Abstract
(153/160 words) 26
Well-differentiated and dedifferentiated liposarcoma (WD/DD LPS) represent a pathological 27
continuum, often coexisting within the same tumor. While the dedifferentiated component is 28
clinically aggressive, marked by rapid growth and metastatic potential, the evolutionary 29
relationship between WD and DD LPS remains unknown. To investigate this, we performed 30
single-nucleus RNA sequencing on matched WD and DD tumor regions. Both compartments 31
shared a predominant population of undifferentiated mesenchymal cells, but only WD regions 32
contained cells expressing adipocytic differentiation markers and PPARG target genes. Given the 33
central role of PPARG in coordinating lipid metabolism and mitochondrial biogenesis during 34
adipogenesis, these findings suggest that loss of this program may underlie the poorly 35
differentiated, proliferative phenotype of DD LPS. Functional studies confirmed that PPARG 36
activation in DD LPS cells induces lipid accumulation, reduces proliferation, and impairs tumor 37
growth in vivo. These support a model in which impaired adipogenic differentiation underlies DD 38
LPS pathology and identify PPARG as a potential therapeutic target to promote differentiation 39
and suppress tumor progression. 40
41
Teaser (92/130 characters) 42
43
PPARG reprograms DD liposarcoma toward adipogenesis, reducing proliferation and tumor 44
growth 45
46
MAIN TEXT (/15,000 words) 47
48
Introduction
49
50
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 2 of 17
Liposarcoma (LPS) is the most common soft tissue sarcoma subtype in adults, and the 51
incidence is rising(1, 2). Understqanding of its biology lags behind other malignancies and 52
treatment options remain limited(3-5). Surgical resection is the primary treatment, but recurrence 53
occurs in more than 50% of cases and there are currently no curative options for recurrent disease 54
(6-8). These challenges underscore the urgent need for novel therapeutic strategies. 55
The World Health Organization (WHO) classifies LPS into five major subtypes: well-56
differentiated (WD), dedifferentiated (DD), myxoid, pleomorphic, and myxoid-pleomorphic. 57
Among these, WD and DD LPS are the most prevalent and are increasingly recognized as a 58
spectrum of the same disease—collectively termed WD/DD LPS—due to shared defining 59
genomic feature: amplification of the 12q13-15 locus, including MDM2(9, 10). 60
Clinically, WD/DD LPS manifests in various forms: as a homogeneous WD or DD LPS 61
tumor, or as a tumor with distinct components of both WD and DD LPS (11, 12). Although WD 62
LPS is generally indolent, some cases progress rapidly to DD LPS(13). Conversely, DD LPS—63
while generally associated with a high metastatic potential and a six-fold increased risk of 64
death—can occasionally follow a more protracted course(14-18). The observation that tumors can 65
recur with a histology different from the original subtype, including instances of DD LPS 66
recurring as WD, suggests that tumor differentiation exists along a dynamic continuum rather 67
than as a fixed binary state(12). These clinical scenarios suggest a dynamic, bidirectional 68
differentiated-dedifferentiated state, but the underlying molecular mechanisms remain poorly 69
understood. This clinical heterogeneity also indicates that histologic classification alone is 70
insufficient for the prognostication that drives treatment decisions. Molecular markers such as 71
MDM2 amplification level and IGF2BP3 expression have shown improved prognostic value, 72
emphasizing the need for a deeper understanding of tumor evolution in WD/DD LPS (19, 20). 73
Histologically, WD LPS is composed of mature adipocytes and lipoblasts with nuclear 74
atypia, while DD LPS consists of undifferentiated spindle cells with high mitotic rate and reduced 75
expression of adipogenic markers (7, 13, 21). Both subtypes are thought to originate from 76
mesenchymal precursors such as adipocyte progenitor cells or preadipocytes. Genomic analyses 77
have revealed similar somatic mutation profiles between WD and DD LPS, yet DD tumors exhibit 78
greater genomic complexity, including additional copy number alterations beyond 12q13–15—79
such as amplifications at 5p and 14q and deletions at 11q23–24, 19q13, 3q29, 9p22–24, or 80
17q21—suggesting secondary genomic events may drive dedifferentiation(22-26). 81
Viewing WD/DD LPS as a dynamic spectrum provides a framework to improve diagnosis, 82
prognostication, and therapeutic development. Although bulk genetic profiling has yielded 83
valuable insights, it has yet to elucidate the molecular mechanisms that govern differentiation 84
state and tumor progression. Single-cell and spatial omics approaches offer a powerful means to 85
dissect intra-tumoral heterogeneity and trace tumor evolution. A recent study by Gruel et al. used 86
single-cell transcriptomics to demonstrate that both WD and DD components originate from a 87
shared adipocyte stem cell and that differentiation in DD LPS is suppressed by TGF-β 88
signaling(27). 89
Building on this work, we performed single-nucleus RNA sequencing (snRNA-seq) on 90
paired WD and DD tumor components from patients with WD/DD LPS. Our data revealed 91
significant inter-patient heterogeneity, but a shared core architecture: both WD and DD 92
compartments were predominantly composed of undifferentiated mesenchymal cells, with only 93
WD regions containing cells expressing markers of preadipocytes and mature adipocytes. 94
Pseudotime trajectory analysis revealed a clear transcriptional path toward adipogenic 95
differentiation in WD tumors, associated with activation of PPARG target genes. 96
These findings led us to test whether PPARG activation could reprogram DD LPS cells 97
toward a more differentiated, less aggressive state. We found that the splice variant PPARG2 98
promoted lipid accumulation, reduced proliferation in vitro, and suppressed tumor growth in vivo. 99
Moreover, pharmacologic activation of PPARG with rosiglitazone impaired the growth of DD 100
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 3 of 17
LPS xenografts. Together, these results suggest that loss of PPARG-driven differentiation 101
underlies dedifferentiation in LPS and that restoring this program may represent a promising 102
therapeutic strategy. 103
104
Results
105
106
snRNA-seq identifies molecular heterogeneity in WD/DD LPS 107
108
The molecular basis of WD/DD LPS transition remains poorly understood, despite their 109
frequent co -occurrence within the same tumor. This spatial juxtaposition provides a unique 110
opportunity to investigate dedifferentiation in situ —offering direct insight into tumor evolution, 111
plasticity, and progression. We hypothesized that distinct transcriptional programs and 112
differentiation states underlie the histological differences between WD and DD components, and 113
that single-nucleus RNA sequencing (snRNA-seq) could resolve these programs at high resolution. 114
This approach is uniquely suited for LPS because it enables detection of mature adipocytes, which 115
