Evidence map›Paper›PMID 39478199›Full record

ArticleCell death and differentiation2025

The AKR1C1-CYP1B1-cAMP signaling axis controls tumorigenicity and ferroptosis susceptibility of extrahepatic cholangiocarcinoma.

Chang Liu, Cheng Zhang, Hongkun Wu, Zhibin Zhao, Zhenhua Wang, Xiaomin Zhang, Jieli Yang, Wenlong Yu, Zhexiong Lian, Minghui Gao and 1 more

Abstract read
In one paragraph

Article in Cell death and differentiation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Chang Liu *Department of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.
Cheng Zhang *Institute of Aging & Tissue Regeneration, State Key Laboratory of Systems Medicine for Cancer, Ren-Ji Hospital, Shanghai Jiao Tong University School of Medicine (SJTU-SM), Shanghai, China.
Hongkun Wu *Department of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.ORCID 0000-0002-7654-8000
Zhibin Zhao *Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0003-0691-2556
Zhenhua WangDepartment of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.
Xiaomin ZhangDepartment of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.
Jieli YangDepartment of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.
Wenlong YuDepartment of Biliary Tract Surgery, Shanghai Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai, China. 909240168@qq.com.ORCID 0009-0003-1332-0783
Zhexiong LianGuangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China. zxlian@gdph.org.cn.ORCID 0000-0002-9525-1421
Minghui GaoThe HIT Center for Life Sciences, School of Life Science and Technology, Harbin Institute of Technology, Harbin, China. gaominghui@hit.edu.cn.ORCID 0000-0003-1725-4771
Lin ZhouDepartment of Laboratory Medicine, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China. lynnzhou36@163.com.ORCID 0000-0001-7836-7345

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82072371National Natural Science Foundation of China (National Science Foundation of China) 82102482National Natural Science Foundation of China (National Science Foundation of China) 82272390National Natural Science Foundation of China (National Science Foundation of China) 82302931National Natural Science Foundation of China (National Science Foundation of China) 82372313
6 · The paper itself

Abstract

Extrahepatic cholangiocarcinoma (ECC), a highly malignant type of cancer with increasing incidence, has a poor prognosis due to limited treatment options. Based on genomic analysis of ECC patient samples, here we report that aldo-keto reductase family 1 member C1 (AKR1C1) is highly expressed in human ECC tissues and closely associated with ECC progression and poor prognosis. Intriguingly, we show that inducible AKR1C1 knockdown triggers ECC cells to undergo ferroptosis. Mechanistically, AKR1C1 degrades the protein stability of the cytochrome P450 family member CYP1B1, a newly discovered mediator of ferroptosis, via ubiquitin-proteasomal degradation. Additionally, AKR1C1 decreases CYP1B1 mRNA level through the transcriptional factor aryl-hydrocarbon receptor (AHR). Furthermore, the AKR1C1-CYP1B1 axis modulates ferroptosis in ECC cells via the cAMP-PKA signaling pathway. Finally, in a xenograft mouse model of ECC, AKR1C1 depletion sensitizes cancer cells to ferroptosis and synergizes with ferroptosis inducers to suppress tumor growth. Therefore, the AKR1C1-CYP1B1-cAMP signaling axis is a promising therapeutic target for ECC treatment, especially in combination with ferroptosis inducers.

Indexed as

Bile Duct NeoplasmsCarcinogenesisCholangiocarcinomaCyclic AMPCytochrome P-450 CYP1B1Ferroptosis20-Hydroxysteroid DehydrogenasesAnimalsCell Line, TumorFemaleHumansMaleMiceMice, NudeSignal Transduction20-Hydroxysteroid Dehydrogenases3 alpha-beta, 20 beta-hydroxysteroid dehydrogenaseCyclic AMPCYP1B1 protein, humanCytochrome P-450 CYP1B1

Identifiers

PMID39478199
PMCPMC11894074

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Registered trials

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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.