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- W2292031615 abstract "Intrahepatic cholangiocarcinoma (ICC) is an aggressive malignancy associated with unfavorable prognosis and for which no effective treatments are available. Its molecular pathogenesis is poorly understood. Genome-wide sequencing and high-throughput technologies have provided critical insights into the molecular basis of ICC while sparking a heated debate on the cellular origin. Cancer exhibits variabilities in origin, progression and cell biology. Recent evidence suggests that ICC has multiple cellular origins, including differentiated hepatocytes; intrahepatic biliary epithelial cells (IBECs)/cholangiocytes; pluripotent stem cells, such as hepatic stem/progenitor cells (HPCs) and biliary tree stem/progenitor cells (BTSCs); and peribiliary gland (PBG). However, both somatic mutagenesis and epigenomic features are highly cell type-specific. Multiple cellular origins may have profoundly different genomic landscapes and key signaling pathways, driving phenotypic variation and thereby posing significant challenges to personalized medicine in terms of achieving the optimal drug response and patient outcome. Considering this information, we have summarized the latest experimental evidence and relevant literature to provide an up-to-date view of the cellular origin of ICC, which will contribute to establishment of a hierarchical model of carcinogenesis and allow for improvement of the anatomical-based classification of ICC. These new insights have important implications for both the diagnosis and treatment of ICC patients." @default.
- W2292031615 created "2016-06-24" @default.
- W2292031615 creator A5021591848 @default.
- W2292031615 creator A5029414414 @default.
- W2292031615 creator A5042581267 @default.
- W2292031615 creator A5045901990 @default.
- W2292031615 creator A5049559238 @default.
- W2292031615 creator A5058709349 @default.
- W2292031615 date "2016-09-01" @default.
- W2292031615 modified "2023-10-14" @default.
- W2292031615 title "Multiple cellular origins and molecular evolution of intrahepatic cholangiocarcinoma" @default.
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