Institute of Cellular and Organismic Biology, Academia Sinica, Taipei, Taiwan.
Hepatology. 2012 Dec;56(6):2268-76. doi: 10.1002/hep.25914.
The mechanisms that mediate the initiation and development of intrahepatic cholangiocarcinoma (ICC) associated with hepatitis B and C virus (HBV and HCV, respectively) infection remain largely unclear. In this study we conditionally coexpressed hepatitis B virus X (HBx) and hepatitis C virus core (HCP) proteins in zebrafish livers, which caused fibrosis and consequently contributed to ICC formation at the age of 3 months. Suppressing the transgene expression by doxycycline (Dox) treatment resulted in the loss of ICC formation. The biomarker networks of zebrafish ICC identified by transcriptome sequencing and analysis were also frequently involved in the development of human neoplasms. The profiles of potential biomarker genes of zebrafish ICC were similar to those of human cholangiocarcinoma. Our data also showed that the pSmad3L oncogenic pathway was activated in HBx and HCP-induced ICC and included phosphorylation of p38 mitogen-activated proteinbase (MAPK) and p44/42 mitogen-activated protein kinase (ERK1/2), indicating the association with transforming growth factor beta 1 (TGF-β1) signaling pathway in ICC. Bile duct proliferation, fibrosis, and ICC were markedly reduced by knockdown of TGF-β1 by in vivo morpholinos injections.
These results reveal that TGF-β1 plays an important role in HBx- and HCP-induced ICC development. This in vivo model is a potential approach to study the molecular events of fibrosis and ICC occurring in HBV and HCV infection.
介导乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV,分别)感染相关的肝内胆管癌(ICC)起始和发展的机制在很大程度上仍不清楚。在这项研究中,我们在斑马鱼肝脏中条件性共表达乙型肝炎病毒 X(HBx)和丙型肝炎病毒核心(HCP)蛋白,这导致纤维化,并因此在 3 个月时促成 ICC 的形成。通过强力霉素(Dox)处理抑制转基因表达导致 ICC 形成的丧失。通过转录组测序和分析确定的斑马鱼 ICC 的生物标志物网络也经常涉及人类肿瘤的发生。斑马鱼 ICC 的潜在生物标志物基因的特征与人类胆管癌相似。我们的数据还表明,HBx 和 HCP 诱导的 ICC 中激活了 pSmad3L 致癌途径,包括 p38 有丝分裂原激活蛋白激酶(MAPK)和 p44/42 有丝分裂原激活蛋白激酶(ERK1/2)的磷酸化,表明与 ICC 中的转化生长因子β 1(TGF-β1)信号通路有关。通过体内形态发生素注射敲低 TGF-β1,胆管增殖、纤维化和 ICC 明显减少。
这些结果表明 TGF-β1 在 HBx 和 HCP 诱导的 ICC 发展中起重要作用。这种体内模型是研究 HBV 和 HCV 感染中发生的纤维化和 ICC 的分子事件的潜在方法。