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Tumor Discovery                                                         Monocytes from single-cell analysis



            surface to identify cell types or subtypes; therefore, it is hard   In late monopoiesis, the bone marrow-derived monocytes
            to purify cell clusters for further experiments. As reported   can be divided into two subpopulations—“classical”
            by some studies [7,8] , there are many methods that study the   Ly6C CX3CR1 low   (CCR2 CD62L ) and “nonclassical”
                                                                                   +
                                                                                          +
                                                                   hi
            behavior and phenotype of single cells, but these methods   Ly6C CX3CR1 (CCR2 CD62L ) monocytes . In their
                                                                            hi
                                                                   low
                                                                                   −
                                                                                         −
                                                                                                    [18]
            do not seem to completely avoid the interactions between   subsequent work, researchers demonstrated an intermediate
            the single cells in further analyses , and these interactions   cell state, which is Ly6C CD43 CX3CR1  in mice  and
                                      [9]
                                                                                   int
                                                                                                 hi
                                                                                         hi
            between individual cells should not be ignored. Under this   CD14 CD16 in humans . The difference between the
                                                                                   [20]
                                                                   +
                                                                         +
            circumstance, single-cell  analysis techniques, including   two subtypes is that Ly6  monocytes circulate in blood ,
                                                                                                           [21]
                                                                                  low
            single-cell RNA sequencing (scRNA-seq) and cytometry   while classical inflammatory monocytes (CCR2 Ly6C  in
                                                                                                     hi
                                                                                                          +
            (CyTOF), were developed. These unbiased methods    mice and CCR2 CD14 CD16 in humans) are recruited to
                                                                                 +
                                                                                      –
                                                                            hi
            enable more specific transcriptional and proteomic   tumor sites where they increase the macrophage content and
            profiling of different cell clusters at the single-cell level.   promote tumor growth and metastasis . However, little is
                                                                                             [22]
            Through single-cell genomics, we can easily determine   known about whether this kind of classification corresponds
            the level of gene expression of thousands of cells in a   to  the  functional  specialization  of  distinct  subsets.  Ly6C
                                                                                                             +
            single experiment without having to perform complex cell   monocytes can be recruited and differentiated into
            purification processes. This also helps with unbiased and   macrophages or DCs in tissue, while Ly6C monocytes
                                                                                                   −
            precise classification of cell types and states, clustering and   circulate in the blood and play a role as scavengers .
                                                                                                      [23]
            trajectory analysis as well as detection of genes that govern
            cell state [10,11] . In contrast to traditional transcriptome   Single-cell analysis is critical to  providing new
            analysis in which researchers extract bulk RNA from   insights for studying human cancer. For example,
            tissues and ultimately obtain average gene expression   researchers can study the cell components in the complex
            profiles, the scRNA-seq focuses on the heterogeneity of   microenvironment of acute myeloid leukemia through
                                                                                                    [24]
            numerous cells. Thus, this recently developed technology   scRNA-seq to investigate tumor progression . Zilionis
            might provide us with new insights into monocytes.  et   al.  recently uncovered  25  tumor-infiltrating  myeloid
                                                               cells (TIMs) in non-small cell lung cancer patients using
              ICB is beneficial to patients with diverse cancer types.   single-cell transcriptomics methods, and also profiled
            Consistent  responses  have  been  reported  in  patients  with   TIMs in  mice. Compared  to  TIMs  across  species,  they
            advanced melanoma that received ICB as treatment ,   identified an almost congruence of population structures
                                                        [12]
            thus prompting the trials of ICB to other cancers, including   among DCs and monocytes, and found conserved
            bladder cancer, non-small cell lung cancer, and Hodgkin’s   neutrophil  subsets  and  species  differences  among
            lymphoma [13-15] . Despite the increase in overall survival in   macrophages . Moreover, Puram  et al. applied single-
                                                                         [25]
            33% – 40% of patients with melanoma, anti-PD-1 treatment   cell transcriptomic analysis of nearly 6000 single cells
            has not been found to be effective in most treated patients   from 18 head and neck squamous cell carcinoma patients,
            and has resulted in disease progression at a median follow-up   refined the subtypes of tumors, and gave new insights into
            of 21 months in 25% of patients [16,17] . Therefore, it is necessary   the ecosystem .
                                                                          [26]
            to find biomarkers to identify individuals that are responsive
            to clinical treatment. Of note, investigating the state of   Cell subpopulations are traditionally defined according
            monocytes and the single role of each subtype can be helpful for   to a combination of morphology, localization, functions,
            further study. In this review, we briefly summarize the recent   ontogeny, and expression of a restricted set of molecular
            findings about the classification and molecular mechanisms   markers. The aforementioned classification of three types
            of differentiation, interactions between monocytes and   of monocytes (classical, nonclassical, and intermediate)
            T  lymphocytes and  other  components  in TME, and  how   was first conducted in the late 1980s by using two-color
            they influence the responsiveness of immunotherapies and   flow cytometric detection of CD14 and CD16 antigens on
            predict the prognosis of patients treated.         human peripheral blood mononuclear cells (PBMCs) .
                                                                                                           [27]
                                                               Single-cell transcriptional profiling has challenged our
            2. Monocytes in human tumors                       understanding of heterogeneity in monocytes and other
                                                                                                  [28]
            2.1. Overview of monocytes states                  well-established immune cell populations . Single-cell
                                                               RNA sequencing can identify these cells easily and quickly
            Monocytes  are  innate  immune  cells  that  patrol  in  the   in an unbiased and precise way.
            bloodstream and can be recruited into diverse tissues at an
            increased rate during inflammation or tumorigenesis .   Recent  technological  advances  that  allow  single-
                                                        [18]
            They are responsible for maintaining tissue homeostasis,   cell analysis of phenotypic and transcriptional states
            initiating host responses to pathogens, and involved in   have revealed a vast heterogeneity of tumor-associated
            immune responses  (summarized in Table 1).         monocytes/macrophages. Villani  et al. revealed four
                           [19]
            Volume 1 Issue 1 (2022)                         2                         https://doi.org/10.36922/td.v1i1.4
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