Single-cell analysis of Crohn’s disease lesions identifies a pathogenic cellular module associated with resistance to anti-TNF therapy
Download from source ↗Dataset overview
Single-Cell Analysis of Crohn's Disease Lesions Identifies a Pathogenic Cellular Module Associated with Resistance to Anti-TNF Therapy.
Abstract
Clinical benefits of cytokine blockade in ileal Crohn's disease (iCD) are limited to a subset of patients. Here, we applied single-cell technologies to iCD lesions to address whether cellular heterogeneity contributes to treatment resistance. We found that a subset of patients expressed a unique cellular module in inflamed tissues that consisted of IgG plasma cells, inflammatory mononuclear phagocytes, activated T cells, and stromal cells, which we named the GIMATS module. Analysis of ligand-receptor interaction pairs identified a distinct network connectivity that likely drives the GIMATS module. Strikingly, the GIMATS module was also present in a subset of patients in four independent iCD cohorts (n = 441), and its presence at diagnosis correlated with failure to achieve durable corticosteroid-free remission upon anti-TNF therapy. These results emphasize the limitations of current diagnostic assays and the potential for single-cell mapping tools to identify novel biomarkers of treatment response and tailored therapeutic opportunities.
doi:10.1016/j.cell.2019.08.008 ↗ PMID 31474370 ↗ PMC7060942 ↗
Study facts
- Organism
- Homo sapiens
- Platform
- Illumina HiSeq 2000
- Age group
- paediatric
- Disease groups
- —
- Anatomical sites
- ileum
Data availability
- Processed matrix
File types
CSV
Files and samples
- Ileal biopsy199
| Accession | Sample | Tissue | Molecule |
|---|---|---|---|
GSM3975848 |
Ileal biopsy, J10352 | Ileal biopsy | total RNA |
GSM3975850 |
Ileal biopsy, J10327 | Ileal biopsy | total RNA |
GSM3975851 |
Ileal biopsy, J10123 | Ileal biopsy | total RNA |
GSM3975852 |
Ileal biopsy, J10201 | Ileal biopsy | total RNA |
GSM3975854 |
Ileal biopsy, J10278 | Ileal biopsy | total RNA |
GSM3975855 |
Ileal biopsy, J10362 | Ileal biopsy | total RNA |
GSM3975857 |
Ileal biopsy, J10347 | Ileal biopsy | total RNA |
GSM3975858 |
Ileal biopsy, J10033 | Ileal biopsy | total RNA |
GSM3975860 |
Ileal biopsy, J10175 | Ileal biopsy | total RNA |
GSM3975861 |
Ileal biopsy, J10174 | Ileal biopsy | total RNA |
GSM3975863 |
Ileal biopsy, J10344 | Ileal biopsy | total RNA |
GSM3975864 |
Ileal biopsy, J10291 | Ileal biopsy | total RNA |
GSM3975866 |
Ileal biopsy, J10348 | Ileal biopsy | total RNA |
GSM3975867 |
Ileal biopsy, J10231 | Ileal biopsy | total RNA |
GSM3975868 |
Ileal biopsy, J10178 | Ileal biopsy | total RNA |
GSM3975870 |
Ileal biopsy, J10095 | Ileal biopsy | total RNA |
