The Innovation,
Journal Year:
2020,
Volume and Issue:
1(2), P. 100032 - 100032
Published: Aug. 1, 2020
•Primary
liver
cancer
comprises
HCC,
ICC,
cHCC-ICC,
which
are
markedly
distinct
in
their
epidemiology,
clinical
features
and
response
to
therapy•HCC
is
viral
infection-related
malignancy
with
specific
histological
features,
whereas
ICC
associated
chronic
inflammation•HCC
prone
respond
targeted
therapy,
immunotherapy,
antiviral
agents,
ICCs
benefit
from
chemotherapy,
immunotherapy•Combined
cHCC-ICC
subclass
shows
strong
ICC-like
considered
be
treated
like
mixed
resembles
HCC
Primary
(PLC)
a
fatal
disease
that
affects
millions
of
lives
worldwide.
PLC
the
leading
cause
cancer-related
deaths
incidence
rate
predicted
rise
coming
decades.
can
categorized
into
three
major
subtypes:
hepatocellular
carcinoma
(HCC),
intrahepatic
cholangiocarcinoma
(ICC),
combined
HCC-ICC.
These
subtypes
respect
clinicopathological
genetic
alterations,
managements,
thoroughly
summarized
this
review.
The
state
treatment
strategies
for
each
subtype,
including
currently
approved
drugs
potential
novel
therapies,
also
discussed.
Nature Reviews Gastroenterology & Hepatology,
Journal Year:
2020,
Volume and Issue:
17(9), P. 557 - 588
Published: June 30, 2020
Abstract
Cholangiocarcinoma
(CCA)
includes
a
cluster
of
highly
heterogeneous
biliary
malignant
tumours
that
can
arise
at
any
point
the
tree.
Their
incidence
is
increasing
globally,
currently
accounting
for
~15%
all
primary
liver
cancers
and
~3%
gastrointestinal
malignancies.
The
silent
presentation
these
combined
with
their
aggressive
nature
refractoriness
to
chemotherapy
contribute
alarming
mortality,
representing
~2%
cancer-related
deaths
worldwide
yearly.
current
diagnosis
CCA
by
non-invasive
approaches
not
accurate
enough,
histological
confirmation
necessary.
Furthermore,
high
heterogeneity
CCAs
genomic,
epigenetic
molecular
levels
severely
compromises
efficacy
available
therapies.
In
past
decade,
efforts
have
been
made
understand
complexity
develop
new
diagnostic
tools
therapies
might
help
improve
patient
outcomes.
this
expert
Consensus
Statement,
which
endorsed
European
Network
Study
Cholangiocarcinoma,
we
aim
summarize
critically
discuss
latest
advances
in
CCA,
mostly
focusing
on
classification,
cells
origin,
genetic
abnormalities,
alterations,
biomarker
discovery
treatments.
horizon
next
decade
from
2020
onwards
highlighted.
Journal of Hepatology,
Journal Year:
2020,
Volume and Issue:
73(5), P. 1118 - 1130
Published: June 5, 2020
Intrahepatic
cholangiocarcinoma
(ICC)
is
the
second
most
common
liver
malignancy.
ICC
typically
features
remarkable
cellular
heterogeneity
and
a
dense
stromal
reaction.
Therefore,
comprehensive
understanding
of
diversity
interplay
between
malignant
cells
niche
essential
to
elucidate
mechanisms
driving
progression
develop
therapeutic
approaches.Herein,
we
performed
single-cell
RNA
sequencing
(scRNA-seq)
analysis
on
unselected
viable
from
8
human
ICCs
adjacent
samples
transcriptomic
landscape
intercellular
communication
network.
Additionally,
applied
negative
selection
strategy
enrich
fibroblast
populations
in
2
other
investigate
diversity.
The
results
analyses
were
validated
using
multiplex
immunofluorescence
staining,
bulk
datasets,
functional
vitro
vivo
experiments.We
sequenced
total
56,871
single
derived
tissues
identified
diverse
tumor,
immune,
cells.
Malignant
displayed
high
degree
inter-tumor
heterogeneity.
Moreover,
tumor-infiltrating
CD4
regulatory
T
exhibited
highly
immunosuppressive
characteristics.
We
6
distinct
subsets,
which
majority
CD146-positive
vascular
cancer-associated
fibroblasts
(vCAFs),
with
expressed
microvasculature
signatures
levels
interleukin
(IL)-6.
Functional
assays
indicated
that
IL-6
secreted
by
vCAFs
induced
significant
epigenetic
alterations
cells,
particularly
upregulating
enhancer
zeste
homolog
(EZH2)
thereby
enhancing
Furthermore,
cell-derived
exosomal
miR-9-5p
elicited
expression
promote
tumor
progression.Our
dataset
delineates
ICCs,
underlining
importance
crosstalk
vCAFs,
revealing
potential
targets.Intrahepatic
an
aggressive
chemoresistant
Better
complex
transcriptional
architecture
these
tumors
will
help
development
more
effective
therapies.
