Laminins, a large family of extracellular matrix proteins, are comprised of three different chains (α, β and γ). It has been shown that EMT is an important contributing factor to the development and progression of liver cancer 9, 10. Cells undergoing EMT show loose or no interactions among cells, lost the expression of certain adhesion molecules such as E-cadherin, and acquire the expression of mesenchymal-associated markers such as vimentin and snail 7, 8. Given the special histological characteristics of CHC, we speculated that the unique cellular component of CHC could contribute to its dismal prognosis.Įpithelial-mesenchymal transition (EMT), a critical process in which cancer cells gain enhanced invasion, migration, and metastasis abilities, has been associated with poor prognosis 7. The data from a long-term prognosis study of liver cancer indicates that CHC has a significantly worse prognosis than HCC and ICC even after curative resection 1. Although the number of CHC cases is relatively small, it is difficult to diagnose before surgery and has a dismal prognosis 1, 6. Besides, there is a form of primary liver carcinoma contains a mixture of HCC cells and ICC cells, namely combined hepatocellular cholangiocarcinoma (CHC), with an incidence varying from 1.0% to 14.3% of primary liver cancer in different studies 1 - 5. HCC is comprised of hepatocellular carcinoma cells (HCC cells) and ICC is comprised of intrahepatic cholangiocarcinoma cells (ICC cells). Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer, accounting for approximately 80% of all cases, and intrahepatic cholangiocarcinoma (ICC) is the second most common liver cancer, accounting for about 15% of cases 1. Our results have revealed a novel mechanism of interaction between intrahepatic cholangiocarcinoma cells and hepatocellular carcinoma cells, which may provide new insight into developing effective treatments for CHC. Using established LAMC2 knockout intrahepatic cholangiocarcinoma cells, our results demonstrated that intrahepatic cholangiocarcinoma cells promoted the epithelial-mesenchymal transition of hepatocellular carcinoma cells through secreting LAMC2. Laminin subunit gamma 2 (LAMC2) was detected in the culture supernatant of intrahepatic cholangiocarcinoma cells but not in that of hepatocellular carcinoma cells.
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Furthermore, culture supernatant from intrahepatic cholangiocarcinoma cells increased the chemoresistance of hepatocellular carcinoma cells. The results showed that culture supernatant from intrahepatic cholangiocarcinoma cells induced endothelial-mesenchymal transition and facilitated the migration and invasion of hepatocellular carcinoma cells, although it did not accelerate the proliferation of hepatocellular carcinoma cells. Here we examined the potential interaction between hepatocellular carcinoma cells and intrahepatic cholangiocarcinoma cells using cell culture studies. Combined hepatocellular cholangiocarcinoma (CHC) contains both hepatocellular carcinoma cells and intrahepatic cholangiocarcinoma cells in one tumor lesion and these tumors show poor prognosis.
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Hepatocellular carcinoma and intrahepatic cholangiocarcinoma cells are common primary hepatic tumor cells in the liver.