are typically lost in single -cell RNA-seq using droplet -based platforms(28). This is particularly 116
important in LPS, where mature adipocytes and lipid-laden lipoblasts define WD histology and may 117
represent a differentiation endpoint or lineage anchor. Capturing these populations allows for more 118
accurate reconstruction of adipogenesis and identification of dedifferentiation events. 119
To identify tumors with clear histologic demarcation between WD and DD components, we 120
screened primary, untreated WD/DD LPS cases based on CT imaging and confirmed subtype 121
identity using histology and DNA -FISH ( Fig. 1A –C). Three tumors were selected for analysis 122
(Table 1 ). The tumors analyzed varied widely in size (8 –46 cm) and clinical behavior. This 123
heterogeneity reflects the clinical challenges posed by WD/DD LPS and underscores the need for 124
a deeper molecular understanding. WD components showed abundant mature adipocytes and 125
lipoblasts, while DD regions were composed of densely cellular, non -lipogenic spindle cells (Fig. 126
1B, Fig. S1A–B). MDM2 amplification was confirmed in both regions , validating their malignant 127
origin and enabling distinction between tumor and non-tumor nuclei in downstream analyses. 128
Following tissue dissociation and nuclei extraction, cDNA libraries were constructed and 129
sequenced. After read alignment and quality filtering using Cell Ranger and CellBender, we 130
integrated datasets by patient and subtype using Seurat (29-31). Dimensionality reduction and 131
clustering revealed 22 distinct transcriptional populations (Fig. 2A). Of these, 10 clusters expressed 132
canonical LPS oncogenes ( MDM2, CDK4, HMGA2) (Fig. 2B, Fig. S2), suggesting a tumor cell 133
identity. To validate this classification, we performed copy number inference, which revealed 134
characteristic gains on chromosome 12q13 –15—encompassing the MDM2 locus—specifically in 135
these clusters ( Fig. 2C). Inferred CNAs provided orthogonal confirmation of tumor identity and 136
helped distinguish malignant from stromal and immune populations. 137
To focus our analysis on tumor -intrinsic heterogeneity, we re -clustered MDM2-amplified 138
nuclei and identified nine transcriptionally distinct tumor cell states (Fig. 2D) (32). These included 139
proliferative clusters, metabolically active populations, and cells with mesenchymal, immune-like, 140
or adipogenic features (Fig. S3A -D). These data reveal extensive intra -tumoral diversity and 141
support the existence of discrete tumor cell states that may influence growth, recurrence, and 142
therapeutic response. 143
144
WD tumors uniquely harbor differentiated adipocyte-like cells 145
146
We next asked whether specific tumor cell populations were preferentially enriched in either 147
the WD or DD regions. Among the nine tumor -intrinsic clusters, two (clusters 5 and 9) stood out 148
for their high expression of adipocyte lineage markers including PPARG, FABP4, and ADIPOQ, 149
consistent with a differentiated adipogenic phenotype ( Fig. 3A -B). Notably, these cells lacked 150
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 4 of 17
expression of adipocyte progenitor markers such as COL6A1, COL6A2, and FKBP10, reinforcing 151
the idea that they are committed to adipocyte fate rather than representing an intermediate precursor 152
state (Fig. 3C). These adipocyte-like clusters accounted for approximately 9% of all tumor cells 153
and were detected exclusively within the WD component, suggesting they may represent a 154
terminally differentiated cell population (Fig. 3D, Fig. S3A). We refer to these as “WD-specific 155
clusters.” 156
To determine whether other tumor cell populations were similarly restricted to one 157
component or shared between both, we examined the distribution of all clusters across matched 158
WD and DD samples. Most clusters were present in both components, including proliferative, 159
mesenchymal-like, and metabolically active populations , indicating that despite histological 160
divergence, the majority of tumor cells share a conserved transcriptional architecture (Fig. 3E). We 161
refer to these as common clusters, as they exhibited similar abundance and transcriptional profiles 162
in WD and DD regions ( Fig. 3F). The presence of shared transcriptional states across spatially 163
distinct histologies suggests that WD and DD tumors retain a core transcriptional architecture, and 164
that differentiation states are not driven by global reprogramming but instead by selective 165
enrichment or loss of specific states. The key distinction between components was the exclusive 166
presence of the adipocyte -like, WD -specific clusters —a feature entirely absent from the DD 167
regions. 168
To investigate the lineage relationship between tumor cell populations, we performed copy 169
number inference on WD and DD tumor cells. In one representative tumor (patient #069), both WD 170
and DD components shared canonical gains on 12q and 7q, consistent with a common clonal origin. 171
However, only the WD -specific clusters harbored additional CNAs —including gains on 6q and 172
14q—suggesting these cells diverged from the shared progenitor through a distinct genetic 173
trajectory ( Fig. 3G ). This supports a model in which both WD - specific and common clusters 174
originate from a shared population of undifferentiated tumor cells, with differentiation governed by 175
acquisition of CNAs and/or activation of lineage-specific transcriptional programs. 176
It is unclear whether WD and DD represent distinct, parallel tumor lineages or reflect a 177
continuum in which one subtype gives rise to the other. Shared transcriptional architecture and copy 178
number alterations support a common clonal origin . However, the presence of additional CNAs 179
unique to the WD component —absent from DD —suggests the WD compartment may arise via 180
differentiation from a less differentiated DD -like progenitor (Fig. 3H). In this model, WD tumor 181
cells acquire new genetic features or engage specific transcriptional programs that enable 182
adipogenic differentiation and give rise to the histologically well -differentiated phenotype. The 183
complete absence of adipocyte-like cells in DD regions further supports the idea that differentiation, 184
rather than dedifferentiation, explains the emergence of WD histology in some cases. This concept 185
is supported by r ecent studies that show that both WD and DD components arise from a shared 186
adipocyte stem cell –like progenitor(27). Understanding the mechanisms that constrain or permit 187
this differentiation could provide new opportunities to manipulate tumor cell state with novel 188
systemic therapies. 189
190
Pseudotime analysis implicates PPARG in adipogenic differentiation 191
192
We next sought to identify the regulatory programs that govern the transition from 193
undifferentiated tumor cells to adipocyte -like states. Given the restricted presence of adipogenic 194
clusters in WD tumors, we hypothesized that WD/DD subtype divergence reflects altered 195
