Department of Biliary-Pancreatic Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China.
Department of Pathology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, P.R. China.
J Cell Physiol. 2020 Feb;235(2):1615-1623. doi: 10.1002/jcp.29080. Epub 2019 Jul 25.
The incidence of gallbladder cancer (GBC) is relatively rare but a high degree of malignancy. The migration and invasion potential of GBC severely affects the prognosis of patients with GBC. Glycochenodeoxycholate (GCDC) is one of the most important components in GBC-associated microenvironment. However, the role of GCDC in the metastatic feature of GBC cells is not fully understood. First, the results of this study found that GCDC could effectively enhance the metastasis of GBC cells. Furthermore, GCDC could lead to the enhancement of epithelial to mesenchymal transition (EMT) phenotype in GBC cells, which is concerned to be an important mechanism of tumor metastasis. Further studies showed that GCDC treatment induced the upregulation of matrix metalloproteinase-3 (MMP3), MMP9, and SOCS3/JAK2/p-STAT3 signal pathway in GBC cells, which could regulate the level of EMT. Beside that, we also found the positive expression of farnesoid X receptor (FXR) in GBC cells and inhibition of FXR could significantly block the effect of GCDC on the metastasis of GBC cells. These results indicated that GCDC promoted GBC cells metastasis by enhancing the level of EMT and inhibition of FXR could significantly block the effect of GCDC. On one hand, FXR might be an indicator for predicting the metastasis of patient with GBC. On the other hand, FXR might serve as a potential antimetastasis target in GBC therapy.
胆囊癌(GBC)的发病率相对较低,但恶性程度较高。GBC 的迁移和侵袭潜能严重影响 GBC 患者的预后。甘氨胆酸(GCDC)是 GBC 相关微环境中最重要的成分之一。然而,GCDC 在 GBC 细胞转移特征中的作用尚未完全阐明。首先,本研究结果发现 GCDC 可有效增强 GBC 细胞的转移。此外,GCDC 可导致 GBC 细胞中上皮间质转化(EMT)表型的增强,这被认为是肿瘤转移的重要机制。进一步的研究表明,GCDC 处理诱导 GBC 细胞中基质金属蛋白酶-3(MMP3)、MMP9 和 SOCS3/JAK2/p-STAT3 信号通路的上调,从而调节 EMT 水平。此外,我们还发现 GBC 细胞中存在法尼醇 X 受体(FXR)的阳性表达,抑制 FXR 可显著阻断 GCDC 对 GBC 细胞转移的作用。这些结果表明,GCDC 通过增强 EMT 水平促进 GBC 细胞转移,抑制 FXR 可显著阻断 GCDC 的作用。一方面,FXR 可能是预测 GBC 患者转移的指标。另一方面,FXR 可能成为 GBC 治疗中抗转移的潜在靶点。