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Published on: May 15, 2021
FBXW7 modulates malignant potential and cisplatin-induced apoptosis in cholangiocarcinoma through NOTCH1 and MCL1
Akiko Mori1, Kunihiro Masuda1, Hideo Ohtsuka1
1Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Abstract:
The ubiquitin ligase F-box and WD repeat domain-containing 7 (FBXW7) is responsible for degrading diverse oncoproteins and is considered a tumor suppressor in many human cancers. Inhibiting FBXW7 enhances the malignant potential of several cancers. In this study, we aimed to investigate the role of FBXW7 in cholangiocarcinoma. We found that FBXW7 expression was associated with clinicopathological outcomes in cholangiocarcinoma patients. Both disease-free and overall survival were significantly worse in the low-FBXW7 group than in the high-FBXW7 group (P = .001 and P < .001, respectively). Multivariate analysis with the Cox proportional hazards model indicated that FBXW7 was the most important independent prognostic factor for disease-free (P = .006) and overall (P = .0004) survival. We also showed that the two FBXW7 substrates, NOTCH1 and myeloid cell leukemia sequence 1 (MCL1), regulate cholangiocarcinoma progression. Depletion of FBXW7 resulted in NOTCH1 accumulation and increased cholangiocarcinoma cell migration and self-renewal. Interestingly, when cells were stimulated with cis-diamminedichloridoplatinum(II) (cisplatin), FBXW7 suppression induced MCL1 upregulation, which reduced the sensitivity of cholangiocarcinoma cells to apoptosis, indicating that FBXW7-mediated ubiquitylation is context-dependent. These results indicate that FBXW7 modulates the malignant potential of cholangiocarcinoma through independent regulation of NOTCH1 and MCL1.
Insights
The tumor suppressor FBXW7 (F-box and WD repeat domain-containing 7) is crucial in cholangiocarcinoma. Lower FBXW7 levels correlate with worse patient survival and increased cancer cell migration and drug resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The ubiquitin ligase FBXW7 (F-box and WD repeat domain-containing 7) acts as a tumor suppressor by degrading oncoproteins.
- FBXW7 inhibition generally enhances cancer malignancy.
- The role of FBXW7 in cholangiocarcinoma (bile duct cancer) remains largely unexplored.
Purpose of the Study:
- To investigate the prognostic significance of FBXW7 in cholangiocarcinoma.
- To elucidate the mechanisms by which FBXW7 influences cholangiocarcinoma progression, focusing on its substrates NOTCH1 and MCL1.
Main Methods:
- Analysis of FBXW7 expression in cholangiocarcinoma patient samples.
- Correlation of FBXW7 levels with clinicopathological features and patient survival.
- Investigation of FBXW7's role in regulating NOTCH1 and MCL1 stability and function.
- Assessment of cholangiocarcinoma cell migration, self-renewal, and apoptosis sensitivity following FBXW7 manipulation.
Main Results:
- FBXW7 expression inversely correlated with poor disease-free and overall survival in cholangiocarcinoma patients.
- FBXW7 was identified as an independent prognostic factor for survival.
- FBXW7 depletion led to NOTCH1 accumulation, promoting cholangiocarcinoma cell migration and self-renewal.
- FBXW7 suppression induced MCL1 upregulation, conferring resistance to cisplatin-induced apoptosis in a context-dependent manner.
Conclusions:
- FBXW7 functions as a tumor suppressor in cholangiocarcinoma.
- FBXW7 modulates cholangiocarcinoma malignancy through the independent regulation of NOTCH1 and MCL1.
- Targeting FBXW7 or its downstream pathways may offer therapeutic strategies for cholangiocarcinoma.
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