Molecular Pathogenesis of Cholangiocarcinoma

被引:24
作者
Rizvi, Sumera [1 ]
Gores, Gregory J. [1 ]
机构
[1] Mayo Clin, Div Gastroenterol & Hepatol, Rochester, MN 55905 USA
基金
美国国家卫生研究院;
关键词
Cancer-associated fibroblast; Cholangiocarcinoma; Inflammation; Tumor microenvironment; INDUCE CYCLOOXYGENASE-2 EXPRESSION; ISOCITRATE DEHYDROGENASE 1; GROWTH-FACTOR RECEPTOR; INTRAHEPATIC CHOLANGIOCARCINOMA; DNA-DAMAGE; CANCER; CELLS; OXYSTEROLS; BILE; CHOLANGIOCYTES;
D O I
10.1159/000360502
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
It has become increasingly apparent of late that inflammation plays an integral role in a spectrum of malignancies including cholangiocarcinoma (CCA). Primary sclerosing cholangitis with chronic inflammation is the most common risk factor for CCA in the Western world. Recent work has highlighted that inflammatory pathways are essential in carcinogenesis and tissue invasion and migration. Inflammation advances carcinogenesis by induction of DNA damage, evasion of apoptosis, promotion of cell proliferation, and neoangiogenesis. CCA is characterized by the presence of a desmoplastic stroma consisting of cancer-associated fibroblasts, tumor-associated macrophages, and tumor-infiltrating lymphocytes. This rich inflammatory milieu is vital to the cancer ecosystem, and targeting its components represents an attractive therapeutic option. (C) 2014 S. Karger AG, Basel
引用
收藏
页码:564 / 569
页数:6
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