Immune Heterogeneity and Intercellular Networks of HPV-Related Head and
Neck Squamous Cell Carcinoma at Single Cell Resolution
Abstract
Objective: To examine the impact of viral infection and
carcinogens on the head and neck squamous cell carcinoma (HNSCC) tumor
immune microenvironment (TIME) and assess whether the immune signature
offers valuable clinical insights for immunotherapy. Methods:
By integrating the scRNA-seq data of tumor-infiltrating leukocytes
(TILs) from both HPV-negative (HPV -) and HPV-positive
(HPV +) HNSCC patients from TCGA cohort, a
comprehensive map of TIME in HNSCC was created. Results and
Conclusions: TILs exhibited distinct cellular composition and gene
expression between HPV - and HPV +
HNSCC. The remodeling of myeloid cells indicated that activated
dendritic cells possess migratory potential in HNSCC. C1QC
+ tumor-associated macrophages (TAMs) displayed an M2
signature in HPV - HNSCC, which may result from the
regulation of NR1H3. Further analysis of T cells demonstrated that
increased T follicular helper (Tfh) infiltration predicted improved
survival in HPV + HNSCC. These data point to an
activation-dependent exhaustion expression program, particularly for
TIGIT in GZMK + exhausted T cells in HPV
- HNSCC. And more robust CCL signaling in HPV
+ HNSCC provides insights into the molecular basis for
precision medicine.