GSM3975871 |
Ileal biopsy, J10357 | Ileal biopsy | total RNA |
GSM3975873 |
Ileal biopsy, J10197 | Ileal biopsy | total RNA |
GSM3975874 |
Ileal biopsy, J10169 | Ileal biopsy | total RNA |
GSM3975876 |
Ileal biopsy, J10079 | Ileal biopsy | total RNA |
GSM3975877 |
Ileal biopsy, J10359 | Ileal biopsy | total RNA |
GSM3975879 |
Ileal biopsy, J10370 | Ileal biopsy | total RNA |
GSM3975880 |
Ileal biopsy, J10209 | Ileal biopsy | total RNA |
GSM3975882 |
Ileal biopsy, J10315 | Ileal biopsy | total RNA |
GSM3975883 |
Ileal biopsy, J10371 | Ileal biopsy | total RNA |
GSM3975885 |
Ileal biopsy, J10286 | Ileal biopsy | total RNA |
GSM3975886 |
Ileal biopsy, J10240 | Ileal biopsy | total RNA |
GSM3975888 |
Ileal biopsy, J10386 | Ileal biopsy | total RNA |
GSM3975889 |
Ileal biopsy, J10051 | Ileal biopsy | total RNA |
GSM3975891 |
Ileal biopsy, J10014 | Ileal biopsy | total RNA |
GSM3975892 |
Ileal biopsy, J10369 | Ileal biopsy | total RNA |
GSM3975894 |
Ileal biopsy, J10380 | Ileal biopsy | total RNA |
GSM3975895 |
Ileal biopsy, J10026 | Ileal biopsy | total RNA |
GSM3975896 |
Ileal biopsy, J10055 | Ileal biopsy | total RNA |
GSM3975898 |
Ileal biopsy, J10120 | Ileal biopsy | total RNA |
GSM3975899 |
Ileal biopsy, J10288 | Ileal biopsy | total RNA |
GSM3975901 |
Ileal biopsy, J10136 | Ileal biopsy | total RNA |
GSM3975902 |
Ileal biopsy, J10057 | Ileal biopsy | total RNA |
GSM3975904 |
Ileal biopsy, J10140 | Ileal biopsy | total RNA |
GSM3975905 |
Ileal biopsy, J10255 | Ileal biopsy | total RNA |
GSM3975907 |
Ileal biopsy, J10114 | Ileal biopsy | total RNA |
GSM3975908 |
Ileal biopsy, J10329 | Ileal biopsy | total RNA |
GSM3975910 |
Ileal biopsy, J10018 | Ileal biopsy | total RNA |
GSM3975911 |
Ileal biopsy, J10163 | Ileal biopsy | total RNA |
GSM3975913 |
Ileal biopsy, J10118 | Ileal biopsy | total RNA |
GSM3975915 |
Ileal biopsy, J10127 | Ileal biopsy | total RNA |
GSM3975916 |
Ileal biopsy, J10062 | Ileal biopsy | total RNA |
GSM3975917 |
Ileal biopsy, J10129 | Ileal biopsy | total RNA |
GSM3975919 |
Ileal biopsy, J10280 | Ileal biopsy | total RNA |
GSM3975920 |
Ileal biopsy, J10170 | Ileal biopsy | total RNA |
GSM3975922 |
Ileal biopsy, J10097 | Ileal biopsy | total RNA |
GSM3975923 |
Ileal biopsy, J10070 | Ileal biopsy | total RNA |
GSM3975925 |
Ileal biopsy, J10035 | Ileal biopsy | total RNA |
GSM3975926 |
Ileal biopsy, J10396 | Ileal biopsy | total RNA |
GSM3975928 |
Ileal biopsy, J10238 | Ileal biopsy | total RNA |
GSM3975929 |
Ileal biopsy, J10403 | Ileal biopsy | total RNA |
GSM3975931 |
Ileal biopsy, J10409 | Ileal biopsy | total RNA |
GSM3975932 |
Ileal biopsy, J10393 | Ileal biopsy | total RNA |
GSM3975934 |
Ileal biopsy, J10016 | Ileal biopsy | total RNA |