Herein,
have
important
interactions
cancer
stroma,
could
implications.
Nature Communications,
Journal Year:
2021,
Volume and Issue:
12(1)
Published: June 17, 2021
Abstract
Interaction
between
tumor
cells
and
immune
in
the
microenvironment
is
important
cancer
development.
Immune
interact
with
to
shape
this
process.
Here,
we
use
single-cell
RNA
sequencing
analysis
delineate
landscape
heterogeneity
a
cohort
of
patients
HBV-associated
human
hepatocellular
carcinoma
(HCC).
We
found
that
tumor-associated
macrophages
suppress
T
cell
infiltration
TIGIT-NECTIN2
interaction
regulates
immunosuppressive
environment.
The
state
transition
towards
more
exhaustive
status
exemplifies
overall
cancer-promoting
immunocellular
landscape.
Furthermore,
global
molecular
profiles
reveals
co-existence
intra-tumoral
inter-tumoral
heterogeneity,
but
apparent
latter.
This
intercellular
interactions
provides
mechanistic
information
for
design
efficacious
immune-oncology
treatments
carcinoma.
Molecular Oncology,
Journal Year:
2019,
Volume and Issue:
14(2), P. 462 - 483
Published: Dec. 2, 2019
Tumor‐associated
macrophages
have
important
roles
in
hepatocellular
carcinoma
(HCC)
initiation
and
progression.
Long
noncoding
RNAs
(lncRNAs)
also
been
reported
to
be
involved
HCC.
In
this
study,
we
explored
how
lncRNA
LINC00662
may
influence
HCC
progression
through
both
tumor
cell‐dependent
macrophage‐dependent
mechanisms.
was
found
upregulated
HCC,
high
levels
correlated
with
poor
survival
of
patients.
WNT3A
expression
secretion
via
competitively
binding
miR‐15a,
miR‐16,
miR‐107.
Through
inducing
secretion,
activated
Wnt/β‐catenin
signaling
cells
an
autocrine
manner
further
promoted
cell
proliferation,
cycle,
invasion,
while
repressing
apoptosis.
addition,
acting
a
paracrine
M2
macrophage
polarization.
Via
activating
polarization,
significantly
growth
metastasis
vivo
.
Hence,
targeting
provide
novel
therapeutic
strategy
against
Journal of Hepatology,
Journal Year:
2021,
Volume and Issue:
74(5), P. 1212 - 1224
Published: Feb. 5, 2021
Combined
hepatocellular-cholangiocarcinoma
(cHCC-CCA)
is
a
tumour
that
exhibits
both
hepatocytic
and
biliary
differentiation.
Classical
risk
factors
for
hepatocellular
carcinoma
(HCC)
seem
to
also
predispose
patients
the
development
of
cHCC-CCA.
The
pathological
definition
cHCC-CCA
has
significantly
evolved
over
time.
last
2019
WHO
classification
highlighted
diagnosis
should
be
primarily
based
on
morphology
using
routine
stainings,
with
additional
immunostaining
used
refine
identification
subtypes.
Among
them,
"intermediate
cell
carcinoma"
recognised
as
specific
subtype,
while
"cholangiolocellular
now
considered
subtype
iCCA.
Increasing
molecular
evidence
supports
clonal
nature
parallels
its
biphenotypic
histological
appearance,
genetic
alterations
are
classically
observed
in
HCC
and/or
That
said,
morphological
still
challenging
radiologists
pathologists,
especially
biopsy
specimens.
Identification
cHCC-CCA's
origin
remains
an
area
active
research.
Its
prognosis
generally
worse
than
HCC,
similar
Resection
lymph
node
dissection
unfortunately
only
curative
option
Thus,
there
urgent
need
develop
therapeutic
strategies
this
unique
clinical
entity.
Annual Review of Pathology Mechanisms of Disease,
Journal Year:
2020,
Volume and Issue:
16(1), P. 299 - 322
Published: Nov. 25, 2020
Studies
of
the
regenerative
capacity
liver
have
converged
on
Hippo
pathway,
a
serine/threonine
kinase
cascade
discovered
in
Drosophila
and
conserved
from
unicellular
organisms
to
mammals.
Genetic
studies
mouse
rat
livers
revealed
that
pathway
is
key
regulator
size,
regeneration,
development,
metabolism,
homeostasis
perturbations
can
lead
development
common
diseases,
such
as
fatty
disease
cancer.
In
turn,
pharmacological
targeting
may
be
utilized
boost
regeneration
prevent
progression
diseases.
We
review
current
insights
provided
by
into
pathophysiology.
Furthermore,
we
present
path
forward
for
future
understand
how
newly
identified
components
control
physiology
regulated
liver.