RT Journal Article SR Electronic T1 Single-Cell Transcriptomic Analysis of Human Lung Reveals Complex Multicellular Changes During Pulmonary Fibrosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 296608 DO 10.1101/296608 A1 Paul A. Reyfman A1 James M. Walter A1 Nikita Joshi A1 Kishore R. Anekalla A1 Alexandra C. McQuattie-Pimentel A1 Stephen Chiu A1 Ramiro Fernandez A1 Mahzad Akbarpour A1 Ching-I Chen A1 Ziyou Ren A1 Rohan Verma A1 Hiam Abdala-Valencia A1 Kiwon Nam A1 Monica Chi A1 SeungHye Han A1 Francisco J. Gonzalez-Gonzalez A1 Saul Soberanes A1 Satoshi Watanabe A1 Kinola J.N. Williams A1 Annette S Flozak A1 Trevor T. Nicholson A1 Vince K. Morgan A1 Cara L. Hrusch A1 Robert D. Guzy A1 Catherine A. Bonham A1 Anne I. Sperling A1 Remzi Bag A1 Robert B. Hamanaka A1 Gökhan M. Mutlu A1 Anjana V. Yeldandi A1 Stacy A. Marshall A1 Ali Shilatifard A1 Luis A.N. Amaral A1 Harris Perlman A1 Jacob I. Sznajder A1 Deborah R. Winter A1 Monique Hinchcliff A1 A. Christine Argento A1 Colin T. Gillespie A1 Jane D’Amico Dematte A1 Manu Jain A1 Benjamin D. Singer A1 Karen M. Ridge A1 Cara J. Gottardi A1 Anna P. Lam A1 Ankit Bharat A1 Sangeeta M. Bhorade A1 G.R. Scott Budinger A1 Alexander V. Misharin YR 2018 UL http://biorxiv.org/content/early/2018/04/06/296608.abstract AB Pulmonary fibrosis is a devastating disorder that results in the progressive replacement of normal lung tissue with fibrotic scar. Available therapies slow disease progression, but most patients go on to die or require lung transplantation. Single-cell RNA-seq is a powerful tool that can reveal cellular identity via analysis of the transcriptome, but its ability to provide biologically or clinically meaningful insights in a disease context is largely unexplored. Accordingly, we performed single-cell RNA-seq on lung tissue obtained from eight transplant donors and eight recipients with pulmonary fibrosis and one bronchoscopic cryobiospy sample. Integrated single-cell transcriptomic analysis of donors and patients with pulmonary fibrosis identified the emergence of distinct populations of epithelial cells and macrophages that were common to all patients with lung fibrosis. Analysis of transcripts in the Wnt pathway suggested that within the same cell type, Wnt secretion and response are restricted to distinct non-overlapping cells, which was confirmed using in situ RNA hybridization. Single-cell RNA-seq revealed heterogeneity within alveolar macrophages from individual patients, which was confirmed by immunohistochemistry. These results support the feasibility of discovery-based approaches applying next generation sequencing technologies to clinically obtained samples with a goal of developing personalized therapies.One Sentence Summary Single-cell RNA-seq applied to tissue from diseased and donor lungs and a living patient with pulmonary fibrosis identifies cell type-specific disease-associated molecular pathways.