transcriptional trajectories rather than the presence of entirely distinct lineages. To test this, we 196
performed pseudotime trajectory analysis using Monocle 3, anchoring the trajectory at the WD -197
specific adipocyte-like clusters as a terminal node(33). 198
Trajectory reconstruction revealed a complex network of potential paths originating within 199
the common clusters, which comprised transcriptionally heterogeneous populations with the 200
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 5 of 17
capacity to adopt multiple fates. Within this network, we identified a continuous trajectory linking 201
the common clusters to the WD-specific adipocyte-like clusters, suggesting a directed progression 202
toward adipogenic differentiation ( Fig. 4A). Along this path, we observed a gradual decrease in 203
MDM2 expression and a corresponding increase in HMGA2, two markers historically associated 204
with DD and WD histology, respectively ( Fig. 4B). These findings support a model in which the 205
common clusters serve as a transitional hub, giving rise to either differentiated adipocyte -like 206
cells—represented by the WD-specific clusters—or to alternative, non-lipogenic tumor states. 207
To gain insight into the transcriptional programs driving this transition, we identified genes 208
with significant dynamic expression across pseudotime and organized them into co -expression 209
modules (Fig. 4C). One module —designated group 3 —was characterized by low expression in 210
early pseudotime and progressive upregulation toward the terminal WD -specific clusters. This 211
pattern is consistent with a differentiation trajectory from common clusters to a mature adipocyte -212
like state and likely reflects genes activated during the acquisition of adipogenic identity. Notably, 213
group 3 was enriched for known transcriptional targets of PPARG and other key regulators of 214
adipogenesis. These findings suggest that adipogenic differentiation in WD tumors is orchestrated 215
by a coordinated transcriptional program and that loss or failure to activate this program may 216
underlie the dedifferentiated state in DD tumors. Given that PPARG is both necessary and sufficient 217
for adipocyte differentiation in normal and malignant contexts, these data raise the possibility that 218
reactivating PPARG signaling could restore differentiation capacity in DD LPS cells, offering a 219
potential therapeutic strategy(34). 220
221
PPARG2 promotes adipogenic differentiation and suppresses tumor growth in DD LPS 222
223
To explore whether PPARG activation might drive adipogenic differentiation in 224
dedifferentiated liposarcoma (DD LPS), we first generated a PPARG gene score based on canonical 225
PPARG transcriptional targets. This score was significantly enriched in the WD-specific adipocyte-226
like clusters identified in our single -nucleus RNA-seq dataset ( Fig. 5A), consistent with the idea 227
that PPARG activity marks a terminally differentiated state. These findings suggested that PPARG 228
is a key regulator of differentiation in LPS and prompted us to test whether activating this pathway 229
could reprogram DD tumor cells. 230
To functionally test whether PPARG activation is sufficient to induce adipogenic 231
differentiation in DD LPS, we overexpressed its two major isoforms —PPARG1, a ligand -232
dependent isoform, and PPARG2, a constitutively active variant with enhanced adipogenic 233
activity—in two DD LPS cell lines (LPS1 and LPS2) (Fig. 5B). Both isoforms were expressed from 234
the same lentiviral backbone, but PPARG2 protein levels were higher, consistent with prior reports 235
showing that PPARG2 is more stable than PPARG1 in mammalian cells (35, 36). Functionally, 236
PPARG2 induced strong expression of FABP4, a canonical PPARG target gene and adipogenic 237
marker, and promoted lipid droplet accumulation (Fig. 5C–D) (35). By contrast, PPARG1 had only 238
modest effects on differentiation marker expression and lipid accumulation, suggesting that 239
endogenous ligand availability may be insufficient to activate this isoform under baseline 240
conditions. In addition to driving differentiation, PPARG2 expression significantly suppressed 241
proliferation in both cell lines (Fig. 5E), consistent with induction of a terminal differentiation state. 242
These findings demonstrate that PPARG2 is sufficient to both activate adipogenic gene programs 243
and impair tumor cell growth in vitro, reinforcing its role as a central regulator of lineage fate in 244
LPS. 245
To assess the therapeutic relevance of PPARG activation in vivo, we generated 246
doxycycline-inducible LPS2 cells expressing either PPARG1 or PPARG2 and implanted them 247
subcutaneously into immunocompromised mice (Fig. 6A). Tumor growth was monitored by caliper 248
measurements, and doxycycline -containing chow was introduced once tumors reached 100 –200 249
mm³. Induction of PPARG2 led to a significant reduction in tumor growth, while PPARG1 250
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 6 of 17
induction had no measurable effect ( Fig. 6B ). Histological analysis of the xenografts revealed 251
heterogeneous tumor architecture, including the presence of lipid -rich regions reminiscent of the 252
WD components seen in human WD/DD LPS tumors (Fig. S5A). Although we did not observe 253
significant differences in the overall percentage of lipid -rich area between groups, this is likely 254
confounded by the growth-suppressive effects of PPARG2, which limited overall tumor expansion 255
and may have reduced the opportunity for detectable differentiation to accumulate at the tissue level 256
(Fig. S5B). 257
To test whether the limited activity of PPARG1 in vivo reflected insufficient ligand 258
availability, we treated mice bearing parental LPS2 xenografts with rosiglitazone, a synthetic 259
thiazolidinedione-class PPARG agonist. In adipose tissue, ligand -activated PPARG1 not only 260
drives adipogenic gene expression but also promotes a feed -forward loop by initiating PPARG2 261
transcription through a conserved PPARG response element(37). Consistent with this mechanism, 262
daily rosiglitazone treatment significantly slowed tumor growth ( Fig. S6A-B), indicating that 263
pharmacologic activation of PPARG1 can partially recapitulate the effects of PPARG2 in vivo. 264
These findings suggest that DD LPS cells retain a latent capacity to engage the PPARG 265
differentiation program, but fail to do so due to insufficient endogenous ligand activity. 266
Pharmacologic activation may therefore bypass this block and re-engage differentiation pathways. 267
While the effect size was more modest than that observed with direct PPARG2 expression, these 268
Results
provide proof -of-concept that PPARG agonists can restrain tumor growth by shifting cell 269
state, and suggest a therapeutic opportunity to restore adipogenic differentiation using clinically 270
accessible compounds. 271
Finally, we examined expression of PPARG isoforms in primary human tumors. While 272
PPARG1 levels were comparable across WD and DD samples, PPARG2 expression was 273
