Boden Corinna, Esser Laura K, Dold Leona, Langhans Bettina, Zhou Taotao, Kaczmarek Dominik J, Gonzalez-Carmona Maria A, Weismüller Tobias J, Kristiansen Glen, Kalff Jörg C, Hölzel Michael, Matthaei Hanno, Toma Marieta I, Branchi Vittorio
Department of General, Abdominal, Thoracic and Vascular Surgery, University Hospital Bonn, 53127 Bonn, Germany.
Institute of Pathology, University Hospital Bonn, 53127 Bonn, Germany.
Biomedicines. 2025 Apr 29;13(5):1083. doi: 10.3390/biomedicines13051083.
Primary sclerosing cholangitis (PSC) is a rare, incurable liver disease characterized by chronic biliary inflammation and fibrosis. PSC is a significant risk factor for biliary tract cancer (BTC). This study aims to evaluate STAT3 expression in BTC and its prognostic significance as well as explore the potential of organoids derived from PSC and liver tumor patients as an in vitro model for testing novel therapeutic strategies in both PSC and BTC. Fresh tissue samples obtained from 10 PSC patients through targeted endoscopic retrograde cholangiography (ERC) and biopsy samples from liver tumor patients were used to establish organoid cultures. Organoids were treated with different agents and the therapeutic effect was measured by CellTiterGlo. Treatment with the JAK inhibitor baricitinib was followed by the measurement of cytokine concentrations in the supernatant. Archived formalin-fixed paraffin-embedded (FFPE) samples from 55 surgically resected BTC tumors were analyzed for STAT3 expression using immunohistochemistry. We successfully established organoid cultures from all ERC samples. STAT3 protein expression was detected in 56% of tumor samples and 69% of the immune microenvironment. STAT3 positivity in the immune cell compartment was associated with longer disease-free survival, although the multivariate analysis could not confirm its value as an independent prognostic factor. Chemotherapy testing on liver tumor organoids showed various degrees of decreases in viability after treatment with gemcitabine, cisplatin, and cabozantinib. Baricitinib treatment significantly reduced IL-6 and MCP-1 secretion in cholangiocarcinoma The patient-derived organoid model of PSC and liver tumors is a valuable tool for testing novel and established therapeutic strategies, including JAK inhibitors and chemotherapy regimens. STAT3 expression in the immune microenvironment of BTC may serve as a prognostic marker. Further studies are needed to explore the integration of co-cultured organoid systems with stromal and immune components to improve physiological relevance.
原发性硬化性胆管炎(PSC)是一种罕见的、无法治愈的肝脏疾病,其特征为慢性胆管炎症和纤维化。PSC是胆管癌(BTC)的一个重要危险因素。本研究旨在评估STAT3在BTC中的表达及其预后意义,并探索源自PSC和肝肿瘤患者的类器官作为体外模型用于测试PSC和BTC新型治疗策略的潜力。通过靶向内镜逆行胆管造影(ERC)从10例PSC患者获得的新鲜组织样本以及肝肿瘤患者的活检样本用于建立类器官培养。类器官用不同药物处理,并用CellTiterGlo测量治疗效果。用JAK抑制剂巴瑞替尼处理后,测量上清液中的细胞因子浓度。使用免疫组织化学分析55例手术切除的BTC肿瘤的存档福尔马林固定石蜡包埋(FFPE)样本中的STAT3表达。我们成功地从所有ERC样本中建立了类器官培养。在56%的肿瘤样本和69%的免疫微环境中检测到STAT3蛋白表达。免疫细胞区室中的STAT3阳性与更长的无病生存期相关,尽管多变量分析不能确认其作为独立预后因素的价值。对肝肿瘤类器官的化疗测试显示,用吉西他滨、顺铂和卡博替尼处理后活力有不同程度的降低。巴瑞替尼治疗显著降低胆管癌中IL-6和MCP-1的分泌。源自PSC和肝肿瘤患者的类器官模型是测试新型和既定治疗策略(包括JAK抑制剂和化疗方案)的有价值工具。BTC免疫微环境中的STAT3表达可能作为一种预后标志物。需要进一步研究探索将共培养类器官系统与基质和免疫成分整合以提高生理相关性。
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