학술논문

Hepatocellular carcinoma originates from hepatocytes and not from the progenitor/biliary compartment
Document Type
Report
Source
Journal of Clinical Investigation. October 1, 2015, p3891, 13 p.
Subject
Liver cells -- Health aspects
Biliary tract -- Health aspects
Hepatoma -- Development and progression
Health care industry
Development and progression
Health aspects
Language
English
ISSN
0021-9738
Abstract
In many organs, including the intestine and skin, cancers originate from cells of the stem or progenitor compartment. Despite its nomenclature, the cellular origin of hepatocellular carcinoma (HCC) remains elusive. In contrast to most organs, the liver lacks a defined stem cell population for organ maintenance. Previous studies suggest that both hepatocytes and facultative progenitor cells within the biliary compartment are capable of generating HCC. As HCCs with a progenitor signature carry a worse prognosis, understanding the origin of HCC is of clinical relevance. Here, we used complementary fate-tracing approaches to label the progenitor/biliary compartment and hepatocytes in murine hepatocarcinogenesis. In genotoxic and genetic models, HCCs arose exclusively from hepatocytes but never from the progenitor/biliary compartment. Cytokeratin 19-, A6- and α-fetoprotein-positive cells within tumors were hepatocyte derived. In summary, hepatocytes represent the cell of origin for HCC in mice, and a progenitor signature does not reflect progenitor origin, but dedifferentiation of hepatocyte-derived tumor cells.
Introduction Hepatocellular carcinoma (HCC) is the third leading cause of cancer mortality worldwide, with approximately 700,000 new cases diagnosed every year (1, 2). HCC typically develops in patients with chronic [...]