Review
Copyright ©The Author(s) 2021.
World J Gastrointest Pathophysiol. Sep 22, 2021; 12(5): 84-105
Published online Sep 22, 2021. doi: 10.4291/wjgp.v12.i5.84
Table 2 Genetic mutations and polymorphisms associated with cholangiocarcinoma
Gene (Full name)
Protein (Full name)
Normal function(s)
Ref.
ATP8B1 (ATPase Phospholipid Transporting 8B1)FIC1 (Familial Intrahepatic Cholestasis type 1)Transmembrane phospholipid transferWadsworth et al[88], 2011
ABCB11 (ATP Binding Cassette Subfamily B Member 11)BSEP (Bile Salt Exporter Pump)Transport of cholate conjugates from hepatocytes to bileWadsworth et al[88], 2011
ABCC2 (ATP Binding Cassette Subfamily C Member 2)MRP2 (Multidrug resistance-associated protein 2)Transport of endogenous and xenobiotic compounds from hepatocytes to bileHoblinger et al[89], 2009
ABCB4 (ATP Binding Cassette Subfamily B Member 4)MDR3 (MHC class I polypeptide-related sequence A)Transport of lipids from hepatocytes to bileKhabou et al[90], 2019
COX-2 (Cyclooxygenase 2)COX-2 (Cyclooxygenase 2)Inflammatory cytokineKim et al[91], 2002
CYP1A2 (Cytochrome P450 1A2)CYP1A2 (Cytochrome P450 1A2)Xenobiotic metabolismPrawan et al[92], 2005
KLRK1 (Killer Cell Lectin Like Receptor K1)NKG2D (NKG2-D type II integral membrane protein)Tumor surveillanceMelum et al[93], 2008
MTHFR (Methylenetetrahydrofolate Reductase)MTHFR (5,10-Methylenetetrahydrofolate reductase)DNA methylationKo et al[94], 2006
NAT2 (N-Acetyltransferase 2)ARY2(Arylamine N-acetyltransferase 2)Drug and carcinogen metabolismPrawan et al[92], 2005
PTGS2 (Prostaglandin-endoperoxide synthase 2)PTGS2 (Prostaglandin G/H synthase 2)The key enzyme in prostaglandin biosynthesis, and acts both as a dioxygenase and as a peroxidaseSakoda et al[95], 2006
XRCC1 (X-ray repair cross complementing 1)XRCC1 (DNA repair protein XRCC1)Involved in DNA single-strand break repair by mediating the assembly of DNA break repair protein complexesHuang et al[96], 2008
GSTO1(Glutathione S-transferase omega-1)GST01 (Glutathione S-transferase omega-1)Detoxification of endogenous and xenobiotic compoundsMarahatta et al[97], 2006
MICA (MICA PERB11.1)MICA (MHC class I polypeptide-related sequence A)Stress-induced self-antigen and Ligand for the KLRK1/NKG2D receptorMelum et al[93], 2008
NR1H4(Nuclear Receptor Subfamily 1 Group H Member 4)BAR (FXR) (Bile acid receptor (Farnesoid X receptor)Negative feedback inhibitor of bile acid synthesisWadsworth et al[88], 2011
TYMS (Thymidylate Synthetase)TYMS (Thymidylate synthase)DNA repairRazumilava et al[61], 2014
XRCC1 (X-Ray Repair Complementing Defective Repair in Chinese Hamster Cells 1)XRCC1 (DNA repair protein XRCC1)DNA repairGong et al[98], 2015
APC (Adenomatous polyposis coli)APC (Adenomatous polyposis coli)Tumor suppressorKang et al[99], 1999
ARID1A (AT-Rich Interaction Domain 1A)ARID1a (AT-rich interactive domain-containing protein 1A)Transcription factorRazumilava et al[61], 2014
BAP1 (BRCA1 Associated Protein 1)BAP1 (Ubiquitin carboxyl-terminal hydrolase BAP1)Regulates cell growthYoshino et al[100], 2020
BCL-2 (B cell Lymphoma-2)Bcl-2 (B-cell lymphoma 2)Regulates apoptosisFingas et al[101], 2010
BRAF (B Rapidly Accelerated Fibrosarcoma)B-Raf (B-Rapidly Accelerated Fibrosarcoma)Proto-oncogeneSia et al[24], 2013
