Related Experiment Video
Updated: Nov 27, 2025

Quantifying Antibody-Dependent Cellular Cytotoxicity in a Tumor Spheroid Model: Application for Drug Discovery
Published on: April 26, 2024
ERBB2 Pathway in Biliary Tract Carcinoma: Clinical Implications of a Targetable Pathway
Oded Jacobi1, Jeffrey S Ross2, Tal Goshen-Lago3
1Institute of Oncology, Davidoff Cancer Center, Rabin Medical Center, Petah Tiqwa, Israel, jacobi.oded@gmail.com.
Background/Aims:
Current chemotherapy regimens for cholangiocarcinoma (CCA) yield poor outcomes, with a median overall survival of <12 months. Recent data on the genomic landscape of CCAs have created opportunities for targeted therapy. Yet, data regarding its efficacy are scarce. We aimed to describe the genomic landscape of a CCA patient cohort using next-generation sequencing (NGS), focusing on the ERBB/EFGR pathway and assessing response to anti-HER2 agents.
Methods:
Tissue samples of intrahepatic CCA (IHCC) and extrahepatic CCA (EHCC) underwent NGS for somatic aberrations. The clinical outcomes for patients treated with anti-HER2 agents were evaluated.
Results:
A total of 1,863 CCA cases (1,615 IHCCs and 248 EHCCs) underwent NGS, and they revealed a high prevalence of ERBB alterations (IHCC, 4.2%; EHCC, 9.7%). Among these, 23.8% of the IHCCs and 53.6% of the EHCCs had a point mutation in ERBB2, and 66.6% of the IHCCs and 41.2% of the EHCCs had ERBB copy number amplification. Three EHCC patients were diagnosed at our institute with ERBB/EGFR aberrations; 2 patients were treated with neratinib and 1 patient with a chemotherapy-trastuzumab combination. All 3 achieved disease stabilization and a clinical benefit. One patient underwent a liquid biopsy before and after 3 months of treatment, demonstrating disappearance of the ERBB2 clone and emergence of a Myc-mutated clone after treatment.
Conclusions:
The genomic landscape of CCAs may harbor targetable alterations, especially in the ERBB/EGFR pathway. These alterations may have clinical significance in everyday practice.
Insights
Cholangiocarcinoma (CCA) genomic analysis reveals frequent ERBB/EGFR pathway alterations. Targeted therapy, including anti-HER2 agents, showed clinical benefit, suggesting these alterations are clinically significant for CCA patients.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Current cholangiocarcinoma (CCA) chemotherapy offers limited survival benefits.
- Genomic profiling of CCA has identified potential therapeutic targets.
- Efficacy data for targeted therapies in CCA remain scarce.
Purpose of the Study:
- To characterize the genomic landscape of cholangiocarcinoma (CCA) patients.
- To focus on the ERBB/EGFR pathway and its alterations.
- To assess the response of CCA patients with ERBB/EGFR aberrations to anti-HER2 agents.
Main Methods:
- Next-generation sequencing (NGS) was performed on 1,863 intrahepatic CCA (IHCC) and extrahepatic CCA (EHCC) tissue samples.
- Somatic aberrations, particularly in the ERBB/EGFR pathway, were identified.
- Clinical outcomes of patients treated with anti-HER2 agents were evaluated.
Main Results:
- A high prevalence of ERBB alterations was observed in CCA (IHCC: 4.2%, EHCC: 9.7%).
- ERBB2 mutations and copy number amplifications were frequent in both IHCC and EHCC subtypes.
- Three EHCC patients with ERBB/EGFR aberrations treated with anti-HER2 agents (neratinib or trastuzumab combination) achieved disease stabilization and clinical benefit.
Conclusions:
- The genomic profile of cholangiocarcinoma (CCA) frequently includes targetable ERBB/EGFR pathway alterations.
- These findings suggest that ERBB/EGFR pathway alterations have clinical significance in CCA management.
- Targeted therapies may offer a promising treatment avenue for selected CCA patients.
More Related Videos
07:31A Syngeneic Orthotopic Osteosarcoma Sprague Dawley Rat Model with Amputation to Control Metastasis Rate
Published on: May 3, 2021
09:29Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against...
Mitogens and the Cell Cycle
The Retinoblastoma Gene
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Abnormal Proliferation