FGF19 and FGFR4 promotes the progression of gallbladder carcinoma in an autocrine pathway dependent on GPBAR1-cAMP-EGR1 axis

Treatment options for gallbladder carcinoma (GBC) are limited and GBC prognosis remains poor. There is no well-accepted targeted therapy to date, so effective biomarkers of GBC are urgently needed. Here we investigated the expression and correlations of fibroblast growth factor receptors (FGFR1-4) a...

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Veröffentlicht in:Oncogene 2021-07, Vol.40 (30), p.4941-4953
Hauptverfasser: Chen, Tianli, Liu, Hongda, Liu, Zengli, Li, Kangshuai, Qin, Ruixi, Wang, Yue, Liu, Jialiang, Li, Zhipeng, Gao, Qinglun, Pan, Chang, Yang, Fan, Zhao, Wei, Zhang, Zongli, Xu, Yunfei
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container_end_page 4953
container_issue 30
container_start_page 4941
container_title Oncogene
container_volume 40
creator Chen, Tianli
Liu, Hongda
Liu, Zengli
Li, Kangshuai
Qin, Ruixi
Wang, Yue
Liu, Jialiang
Li, Zhipeng
Gao, Qinglun
Pan, Chang
Yang, Fan
Zhao, Wei
Zhang, Zongli
Xu, Yunfei
description Treatment options for gallbladder carcinoma (GBC) are limited and GBC prognosis remains poor. There is no well-accepted targeted therapy to date, so effective biomarkers of GBC are urgently needed. Here we investigated the expression and correlations of fibroblast growth factor receptors (FGFR1-4) and 18 fibroblast growth factors (FGFs) in two independent patient cohorts and evaluated their prognostic significance. Consequently, we demonstrated that both FGF19 and FGFR4 were unfavorable prognostic biomarkers, and their co-expression was a more sensitive predictor. By analyzing the correlations between all 18 FGFs and FGFR4, we showed that FGF19 expression was significantly associated with FGFR4 and promoted GBC progression via stimulating FGFR4. With experiments using GBC cells, GPBAR1 −/− mice models, and human subjects, we demonstrated that elevated bile acids (BAs) could increase the transcription and expression of FGF19 and FGFR4 by activating GPBAR1-cAMP-EGR1 pathway. FGF19 secreted from GBC cells promoted GBC progression by stimulating FGFR4 and downstream ERK in an autocrine manner with bile as a potential carrier. Patients with GBC had significantly higher FGF19 in serum and bile, compared to patients with cholelithiasis. BLU9931 inhibited FGFR4 and attenuated its oncogenic effects in GBC cell line. In conclusion, upregulation of BAs elevated co-expression of FGF19 and FGFR4 by activating GPBAR1-cAMP-EGR1 pathway. Co-expression of FGF19 and FGFR4 was a sensitive and unfavorable prognostic marker. GBC cells secreted FGF19 and facilitated progression by activating FGFR4 with bile as a potential carrier in an autocrine pathway.
