Journal of Personalized Medicine,
Journal Year:
2022,
Volume and Issue:
12(8), P. 1247 - 1247
Published: July 29, 2022
Recent
years
have
witnessed
the
advent
of
molecular
profiling
for
intrahepatic
cholangiocarcinoma
(iCCA),
and
new
techniques
led
to
identification
several
alterations.
Precision
oncology
approaches
been
widely
evaluated
are
currently
under
assessment,
as
shown
by
recent
development
a
wide
range
agents
targeting
Fibroblast
Growth
Factor
Receptor
(FGFR)
2,
Isocitrate
Dehydrogenase
1
(IDH-1),
BRAF.
However,
knowledge
gaps
persist
in
understanding
genomic
landscape
this
hepatobiliary
malignancy.In
current
study,
we
aimed
comprehensively
analyze
clinicopathological
features
BAP1-mutated
iCCA
patients
public
datasets
increase
on
biological
profile
iCCA.The
database
including
772
iCCAs,
identified
BAP1
mutations
120
cases
(15.7%).
According
our
analysis,
no
differences
terms
overall
survival
relapse-free
were
observed
between
wild-type
receiving
radical
surgery.
In
addition,
IDH1,
PBRM1,
ARID1A
most
commonly
co-altered
genes
iCCAs.The
characterization
is
destined
become
increasingly
important,
more
efforts
implement
genomics
analysis
warranted.
Journal of Hepatology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 1, 2024
Intrahepatic
cholangiocarcinoma
(iCCA)
is
a
fatal
malignancy
of
the
biliary
system.
The
lack
detailed
understanding
oncogenic
signaling
or
global
gene
expression
alterations
has
impeded
clinical
iCCA
diagnosis
and
therapy.
role
protein
lactylation,
newly
unraveled
post-translational
modification
that
orchestrates
expression,
remains
largely
elusive
in
pathogenesis
iCCA.
The Lancet Regional Health - Europe,
Journal Year:
2025,
Volume and Issue:
50, P. 101171 - 101171
Published: Feb. 19, 2025
Biliary
tract
cancer
(BTC)
is
becoming
more
common
worldwide,
with
geographic
differences
in
incidence
and
risk
factors.
In
Europe,
BTC
may
be
associated
primary
sclerosing
cholangitis,
lithiasis,
liver
cirrhosis,
but
frequently
observed
as
a
sporadic
disease.
increasingly
affects
patients
under
60
years,
resulting
significant
social
economic
burden.
Early
diagnosis
remains
challenging
due
to
vague
symptoms
50%
of
BTC,
lack
specific
biomarkers,
late
presentation
poor
prognosis.
The
identification
at
increased
reliable
biomarkers
require
collaborative
efforts
make
faster
progress.
This
Series
paper
highlights
the
disparities
access
diagnostic
tools
multidisciplinary
care
particularly
economically
disadvantaged
regions,
while
identifying
priority
areas
for
improvement.
Addressing
these
inequities
requires
harmonised
guidelines,
accelerated
pathways
curative
treatments,
improved
awareness
among
healthcare
professionals
public.
Multidisciplinary
teams
(MDTs)
are
crucial
improving
patient
outcomes,
yet
inconsistencies
exist
their
implementation
not
only
between
different
countries,
also
centres
within
country.
Collaboration
standardisation
treatment
protocols
across
Europe
essential
effectively
address
management
BTC.
EBioMedicine,
Journal Year:
2023,
Volume and Issue:
93, P. 104657 - 104657
Published: June 21, 2023
Differentiating
intrahepatic
cholangiocarcinomas
(iCCA)
from
hepatic
metastases
of
pancreatic
ductal
adenocarcinoma
(PAAD)
is
challenging.
Both
tumours
have
similar
morphological
and
immunohistochemical
pattern
share
multiple
driver
mutations.
We
hypothesised
that
DNA
methylation-based
machine-learning
algorithms
may
help
perform
this
task.We
assembled
genome-wide
methylation
data
for
iCCA
(n
=
259),
PAAD
431),
normal
bile
duct
70)
publicly
available
sources.
split
cohort
into
a
reference
399)
validation
set
361).
Using
the
cohort,
we
trained
three
machine
learning
models
to
differentiate
between
these
entities.
Furthermore,
validated
classifiers
on
technical
used
an
internal
72)
test
our
classifier.On
neural
network,
support
vector
machine,
random
forest
reached
accuracies
97.68%,
95.62%,
96.5%,
respectively.
Filtering
by
anomaly
detection
thresholds
improved
accuracy
99.07%
(37
samples
excluded
filtering),
96.22%
(17
excluded),
100%
(44
excluded)
forest,
Because
best
balance
number
predictable
cases
tested
network
with
applied
filters
in-house
obtaining
95.45%.We
developed
classifier
can
iCCAs,
PAAD,
tissue
high
accuracy.
This
tool
be
improving
diagnosis
pancreato-biliary
cancers
liver.This
work
was
supported
Berlin
Institute
Health
(JCS
Program),
DKTK
(Young
Investigator
Grant
2022),
German
Research
Foundation
(493697503
314905040
-
SFB/TRR
209
Liver
Cancer
B01),
Aid
(70113922).
Hepatology,
Journal Year:
2022,
Volume and Issue:
77(2), P. 411 - 429
Published: June 18, 2022
Background
and
Aims:
Cholangiocarcinoma
(CCA)
is
a
highly
heterogeneous
cancer
with
limited
understanding
few
effective
therapeutic
approaches.
We
aimed
at
providing
proteogenomic
CCA
characterization
to
inform
biological
processes
treatment
vulnerabilities.