GSM3975935 |
Ileal biopsy, J10053 | Ileal biopsy | total RNA |
GSM3975937 |
Ileal biopsy, J10385 | Ileal biopsy | total RNA |
GSM3975938 |
Ileal biopsy, J10098 | Ileal biopsy | total RNA |
GSM3975939 |
Ileal biopsy, J10125 | Ileal biopsy | total RNA |
GSM3975941 |
Ileal biopsy, J10072 | Ileal biopsy | total RNA |
GSM3975942 |
Ileal biopsy, J10196 | Ileal biopsy | total RNA |
GSM3975944 |
Ileal biopsy, J10253 | Ileal biopsy | total RNA |
GSM3975945 |
Ileal biopsy, J10308 | Ileal biopsy | total RNA |
GSM3975947 |
Ileal biopsy, J10404 | Ileal biopsy | total RNA |
GSM3975948 |
Ileal biopsy, J10346 | Ileal biopsy | total RNA |
GSM3975950 |
Ileal biopsy, J10252 | Ileal biopsy | total RNA |
GSM3975951 |
Ileal biopsy, J10258 | Ileal biopsy | total RNA |
GSM3975953 |
Ileal biopsy, J10275 | Ileal biopsy | total RNA |
GSM3975954 |
Ileal biopsy, J10294 | Ileal biopsy | total RNA |
GSM3975956 |
Ileal biopsy, J10183 | Ileal biopsy | total RNA |
GSM3975957 |
Ileal biopsy, J10332 | Ileal biopsy | total RNA |
GSM3975959 |
Ileal biopsy, J10269 | Ileal biopsy | total RNA |
GSM3975960 |
Ileal biopsy, J10173 | Ileal biopsy | total RNA |
GSM3975961 |
Ileal biopsy, J10092 | Ileal biopsy | total RNA |
GSM3975963 |
Ileal biopsy, J10086 | Ileal biopsy | total RNA |
GSM3975964 |
Ileal biopsy, J10135 | Ileal biopsy | total RNA |
GSM3975966 |
Ileal biopsy, J10063 | Ileal biopsy | total RNA |
GSM3975967 |
Ileal biopsy, J10065 | Ileal biopsy | total RNA |
GSM3975969 |
Ileal biopsy, J10374 | Ileal biopsy | total RNA |
GSM3975970 |
Ileal biopsy, J10153 | Ileal biopsy | total RNA |
GSM3975972 |
Ileal biopsy, J10121 | Ileal biopsy | total RNA |
GSM3975973 |
Ileal biopsy, J10283 | Ileal biopsy | total RNA |
GSM3975974 |
Ileal biopsy, J10265 | Ileal biopsy | total RNA |
GSM3975976 |
Ileal biopsy, J10119 | Ileal biopsy | total RNA |
GSM3975977 |
Ileal biopsy, J10004 | Ileal biopsy | total RNA |
GSM3975979 |
Ileal biopsy, J10143 | Ileal biopsy | total RNA |
GSM3975980 |
Ileal biopsy, J10325 | Ileal biopsy | total RNA |
GSM3975982 |
Ileal biopsy, J10377 | Ileal biopsy | total RNA |
GSM3975983 |
Ileal biopsy, J10206 | Ileal biopsy | total RNA |
GSM3975985 |
Ileal biopsy, J10273 | Ileal biopsy | total RNA |
GSM3975986 |
Ileal biopsy, J10059 | Ileal biopsy | total RNA |
GSM3975987 |
Ileal biopsy, J10402 | Ileal biopsy | total RNA |
GSM3975989 |
Ileal biopsy, J10241 | Ileal biopsy | total RNA |
GSM3975990 |
Ileal biopsy, J10090 | Ileal biopsy | total RNA |
GSM3975992 |
Ileal biopsy, J10157 | Ileal biopsy | total RNA |
GSM3975993 |
Ileal biopsy, J10186 | Ileal biopsy | total RNA |
GSM3975995 |
Ileal biopsy, J10388 | Ileal biopsy | total RNA |
GSM3975996 |
Ileal biopsy, J10106 | Ileal biopsy | total RNA |
GSM3975998 |
