
NAFLD exacerbates cholangitis and promotes cholangiocellular carcinoma in mice
Author(s) -
Maeda Shin,
Hikiba Yohko,
Fujiwara Hiroaki,
Ikenoue Tsuneo,
Sue Soichiro,
Sugimori Makoto,
Matsubayashi Mao,
Kaneko Hiroaki,
Irie Kuniyasu,
Sasaki Tomohiko,
Chuma Makoto
Publication year - 2021
Publication title -
cancer science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.035
H-Index - 141
eISSN - 1349-7006
pISSN - 1347-9032
DOI - 10.1111/cas.14828
Subject(s) - medicine , kras , hepatocellular carcinoma , cdh1 , population , gastroenterology , nonalcoholic fatty liver disease , cancer , pathology , fatty liver , biology , disease , cell , cadherin , colorectal cancer , genetics , environmental health
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‐Kras G12D 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‐Kras G12D / CDH1 ∆Liv HFD mice exhibited increased aggressiveness along with the development of numerous HCC and CCC, whereas LSL‐Kras G12D / 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.