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Eurasian Journal of
            Medicine and Oncology                                                 Single-cell sequencing for lung cancer



            a uniquely barcoded gel bead. After cell lysis, mRNA binds   mechanistic understanding of how epigenetic markers are
            to oligo(dT) primers and undergoes reverse transcription   established, maintained, and interpreted across different
            (RT), incorporating cell barcodes and unique molecular   cellular contexts. 32
            identifiers (UMIs). The reaction droplets are then broken,   The advent of single-cell multi-omics approaches
            and the cDNA is polymerase chain reaction (PCR)-   has significantly enhanced our understanding of cancer
            amplified into sequencing-ready libraries. Using Illumina   biology, including diseases like lung cancer. These
            sequencing technology, the system captures barcodes,   approaches integrate different molecular layers, such as the
            UMIs, and mRNA sequences. Bioinformatics tools process   genome and transcriptome, transcriptome and epigenome,
            the data for single-cell transcriptomic profiling and gene   and transcriptome and proteome, among others. In
            expression analyses. scRNA-seq offers the analysis of   single-cell genomics-plus-transcriptomics multi-omics
            both coding and non-coding transcripts, allowing for   technologies, genome and transcriptome sequencing
            the discovery of novel gene isoforms, alternative splicing   (G&T-seq) enables the parallel analysis of mRNA and
            events, and non-coding genes that may contribute to                                        33
            oncogenesis. 28,29                                 genomic DNA (gDNA) from the same single cell.  After
                                                               cell  lysis,  polyadenylated  mRNA  is selectively  captured
              With a deeper understanding of gene regulatory   using magnetic beads coated with oligo(dT) primers,
            mechanisms, epigenetic modifications have been     effectively separating it from nuclear and mitochondrial
            recognized as key contributors. These modifications   DNA. The mRNA is then reverse transcribed using a Smart-
            include DNA base modifications and chromatin       seq2-based protocol, incorporating template switching
            structural changes. At present, a wide range of sequencing   for full-length cDNA synthesis and PCR amplification.
            technologies can measure chromatin SVs in epigenetics,   This approach supports both short-read and long-read
            from local to genome-wide levels. For example, a single-  sequencing, with the latter being particularly useful
            cell assay for transposase-accessible chromatin sequencing   for transcript isoform detection. Meanwhile, gDNA is
            (scATAC-seq) identifies open chromatin regions at the   amplified using either multiple displacement amplification,
            single-cell  level using  Tn5 transposase, which inserts   which provides uniform coverage with minimal bias,
            sequencing adapters into accessible chromatin.  The   or displacement preamplification followed by PCR,
                                                     30
            development of bulk ATAC-seq has resulted in three   which enhances genome-wide coverage for downstream
            distinct scATAC-seq strategies, including microfluidics-  sequencing.  By integrating transcriptomic and genomic
                                                                        34
            based methods, split-and-pool combinatorial indexing,   data from the same cell, G&T-seq facilitates the study of
            and droplet-based procedures. Single-cell isolation is   genotype-phenotype relationships, cellular heterogeneity,
            achieved through  microfluidics or  droplet  sorting,  with   and clonal evolution. Other single-cell genomics-plus-
            barcoding used to distinguish DNA fragments. After   transcriptomics multi-omics technologies include direct
            amplification, library construction, and high-throughput   RNA and DNA sequencing (DR-seq),  targeted genomics
                                                                                             35
            sequencing, sequencing reads are mapped to a reference   and transcriptomics sequencing (TARGET-seq),  and
                                                                                                        36
            genome to identify chromatin accessibility, classify cell   single-cell one-tube sequencing (scONE-seq).  These
                                                                                                      37
            types,  and infer gene  regulatory networks. scATAC-  technologies are particularly valuable in cancer research,
            seq  is widely applied to fresh,  frozen, and fixed tissues,   helping to uncover genomic instability and transcriptional
            providing valuable insights into chromatin dynamics,   dysregulation in diseases such as lung cancer.
            cellular heterogeneity, and gene regulation.  Single-cell
                                                31
            epigenomic methods offer several significant advantages   According to the central dogma, the main steps of gene
            in studying complex biological systems. First, they enable   expression  include  transcription  and  protein  synthesis.
            the analysis of the epigenome in rare or difficult-to-isolate   However, gene expression also involves complex post-
            cell populations, which are often inaccessible to traditional   transcriptional and translational regulatory mechanisms.
            bulk analysis techniques. Second, these methods facilitate   Proteomics focuses on studying various properties of
            the  characterization  of  heterogeneous  cell  populations   proteins, including their interactions, post-translational
            by allowing for the classification of individual cells into   modifications, expression, and regulation. It examines
            known types or the discovery of novel subpopulations   protein changes within an organism in a holistic manner to
            with distinct epigenomic profiles. This approach enhances   explain individual physiological and metabolic activities.
            our understanding of cellular diversity and function   The most significant distinction between proteomics
            within tissues. Finally, single-cell epigenomics provides   and traditional protein studies is that proteomics does
            insights into the long-range correlations and dynamics   not focus on studying one or a few proteins in isolation.
            of epigenetic modifications across cell populations.   Instead, it systematically investigates the overall response of
            By analyzing these dynamics, researchers can gain a   proteins, their expression, and interactions under different


            Volume 9 Issue 2 (2025)                         6                               doi: 10.36922/ejmo.6883
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