Approach
Results:
Integrative
genomic
analysis
functional
validation
uncovered
perturbations
downstream
of
driver
events
including
DPCR1
,
RBM47
mutations,
SH3BGRL2
copy
number
alterations,
FGFR2
fusions
in
CCA.
Proteomic
clustering
identified
three
subtypes
distinct
clinical
outcomes,
molecular
features,
potential
therapeutics.
Phosphoproteomics
characterized
targetable
kinases
CCA,
suggesting
strategies
for
CDK
MAPK
inhibitors.
Patients
HBV
infection
showed
increased
antigen
processing
presentation
(APC)
T
cell
infiltration,
conferring
favorable
prognosis
compared
those
without
infection.
The
extrahepatic
recommended
the
feasible
application
vascular
endothelial‐derived
growth
factor
Multiomics
profiling
presented
distinctive
characteristics
large
bile
duct
small
intrahepatic
immune
landscape
further
revealed
diverse
tumor
microenvironments,
C1
C5
might
benefit
from
checkpoint
therapy.
TCN1
was
as
prognostic
biomarker,
promoting
by
enhancing
vitamin
B12
metabolism.
Conclusions:
217
CCAs
197
paired
normal
adjacent
tissues
their
targets.
multiomics
analyses
other
databases
some
validations
have
indicated
regarding
clinical,
biological,
approaches
management
Gut,
Journal Year:
2023,
Volume and Issue:
73(6), P. 966 - 984
Published: Nov. 24, 2023
Objectives
Cholangiocarcinoma
(CCA)
is
a
heterogeneous
malignancy
with
high
mortality
and
dismal
prognosis,
an
urgent
clinical
need
for
new
therapies.
Knowledge
of
the
CCA
epigenome
largely
limited
to
aberrant
DNA
methylation.
Dysregulation
enhancer
activities
has
been
identified
affect
carcinogenesis
leveraged
therapies
but
uninvestigated
in
CCA.
Our
aim
identify
potential
therapeutic
targets
different
subtypes
through
profiling.
Design
Integrative
multiomics
activity
profiling
diverse
was
performed.
A
panel
cell
lines,
patient-derived
line-derived
xenografts
were
used
study
enriched
pathways
vulnerabilities.
NanoString,
multiplex
immunohistochemistry
staining
single-cell
spatial
transcriptomics
explore
immunogenicity
Results
We
three
distinct
groups,
associated
etiologies
unique
pathways.
Drug
inhibitors
reduced
tumour
growth
vitro
vivo
models.
The
first
group
(ESTRO),
mostly
fluke-positive
CCAs,
displayed
activation
estrogen
signalling
sensitive
MTOR
inhibitors.
Another
(OXPHO),
BAP1
IDH
-mutant
activated
oxidative
phosphorylation
pathways,
Immune-related
final
(IMMUN),
made
up
immunogenic
subtype
aristolochic
acid
(AA)
mutational
signatures.
Intratumour
differences
AA
mutation
load
correlated
intratumour
variation
immune
populations.
Conclusion
elucidates
mechanisms
underlying
dysregulation
deepens
understanding
tumourigenesis
processes
subtypes,
significant
therapeutics
benefits.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(9), P. 4620 - 4620
Published: April 24, 2024
Breast
cancer
(BC)
is
a
global
health
risk
for
women
and
has
high
prevalence
rate.
The
drug
resistance,
recurrence,
metastasis
of
BC
affect
patient
prognosis,
thus
posing
challenge
to
scientists.
Exosomes
are
extracellular
vesicles
(EVs)
that
originate
from
various
cells;
they
have
double-layered
lipid
membrane
structure
contain
rich
biological
information.
They
mediate
intercellular
communication
pivotal
roles
in
tumor
development,
progression,
resistance.
important
cell
mediators
the
microenvironment
(TME).
utilized
as
diagnostic
prognostic
biomarkers
estimating
treatment
efficacy
potential
function
tools
enable
targeted
delivery
antitumor
drugs.
This
review
introduces
recent
progress
research
on
how
exosomes
influence
development
TME.
We
also
present
application
tools.
Journal of Gastroenterology and Hepatology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 24, 2025
ABSTRACT
Background
and
Aim
Intrahepatic
cholangiocarcinoma
(ICC)
is
the
second
most
common
primary
liver
cancer
whose
incidence
increasing
globally.
However,
high
tumor
heterogeneity
of
ICC
restricts
efficacy
available
systematic
therapies.
We
aim
to
dissect
utilizing
high‐resolution
single‐cell
RNA
sequencing
identify
novel
therapeutic
targets.
Methods
performed
(scRNA‐seq)
26
samples
from
23
patients
spatial
transcriptomic
six
sections
patients.
Bulk
RNA‐seq
data
two
public
datasets
were
used
for
validation.
Additionally,
immunohistochemical
staining
multiplex
immunofluorescence
conducted
validate
infiltration
distribution
cells
in
microenvironment.
Results
discovered
that
malignant
exhibited
a
remarkably
degree
heterogeneity.
identified
basal‐like
cell
subpopulation
characterized
by
expression
basal
epithelial
related
genes
including
KRT5,
KRT6A,
KRT17.
The
was
activation
MET
signaling
extracellular
matrix
organization
associated
with
invasion
correlated
poor
prognosis.
Cell–cell
communication
analysis
further
showed
significant
HGF‐MET
interaction
between
inflammatory
cancer–associated
fibroblasts
(iCAFs)
cells.
found
iCAFs
major
source
HGF
environment
contributed
phenotype
formation
axis.
Conclusions
an
aggressive
subpopulation,
which
prognosis
ICC.
pathway
contributes
aggressiveness
serves
as
target