학술논문

Crenigacestat blocking notch pathway reduces liver fibrosis in the surrounding ecosystem of intrahepatic CCA viaTGF-β inhibition
Document Type
article
Source
Journal of Experimental & Clinical Cancer Research. 41(1)
Subject
Biomedical and Clinical Sciences
Oncology and Carcinogenesis
Cancer
Digestive Diseases
Rare Diseases
Liver Cancer
Liver Disease
Humans
Transforming Growth Factor beta1
Ecosystem
Cholangiocarcinoma
Liver
Bile Duct Neoplasms
Bile Ducts
Intrahepatic
Fibrosis
Tumor Microenvironment
Tissue microenvironment
Liver fibrosis
Tumor stroma crosstalk
Crenigacestat
Smad2
Oncology and carcinogenesis
Language
Abstract
BackgroundIntrahepatic cholangiocarcinoma (iCCA) is a highly malignant tumor characterized by an intensive desmoplastic reaction due to the exaggerated presence of the extracellular (ECM) matrix components. Liver fibroblasts close to the tumor, activated by transforming growth factor (TGF)-β1 and expressing high levels of α-smooth muscle actin (α-SMA), become cancer-associated fibroblasts (CAFs). CAFs are deputed to produce and secrete ECM components and crosstalk with cancer cells favoring tumor progression and resistance to therapy. Overexpression of Notch signaling is implicated in CCA development and growth. The study aimed to determine the effectiveness of the Notch inhibitor, Crenigacestat, on the surrounding microenvironment of iCCA.MethodsWe investigated Crenigacestat's effectiveness in a PDX model of iCCA and human primary culture of CAFs isolated from patients with iCCA.ResultsIn silico analysis of transcriptomic profiling from PDX iCCA tissues treated with Crenigacestat highlighted "liver fibrosis" as one of the most modulated pathways. In the iCCA PDX model, Crenigacestat treatment significantly (p