Activation of RAS/MEK/ERK signalling drives biliary differentiation in primary liver cancer
Thomas Rösner1,2, Carina Rupp1, Christian Lechler1
1TUM School of Medicine and Health, Department for Internal Medicine II, Technical University of Munich, TUM University Hospital, Munich, Germany.
Gut
|May 12, 2025
Summary
RAS mutations drive cholangiocarcinoma (CCA) development from hepatocytes. Targeting KRAS-downstream pathways like PI3K/AKT and MEK/ERK influences liver cancer differentiation and offers insights into CCA vs. HCC prevalence.
Area of Science:
- Hepatobiliary cancers
- Molecular oncology
- Cancer signaling pathways
Background:
- RAS mutations are common in cholangiocarcinoma (CCA) but rare in hepatocellular carcinoma (HCC).
- The function of RAS-dependent signaling in CCA pathogenesis remains unclear.
Purpose of the Study:
- Investigate RAS-dependent signaling pathways in CCA.
- Determine their role in tumor development and differentiation.
Main Methods:
- Utilized genetically engineered mouse models with liver-specific deletion of Rb and p53, alongside oncogenic Kras activation.
- Examined intrahepatic CCA cell of origin and RAS-dependent pathway roles.
Main Results:
- Kras-mutant intrahepatic CCA in mice originates from hepatocytes.
- Activated downstream pathways include PI3K/AKT and MEK/ERK.
- Inactivating PI3K/AKT promoted well-differentiated tumors; inactivating MEK/ERK induced a hepatocyte-like phenotype via WNT/β-catenin activation.
Conclusions:
- RAS-dependent pathways significantly impact liver cancer differentiation.
- Findings explain the differential prevalence of RAS mutations in CCA versus HCC.
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