significantly enriched in WD tumors and in the WD components of mixed WD/DD cases (Fig. 6C–274
D, Table 2). Together, these results support a model in which PPARG2 serves as a key driver of 275
adipogenic differentiation in liposarcoma and suggest that restoring PPARG activity may offer a 276
strategy to suppress proliferation and promote differentiation in DD tumors. 277
278
Discussion
279
280
Well-differentiated and dedifferentiated liposarcomas (WD/DD LPS) are defined by 281
common amplification of 12q13 –15 oncogenes MDM2 and CDK4, and can co -exist in the same 282
patient, in the same tumor, with disparate behavior along this continuum of disease, both lipoma -283
like indolent and high -grade rapidly fatal components. The coexistence of WD and DD lineages 284
within a single tumor and the capacity for tumors to shift between these states over time suggests a 285
dynamic process of differentiation and dedifferentiation. Yet, the molecular mechanisms governing 286
these transitions remain poorly understood. 287
Using snRNA-seq, we defined the transcriptional landscape of spatially distinct WD and 288
DD components from patient tumors. While most tumor cells in both compartments shared a 289
common mesenchymal -like architecture, a rare population of adipocyte -like tumor cells was 290
identified exclusively in WD regions. These cells expressed canonical adipogenic markers and 291
formed a distinct transcriptional cluster, consistent with a terminal differentiation state. Pseudotime 292
trajectory analysis revealed a unidirectional path from shared progenitor -like clusters to this 293
adipocyte-like population, supporting a model in which the WD component may emerge from a 294
less differentiated tumor state. 295
We identified PPARG as a key regulator of this transition. A PPARG gene score was 296
enriched in the WD -specific clusters, and pseudotime -regulated genes were enriched for PPARG 297
targets and adipogenic modules. Among the PPARG isoforms, PPARG2 —a constitutively active 298
splice variant—was sufficient to induce lipid accumulation and suppress proliferation in DD LPS 299
cells. In vivo , inducible expression of PPARG2 impaired tumor growth, and pharmacologic 300
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 7 of 17
activation of PPARG1 with rosiglitazone partially recapitulated this effect, potentially through 301
feed-forward activation of PPARG2 expression. These findings suggest that PPARG signaling 302
governs lineage commitment in LPS and that loss of this program contributes to the dedifferentiated 303
state. 304
Importantly, our study suggests that subtype transitions in WD/DD LPS are not solely 305
dictated by genomic divergence. Although some copy number alterations were unique to WD 306
regions, many gene expression differences—particularly those related to differentiation—occurred 307
independently of CNAs. These results align with recent work demonstrating that both WD and DD 308
components arise from a common adipocyte stem cell –like progenitor and that DD tumor cells 309
retain latent adipogenic potential (27). In that study, adipogenic differentiation of DD cells was 310
actively suppressed by a TGF-β–rich microenvironment, suggesting that extrinsic cues can enforce 311
a dedifferentiated state. Complementary work has shown that PPARG2 and its downstream targets 312
are epigenetically silenced in DD LPS through hypermethylation of adipogenic super -313
enhancers(38). Treatment with the DNA demethylating agent 5 -aza-2’-deoxycytidine and the 314
PPARG agonist rosiglitazone restored PPARG2 expression and induced adipogenic differentiation 315
in DD tumor cells. Together, these findings reinforce the idea that both intrinsic transcriptional 316
programs and extrinsic environmental signals constrain differentiation in LPS and that therapeutic 317
reactivation of PPARG2 may overcome these blocks to restore a more differentiated, less 318
aggressive phenotype. 319
Together, these data support a model in which PPARG2 serves as a lineage -defining 320
regulator in LPS, and its loss —through transcriptional suppression and/or epigenetic silencing —321
permits or promotes the transition to a dedifferentiated state. This model aligns with clinical 322
behavior: WD and DD can co -exist within the same tumor or interconvert during disease 323
progression or recurrence. Importantly, our findings suggest that subtype transitions in WD/DD 324
LPS are not solely dictated by genomic divergence. Although some CNAs distinguish WD and DD 325
components, many gene expression differences —particularly those related to differentiation —326
occur independently of copy number alterations. This further underscores the role of epigenetic and 327
transcriptional regulation in shaping tumor cell identity. 328
Strategies that restore PPARG2 expression —through either demethylating agents, nuclear 329
receptor agonists, or chromatin remodeling —may provide a means to enforce differentiation and 330
limit aggressiveness in DD LPS. By converting a poorly differentiated, proliferative tumor into a 331
more indolent, adipocyte-like state, it may be possible to reduce recurrence, delay progression, and 332
improve survival. This approach mirrors successful differentiation therapies in other cancers, such 333
as ATRA in acute promyelocytic leukemia. 334
More broadly, this study highlights the power of single -cell and epigenomic profiling to 335
uncover lineage hierarchies and therapeutic vulnerabilities in mesenchymal tumors. WD/DD LPS 336
has long presented a clinical paradox, with tumors able to recur as more or less differentiated 337
subtypes. Our findings provide a mechanistic framework to explain these transitions and nominate 338
PPARG2 as a therapeutic entry point for differentiation -based strategies. Understanding how 339
PPARG activity is regulated —and how it can be restored —will be essential for translating this 340
approach into clinical benefit. 341
342
Materials and methods
343
344
Experimental Design 345
346
The objective of this study was to define cellular heterogeneity, differentiation states, and 347
subtype transitions in well-differentiated and dedifferentiated liposarcoma (WD/DD LPS) using 348
single-nucleus RNA sequencing (snRNA-seq). We aimed to uncover lineage relationships 349
between WD and DD tumor components, identify molecular features of dedifferentiation, and 350
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 8 of 17
reveal potential therapeutic vulnerabilities. To achieve this, we collected freshly resected tumor 351
specimens from patients with histologically confirmed WD/DD LPS. Tumors with both WD and 352
DD regions were macrodissected and processed independently to preserve distinct transcriptional 353
programs. Nuclei were isolated and profiled using the 10x Genomics Chromium platform. 354
Sequencing data were analyzed using a standardized computational pipeline for quality control, 355
dimensionality reduction, clustering, and differential gene expression. 356
357
Patients 358
359
This study was conducted in accordance with the principles expressed in the Declaration 360
