Kimawaha Phongsaran, Techasen Anchalee
Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
Cholangiocarcinoma Research Institute, Khon Kaen University, Khon Kaen, Thailand.
J Gastrointest Oncol. 2023 Jun 30;14(3):1593-1612. doi: 10.21037/jgo-22-1126. Epub 2023 May 26.
Cholangiocarcinoma (CCA), a liver cancer of bile duct epithelial cells, is a severe health issue in northeastern Thailand. The epithelial-mesenchymal transition (EMT) is a crucial process in the development of CCA. To comprehend oncogenic EMT in CCA, several newly found EMT factors are being explored in these underlying pathways. This narrative review explained the latest and findings on the molecular mechanisms of 21 new EMT-related proteins that affect CCA progression.
We evaluated the PubMed database for relevant articles that fulfilled our criteria for investigating the molecular pathways of the novel EMT markers involved in oncogenic EMT and how they contribute to CCA development, including cell proliferation, apoptosis, invasion, migration, and chemoresistance.
We discuss the potential of these new EMT markers as diagnostic, prognostic, and therapeutic indicators for CCA and describe their underlying mechanisms in the development of the disease. The discovery of several oncogenic EMT proteins and their key signaling pathways and downstream targets will also broaden novel paths of investigation into the diagnosis and targeted treatment of CCA.
The EMT-related proteins that were found are good sources of knowledge and interesting information for future research. The possible ways to treat CCA that could be tested in clinical trials were also discussed.
胆管癌(CCA)是一种胆管上皮细胞肝癌,在泰国东北部是一个严重的健康问题。上皮-间质转化(EMT)是CCA发生发展中的一个关键过程。为了理解CCA中的致癌性EMT,人们正在这些潜在途径中探索几种新发现的EMT因子。这篇叙述性综述解释了影响CCA进展的21种新的EMT相关蛋白的分子机制的最新研究结果。
我们在PubMed数据库中评估了相关文章,这些文章符合我们对参与致癌性EMT的新型EMT标志物的分子途径进行研究的标准,以及它们如何促进CCA的发展,包括细胞增殖、凋亡、侵袭迁移和化疗耐药性。
我们讨论了这些新的EMT标志物作为CCA诊断、预后和治疗指标的潜力,并描述了它们在疾病发展中的潜在机制。几种致癌性EMT蛋白及其关键信号通路和下游靶点的发现也将拓宽CCA诊断和靶向治疗的新研究途径。
所发现的与EMT相关的蛋白是未来研究的良好知识来源和有趣信息。还讨论了可在临床试验中测试的治疗CCA的可能方法。