BRCA1 (Breast Cancer 1)BRCA1 (Breast cancer type 1 susceptibility protein)Tumor suppressor and DNA repairParadiso et al[102], 2020
BRCA2 (Breast Cancer 2)BRCA2 (Breast cancer type 2 susceptibility protein)DNA repair
CCND1(Cyclin D1)CCND1 (G1/S-specific cyclin-D1)Regulates cell growthYoshino et al[100], 2020
CDH1(Cadherin 1)E-cadherin (Epithelial cadherin)Tumor suppressor, cell adhesionRoss et al[103], 2014
CDK6 (Cyclin-Dependent Kinase 6)CDK6 (Cyclin-Dependent Kinase 6)Controls cell cycle and differentiation
CTNNB1 (Catenin Beta 1)Β-cateninProto-oncogeneO'Dell et al[104], 2012
EGFR (ERBB1) (Epidermal Growth Factor Receptor)EGFR (ErbB-1) (Epidermal Growth Factor Receptor)Proto-oncogene
ERBB2 (HER2) (Avian Erythroblastosis oncogene B2)ErbB-2 (HER2) (Receptor tyrosine-protein kinase erbB-2)Proto-oncogene
FBXW7 (F-Box and WD Repeat Domain Containing 7)FBXW7 (F-box/WD repeat-containing protein 7)Component of proteasomal protein degradation pathwayRoss et al[103], 2014
FGF19 (Fibroblast Growth Factor 19)FGF19 (Fibroblast Growth Factor 19)Regulation of bile salt synthesis
FGFR2 (Fibroblast Growth Factor Receptor 2)FGFR2 (Fibroblast Growth Factor Receptor 2)Cell surface receptor regulating cell proliferation, differentiation, migration and apoptosis
IDH1 (Isocitrate dehydrogenase 1)Isocitrate de-hydrogenase 1 (Isocitrate dehydrogenase (cytoplasmic))Glucose metabolism, indirectly mitigates oxidative stressNabeshima et al[105], 2020
IDH2 (Isocitrate dehydrogenase 2)Isocitrate de-hydrogenase 2 (Isocitrate dehydrogenase (mitochondrial))Glucose metabolism, indirectly mitigates oxidative stress
Keap1 (Kelch-like ECH-associated protein 1)KEAP1 (Kelch-like ECH-associated protein 1)Prevents Nrf2-driven transcriptionMa et al[106], 2020
KRAS (Kirsten Rat Sarcoma)K-Ras (Kirsten Rat Sarcoma)Proto-oncogeneTannapfel et al[107], 2000
MDM2 (Mouse Double Minute 2)Mdm2 (E3 ubiquitin-protein ligase Mdm2)Proto-oncogene, p53 inhibitorRoss et al[103], 2014
MYC (Avian myelocytomatosis virus oncogene cellular homolog)Myc (Myc proto-oncogene protein)Proto-oncogeneZhou et al[108], 2019
NF1 (Neurofibromin 1)NF1 (Neurofibromin)Stimulates Ras activityRoss et al[103], 2014
PBRM1 (Polybromo 1)PBRM1 (Protein polybromo-1)Negative regulator of cell proliferationLuchini et al[109], 2017
PIK3CA (Phosphatidylinositol-4,5-Bisphosphate 3-Kinase Catalytic Subunit Alpha)PIK3CA (Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit alpha isoform)Generates PIP3 that activates signalling cascades for cell growth, survival and motilityXu et al[110], 2011
PTEN (Phosphatase and Tensin Homolog)PTEN (Phosphatidylinositol 3,4,5-trisphosphate 3-phosphatase and dual-specificity protein phosphatase PTEN)Tumor suppressorZhu et al[111], 2014
RAD51AP1 (RAD51 Associated Protein 1)RAD51AP1 (RAD51 Associated Protein 1)DNA damage repairLiu et al[112], 2021
RASSF1A (Ras association domain family 1 isoform A)RASSF1A (Ras association domain-containing protein 1 isoform A)Tumor suppressorChen et al[113], 2005
SMAD4 (Small Mothers Against Decapentaplegic 4)SMAD4 (Small Mothers Against Decapentaplegic 4)Tumor suppressor, transcription factorYoshino et al[100], 2020
SOCS3 (Suppressor of Cytokine Signaling 3)SOCS3 (Suppressor of Cytokine Signaling 3)Signal transduction inhibitorAndersen et al[114], 2012
TP53 (Tumor Protein 53)p53 (Protein 53)Tumor suppressorO'Dell et al[104], 2012