HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathway

Previous studies have demonstrated that intrahepatic cholangiocarcinoma (ICC) may derive from transdifferentiation of hepatocytes, so transforming ICC cells into hepatocytes could be a potential strategy for treating ICC. Hepatocyte nuclear factor 4α (HNF4α), a master transcription factor in the liv...

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Main Authors: Bo-Nan Xu, Cheng-Hong Ding, Yi-Long Liu, Yuan-Yuan Luo, Juan Deng, Shu-Qing Liu, Meng-Chao Xiao, Nan Jiang, Xin Zhang, Wen-Ping Xu, Wei-Fen Xie
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Translational Oncology
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Online Access:http://www.sciencedirect.com/science/article/pii/S193652332500021X
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author Bo-Nan Xu
Cheng-Hong Ding
Yi-Long Liu
Yuan-Yuan Luo
Juan Deng
Shu-Qing Liu
Meng-Chao Xiao
Nan Jiang
Xin Zhang
Wen-Ping Xu
Wei-Fen Xie
author_facet Bo-Nan Xu
Cheng-Hong Ding
Yi-Long Liu
Yuan-Yuan Luo
Juan Deng
Shu-Qing Liu
Meng-Chao Xiao
Nan Jiang
Xin Zhang
Wen-Ping Xu
Wei-Fen Xie
author_sort Bo-Nan Xu
collection DOAJ
description Previous studies have demonstrated that intrahepatic cholangiocarcinoma (ICC) may derive from transdifferentiation of hepatocytes, so transforming ICC cells into hepatocytes could be a potential strategy for treating ICC. Hepatocyte nuclear factor 4α (HNF4α), a master transcription factor in the liver, has been demonstrated to induce the differentiation of hepatocellular carcinoma, while its effects on ICC remains unclear. Ivosidenib, an isocitrate dehydrogenase 1 (IDH1) inhibitor, is a novel targeted drug for ICC patients. However, drug resistance limits its clinical efficacy. In the present study, we found that the downregulation of HNF4α expression was associated with aggressive tumor behavior and poor prognosis in ICC patients. Upregulation of HNF4α inhibited proliferation, migration, invasion and colony-formation ability, increased the expression of hepatocyte functional genes in ICC cells in vitro, and suppressed the growth of subcutaneous tumors in vivo. Importantly, HNF4α adenovirus treatment significantly reduced the tumor burden of Akt/NICD-induced primary ICC in mice. Furthermore, HNF4α enhanced the sensitivity of ICC cells to ivosidenib both in vitro and in vivo. RNA sequencing revealed that HNF4α suppressed several cancer-related pathways, including Wnt signaling pathway. The agonist of Wnt signaling pathway partially blocked the inhibitory effect of HNF4α on the proliferation and resistance to ivosidenib of ICC cells. These results identify HNF4α as a tumor suppressor for ICC and a potential sensitizer to ivosidenib in ICC patients. The reintroduction of HNF4α might help achieve more effective and precise targeted therapy, benefiting the survival of patients with ICC.
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spelling doaj-art-c99cbf0a718f4a6ebd6045c70d6ce3622025-08-20T02:45:24ZengElsevierTranslational Oncology1936-52332025-03-015310229010.1016/j.tranon.2025.102290HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathwayBo-Nan Xu0Cheng-Hong Ding1Yi-Long Liu2Yuan-Yuan Luo3Juan Deng4Shu-Qing Liu5Meng-Chao Xiao6Nan Jiang7Xin Zhang8Wen-Ping Xu9Wei-Fen Xie10Department of Gastroenterology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai 200003, ChinaDepartment of Gastroenterology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Gastroenterology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai 200003, ChinaDepartment of Gastroenterology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Gastroenterology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Gastroenterology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai 200003, ChinaDepartment of Gastroenterology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Gastroenterology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Gastroenterology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai 200003, ChinaDepartment of Gastroenterology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai 200003, China; Corresponding authors.Department of Gastroenterology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai 200003, China; Corresponding authors.Previous studies have demonstrated that intrahepatic cholangiocarcinoma (ICC) may derive from transdifferentiation of hepatocytes, so transforming ICC cells into hepatocytes could be a potential strategy for treating ICC. Hepatocyte nuclear factor 4α (HNF4α), a master transcription factor in the liver, has been demonstrated to induce the differentiation of hepatocellular carcinoma, while its effects on ICC remains unclear. Ivosidenib, an isocitrate dehydrogenase 1 (IDH1) inhibitor, is a novel targeted drug for ICC patients. However, drug resistance limits its clinical efficacy. In the present study, we found that the downregulation of HNF4α expression was associated with aggressive tumor behavior and poor prognosis in ICC patients. Upregulation of HNF4α inhibited proliferation, migration, invasion and colony-formation ability, increased the expression of hepatocyte functional genes in ICC cells in vitro, and suppressed the growth of subcutaneous tumors in vivo. Importantly, HNF4α adenovirus treatment significantly reduced the tumor burden of Akt/NICD-induced primary ICC in mice. Furthermore, HNF4α enhanced the sensitivity of ICC cells to ivosidenib both in vitro and in vivo. RNA sequencing revealed that HNF4α suppressed several cancer-related pathways, including Wnt signaling pathway. The agonist of Wnt signaling pathway partially blocked the inhibitory effect of HNF4α on the proliferation and resistance to ivosidenib of ICC cells. These results identify HNF4α as a tumor suppressor for ICC and a potential sensitizer to ivosidenib in ICC patients. The reintroduction of HNF4α might help achieve more effective and precise targeted therapy, benefiting the survival of patients with ICC.http://www.sciencedirect.com/science/article/pii/S193652332500021XHepatocyte nuclear factor 4α (HNF4α)Intrahepatic cholangiocarcinoma (ICC)Wnt signaling pathwayIsocitrate dehydrogenase 1(IDH1)
spellingShingle Bo-Nan Xu
Cheng-Hong Ding
Yi-Long Liu
Yuan-Yuan Luo
Juan Deng
Shu-Qing Liu
Meng-Chao Xiao
Nan Jiang
Xin Zhang
Wen-Ping Xu
Wei-Fen Xie
HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathway
Translational Oncology
Hepatocyte nuclear factor 4α (HNF4α)
Intrahepatic cholangiocarcinoma (ICC)
Wnt signaling pathway
Isocitrate dehydrogenase 1(IDH1)
title HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathway
title_full HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathway
title_fullStr HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathway
title_full_unstemmed HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathway
title_short HNF4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the Wnt signaling pathway
title_sort hnf4α inhibits the malignancy of intrahepatic cholangiocarcinoma by suppressing the wnt signaling pathway
topic Hepatocyte nuclear factor 4α (HNF4α)
Intrahepatic cholangiocarcinoma (ICC)
Wnt signaling pathway
Isocitrate dehydrogenase 1(IDH1)
url http://www.sciencedirect.com/science/article/pii/S193652332500021X
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