Ileal biopsy, J10324 | Ileal biopsy | total RNA |
GSM3975999 |
Ileal biopsy, J10061 | Ileal biopsy | total RNA |
GSM3976001 |
Ileal biopsy, J10226 | Ileal biopsy | total RNA |
GSM3976002 |
Ileal biopsy, J10367 | Ileal biopsy | total RNA |
GSM3976004 |
Ileal biopsy, J10298 | Ileal biopsy | total RNA |
GSM3976005 |
Ileal biopsy, J10384 | Ileal biopsy | total RNA |
GSM3976007 |
Ileal biopsy, J10274 | Ileal biopsy | total RNA |
GSM3976008 |
Ileal biopsy, J10264 | Ileal biopsy | total RNA |
GSM3976009 |
Ileal biopsy, J10282 | Ileal biopsy | total RNA |
GSM3976011 |
Ileal biopsy, J10250 | Ileal biopsy | total RNA |
GSM3976012 |
Ileal biopsy, J10069 | Ileal biopsy | total RNA |
GSM3976014 |
Ileal biopsy, J10335 | Ileal biopsy | total RNA |
GSM3976015 |
Ileal biopsy, J10305 | Ileal biopsy | total RNA |
GSM3976017 |
Ileal biopsy, J10214 | Ileal biopsy | total RNA |
GSM3976018 |
Ileal biopsy, J10130 | Ileal biopsy | total RNA |
GSM3976020 |
Ileal biopsy, J10117 | Ileal biopsy | total RNA |
GSM3976021 |
Ileal biopsy, J10382 | Ileal biopsy | total RNA |
GSM3976023 |
Ileal biopsy, J10233 | Ileal biopsy | total RNA |
GSM3976024 |
Ileal biopsy, J10217 | Ileal biopsy | total RNA |
GSM3976026 |
Ileal biopsy, J10303 | Ileal biopsy | total RNA |
GSM3976027 |
Ileal biopsy, J10391 | Ileal biopsy | total RNA |
GSM3976029 |
Ileal biopsy, J10405 | Ileal biopsy | total RNA |
GSM3976030 |
Ileal biopsy, J10311 | Ileal biopsy | total RNA |
GSM3976032 |
Ileal biopsy, J10236 | Ileal biopsy | total RNA |
GSM3976033 |
Ileal biopsy, J10158 | Ileal biopsy | total RNA |
GSM3976035 |
Ileal biopsy, J10394 | Ileal biopsy | total RNA |
GSM3976036 |
Ileal biopsy, J10331 | Ileal biopsy | total RNA |
GSM3976038 |
Ileal biopsy, J10299 | Ileal biopsy | total RNA |
GSM3976039 |
Ileal biopsy, J10271 | Ileal biopsy | total RNA |
GSM3976040 |
Ileal biopsy, J10133 | Ileal biopsy | total RNA |
GSM3976042 |
Ileal biopsy, J10212 | Ileal biopsy | total RNA |
GSM3976043 |
Ileal biopsy, J10019 | Ileal biopsy | total RNA |
GSM3976045 |
Ileal biopsy, J10039 | Ileal biopsy | total RNA |
GSM3976046 |
Ileal biopsy, J10224 | Ileal biopsy | total RNA |
GSM3976047 |
Ileal biopsy, J10056 | Ileal biopsy | total RNA |
GSM3976049 |
Ileal biopsy, J10172 | Ileal biopsy | total RNA |
GSM3976050 |
Ileal biopsy, J10227 | Ileal biopsy | total RNA |
GSM3976052 |
Ileal biopsy, J10334 | Ileal biopsy | total RNA |
GSM3976053 |
Ileal biopsy, J10256 | Ileal biopsy | total RNA |
GSM3976054 |
Ileal biopsy, J10300 | Ileal biopsy | total RNA |
GSM3976056 |
Ileal biopsy, J10375 | Ileal biopsy | total RNA |
GSM3976057 |
Ileal biopsy, J10390 | Ileal biopsy | total RNA |
GSM3976059 |
Ileal biopsy, J10081 | Ileal biopsy | total RNA |
GSM3976060 |
