To define intra-tumour heterogeneity and unravel the distinct TS present in primary tumours and metastases, we have performed single cell RNA-seq from skin squamous cell carcinoma (SCC) presenting EMT. We identified tumor cells and stromal cells consisting of cancer associated fibroblasts (CAFs), different immune cells (neutrophils, macrophages, T and B cells), endothelial cells and pericytes. Bioinformatic analysis of the different skin SCCs with EMT revealed the presence of different TS ranging from pure epithelial (Epcam+, Krt14+, Cdh1+, Vim-), early hybrid EMT (Epcam-, Krt14+, Vim+), late hybrid EMT (Epcam-, Krt14-, Vim+, KRT8+) and full EMT (Epcam-, Krt14-, Vim+, Aspn+).
We have studied the intrinsic regulator of different tumor states. FAT1 is among the most frequently mutated driver genes in a broad range of human cancers. Despite the high frequency of FAT1 mutations, its role in cancer was poorly understood. Using skin SCC as a model, we found that Fat1 deletion accelerated tumor initiation and malignant progression and promoted hybrid EMT phenotype. Fat1 deleted skin SCCs presented increased tumor stemness and spontaneous metastasis. We identified drug resistance and vulnerabilities in FAT1 deficient tumors with important implications for cancer therapy.
During the transition from benign tumors to malignant carcinoma, tumor cells need to repress differentiation state and acquire invasive features by promoting EMT state. The non-genetic mechanisms required to sustain malignant tumor state are poorly understood. We identified NR2F2 as uniquely expressed in malignant SCC. We demonstrate that NR2F2 promotes tumor cell proliferation, EMT and invasive features, while repressing tumor differentiation and immune cell infiltration, making NR2F2 an ideal target for drug-induced cancer differentiation.
It has been suggested that EMT plays a role in the acquisition of resistance to anti-cancer therapy. However, the mechanism by which cancer cells presenting EMT resist to anti-cancer therapy is currently unknown. Using gain and loss of function in vitro and in vivo, we uncovered that RhoJ, a small GTPase preferentially expressed in EMT cancer cells, controls resistance to therapy. We found that RhoJ regulates EMT associated resistance to chemotherapy by enhancing the response to replicative stress and activating the DNA damage response, allowing tumor cells to rapidly repair DNA lesions induced by chemotherapy.