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Updated: Apr 23, 2026

The Murine Choline-Deficient, Ethionine-Supplemented CDE Diet Model of Chronic Liver Injury
Published on: October 21, 2017
Neddylation pathway is up-regulated in human intrahepatic cholangiocarcinoma and serves as a potential therapeutic
Qiang Gao1, Guang-Yang Yu2, Jie-Yi Shi1
1Liver Cancer Institute, Zhongshan Hospital and Shanghai Medical School, and Key Laboratory of Carcinogenesis and Cancer Invasion (Ministry of Education), Fudan University, Shanghai, P. R. China. Contributed equally to this work.
Abstract:
Therapeutic intervention in neddylation pathway is an emerging area for cancer treatment. Herein, we evaluated the clinical relevance and therapeutic potential of targeting this pathway in intrahepatic cholangiocarcinoma (ICC). Immunohistochemistry of neddylation pathway components in a cohort of 322 cases showed that E1 (NAE1 and UBA3) and E2 (UBC12) enzymes, as well as global NEDD8 conjugation, were upregulated in over 2/3 of human ICC. Notably, NAE1 was identified as an independent prognosticator for postoperative recurrence (P=0.009) and a combination of NEDD8 and NAE1 provided a better power for predicting patient clinical outcomes. In vitro treatment with MLN4924, a small-molecule NEDD8-activating enzyme inhibitor, led to a dose-dependent decrease of viability in both established and primary cholangiocarcinoma cell lines. Additionally, MLN4924 exhibited at least additive effect when combined with cisplatin. By blocking cullins neddylation, MLN4924 inactivated Cullin-Ring ligase (CRL) and caused the accumulation of CRL substrates that triggered cell cycle arrest, senescence or apoptosis. Meanwhile, MLN4924 was well-tolerated and significantly inhibited tumor growth in xenograft model of cholangiocarcinoma. Taken together, our findings indicated that upregulated neddylation pathway was involved in ICC progression and interference in this pathway could be a promising target for ICC therapy.
Insights
Targeting the neddylation pathway shows promise for intrahepatic cholangiocarcinoma (ICC) treatment. Upregulated neddylation markers predict recurrence, and an inhibitor, MLN4924, reduced ICC cell viability and tumor growth.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The neddylation pathway is crucial for protein modification and cellular processes.
- Aberrant neddylation has been implicated in various cancers, including intrahepatic cholangiocarcinoma (ICC).
- Targeting the neddylation pathway presents a novel therapeutic strategy for cancer treatment.
Purpose of the Study:
- To investigate the clinical relevance of neddylation pathway components in ICC.
- To evaluate the therapeutic potential of inhibiting the neddylation pathway in ICC.
- To explore the efficacy of MLN4924, a NEDD8-activating enzyme inhibitor, in ICC models.
Main Methods:
- Immunohistochemistry was performed on 322 ICC patient samples to assess neddylation markers.
- In vitro studies utilized ICC cell lines treated with MLN4924 and cisplatin.
- In vivo efficacy was evaluated using a cholangiocarcinoma xenograft mouse model.
Main Results:
- Upregulation of E1 (NAE1, UBA3), E2 (UBC12) enzymes, and global NEDD8 conjugation was observed in over two-thirds of ICC cases.
- NAE1 expression independently predicted postoperative recurrence, and combined NEDD8/NAE1 levels improved outcome prediction.
- MLN4924 reduced ICC cell viability, potentiated cisplatin's effect, inhibited tumor growth, and induced cell cycle arrest, senescence, or apoptosis by inactivating Cullin-Ring ligase (CRL).
Conclusions:
- The neddylation pathway is significantly upregulated and involved in ICC progression.
- Targeting the neddylation pathway, specifically with MLN4924, offers a promising therapeutic strategy for ICC.
- Combined NEDD8/NAE1 expression serves as a potential prognostic biomarker for ICC patients.
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