Cited by 87Cholangiocarcinoma and Gallbladder Cancer StudiesPediatric Hepatobiliary Diseases and TreatmentsBone Tumor Diagnosis and Treatments

Loss of Fbxw7 synergizes with activated Akt signaling to promote c-Myc dependent cholangiocarcinogenesis

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Wang, Jingxiao, Wang, Haichuan, Peters, Michele, Ding, Ning, Ribback, Silvia, Utpatel, Kirsten, Cigliano, Antonio, Dombrowski, Frank +10 more·2019·Journal of Hepatology

Abstract

Background & aims The ubiquitin ligase F-box and WD repeat domain-containing 7 (FBXW7) is recognized as a tumor suppressor in many cancer types due to its ability to promote the degradation of numerous oncogenic target proteins. Herein, we aimed to elucidate its role in intrahepatic cholangiocarcinoma (iCCA). Methods Herein, we first confirmed that FBXW7 gene expression was reduced in human iCCA specimens. To identify the molecular mechanisms by which FBXW7 dysfunction promotes cholangiocarcinogenesis, we generated a mouse model by hydrodynamic tail vein injection of Fbxw7ΔF, a dominant negative form of Fbxw7, either alone or in association with an activated/myristylated form of AKT (myr-AKT). We then confirmed the role of c-MYC in human iCCA cell lines and its relationship to FBXW7 expression in human iCCA specimens. Results FBXW7 mRNA expression is almost ubiquitously downregulated in human iCCA specimens. While forced overexpression of Fbxw7ΔF alone did not induce any appreciable abnormality in the mouse liver, co-expression with AKT triggered cholangiocarcinogenesis and mice had to be euthanized by 15 weeks post-injection. At the molecular level, a strong induction of Fbxw7 canonical targets, including Yap, Notch2, and c-Myc oncoproteins, was detected. However, only c-MYC was consistently confirmed as a FBXW7 target in human CCA cell lines. Most importantly, selected ablation of c-Myc completely impaired iCCA formation in AKT/Fbxw7ΔF mice, whereas deletion of either Yap or Notch2 only delayed tumorigenesis in the same model. In human iCCA specimens, an inverse correlation between the expression levels of FBXW7 and c-MYC transcriptional activity was observed. Conclusions Downregulation of FBXW7 is ubiquitous in human iCCA and cooperates with AKT to induce cholangiocarcinogenesis in mice via c-Myc-dependent mechanisms. Targeting c-MYC might represent an innovative therapy against iCCA exhibiting low FBXW7 expression. Lay summary There is mounting evidence that FBXW7 functions as a tumor suppressor in many cancer types, including intrahepatic cholangiocarcinoma, through its ability to promote the degradation of numerous oncoproteins. Herein, we have shown that the low expression of FBXW7 is ubiquitous in human cholangiocarcinoma specimens. This low expression is correlated with increased c-MYC activity, leading to tumorigenesis. Our findings suggest that targeting c-MYC might be an effective treatment for intrahepatic cholangiocarcinoma.

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Authors
Wang, J., Wang, H., Peters, M., Ding, N., Ribback, S., Utpatel, K., Cigliano, A., Dombrowski, F., Xu, M., Chen, X., Song, X., Che, L., Evert, M., Cossu, A., Gordan, J., Zeng, Y., Chen, X., & Calvisi, D. F.
Affiliations
  • Beijing University of Chinese Medicine (CN)
  • University of California, San Francisco (US)
  • Universität Greifswald (DE)
  • Capital Medical University (CN)
  • University of Regensburg (DE)
  • Azienda Ospedaliero Universitaria di Sassari (IT)
  • Sichuan University (CN)
  • Universitätsmedizin Greifswald (DE)
Corresponding author
  • Zeng, Yong
  • Chen, Xin
  • Calvisi, Diego F.
Venue
Journal of Hepatology
Publisher
Elsevier BV
Published
2019-10
Volume
71
Issue
4
Pages
742-752
ISSN
0168-8278 (ISSN-L)
OpenAlex
W2949088233
Cited by
87
References
1
Citations by year
2026: 2 · 2025: 10 · 2024: 8 · 2023: 10 · 2022: 36 · 2021: 11 · 2020: 8 · 2019: 2
FWCI
13.62
Type
journal article
Language
en
Open access
Locations
  • Journal of Hepatology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • UnissResearch (Università degli Studi di Sassari) (submittedVersion, cc-by-nc-nd)
  • University of Regensburg Publication Server (University of Regensburg) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • Liver Center, University of California, San Francisco
  • National Natural Science Foundation of China
  • Deutsche Forschungsgemeinschaft
  • National Institutes of Health
Topics
  • Health Sciences › Medicine › Surgery › Cholangiocarcinoma and Gallbladder Cancer Studies
  • Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
  • Health Sciences › Medicine › Rheumatology › Bone Tumor Diagnosis and Treatments
Keywords
FBXW7, intrahepatic cholangiocarcinoma, cholangiocarcinogenesis, Akt signaling, c-Myc, tumor suppressor, ubiquitin ligase, YAP, Notch2, hydrodynamic tail vein injection, mouse tumor model
MeSH terms
F-Box-WD Repeat-Containing Protein 7, YAP-Signaling Proteins, Animals, Disease Models, Animal, Humans, Liver Neoplasms, Tumor Cells, Cultured, Signal Transduction, Genes, Tumor Suppressor, Proto-Oncogene Proteins c-myc, Cholangiocarcinoma, Cell Cycle Proteins, Adaptor Proteins, Signal Transducing, Mice, Receptor, Notch2, Molecular Targeted Therapy, Carcinogenesis

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