of Helsinki. Informed consent was provided by all patients or guardians granting access to tumor 361
tissue, serum and medical records. Databases including patient identifiers were maintained 362
according to our local institutional guidelines. The research was conducted under protocol #10-363
001857, approved by the UCLA Institutional Review Board (IRB). 364
Patients with primary, untreated WD/DD LPS undergoing initial surgical resection were 365
selected for inclusion. Preoperative imaging was used to assist with patient selection. Patients 366
with history of systemic chemotherapy, radiation or prior resection were excluded. 367
Clinicopathologic data was collected and stored in an encrypted database and maintained by the 368
study authors (KK, BK). 369
370
Tumor harvest, storage and validation 371
372
Fresh tissue was harvested at the time of surgery from both WD and DD components and 373
stored immediately in liquid nitrogen. Additional tissue from both components was placed in 374
formalin for permanent fixation and then embedded in paraffin. Tumor diagnosis and subtype was 375
validated by expert histological review and DNA FISH (Empire Genomics, SKU MDM2-376
CHR12-20-GROR) was used to confirm the presence of MDM2 amplification (authors SD, MN). 377
Methods
have been previously described(39). Tumors without MDM2 amplification were 378
excluded. 379
380
Immunohistochemistry 381
382
Formalin-fixed sections embedded in paraffin were cut at 4 μm thickness. Samples were 383
submerged in xylene for paraffin removal and then rehydrated using graded ethanol washes. 384
Sections were counterstained with hematoxylin and eosin. Brightfield slides were digitally 385
scanned on a ScanScope AT2 (Leica Biosystems, Vista, CA, USA) and analyzed using QuPath 386
version 0.2.3. 387
388
Nuclei isolation and cDNA library generation 389
390
After tumor diagnosis and subtype were confirmed, samples were thawed in RNALaterTM-391
ICE (ThermoFisher) overnight at -20°C. Nuclei were then isolated using the Chromium Nuclei 392
Isolation with RNase Inhibitor Kit (10X Genomics). For DD components, 50mg of tissue was 393
used and for WD components, 250mg of tissue was used from each sample. Nuclei concentration 394
and cell viability was determined using a Countess II FL Automated Cell Counter 395
(ThermoFisher). Cell viability <5% was used as a threshold to ensure high quality nuclei 396
isolation. Samples were also assessed by brightfield microscopy for the presence of significant 397
debris. Single nuclei suspensions generated from each sample were then used to construct 3’GEX 398
cDNA libraries (10x Genomics). 399
400
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 9 of 17
Single nuclei sequencing and processing 401
402
Single nuclei suspensions generated from each sample were used to construct 3’GEX 403
cDNA libraries (10x Genomics) followed by next-generation sequencing via NovaSeq 6000 404
(Illumina). Demultiplexed sequencing results were aligned to the reference genome and ambient 405
RNA was removed using CellBender. After filtering, 27,333 nuclei were included in the 406
computational analysis pipeline. The R package Seurat was applied to integrate samples, cluster 407
cells, and identify differentially expressed genes. LPS clusters were analyzed by pseudo-time 408
analysis (Monocle3) to establish trajectory inferences between WD and DD subtypes. 409
410
Cell lines 411
412
LPS1 and LPS2 are derived from DD LPS patient-derived xenografts, which have been 413
previously validated(40). Both lines were cultured in DMEM with 10% FBS and 414
penicillin/streptomycin, and maintained in a 37°C humidified, normoxic chamber supplemented 415
with 5% CO2. Cells were monitored regularly for the presence of mycoplasma. 416
417
Plasmids 418
419
TFORF3549 (pLX317-EGFP) was a gift from Feng Zhang (Addgene plasmid # 145025 ; 420
http://n2t.net/addgene:145025 ; RRID:Addgene_145025). TFORF3550 (pLX317-mCherry) was a 421
gift from Feng Zhang (Addgene plasmid # 145026 ; http://n2t.net/addgene:145026 ; 422
RRID:Addgene_145026). TFORF3138 (pLX317-PPARG1) was a gift from Feng Zhang 423
(Addgene plasmid # 144614 ; http://n2t.net/addgene:144614 ; RRID:Addgene_144614). 424
TFORF3139 (pLX317-PPARG2) was a gift from Feng Zhang (Addgene plasmid # 144615 ; 425
http://n2t.net/addgene:144615 ; RRID:Addgene_144615). pRSV-Rev was a gift from Didier 426
Trono (Addgene plasmid #12253; http://n2t.net/addgene:12253; RRID:Addgene_12253). 427
pMDLg/pRRE was a gift from Didier Trono (Addgene plasmid #12251; 428
http://n2t.net/addgene:12251; RRID:Addgene_12251). pCMV-VSV-G was a gift from Bob 429
Weinberg (Addgene plasmid #8454; http://n2t.net/addgene:8454; RRID:Addgene_8454). 430
Plasmids for inducible expression of mCherry, PPARG1, and PPARG2 were generated 431
using standard molecular cloning techniques (pCW57.1-mCherry, pCW57.1-PPARG1, and 432
pCW57.1-PPARG2). 433
434
Lentivirus Production and Transduction 435
436
Lentivirus was produced in HEK293T cells infected with pLX317 transfer plasmid, 437
pRSV-Rev, pMDLg/pRRE, and pCMV-VSV-G. At 2 days post-transfection, supernatant was 438
collected and filtered at 0.45 µm, distributed into 1 mL aliquots, then froze at -80C for future use. 439
For transduction, aliquots of virus were thawed and polybrene was added to 4 µg/mL. The 440
virus/polybrene mixture was added to PBS-rinsed cells and incubated for 16 hours. At that point 441
the virus/polybrene was replaced with fresh media. After 24 hours, selection was started by 442
treating cells with 2 µg/mL puromycin. 443
444
RT-qPCR 445
446
For cell lines, total RNA was harvested from approximately 300,000 cells. Cells were 447
washed with ice cold PBS then washed with RNAlater (Invitrogen). After aspirating the 448
RNAlater, cells were frozen at -80C for processing at a later point. Cells were thawed and total 449
RNA was collected using a Direct-zol RNA Miniprep kit (Zymo). 450
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 10 of 17
For patient tumors, approximately 10 mg was incubated in RNAlater-ICE (Invitrogen) 451
overnight at -80 °C. The tumor was removed from the RNAlater-ICE, and homogenized in 1 mL 452
trizol. Total RNA was isolated from the homogenate using RNeasy lipid tissue kit (Qiagen). 453
For both cell lines and patient tumors 1 µg RNA was reverse transcribed using iScriptTM 454
Reverse Transcription Supermix (BioRad). qPCR reactions were up using Power SYBR Green 455
PCR Master Mix (Applied Biosystems). For PPARG1 and PPARG2 measurements, unique 456
forward and a common reverse primers were used – PPARG1-fwd: 5’-457
GCCATTTTCTCAAACGAGAGTCAGCC-3’; PPARG2-fwd: 5’-458
TGACCCAGAAAGCGATTCCTTCA-3’; PPARG1/2-rev: 5’-459
ACGGAGAGATCCACGGAGCTGA-3’. For FABP4, the following primers were used – 460
FABP4-fwd: 5’-ACGAGAGGATGATAAACTGGTGG-3’; FABP4-rev: 5’-461
GCGAACTTCAGTCCAGGTCAAC-3’. 462
463
Lipid content quantification 464
465
Live cells were stained with 1 µM Bodipy 493/503 (Invitrogen) and 0.2 µg/mL Hoechst-466
33342 (Invitrogen). Cells were incubated in media containing dyes at 37°C for 10 min, then 467
