1. NAFLD exacerbates cholangitis and promotes cholangiocellular carcinoma in mice
- Author
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Kuniyasu Irie, Hiroaki Kaneko, Yohko Hikiba, Tsuneo Ikenoue, Hiroaki Fujiwara, Makoto Sugimori, Makoto Chuma, Mao Matsubayashi, Soichiro Sue, Tomohiko Sasaki, and Shin Maeda
- Subjects
0301 basic medicine ,Cancer Research ,medicine.medical_specialty ,Liver tumor ,Carcinoma, Hepatocellular ,Normal diet ,Cholangitis ,Carcinogenesis ,Population ,steatohepatitis ,carcinoma ,Diet, High-Fat ,Gastroenterology ,Primary sclerosing cholangitis ,Cholangiocarcinoma ,03 medical and health sciences ,Mice ,0302 clinical medicine ,Fibrosis ,Antigens, CD ,Non-alcoholic Fatty Liver Disease ,Internal medicine ,Nonalcoholic fatty liver disease ,medicine ,Animals ,education ,Inflammation ,Mice, Knockout ,education.field_of_study ,business.industry ,Liver Neoplasms ,nutritional and metabolic diseases ,General Medicine ,Original Articles ,medicine.disease ,digestive system diseases ,Mice, Inbred C57BL ,Disease Models, Animal ,030104 developmental biology ,Oncology ,Bile Duct Neoplasms ,030220 oncology & carcinogenesis ,Hepatocellular carcinoma ,Original Article ,Steatohepatitis ,business - Abstract
Nonalcoholic fatty liver disease (NAFLD) is an increasingly common condition, affecting up to 25% of the population worldwide. NAFLD has been linked to several conditions, including hepatic inflammation, fibrosis, and hepatocellular carcinoma (HCC), however the role of NAFLD in cholangitis and the development of cholangiocellular carcinoma (CCC) remains poorly understood. This study investigated whether a high‐fat diet (HFD) promotes cholangitis and the development of CCC in mice. We used liver‐specific E‐cadherin gene (CDH1) knockout mice, CDH1∆Liv, which develop spontaneous inflammation in the portal areas along with periductal onion skin‐like fibrosis, similar to that of primary sclerosing cholangitis (PSC). An HFD or normal diet (ND) was fed to CDH1∆Liv mice for 7 mo. In addition, CDH1∆Liv mice were crossed with LSL‐KrasG12D mice, fed an HFD, and assessed in terms of liver tumor development. The extent of cholangitis and number of bile ductules significantly increased in mice fed an HFD compared with ND‐administered CDH1∆Liv mice. The numbers of Sox9 and CD44‐positive stem cell‐like cells were significantly increased in HFD mice. LSL‐KrasG12D /CDH1∆Liv HFD mice exhibited increased aggressiveness along with the development of numerous HCC and CCC, whereas LSL‐KrasG12D/CDH1∆Liv ND mice showed several macroscopic tumors with both HCC and CCC components. In conclusion, NAFLD exacerbates cholangitis and promotes the development of both HCC and CCC in mice., Cdh1 deletion in cholangiocytes develops spontaneous cholangitis and ductular reaction. The extent of cholangitis and ductular reaction is increased in mice with NAFLD. Additional Kras mutation develops cholangiocellular tumors in mice with Cdh1 deleted cholangiocytes and NAFLD promotes development of cholangiocellular tumors.
- Published
- 2021