{Reference Type}: Journal Article {Title}: Single-cell spatial multiomics reveals tumor microenvironment vulnerabilities in cancer resistance to immunotherapy. {Author}: Quek C;Pratapa A;Bai X;Al-Eryani G;Pires da Silva I;Mayer A;Bartonicek N;Harvey K;Maher NG;Conway JW;Kasalo RJ;Ben Cheikh B;Braubach O;Palendira U;Saw RPM;Stretch JR;Shannon KF;Menzies AM;Scolyer RA;Long GV;Swarbrick A;Wilmott JS; {Journal}: Cell Rep {Volume}: 43 {Issue}: 7 {Year}: 2024 Jul 23 暂无{DOI}: 10.1016/j.celrep.2024.114392 {Abstract}: Heterogeneous resistance to immunotherapy remains a major challenge in cancer treatment, often leading to disease progression and death. Using CITE-seq and matched 40-plex PhenoCycler tissue imaging, we performed longitudinal multimodal single-cell analysis of tumors from metastatic melanoma patients with innate resistance, acquired resistance, or response to immunotherapy. We established the multimodal integration toolkit to align transcriptomic features, cellular epitopes, and spatial information to provide deeper insights into the tumors. With longitudinal analysis, we identified an "immune-striving" tumor microenvironment marked by peri-tumor lymphoid aggregates and low infiltration of T cells in the tumor and the emergence of MITF+SPARCL1+ and CENPF+ melanoma subclones after therapy. The enrichment of B cell-associated signatures in the molecular composition of lymphoid aggregates was associated with better survival. These findings provide further insights into the establishment of microenvironmental cell interactions and molecular composition of spatial structures that could inform therapeutic intervention.