washed well three times with PBS. Cells were imaged using an Evos Cell Imaging System. 468
QuPath was used to analyze images for fluorescent intensity. In short, 5 cells from each 469
sample and 3 samples from each condition were analyzed for a total of 15 cells per condition. 470
Mean Bodipy fluorescent intensity was determined from each region of interest. 471
472
Proliferation assays 473
474
Cells were seeded at a density of 20,000 cells/well in 6-well dishes. After 24 hours cells 475
were counted and used as day 0 measurements. At day 3 cells were counted from separate wells 476
and the data was fitted to an exponential growth model. The fitted growth rates were presented as 477
the proliferation rates with units of divisions/day. 478
479
Mouse xenografts 480
481
LPS2 cells were used to establish tumor xenografts. A total of 1,000,000 cells in a 1:1 482
mixture of Matrigel and PBS were injected into the one side of 7-week-old NSG mice. Tumors 483
were monitored for growth by calipering. Tumor volumes were calculated by the equation (length 484
x width2)/2. When tumors reach 100-200 mm3, treatment was initiated. Rosiglitazone was 485
administered via oral gavage daily at a concentration of 20 mg/kg. Mice were weighed daily and 486
exhibited no significant weight loss due to rosiglitazone treatment. Mice were euthanized once 487
tumors reached 2000 mm3. 488
LPS2 cells expressing doxycycline-inducible mCherry, PPARG1, or PPARG2 were used 489
to establish tumor xenografts. A total of 1,000,000 cells in a 1:1 mixture of Matrigel and PBS 490
were injected into the one side of 7-week-old NSG mice. Once tumors reached 100-200 mm3 all 491
mice were fed chow containing 625 mg/kg doxycycline hyclate (Envigo). Mice were euthanized 492
once tumors reached 2000 mm3. 493
494
Statistical Analysis 495
496
Statistical significance was established using a P value threshold < 0.05 with 95% 497
confidence intervals. Continuous, normally distributed data were evaluated using the two-tailed 498
T-tests for pairwise comparisons and ANOVA for comparisons involving multiple groups. The 499
normality of the data was confirmed using quantile-quantile (Q-Q) plots. The Bonferroni test was 500
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 11 of 17
employed for post-hoc analysis to identify specific group differences. Data lacking normal 501
distribution was assessed using the Mann-Whitney U test. All experiments were carried out in 502
duplicate or triplicate to ensure reliability. Statistical analyses were performed using Graphpad 503
Prism software, version 9.3.1, on a MacOS platform. Unless otherwise indicated, data are 504
reported as mean ± standard deviation (SD). 505
506
References
507
508
1. A. P. D. Tos, Liposarcoma: New entities and evolving concepts. Annals of Diagnostic 509
Pathology 4, (2000/08/01). 510
2. S. Bock, D. G. Hoffmann, Y. Jiang, H. Chen, D. Il’Yasova, Increasing Incidence of 511
Liposarcoma: A Population-Based Study of National Surveillance Databases, 2001–2016. 512
International Journal of Environmental Research and Public Health 17, 2710 (2020). 513
3. I. Judson et al., Doxorubicin alone versus intensified doxorubicin plus ifosfamide for first-514
line treatment of advanced or metastatic soft-tissue sarcoma: a randomised controlled 515
phase 3 trial. The Lancet Oncology 15, 415-423 (2014). 516
4. E. C. Borden et al., Randomized comparison of three adriamycin regimens for metastatic 517
soft tissue sarcomas. Journal of Clinical Oncology 5, (1987-Jun). 518
5. V. Bramwell, D. Anderson, M. Charette, Doxorubicin-based chemotherapy for the 519
palliative treatment of adult patients with locally advanced or metastatic soft tissue 520
sarcoma. Cochrane Database of Systematic Reviews 2019, (2003). 521
6. K. Ishii et al., Characteristics of primary and repeated recurrent retroperitoneal 522
liposarcoma: outcomes after aggressive surgeries at a single institution. Japanese Journal 523
of Clinical Oncology 50, (2020/12/16). 524
7. T. K, Well-differentiated liposarcoma and dedifferentiated liposarcoma: An updated 525
review - PubMed. Seminars in diagnostic pathology 36, (2019 Mar). 526
8. J. Chen, Y. Hang, Q. Gao, X. Huang, Surgical Diagnosis and Treatment of Primary 527
Retroperitoneal Liposarcoma. Frontiers in Surgery 8, (2021 Jun 4). 528
9. J. H. Choi, J. Y. Ro, The 2020 WHO Classification of Tumors of Soft Tissue: Selected 529
Changes and New Entities. Advances in Anatomic Pathology 28, (January 2021). 530
10. R. Conyers, S. Young, D. M. Thomas, Liposarcoma: Molecular Genetics and 531
Therapeutics. Sarcoma 2011, 1-13 (2011). 532
11. M. AF et al., Atypical lipomatous tumors/well-differentiated liposarcomas: clinical 533
outcome of 67 patients - PubMed. Orthopedics 34, (12/06/2011). 534
12. C. Nessim et al., Analysis of Differentiation Changes and Outcomes at Time of First 535
Recurrence of Retroperitoneal Liposarcoma by Transatlantic Australasian Retroperitoneal 536
Sarcoma Working Group (TARPSWG). Annals of Surgical Oncology 28, 7854-7863 537
(2021). 538
13. G. DS et al., Does "Low-Grade" Dedifferentiated Liposarcoma Exist? The Role of Mitotic 539
Index in Separating Dedifferentiated Liposarcoma From Cellular Well-differentiated 540
Liposarcoma - PubMed. The American journal of surgical pathology 47, (06/01/2023). 541
14. D. KM, K. MW, A. CR, B. MF, S. S, Subtype specific prognostic nomogram for patients 542
with primary liposarcoma of the retroperitoneum, extremity, or trunk - PubMed. Annals of 543
surgery 244, (2006 Sep). 544
15. E. HL, Atypical lipomatous tumor, its variants, and its combined forms: a study of 61 545
cases, with a minimum follow-up of 10 years - PubMed. The American journal of surgical 546
pathology 31, (2007 Jan). 547
16. M. C et al., The prognostic impact of dedifferentiation in retroperitoneal liposarcoma: a 548
series of surgically treated patients at a single institution - PubMed. Cancer 113, 549
(10/01/2008). 550
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 12 of 17
17. S. S, A. CR, R. E, B. MF, Histologic subtype and margin of resection predict pattern of 551
recurrence and survival for retroperitoneal liposarcoma - PubMed. Annals of surgery 238, 552
(2003 Sep). 553
18. E. MA et al., Lifelong Imaging Surveillance is Indicated for Patients with Primary 554
Retroperitoneal Liposarcoma - PubMed. Annals of surgical oncology 30, (2023 May). 555
19. K. D. Klingbeil et al., IGF2BP3 as a Prognostic Biomarker in Well-556
Differentiated/Dedifferentiated Liposarcoma. Cancers 15, 4489 (2023). 557
20. K. L. J. Bill et al., Degree of MDM2 Amplification Affects Clinical Outcomes in 558
Dedifferentiated Liposarcoma. Oncologist 24, 989-996 (2019). 559
21. A. Serguienko, P. Braadland, L. A. Meza-Zepeda, B. Bjerkehagen, O. Myklebost, 560
Accurate 3-gene-signature for early diagnosis of liposarcoma progression. Clinical 561
Sarcoma Research 10, (2020). 562
22. M. H. Jagosky et al., Genomic alterations and clinical outcomes in patients with 563
dedifferentiated liposarcoma. Cancer Med 12, 7029-7038 (2023). 564
23. A. M. Crago et al., Copy Number Losses Define Subgroups of Dedifferentiated 565
