Evidence map›Paper›PMID 34052254›Full record

ArticleJournal of hepatology2021

Focal adhesion kinase (FAK) promotes cholangiocarcinoma development and progression via YAP activation.

Xinhua Song, Hongwei Xu, Pan Wang, Jingxiao Wang, Silvia Affo, Haichuan Wang, Meng Xu, Binyong Liang, Li Che, Wei Qiu and 8 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
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  13. Preclinical mouse models for studying cholangiocarcinoma.Liver research (Beijing, China) · 2026
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 4 countries.

Xinhua SongDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA. Electronic address: songxinhua0726@yeah.net.
Hongwei XuDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA; Liver Transplantation Division, Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu, China; Laboratory of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Pan WangDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA; Collaborative Innovation Center for Agricultural Product Processing and Nutrition & Health, Beijing Vegetable Research Center, Beijing Academy of Agriculture and Forestry Science, Beijing, China.
Jingxiao WangBeijing University of Chinese Medicine, Beijing, China.
Silvia AffoDepartment of Medicine, Columbia University, New York, NY, USA.
Haichuan WangDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA; Liver Transplantation Division, Department of Liver Surgery, West China Hospital, Sichuan University, Chengdu, China; Laboratory of Liver Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Meng XuDepartment of General Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an Jiaotong University, Xi'an, PR China.
Binyong LiangHepatic Surgery Center, Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Li CheDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA.
Wei QiuDepartment of Surgery and Cancer Biology, Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA.
Robert F SchwabeDepartment of Medicine, Columbia University, New York, NY, USA.
Tammy T ChangDepartment of Surgery and Liver Center, University of California, San Francisco, CA, USA.
Marion VoglInstitute of Pathology, University of Regensburg, Regensburg, Germany.
Giovanni M PesDepartment of Medical, Surgical, and Experimental Sciences, University of Sassari, Sassari, Italy.
Silvia RibbackInstitute of Pathology, University of Greifswald, Greifswald, Germany.
Matthias EvertInstitute of Pathology, University of Regensburg, Regensburg, Germany.
Xin ChenDepartment of Bioengineering and Therapeutic Sciences and Liver Center, University of California, San Francisco, CA, USA. Electronic address: xin.chen@ucsf.edu.
Diego F CalvisiInstitute of Pathology, University of Regensburg, Regensburg, Germany. Electronic address: diego.calvisi@klinik.uni-regensburg.de.
University of California, San Francisco · USUniversity of Regensburg · DEColumbia University · USBeijing University of Chinese Medicine · CNLoyola University Chicago · USSecond Affiliated Hospital of Xi'an Jiaotong University · CNTongji Hospital · CNUniversität Greifswald · DEUniversity of Sassari · IT

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
Molecular mechanisms of focal adhesion kinase in promoting hepatocarcinogenesisR01CA197128 · NCI · LOYOLA UNIVERSITY CHICAGO · PI QIU, WEI · 2015 to 2025
$3.6M
Role of Cancer-Associated Fibroblasts in CholangiocarcinomaR01CA228483 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHEN, XIN, SCHWABE, ROBERT F. · 2018 to 2022
$3.1M
Signaling cascades in cholangiocarcinoma developmentR01CA190606 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHEN, XIN · 2016 to 2020
$1.8M
The Role of Matrix Rigidity and Hepatocyte Mechanotransduction in Fibrotic Liver DiseaseR01DK114311 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHANG, TAMMY T · 2017 to 2021
$1.8M
Therapeutic modulation of a proteomic HCC risk signature with statins in patients with liver cirrhosisU01CA288375 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI CHUNG, RAYMOND T, DIEHL, ANNA MAE ELIZABETH · 2023 to 2025
$1.3M
Inducible systems for studying liver tumor mainenance in vivoR03CA208311 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHEN, XIN · 2017 to 2018
$159k
NCI NIH HHS R01 CA190606NCI NIH HHS R01 CA197128NCI NIH HHS R01 CA228483NCI NIH HHS R03 CA208311NCI NIH HHS U01 CA288375NIDDK NIH HHS P30 DK026743NIDDK NIH HHS R01 DK114311
6 · The paper itself

Abstract

BACKGROUND &

aimsFocal adhesion kinase (FAK) is a non-receptor tyrosine kinase that is upregulated in many tumor types and is a promising target for cancer therapy. Herein, we elucidated the functional role of FAK in intrahepatic cholangiocarcinoma (iCCA) development and progression.

methodsExpression levels and activation status of FAK were determined in human iCCA samples. The functional contribution of FAK to Akt/YAP murine iCCA initiation and progression was investigated using conditional Fak knockout mice and constitutive Cre or inducible Cre mice, respectively. The oncogenic potential of FAK was further examined via overexpression of FAK in mice. In vitro cell line studies and in vivo drug treatment were applied to address the therapeutic potential of targeting FAK for iCCA treatment.

resultsFAK was ubiquitously upregulated and activated in iCCA lesions. Ablation of FAK strongly delayed Akt/YAP-driven mouse iCCA initiation. FAK overexpression synergized with activated AKT to promote iCCA development and accelerated Akt/Jag1-driven cholangiocarcinogenesis. Mechanistically, FAK was required for YAP(Y357) phosphorylation, supporting the role of FAK as a central YAP regulator in iCCA. Significantly, ablation of FAK after Akt/YAP-dependent iCCA formation strongly suppressed tumor progression in mice. Furthermore, a remarkable iCCA growth reduction was achieved when a FAK inhibitor and palbociclib, a CDK4/6 inhibitor, were administered simultaneously in human iCCA cell lines and Akt/YAP mice.

conclusionsFAK activation contributes to the initiation and progression of iCCA by inducing the YAP proto-oncogene. Targeting FAK, either alone or in combination with anti-CDK4/6 inhibitors, may be an effective strategy for iCCA treatment. LAY SUMMARY: We found that the protein FAK (focal adhesion kinase) is upregulated and activated in human and mouse intrahepatic cholangiocarcinoma samples. FAK promotes intrahepatic cholangiocarcinoma development, whereas deletion of FAK strongly suppresses its initiation and progression. Combined FAK and CDK4/6 inhibitor treatment had a strong anti-cancer effect in in vitro and in vivo models. This combination therapy might represent a valuable and novel treatment against human intrahepatic cholangiocarcinoma.

Indexed as

AnimalsCaliforniaCholangiocarcinomaCohort StudiesDisease Models, AnimalFocal Adhesion Protein-Tyrosine KinasesMiceSignal TransductionYAP-Signaling ProteinsFocal Adhesion Protein-Tyrosine KinasesYAP-Signaling ProteinscancerFAKintrahepatic cholangiocarcinomatargeted therapyYAP

Identifiers

PMID34052254
PMCPMC8453055
OpenAlexW3164842203

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.