Evidence map›Paper›PMID 41872184›Full record

ArticleNature communications2026

Proteomic characterization of intrahepatic cholangiocarcinoma identifies risk-stratifying subgroups and EIF4A1 as a therapeutic target.

Tilman Werner, Johanna Thiery, Klara-Luisa Budau, Annika Topitsch, Miguel Cosenza-Contreras, Niko Pinter, Frank Hause, Julius Rühlmann, Gaia Gentile, Jannis Heyer and 8 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Tilman Werner *Institute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0009-0001-9978-1761
Johanna Thiery *Institute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.
Klara-Luisa BudauInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.
Annika TopitschInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-3382-9670
Miguel Cosenza-ContrerasInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.
Niko PinterInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-8241-6821
Frank HauseInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-6879-6944
Julius RühlmannInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.
Gaia GentileCharles River Laboratories Germany GmbH, Freiburg, Germany.
Jannis HeyerInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.
Konrad KurowskiInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0009-0009-0448-7999
Julia SchülerCharles River Laboratories Germany GmbH, Freiburg, Germany.ORCID http://orcid.org/0000-0003-1984-7343
Philipp Anton HolznerDepartment of General and Visceral Surgery, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.
Martin WernerInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.
Carlie SigelDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Laura H TangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Peter BronsertInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0001-8558-0347
Oliver SchillingInstitute for Surgical Pathology, Medical Center-University of Freiburg, Faculty of Medicine-University of Freiburg, Freiburg, Germany. oliver.schilling@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0001-7678-7653

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Intrahepatic cholangiocarcinoma (ICC) features poor survival due to frequent recurrences and limited prognostic markers. Using mass spectrometry-based proteomics, we analyze two independent cohorts comprising 80 and 62 treatment-naive ICC tumors, along with 9 independent patient-derived xenografts (PDX). In the first cohort, we identify two subclusters with distinct times-to-recurrence (TTR): An extracellular matrix (ECM)-enriched cluster (mean TTR 859 days) and a proliferation cluster (mean TTR 229 days). A 4-protein classifier trained on our cohort accurately stratifies these clusters in the Dong et al. dataset (2022) and in our second cohort, revealing similar proteomic motifs and clinical outcomes. The translation regulator EIF4A1, enriched in ICCs of both clusters, emerges as a therapeutic target, as its inhibition with eFT226 significantly reduces tumor growth in an ICC PDX model. Proteomic analyses of various PDX models also emphasize the critical role of tumor-stroma interactions in ICC. Overall, this study establishes two prognostic proteomic clusters, validates their relevance across datasets, and highlights EIF4A1 inhibition as a potential therapeutic strategy.

Indexed as

Bile Duct NeoplasmsCholangiocarcinomaEukaryotic Initiation Factor-4AProteomicsAnimalsBiomarkers, TumorCell Line, TumorCell ProliferationFemaleHumansMaleMiceNeoplasm Recurrence, LocalPrognosisXenograft Model Antitumor AssaysBiomarkers, TumorEIF4A1 protein, humanEukaryotic Initiation Factor-4A

Identifiers

PMID41872184
PMCPMC13013968

What OpenQuestion holds

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LicenceCC BY
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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.