomic depots will be needed to confirm the mechanism of these factors. While the positive regulators of myogenesis have been well characterized, only a handful of inhibitors have been identified. The eight inhibitors reported here may shed light on how the balance of proliferation and differentiation is maintained during development and regeneration. Ordering the expression profiles of individual cells by biological progress is thus a powerful new tool for studying cell differentiation, and could in principle be used to map regulatory networks that govern a much wider array of biological processes. Supplementary Material 1
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              Transient expression vectors for functional genomics, quantification of promoter activity and RNA silencing in plants

              Background We describe novel plasmid vectors for transient gene expression using Agrobacterium, infiltrated into Nicotiana benthamiana leaves. We have generated a series of pGreenII cloning vectors that are ideally suited to transient gene expression, by removing elements of conventional binary vectors necessary for stable transformation such as transformation selection genes. Results We give an example of expression of heme-thiolate P450 to demonstrate effectiveness of this system. We have also designed vectors that take advantage of a dual luciferase assay system to analyse promoter sequences or post-transcriptional regulation of gene expression. We have demonstrated their utility by co-expression of putative transcription factors and the promoter sequence of potential target genes and show how orthologous promoter sequences respond to these genes. Finally, we have constructed a vector that has allowed us to investigate design features of hairpin constructs related to their ability to initiate RNA silencing, and have used these tools to study cis-regulatory effect of intron-containing gene constructs. Conclusion In developing a series of vectors ideally suited to transient expression analysis we have provided a resource that further advances the application of this technology. These minimal vectors are ideally suited to conventional cloning methods and we have used them to demonstrate their flexibility to investigate enzyme activity, transcription regulation and post-transcriptional regulatory processes in transient assays.
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                Author and article information

                Contributors
                honghui_huang@163.com
                houjian@medmail.com.cn
                Journal
                Clin Transl Med
                Clin Transl Med
                10.1002/(ISSN)2001-1326
                CTM2
                Clinical and Translational Medicine
                John Wiley and Sons Inc. (Hoboken )
                2001-1326
                17 October 2022
                October 2022
                : 12
                : 10 ( doiID: 10.1002/ctm2.v12.10 )
                : e1065
                Affiliations
                [ 1 ] Department of Hematology Ren Ji Hospital Shanghai Jiao Tong University School of Medicine Shanghai China
                [ 2 ] Department of Biochemistry and Molecular Cell Biology Shanghai Jiao Tong University School of Medicine Shanghai China
                Author notes
                [*] [* ] Correspondence

                Jian Hou and Honghui Huang, Department of Hematology, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, 160 Pujian Road, Pudong New Area, Shanghai 200127, China.

                Email: houjian@ 123456medmail.com.cn and honghui_huang@ 123456163.com

                Author information
                https://orcid.org/0000-0002-6807-1708
                https://orcid.org/0000-0002-5709-4824
                Article
                CTM21065
                10.1002/ctm2.1065
                9574488
                36245253
                b6a6fcf4-1fd9-48cd-99ce-0e8cc39dc457
                © 2022 The Authors. Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 08 September 2022
                : 07 May 2022
                : 13 September 2022
                Page count
                Figures: 7, Tables: 1, Pages: 17, Words: 8988
                Funding
                Funded by: Shanghai Shen Kang Hospital Development Center , doi 10.13039/501100010167;
                Award ID: SHDC2020CR2070B
                Funded by: National Natural Science Foundation of China , doi 10.13039/501100001809;
                Award ID: 81974006
                Funded by: Interdisciplinary Program of Shanghai Jiao Tong University
                Award ID: ZH2018ZDB02
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                October 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.0 mode:remove_FC converted:17.10.2022

                Medicine
                exhaustion,multiple myeloma,natural killer cells,sh2d1b,znf683
                Medicine
                exhaustion, multiple myeloma, natural killer cells, sh2d1b, znf683

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