Published online Jul 7, 2023. doi: 10.3748/wjg.v29.i25.4053
Peer-review started: January 21, 2023
First decision: February 1, 2023
Revised: February 16, 2023
Accepted: May 23, 2023
Article in press: May 23, 2023
Published online: July 7, 2023
Processing time: 157 Days and 10.4 Hours
The molecular pathogenesis of cholangiocarcinoma (CCA) remains largely unknown. Investigating the molecular mechanisms underlying CCA progression will potentially yield results toward identifying therapeutic targets.
Several mRNA sequencing (Seq) datasets in CCA samples are publicly available, but it remains unclear if the data can be validated in CCA cell lines, the transgenic CCA mouse model, and human CCA samples.
To summarize the mRNA Seq results and validate the findings in CCA cell lines, the transgenic CCA mouse model, and human CCA samples.
Bioinformatic analysis, cell culture studies, transgenic mouse model, human CCA samples, and molecular strategies were used to determine molecular pathogenesis of CCA.
Through bioinformatic analysis, we found that cell cycle and Notch associated pathways are up-regulated in human CCA samples, compared to the non-tumor controls. We validated the findings in human CCA cell lines and the transgenic CCA mouse model.
Our data, through mRNA and protein profiling, identified very high similarity between CCA tumors derived from the CCA transgenic mice and human CCA tumors, thus providing a potential preclinical CCA model for investigating CCA tumorigenesis. Besides, our data suggested that cell cycle and Notch associated pathways could be potential therapeutic targets in CCA patients.
Systemic chemotherapy, gemcitabine and cisplatin, is recommended for CCA patients. However, the 5-year survival of CCA patients has not been significantly improved, suggesting an urgent need to develop novel therapeutic approaches.