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This protocol presents a standardized approach for single-cell RNA sequencing analysis of lung tissue in a rat model of acute respiratory distress syndrome (ARDS). These results demonstrate the successful establishment of the LPS-induced ARDS model, as confirmed by histopathological examination, elevated lung injury scores, and increased levels of inflammatory cytokines in BALF and serum. Single-cell transcriptomic analysis revealed 21 distinct cell populations, with notable increases in macrophages/monocytes, neutrophils, and dendritic cells in ARDS tissues. Further characterization of macrophage/monocyte subpopulations identified six distinct clusters, including M1, M2, and tissue-resident macrophages, each displaying unique transcriptional signatures in response to ARDS.
The protocol described here addresses several critical technical challenges inherent to single-cell research in ARDS. The choice of enzymatic digestion method is paramount for successful cell liberation while maintaining cell viability and phenotype30. We employed Collagenase/Dispase digestion, which has been widely validated for lung tissue dissociation and provides a balance between efficient cell release and preservation of surface markers. This stepwise approach is crucial, as over-digestion can compromise cell viability and alter gene expression profiles, while under-digestion results in insufficient cell yield and potential bias toward easily liberated cell types.
Rigorous quality control at multiple steps is essential for generating high-quality scRNA-seq data. The current protocol incorporates several quality control checkpoints, beginning with careful tissue processing and extending through bioinformatic analysis. The mitochondrial and hemoglobin gene proportion thresholds used for cell filtering require optimization for each experimental system, as elevated mitochondrial RNA content can indicate cellular stress or apoptosis, but threshold values vary across cell types and experimental conditions. The integration of Harmony for batch effect correction is particularly important when analyzing samples from multiple animals or experimental batches. Batch effects can arise from various sources, including differences in tissue processing time, reagent lots, or sequencing runs. Failure to adequately address batch effects can lead to false identification of cell populations or obscure true biological differences between conditions. This protocol's inclusion of Harmony provides a robust method for batch correction that preserves biological variation while removing technical artifacts. Doublet detection and removal using DoubletFinder represents another critical quality control measure. Doublets, instances where two cells are captured as a single entity, can appear as artifactual cell states or transitional populations in downstream analysis. The frequency of doublets increases with higher cell loading concentrations, emphasizing the importance of optimized cell concentration during library preparation31,32.
The findings regarding macrophage heterogeneity in ARDS align with and extend emerging evidence that macrophages in ARDS exist in multiple activation states beyond the classical M1/M2 paradigm20. The identification of six distinct macrophage/monocyte subpopulations, including tissue-resident macrophages, provides important insights into the complex immune landscape of ARDS. Tissue-resident macrophages, likely representing alveolar macrophages, differ fundamentally from recruited monocyte-derived macrophages in their developmental origin, surface marker expression, and functional properties33,34,35. These resident populations play critical roles in maintaining lung homeostasis and orchestrating early immune responses, and their dysregulation may contribute to ARDS pathogenesis36. As reflected by differential gene expression analyses between ARDS and control groups for each macrophage subpopulation, these analyses revealed distinct transcriptional programs activated in response to LPS-induced injury. GO and KEGG enrichment analyses of these differentially expressed genes illuminated the specific biological processes and signaling pathways engaged by each macrophage subset37,38,39. Result of enrichment analysis indicating that proinflammatory cytokines-related pathways, such as the PI3K-Akt signaling pathway, MAPK signaling pathway, TNF signaling pathway, IL-17 signaling pathway, Toll-like receptor signaling pathway, NOD-like receptor signaling pathway, and NFκB signaling pathway, play critical roles in this process. Among them, the PI3K-Akt and MAPK signaling pathways can activate NFκB signaling through phosphorylation of AKT and p38 MAPK. Subsequently, activation of the NFκB signaling pathway promotes the extensive transcription, synthesis, and secretion of TNF-α, IL-1β, and IL-6, thereby amplifying the inflammatory cascade40,41,42. We might consider that the development of ARDS showed a remarkable association with the proinflammatory cytokine-related pathways above in certain subpopulations of macrophage/monocyte cells.
The standardized protocol presented here can be applied to investigate therapeutic interventions by comparing cellular responses between treated and untreated ARDS animals. Single-cell resolution enables the identification of cell-type-specific drug effects and potential mechanisms of action or resistance that would be obscured in bulk analyses. The protocol could be modified to examine different stages of ARDS progression by analyzing tissues at multiple time points, potentially revealing dynamic changes in cellular composition and cell state trajectories. However, the computational analysis of scRNA-seq data involves numerous parameter choices and methodological decisions that can influence results. Clustering resolution, marker gene selection, and trajectory inference algorithms each involve assumptions and parameters that require careful consideration and validation. We recommend performing sensitivity analyses to assess the robustness of findings to parameter choices and, when possible, validating key findings through orthogonal experimental approaches.
In conclusion, this protocol provides a robust, standardized, and reproducible approach for single-cell RNA sequencing analysis of ARDS lung tissue in rat models. The identification of distinct macrophage subpopulations with specific activation states and functional profiles illustrates the power of single-cell approaches for revealing cellular complexity that is obscured in bulk analyses. Single-cell characterization of disease-associated cell states can identify novel therapeutic targets and provide a mechanistic understanding of ARDS progression and resolution. The standardized nature of this protocol facilitates reproducibility across laboratories and enables meaningful comparisons between studies, meta-analyses combining datasets from multiple sources, and progressive refinement of single-cell atlases of ARDS.