Liposarcoma with Poor Prognosis and Genomic Instability. Clinical Cancer Research 18, 566
(2012/03/01). 567
24. J. Barretina et al., Subtype-specific genomic alterations define new targets for soft-tissue 568
sarcoma therapy. Nature Genetics 2010 42:8 42, (2010-07-04). 569
25. E. L. Snyder et al., c‐Jun amplification and overexpression are oncogenic in liposarcoma 570
but not always sufficient to inhibit the adipocytic differentiation programme. The Journal 571
of Pathology: A Journal of the Pathological Society of Great Britain and Ireland 218, 572
292-300 (2009). 573
26. H. C. Beird et al., Genomic profiling of dedifferentiated liposarcoma compared to 574
matched well-differentiated liposarcoma reveals higher genomic complexity and a 575
common origin. Molecular Case Studies 4, a002386 (2018). 576
27. N. Gruel et al., Cellular origin and clonal evolution of human dedifferentiated 577
liposarcoma. Nature Communications 15, (2024). 578
28. W. Sun et al., snRNA-seq reveals a subpopulation of adipocytes that regulates 579
thermogenesis. Nature 587, 98-102 (2020). 580
29. G. X. Y. Zheng et al., Massively parallel digital transcriptional profiling of single cells. 581
Nature Communications 8, 14049 (2017). 582
30. S. J. Fleming et al., Unsupervised removal of systematic background noise from droplet-583
based single-cell experiments using CellBender. Nature Methods 20, 1323-1335 (2023). 584
31. Y. Hao et al., Dictionary learning for integrative, multimodal and scalable single-cell 585
analysis. Nature Biotechnology 42, 293-304 (2024). 586
32. T. I. Tickle T, Georgescu C, Brown M, Haas B, inferCNV of the Trinity CTAT Project. 587
https://github.com/broadinstitute/inferCNV, (2019). 588
33. C. Trapnell et al., The dynamics and regulators of cell fate decisions are revealed by 589
pseudotemporal ordering of single cells. Nature Biotechnology 2014 32:4 32, (2014-03-590
23). 591
34. M. Hernandez-Quiles, M. F. Broekema, E. Kalkhoven, Frontiers | PPARgamma in 592
Metabolism, Immunity, and Cancer: Unified and Diverse Mechanisms of Action. 593
Frontiers in Endocrinology 12, (2021/02/26). 594
35. R. Brunmeir, F. Xu, Functional Regulation of PPARs through Post-Translational 595
Modifications. International Journal of Molecular Sciences 19, 1738 (2018). 596
36. O. Van Beekum, V. Fleskens, E. Kalkhoven, Posttranslational Modifications of PPAR‐γ: 597
Fine‐tuning the Metabolic Master Regulator. Obesity 17, 213-219 (2009). 598
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 13 of 17
37. L. H et al., Activation of PPARγ2 by PPARγ1 through a functional PPRE in 599
transdifferentiation of myoblasts to adipocytes induced by EPA - PubMed. Cell cycle 600
(Georgetown, Tex.) 14, (2015). 601
38. N. Hattori et al., Frontiers | Epigenetic disruption of adipogenic gene enhancers in 602
dedifferentiated liposarcomas and its therapeutic value. Frontiers in Oncology 15, 603
(2025/04/30). 604
39. K. D. Klingbeil et al., Targeting Asparagine Metabolism in Well-605
Differentiated/Dedifferentiated Liposarcoma. Cancers 16, 3031 (2024). 606
40. D. Braas et al., Metabolomics Strategy Reveals Subpopulation of Liposarcomas Sensitive 607
to Gemcitabine Treatment. Cancer Discovery 2, (2012/12/01). 608
609
Acknowledgments 610
We thank the members of the Christofk and Kadera labs for their discussion and 611
constructive feedback. 612
613
Funding: 614
UCLA Jonsson Comprehensive Cancer Center (JCCC) seed grant (BEK and KDK) 615
UCLA Department of Surgery grant (BEK and KDK) 616
NIH R01 CA215185 and R01 CA215185 and R01 AR070245 (HRC) 617
American Cancer Society 133839-PF-19-203-01-CCG (BRW) 618
619
Author contributions 620
Conceptualization: BRW, KDK, BK, HRC 621
Methodology: BRW, KDK, BK, HRC 622
Investigation: BRW, KDK, FD, CD, CF 623
Supervision: BK, HRC 624
Writing—original draft: BRW, KDK 625
Writing—review & editing: BRW, KDK, BK, HRC 626
627
Competing interests: Authors declare that they have no competing interests. 628
629
Data and materials availability: All data, code, and materials used in the analyses must 630
be available in some form to any researcher for purposes of reproducing or extending the 631
analyses. Include a note explaining any restrictions on materials, such as materials transfer 632
agreements (MTAs). Include accession numbers to any data relevant to the paper and 633
deposited in a public database; include a brief description of the dataset or model with the 634
number. The DMA statement should include the following: “All data are available in the 635
main text or the supplementary materials.” 636
637
Figure and Table Legends 638
639
Fig. 1. Study overview and histologic characterization of WD/DD liposarcoma for 640
single-nucleus RNA sequencing. (A) Schematic of experimental workflow. Computed 641
tomography (CT) scan from a patient with untreated retroperitoneal WD/DD LPS (sagittal 642
view), demonstrating differential contrast enhancement consistent with spatially distinct 643
WD and DD tumor regions. Tumor samples were collected at the time of surgical 644
resection. Both WD and DD components were independently macrodissected from each 645
tumor, analyzed for histological and molecular features, and subjected separately to 646
snRNA-seq. (B) H&E staining of matched WD and DD components from the same tumor. 647
The WD region is characterized by abundant lipoblasts and adipocytic differentiation, 648
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 14 of 17
while the DD component shows increased cellularity and nuclear atypia. (C) DNA-FISH 649
for MDM2 reveals gene amplification (red), with chromosome 12 centromere probe 650
(green) as control. 651
652
Fig. 2. Single-nucleus transcriptomic profiling identifies malignant clusters and 653
reveals transcriptional heterogeneity in WD/DD LPS. (A) UMAP embedding of all 654
nuclei from WD and DD components across three patient tumors reveals 21 655
transcriptionally distinct clusters. (B) Expression of known LPS-associated genes was 656
used to annotate and predict clusters enriched for malignant tumor cells. (C) Inferred copy 657
number alterations (CNAs) show characteristic gains on chromosome 12q—encompassing 658
the MDM2 locus—specifically in the predicted tumor cell clusters. (D) Re-clustering of 659
tumor-enriched nuclei reveals nine malignant subclusters, each defined by distinct gene 660
expression signatures and predicted functional states. 661
662
Figure 3. Adipocyte-like tumor cells are restricted to the WD component. UMAPs 663
show expression of (A) mature adipocyte markers (ADIPOQ, LIPE, PLIN1), (B) 664
preadipocyte markers (CD36, FABP4, PPARG), and (C) adipocyte progenitor markers 665
(COL6A1, COL6A2, FKBP10), highlighting a distinct population of differentiated cells 666
exclusive to the WD component. (D) UMAPs split by WD and DD components confirm 667
the spatial restriction of this population. (E) Quantification of cluster composition by 668
subtype shows that adipocyte-like clusters are present only in WD tumors. (F) UMAP 669
colored by shared versus WD-specific cluster identity. (G) Inferred copy number profiles 670