Ileal biopsy, J10047 | Ileal biopsy | total RNA |
GSM3976062 |
Ileal biopsy, J10046 | Ileal biopsy | total RNA |
GSM3976063 |
Ileal biopsy, J10378 | Ileal biopsy | total RNA |
GSM3976065 |
Ileal biopsy, J10406 | Ileal biopsy | total RNA |
GSM3976066 |
Ileal biopsy, J10131 | Ileal biopsy | total RNA |
GSM3976068 |
Ileal biopsy, J10050 | Ileal biopsy | total RNA |
GSM3976069 |
Ileal biopsy, J10161 | Ileal biopsy | total RNA |
GSM3976071 |
Ileal biopsy, J10397 | Ileal biopsy | total RNA |
GSM3976072 |
Ileal biopsy, J10109 | Ileal biopsy | total RNA |
GSM3976073 |
Ileal biopsy, J10321 | Ileal biopsy | total RNA |
GSM3976075 |
Ileal biopsy, J10107 | Ileal biopsy | total RNA |
GSM3976076 |
Ileal biopsy, J10193 | Ileal biopsy | total RNA |
GSM3976078 |
Ileal biopsy, J10276 | Ileal biopsy | total RNA |
GSM3976079 |
Ileal biopsy, J10379 | Ileal biopsy | total RNA |
GSM3976081 |
Ileal biopsy, J10319 | Ileal biopsy | total RNA |
GSM3976082 |
Ileal biopsy, J10074 | Ileal biopsy | total RNA |
GSM3976083 |
Ileal biopsy, J10132 | Ileal biopsy | total RNA |
GSM3976085 |
Ileal biopsy, J10222 | Ileal biopsy | total RNA |
GSM3976086 |
Ileal biopsy, J10071 | Ileal biopsy | total RNA |
GSM3976088 |
Ileal biopsy, J10228 | Ileal biopsy | total RNA |
GSM3976089 |
Ileal biopsy, J10399 | Ileal biopsy | total RNA |
GSM3976091 |
Ileal biopsy, J10267 | Ileal biopsy | total RNA |
GSM3976092 |
Ileal biopsy, J10296 | Ileal biopsy | total RNA |
GSM3976094 |
Ileal biopsy, J10104 | Ileal biopsy | total RNA |
GSM3976095 |
Ileal biopsy, J10257 | Ileal biopsy | total RNA |
GSM3976096 |
Ileal biopsy, J10009 | Ileal biopsy | total RNA |
GSM3976098 |
Ileal biopsy, J10302 | Ileal biopsy | total RNA |
GSM3976099 |
Ileal biopsy, J10230 | Ileal biopsy | total RNA |
GSM3976101 |
Ileal biopsy, J10333 | Ileal biopsy | total RNA |
GSM3976102 |
Ileal biopsy, J10383 | Ileal biopsy | total RNA |
GSM3976104 |
Ileal biopsy, J10025 | Ileal biopsy | total RNA |
GSM3976106 |
Ileal biopsy, J10111 | Ileal biopsy | total RNA |
GSM3976107 |
Ileal biopsy, J10395 | Ileal biopsy | total RNA |
GSM3976109 |
Ileal biopsy, J10295 | Ileal biopsy | total RNA |
GSM3976110 |
Ileal biopsy, J10330 | Ileal biopsy | total RNA |
GSM3976111 |
Ileal biopsy, J10320 | Ileal biopsy | total RNA |
GSM3976113 |
Ileal biopsy, J10401 | Ileal biopsy | total RNA |
GSM3976114 |
Ileal biopsy, J10381 | Ileal biopsy | total RNA |
GSM3976116 |
Ileal biopsy, J10215 | Ileal biopsy | total RNA |
GSM3976117 |
Ileal biopsy, J10030 | Ileal biopsy | total RNA |
GSM3976119 |
Ileal biopsy, J10328 | Ileal biopsy | total RNA |
GSM3976120 |
Ileal biopsy, J10007 | Ileal biopsy | total RNA |
GSM3976122 |
Ileal biopsy, J10100 | Ileal biopsy | total RNA |
GSM3976123 |
Ileal biopsy, J10151 | Ileal biopsy | total RNA |
