Publications by authors named "Alyssa R Richman"

Multiple sclerosis (MS) is an autoimmune demyelinating disease of the central nervous system, representing the leading cause of non-traumatic neurologic disease in young adults. This disease is three times more common in women, yet more severe in men, but the mechanisms underlying these sex differences remain largely unknown. MS is initiated by autoreactive T helper cells, but CNS-resident and CNS-infiltrating myeloid cells are the key proximal effector cells regulating disease pathology.

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  • Single-cell RNA sequencing has uncovered a wide variety of transcriptional cell states in cancer that exist independently from genetic differences, leading to the investigation of how these states are encoded through epigenetic changes.
  • The research involved combining multiple data types (DNA methylation, transcriptome, and genotype) from the same cells in diffuse gliomas to identify significant epigenetic switches and mechanisms that contribute to cancer development.
  • A new method was developed to assess the inheritance and transition of malignant cell states in gliomas, revealing important distinctions between the cell state structures of IDH-mutant and IDH-wild-type gliomas, thus linking these cancer cell states to their epigenetic origins and dynamics.
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T cells are critical effectors of cancer immunotherapies, but little is known about their gene expression programs in diffuse gliomas. Here, we leverage single-cell RNA sequencing (RNA-seq) to chart the gene expression and clonal landscape of tumor-infiltrating T cells across 31 patients with isocitrate dehydrogenase (IDH) wild-type glioblastoma and IDH mutant glioma. We identify potential effectors of anti-tumor immunity in subsets of T cells that co-express cytotoxic programs and several natural killer (NK) cell genes.

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  • Synovial sarcoma (SyS) is an aggressive cancer driven by the SS18-SSX fusion, showing low levels of T cell infiltration, which indicates immune evasion.
  • Researchers used single-cell RNA sequencing to analyze 16,872 cells from human SyS tumors, identifying a key malignant subpopulation linked to poorer clinical outcomes and immune-deprived areas.
  • The study found that the malignant cell state is influenced by the SS18-SSX fusion and can be targeted with a combination of HDAC and CDK4/CDK6 inhibitors, boosting T cell responses and enhancing treatment effectiveness.
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  • * Researchers conducted single-cell transcriptomics on 25 medulloblastomas to explore the heterogeneity within and between tumor types, noting specific characteristics for each subgroup.
  • * The study found that different tumor groups have unique populations of undifferentiated and differentiated cells, with specific cell types correlating to patient age; this sheds light on the cellular development that drives the distinct behaviors of each medulloblastoma subtype.
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Diverse genetic, epigenetic, and developmental programs drive glioblastoma, an incurable and poorly understood tumor, but their precise characterization remains challenging. Here, we use an integrative approach spanning single-cell RNA-sequencing of 28 tumors, bulk genetic and expression analysis of 401 specimens from the The Cancer Genome Atlas (TCGA), functional approaches, and single-cell lineage tracing to derive a unified model of cellular states and genetic diversity in glioblastoma. We find that malignant cells in glioblastoma exist in four main cellular states that recapitulate distinct neural cell types, are influenced by the tumor microenvironment, and exhibit plasticity.

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Neoantigens, which are derived from tumour-specific protein-coding mutations, are exempt from central tolerance, can generate robust immune responses and can function as bona fide antigens that facilitate tumour rejection. Here we demonstrate that a strategy that uses multi-epitope, personalized neoantigen vaccination, which has previously been tested in patients with high-risk melanoma, is feasible for tumours such as glioblastoma, which typically have a relatively low mutation load and an immunologically 'cold' tumour microenvironment. We used personalized neoantigen-targeting vaccines to immunize patients newly diagnosed with glioblastoma following surgical resection and conventional radiotherapy in a phase I/Ib study.

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