doi_str_mv 10.1038/s41388-021-01850-1
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FGF19 secreted from GBC cells promoted GBC progression by stimulating FGFR4 and downstream ERK in an autocrine manner with bile as a potential carrier. Patients with GBC had significantly higher FGF19 in serum and bile, compared to patients with cholelithiasis. BLU9931 inhibited FGFR4 and attenuated its oncogenic effects in GBC cell line. In conclusion, upregulation of BAs elevated co-expression of FGF19 and FGFR4 by activating GPBAR1-cAMP-EGR1 pathway. Co-expression of FGF19 and FGFR4 was a sensitive and unfavorable prognostic marker. 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FGF19 secreted from GBC cells promoted GBC progression by stimulating FGFR4 and downstream ERK in an autocrine manner with bile as a potential carrier. Patients with GBC had significantly higher FGF19 in serum and bile, compared to patients with cholelithiasis. BLU9931 inhibited FGFR4 and attenuated its oncogenic effects in GBC cell line. In conclusion, upregulation of BAs elevated co-expression of FGF19 and FGFR4 by activating GPBAR1-cAMP-EGR1 pathway. Co-expression of FGF19 and FGFR4 was a sensitive and unfavorable prognostic marker. 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There is no well-accepted targeted therapy to date, so effective biomarkers of GBC are urgently needed. Here we investigated the expression and correlations of fibroblast growth factor receptors (FGFR1-4) and 18 fibroblast growth factors (FGFs) in two independent patient cohorts and evaluated their prognostic significance. Consequently, we demonstrated that both FGF19 and FGFR4 were unfavorable prognostic biomarkers, and their co-expression was a more sensitive predictor. By analyzing the correlations between all 18 FGFs and FGFR4, we showed that FGF19 expression was significantly associated with FGFR4 and promoted GBC progression via stimulating FGFR4. With experiments using GBC cells, GPBAR1 −/− mice models, and human subjects, we demonstrated that elevated bile acids (BAs) could increase the transcription and expression of FGF19 and FGFR4 by activating GPBAR1-cAMP-EGR1 pathway. FGF19 secreted from GBC cells promoted GBC progression by stimulating FGFR4 and downstream ERK in an autocrine manner with bile as a potential carrier. Patients with GBC had significantly higher FGF19 in serum and bile, compared to patients with cholelithiasis. BLU9931 inhibited FGFR4 and attenuated its oncogenic effects in GBC cell line. In conclusion, upregulation of BAs elevated co-expression of FGF19 and FGFR4 by activating GPBAR1-cAMP-EGR1 pathway. Co-expression of FGF19 and FGFR4 was a sensitive and unfavorable prognostic marker. GBC cells secreted FGF19 and facilitated progression by activating FGFR4 with bile as a potential carrier in an autocrine pathway.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34163030</pmid><doi>10.1038/s41388-021-01850-1</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-0580-7116</orcidid><orcidid>https://orcid.org/0000-0002-9501-3757</orcidid></addata></record>
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identifier ISSN: 0950-9232
ispartof Oncogene, 2021-07, Vol.40 (30), p.4941-4953
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subjects 13/1
13/105
13/109
13/89
13/95
38/77
38/91
631/1647/514
631/67/1504/1329
64/110
692/53/2422
Animal models
Apoptosis
Autocrine Communication
Autocrine mechanisms
Autocrine signalling
Bile
Bile acids
Biomarkers
Biomarkers, Tumor
Cancer
Cell Biology
Cell culture
Cell Line
Cell Proliferation
Cellular signal transduction
Cyclic adenylic acid
Cyclic AMP
Cyclic AMP - metabolism
Development and progression
Disease Progression
Disease Susceptibility
Early Growth Response Protein 1 - metabolism
EGR-1 protein
Fibroblast growth factor receptor 1
Fibroblast growth factor receptor 4
Fibroblast growth factor receptors
Fibroblast growth factors
Fibroblast Growth Factors - metabolism
Fibroblasts
Gallbladder
Gallbladder cancer
Gallbladder Neoplasms - etiology
Gallbladder Neoplasms - metabolism
Gallbladder Neoplasms - mortality
Gallbladder Neoplasms - pathology
Gene Expression Regulation, Neoplastic
Genetic aspects
Growth factor receptors
Health aspects
Human Genetics
Humans
Internal Medicine
Medicine
Medicine & Public Health
Oncology
Oncology, Experimental
Patients
Prognosis
Protein Binding
Protein kinases
Receptor, Fibroblast Growth Factor, Type 4 - metabolism
Receptors, G-Protein-Coupled - metabolism
RNA, Messenger
Signal Transduction
Transcription
Transcription factors
title FGF19 and FGFR4 promotes the progression of gallbladder carcinoma in an autocrine pathway dependent on GPBAR1-cAMP-EGR1 axis
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