from patient 069 demonstrate shared CNAs (12q, 7q) across both components and 671
additional gains (6q, 14q) restricted to the WD-specific cluster. (H) Model summarizing 672
the differentiation trajectory from shared progenitor states to the WD-specific adipocyte-673
like cell population. 674
675
Figure 4. Pseudotime analysis reveals transcriptional trajectories toward adipogenic 676
differentiation. (A) Monocle 3 trajectory analysis reconstructs a continuous path from 677
common tumor clusters to the WD-specific adipocyte-like clusters, suggesting progressive 678
differentiation from a shared progenitor state. (B) Along this trajectory, cells show 679
decreasing expression of MDM2 and increasing expression of HMGA2, markers 680
associated with DD and WD histology, respectively. (C) Genes dynamically regulated 681
across pseudotime were clustered into co-expression modules, revealing distinct 682
transcriptional programs associated with cell state transitions. One module—designated 683
group 3—was characterized by low expression early in pseudotime and progressive 684
upregulation toward the terminal WD-specific clusters. (D) Groups were analyzed for 685
overrepresentation of transcription factor target genes. 686
687
Figure 5. PPARG2 promotes adipogenic differentiation and suppresses proliferation 688
in DD LPS cells. (A) A PPARG gene score based on known transcriptional targets is 689
enriched in WD-specific clusters. (B) Western blot showing PPARG levels in DD LPS 690
cell lines with overexpression of PPARG1 and PPARG2. (C) qPCR analysis shows that 691
PPARG2 induces robust expression of FABP4, while PPARG1 has modest effects. (D) 692
Bodipy staining and quantification reveal lipid droplet accumulation in PPARG2-693
expressing cells, consistent with adipocyte-like differentiation. (E) PPARG2 significantly 694
reduces proliferation of DD LPS cell lines (LPS1 and LPS2), consistent with induction of 695
a terminal differentiation program. 696
697
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 15 of 17
Figure 6. Activation of PPARG impairs tumor growth and is associated with 698
adipogenic features in DD LPS. (A) Schematic of the in vivo experimental approach 699
using doxycycline-inducible expression of PPARG1 or PPARG2 in LPS2 xenografts. (B) 700
Tumor growth curves demonstrate that induction of PPARG2 significantly suppresses 701
tumor growth, while PPARG1 has no measurable effect. (C) qPCR analysis of primary 702
human tumors reveals that PPARG2, but not PPARG1, is significantly enriched in WD 703
tumors. (D) Analysis of publicly available RNA-sequencing data from matched WD and 704
DD components of WD/DD tumors confirms higher PPARG2 expression in WD regions, 705
further supporting its role as a marker of differentiation (GSE221494)(25). 706
707
708
709
710
711
712
713
714
Table 1. Clinicopathologic variables of WD/DD LPS tumor cohort. Tumor size is the 715
greatest dimension in centimeters. CT, chemotherapy; DOD, dead of disease; NA, 716
neoadjuvant; NED, no evidence of disease; RP, retroperitoneum; RT, radiation therapy. 717
Median follow-up is 2.2 years. 718
719
Identifier Age Gender Tumor
Location
Tumor
Size NA CT NA RT Recurrence Survival
LPS-062 52 male RP 15.2 No No No NED
LPS-064 69 male RP 46 No No Yes DOD
LPS-069 62 male Chest Wall 8 No No No NED
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 16 of 17
720
721
722
723
724
725
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
Table 2. Clinicopathologic variables of WD and DD LPS tumor. Age, tumor size and 764
follow-up are listed as median (range). Remaining variables are listed as frequency (n). 765
Patients were diagnosed between June 2019-Aug 2024, censor date May 30 2025. 766
767
Fig. S1. Histologic characterization of WD and DD tumor components. (A-B) H&E 768
staining of two WD/DD LPS tumors used in snRNAseq shows consistent histological 769
WD
(n=13)
DD
(n=15)
Age
At Diagnosis (years) 51 (27-80) 66 (52-90)
Gender
Male 8 9
Race
White 13 11
Asian 0 3
Black 0 1
Ethnicity
Hispanic 0 3
Non-Hispanic 13 12
Disease State
Primary 13 15
Recurrence 0 0
Tumor Location
Retroperitoneum 7 13
Extremity 6 1
Chest wall 0 1
Tumor Size
Greatest Dimension (cm) 20.5 (11.5-63) 0 25 (7.1-47)
Neoadjuvant Chemotherapy
Yes 0 0
No 13 15
Neoadjuvant Radiation Therapy
Yes 0 0
No 13 15
Recurrence
Yes 6 6
No 7 9
Follow-Up
Years 2.1 (0-6.1) 3.4 (0.3-4.7)
Survival Outcome
No Evidence of Disease 7 10
Alive With Disease 6 3
Dead of Disease 0 2
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Page 17 of 17
differences between WD and DD regions, with WD components displaying abundant 770
mature adipocytes and lipoblasts, and DD regions exhibiting dense cellularity and spindle 771
morphology. 772
773
Fig. S2. Identification of tumor clusters based on expression of LPS oncogenes and 774
copy number alterations. (A) UMAP feature plots for MDM2, CDK4, 775
and HMGA2 across all nuclei. (B) Violin plots further confirm selective expression of 776
these oncogenes as well as adipocyte, preadipocyte, and adipocyte progenitor markers. 777
778
Fig. S3. Inferred copy number gains in MDM2 are used to identify tumor cells. 779
UMAP profiles across all clusters highlight (A) amplification of MDM2 and (B) 780
annotation of tumor cell populations. 781
782
Fig S4. Functional annotation of re-clustered tumor cell states. (A) Pie chart shows 783
relative number of nuclei across the nine malignant clusters, including corresponding to 784
proliferative, metabolic, mesenchymal-like, immune-like, and adipocyte-like states. (B) 785
UMAP plots colored by predicted cell cycle state of each nuclei. (C) Number of nuclei 786
contributing to each cluster, split by patient and component. (D) The relative number of 787
nuclei per patient for each cluster. 788
789
Fig S5. Histological analysis of LPS2 xenografts with induction of PPARG isoforms. 790
(A) Representative H&E staining of LPS2 xenograft tumors following doxycycline-791
induced expression of PPARG1 or PPARG2 reveal focal lipid-rich regions. (B) 792
Quantification of lipid-positive area shows no differences, likely due to limited tumor size 793
following PPARG-mediated growth suppression. 794
795
Fig S6. PPARG activation decreases DD LPS tumor growth in vivo. (A) Rosiglitazone 796
activates PPARG1 activity, which drives expression of PPARG2. (B) Rosiglitazone 797
treatment of mice bearing parental LPS2 xenografts reduces tumor growth, supporting the 798
idea that spharmacologic activation of PPARG1 can partially recapitulate the effects of 799
PPARG2 in vivo. 800
801
802
803
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
.CC-BY-NC-ND 4.0 International licenseavailable under a
was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made
The copyright holder for this preprint (whichthis version posted July 21, 2025. ; https://doi.org/10.1101/2025.07.16.665211doi: bioRxiv preprint
Text is read by the "Ask this paper" AI Q&A widget below.
Extraction quality varies by source — PMC NXML preserves structure
cleanly, OA-HTML may include some navigation residue, and OA-PDF can
have broken hyphenation. The publisher copy
(via DOI)
is the canonical version.