GSM3976125 |
Ileal biopsy, J10155 | Ileal biopsy | total RNA |
GSM3976126 |
Ileal biopsy, J10188 | Ileal biopsy | total RNA |
GSM3976127 |
Ileal biopsy, J10194 | Ileal biopsy | total RNA |
GSM3976129 |
Ileal biopsy, J10207 | Ileal biopsy | total RNA |
GSM3976130 |
Ileal biopsy, J10216 | Ileal biopsy | total RNA |
GSM3976132 |
Ileal biopsy, J10279 | Ileal biopsy | total RNA |
GSM3976133 |
Ileal biopsy, J10293 | Ileal biopsy | total RNA |
GSM3976135 |
Ileal biopsy, J10337 | Ileal biopsy | total RNA |
GSM3976136 |
Ileal biopsy, J10340 | Ileal biopsy | total RNA |
GSM3976138 |
Ileal biopsy, J10361 | Ileal biopsy | total RNA |
Strengths & limitations for reuse
Strengths
- Processed matrices are advertised
Limitations
- Not documented: raw counts are advertised
- Not documented: cell metadata are advertised
- Not documented: participant counts are documented
Extraction evidence & provenance
Each extracted field is shown with the source excerpt and location used to resolve it.
Assay
| Field | Value | Evidence |
|---|---|---|
assay.library_chemistry |
TruSeq RNA Sample preparation |
library preparation were performed using TruSeq RNA Sample preparation (Illumina) Section |
assay.platform |
Illumina HiSeq 2000 |
Illumina HiSeq 2000 Section |
assay.reference_genome |
Gencode v23 |
Gencode v23 as the reference genome Section |
Cohort
| Field | Value | Evidence |
|---|---|---|
cohort.age_group |
paediatric from source |
GEO age characteristics: 6.6; A1a; 8.0; A1a; 9.2; A1a; 9.5; A1a; 10.4; A1b; 10.7; A1b; 11.8; A1b; 12.6; A1b; 12.8; A1b; 13.6; A1b; 13.8; A1b; 14.2; A1b; 14.3; A1b; 14.8; A1b; 14.8; A1b; 14.8; A1b; 15.4; A1b; 15.8; A1b; 15.8; A1b; 15.9; A1b; 16.9; A1b; 6.2; A1a; 6.3; A1a; 6.5; A1a; 7.2; A1a; 7.3; A1a; 7.6; A1a; 7.7; A1a; 7.9 Section |
cohort.disease_activity_metadata_available |
True |
"inflammation": "Histologically involved" Section |
Data_Assets
| Field | Value | Evidence |
|---|---|---|
data_assets.open_access |
True |
Public on Aug 21 2019 Section |
data_assets.participant_metadata |
True |
"characteristics": {"gender": "Male", "tissue": "Ileal biopsy", "agedxyrs": "6.6", "location": "2", "diagnosis": "CD", "paris age": "A1a"} Section |
data_assets.processed_matrix |
True |
GSE134881_RISKfpkmAll.csv.gz Section |
Processing
| Field | Value | Evidence |
|---|---|---|
processing.normalization_method |
transcripts per million |
with transcripts per million as the output Section |
Specimens
| Field | Value | Evidence |
|---|---|---|
specimens.anatomical_sites |
['ileum'] |
Ileal biopsy Section |
specimens.inflamed_status_available |
True |
"inflammation": "Histologically involved" Section |
specimens.specimen_type |
biopsy |
Ileal biopsy, J10352 Section |