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Jusino et al. J Cancer Metastasis Treat 2018;4:43  I  http://dx.doi.org/10.20517/2394-4722.2018.24                            Page 5 of 20

               Table 2. Single-cell RNA sequencing methods
                Methods                                  Description                            References
                scRNA-Seq    Single cell transcriptome analysis                                  [56]
                STRT-Seq     Provides adaptation of the template by switching oligonucleotide to barcode the 5’ of the   [62]
                             transcripts; allows for unbiased amplification among samples
                Smart-Seq    Allows the evaluation of single nucleotide polymorphisms in a full length of cDNA to barcode 96   [58]
                             samples
                Cel-Seq      Single cell in vitro technique that amplified mRNA linear that was multiplexed in a barcode manner  [60,61]
                Smart-Seq2   Improved the sensitivity, coverage, and accuracy using an inaccessible RNA nucleotide (locked   [57]
                             nucleic acid)
                RCA          Whole transcriptome amplification from a small quantity of DNA      [64]
                FISSEQ      In situ whole transcriptome amplification from a small quantity of DNA  [65]
                UMI          Unique molecule identifiers that are tagged to cDNA allows for adjusted amplification bias,   [66]
                             sensitivity, and background noise of samples
                Microfluidics  96-single cell Smart-Seq2 that uses a microfluidic system         [67]
                inDrop-Seq   Droplet-based; allows the sampling of thousands of cells to be sequenced with a barcode wrapped   [68]
                Drop-Seq     droplet                                                             [69]
                Cyto-Seq     Uses magnetic beads in combination with capture and poly(A) selection to analyze 100,000 cells  [70]
                SUPeR-Seq    Uses a universal poly(A) independent RNA sequencing                 [71]
                G&T-Seq      Simultaneous genome and transcriptome sequencing                    [72]
                FRISCR-Seq   Uses intracellular staining; contains a low degree of bias          [73]
                scMT-Seq     Simultaneously analyzes the methylome and the transcriptome of single cells  [74]
                scTrio-Seq   Simultaneously sequence the genomic, transcriptomic, and methylome of single cells  [75]
                Div-Seq      Scalable single nucleus RNA sequencing (sNuc-Seq), based that tracks dynamics of cells with high   [76]
                             sensitivity
                LCM-Seq      Laser capture microdissection in situ RNA sequencing                [77]
                Small RNA-Seq  Analysis of micro, small, and transference RNAs                   [78]

               heterogeneity of gene expression between groups of SCS methods. This method reduces the amplification
               to detect expression of genes in different single cells types . Cell expression by linear amplification and
                                                                  [59]
               sequencing (Cel-Seq and Cel-Seq2) uses the method of molecular barcoding to identify different single cells
               in a pool of cells [60,61] . Despite the cost-effectiveness of the technique, it remains under- development. Single
               cell tagged reverse transcription (STRT) is a type of sequencing that quantifies the 5’ mRNA gene expression
               in single cells, that is capable of locating promoters and enhancers. One of the latest is the Drop-Seq and
               Indrop-Seq by Islam et al.  in which thousands of cells in a droplet are sequenced by using a wrapped
                                      [62]
               unique barcode. Another method has been developed from fixed cells, and additional transcriptome and
               methylome analyses have been studied to determine changes in expression of RNA in single cells [47,63] .
               Several other variants are exemplified in Table 2 and reviewed in more details elsewhere.


               Despite being a time-consuming technique that requires multiple sampling and cannot be used to make
               generalizations, SCS can be used to diagnose rare tumor cells, detect earlier metastatic malignancies in CTCs,
               and study intra-tumor heterogeneity . Even though this technique provides high replicability can have a
                                              [50]
               high generation of false-positive or negatives or sequencing bias, affecting the applicability of the technique
               to drug treatment and diagnosis. Understanding intra-tumor heterogeneity can help improve current cancer
               treatments through precision medicine. Take for example breast cancer, which has been classified as at least
               18-21 subtypes with unique histological and molecular characteristics; yet therapy is delimited to the ER, PR,
               Her2 criteria . Since intra-tumor heterogeneity leads to chemotherapy resistance , SCS can help detect
                          [79]
                                                                                      [79]
               rare genotypes that may be an aid in this process. Intra-tumor heterogeneity may also confer some adaptive
               features to the tumor through distinctive biomarkers, so SCS can also help identify such biomarkers to
               improve current treatment selection and move forward into precise medicine.



               CENTROSOME ABERRATIONS, CHROMOSOME INSTABILITY AND TUMORIGENESIS
               Over  100 years  ago,  Theodor Boveri  coined  the  term centrosome  (independently and simultaneously
               discovered and called corpuscle central by van Beneden) and hypothesized that centrosome aberrations
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