PT - JOURNAL ARTICLE AU - Nicholas Borcherding AU - Kawther K. Ahmed AU - Andrew P. Voigt AU - Ajaykumar Vishwakarma AU - Ryan Kolb AU - Paige Kluz AU - Gaurav Pandey AU - Katherine N. Gibson-Corley AU - Julia Klesney-Tait AU - Yuwen Zhu AU - Jinglu Lu AU - Jinsong Lu AU - Xian Huang AU - Jinke Cheng AU - Song Guo Zheng AU - Xuefeng Wu AU - Yousef Zakharia AU - Weizhou Zhang TI - Transcriptional heterogeneity in cancer-associated regulatory T cells is predictive of survival AID - 10.1101/478628 DP - 2018 Jan 01 TA - bioRxiv PG - 478628 4099 - http://biorxiv.org/content/early/2018/11/26/478628.short 4100 - http://biorxiv.org/content/early/2018/11/26/478628.full AB - Regulatory T cells (Tregs) are a population of T cells that exert a suppressive effect on a variety of immune cells and non-immune cells. The suppressive effects of Tregs are detrimental to anti-tumor immunity. Recent investigations into cancer-associated Tregs have identified common expression patterns for tumor-infiltration, however the functional heterogeneity in tumor-infiltrating (TI) Treg is largely unknown. We performed single-cell sequencing on immune cells derived from renal clear cell carcinoma (ccRCC) patients, isolating 160 peripheral-blood (PB) Tregs and 574 TI Tregs. We identified distinct transcriptional TI Treg cell fates, with a suppressive subset expressing CD177. We demonstrate CD177+ TI-Tregs have preferential suppressive effects in vivo and ex vivo. Gene signatures derived the CD177+ Treg subset had superior ability to predict survival in ccRCC and seven other cancer types. Further investigation into the development and regulation of TI-Treg heterogeneity will be vital to the application of tumor immunotherapies that possess minimal side effects.