Evidence map›Paper›PMID 40408281›Full record

ArticleHepatology communications2025

Cholangiocarcinoma cells direct fatty acids to support membrane synthesis and modulate macrophage phenotype.

Michele Dei Cas, Stefania Mantovani, Barbara Oliviero, Aida Zulueta, Linda Montavoci, Monica Falleni, Delfina Tosi, Camillo Morano, Sara Penati, Annalisa Chiocchetti and 12 more

Abstract read
In one paragraph

Article in Hepatology communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

22 authors.

Michele Dei CasDepartment of Health Sciences, University of Milan, Milan, Italy.
Stefania MantovaniResearch Department, Division of Clinical Immunology-Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Barbara OlivieroResearch Department, Division of Clinical Immunology-Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Aida ZuluetaIstituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation Unit of Milan Institute, Milan, Italy.
Linda MontavociDepartment of Health Sciences, University of Milan, Milan, Italy.
Monica FalleniHealth Sciences Department, Pathology Division, University of Milan, Milan, Italy.
Delfina TosiHealth Sciences Department, Pathology Division, University of Milan, Milan, Italy.
Camillo MoranoDepartment of Pharmaceutical Sciences, University of Milan, Milan, Italy.
Sara PenatiDepartment of Health Sciences, University of Milan, Milan, Italy.
Annalisa ChiocchettiDepartment of Health Sciences, University of Piemonte Orientale, Novara, Italy.
Riccardo SinellaDepartment of Health Sciences, University of Piemonte Orientale, Novara, Italy.
Camilla Barbero MazzuccaDepartment of Health Sciences, University of Piemonte Orientale, Novara, Italy.
Matteo DonadonDepartment of Health Sciences, University of Piemonte Orientale, Novara, Italy.
Cristiana SoldaniLaboratory of Hepatobiliary Immunopathology, IRCCS Humanitas Research Hospital, Rozzano, Milan.
Gaetano PiccoloDepartment of Health Sciences, General Surgery Unit, University of Milan, Milan, Italy.
Matteo BarabinoDepartment of Health Sciences, General Surgery Unit, University of Milan, Milan, Italy.
Paolo Pietro BianchiDepartment of Health Sciences, General Surgery Unit, University of Milan, Milan, Italy.
Marcello MaestriDivision of General Surgery 1, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Ana LleoDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Jesus M BanalesDepartment of Liver and Gastrointestinal Diseases, Biogipuzkoa Health Research Institute-Donostia University Hospital, University of the Basque Country (UPV/EHU), Ikerbasque, San Sebastian, Spain.
Mario U MondelliResearch Department, Division of Clinical Immunology-Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID 0000-0003-1811-3153
Anna CarettiDepartment of Health Sciences, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsCholangiocarcinoma (CCA) is a globally rare, increasingly incident cancer. Metabolic reprogramming is common in cancer cells, and altered lipid homeostasis favors tumor development and progression. Previous studies have described lipid deregulation in HCC cells, while in CCA, the lipidome profile is still poorly characterized.

methodsWe used liquid chromatography-tandem mass spectrometry to examine the lipid level profile of intrahepatic CCA (iCCA) and non-tumor surrounding tissue from patients, as well as in patients' and healthy controls' sera.

resultsAll lipid classes were upregulated in tumor specimens and iCCA-derived sera. Newly synthesized fatty acids (FAs) accumulated in iCCA and were only marginally directed to mitochondrial β-oxidation and scarcely folded in lipid droplets as neutral species. Metabolic flux assay showed that FAs were instead redirected toward plasma membrane formation and remodeling, being incorporated into phospholipids and sphingomyelin. A distinct lipid droplet and macrophage distribution was revealed by immunohistochemistry and Imaging Mass Cytometry. Lipid droplets were fewer in iCCA than in normal tissue and present mainly in the intratumoral fibrous septa and in M2 macrophages. Monocytes modified their lipid content and phenotype in the presence of iCCA cells, and the same effect could be recapitulated by FA supplementation.

conclusionsOur results reveal a profound alteration in the lipid content of iCCA tissues and demonstrate that FA accumulation prompts iCCA aggressiveness by supporting membrane biogenesis, generating bioactive lipids that boost proliferation, and by modifying macrophage phenotype.

Indexed as

Bile Duct NeoplasmsCell MembraneCholangiocarcinomaFatty AcidsMacrophagesAgedFemaleHumansLipid DropletsLipid MetabolismMaleMiddle AgedPhenotypeTandem Mass SpectrometryFatty Acidscholangiocarcinomafatty acidlipid dropletsliver cancermacrophages

Identifiers

PMID40408281
PMCPMC12106197

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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.