Volume 126, Issue 10 pp. 2353-2361
Cancer Cell Biology

p38delta/MAPK13 as a diagnostic marker for cholangiocarcinoma and its involvement in cell motility and invasion

Felicia Li-Sher Tan

Felicia Li-Sher Tan

Department of General Surgery, Singapore General Hospital, Singapore

Department of Surgical Oncology, National Cancer Centre, Singapore

NCCS-VARI Translational Cancer Research Laboratory, National Cancer Centre, Singapore

The first three authors contributed equally to this work

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Aikseng Ooi

Aikseng Ooi

NCCS-VARI Translational Cancer Research Laboratory, National Cancer Centre, Singapore

Laboratory of Cancer Genetics, Van Andel Research Institute, Grand Rapids, Michigan

The first three authors contributed equally to this work

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Dachuan Huang

Dachuan Huang

NCCS-VARI Translational Cancer Research Laboratory, National Cancer Centre, Singapore

The first three authors contributed equally to this work

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Jing Chii Wong

Jing Chii Wong

NCCS-VARI Translational Cancer Research Laboratory, National Cancer Centre, Singapore

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Chao-Nan Qian

Chao-Nan Qian

NCCS-VARI Translational Cancer Research Laboratory, National Cancer Centre, Singapore

Laboratory of Cancer Genetics, Van Andel Research Institute, Grand Rapids, Michigan

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Cora Chao

Cora Chao

Department of Pathology, Singapore General Hospital, Singapore

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London Ooi

London Ooi

Department of Surgical Oncology, National Cancer Centre, Singapore

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Yu-Meng Tan

Yu-Meng Tan

Department of Surgical Oncology, National Cancer Centre, Singapore

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Alexander Chung

Alexander Chung

Department of General Surgery, Singapore General Hospital, Singapore

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Peng-Chung Cheow

Peng-Chung Cheow

Department of General Surgery, Singapore General Hospital, Singapore

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Zhongfa Zhang

Zhongfa Zhang

Laboratory of Cancer Genetics, Van Andel Research Institute, Grand Rapids, Michigan

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David Petillo

David Petillo

Laboratory of Cancer Genetics, Van Andel Research Institute, Grand Rapids, Michigan

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Ximing J. Yang

Ximing J. Yang

Department of Pathology, Northwestern University, Chicago, Illinois

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Bin Tean Teh

Corresponding Author

Bin Tean Teh

NCCS-VARI Translational Cancer Research Laboratory, National Cancer Centre, Singapore

Laboratory of Cancer Genetics, Van Andel Research Institute, Grand Rapids, Michigan

Tel: 616-234-5296

Laboratory of Cancer Genetics, Van Andel Research Institute, 333 Bostwick Ave NE, Grand Rapids, MI 49503, USASearch for more papers by this author
First published: 08 October 2009
Citations: 46

This paper is dedicated to the memory of Connie Low and Christian Helmus

Abstract

Cholangiocarcinoma (CC) and hepatocellularcarcinoma (HCC) are two main forms of liver malignancies, which exhibit differences in drug response and prognosis. Immunohistotochemical staining for cytokeratin markers has been used to some success in the differential diagnosis of CC from HCC. However, there remains a need for additional markers for increased sensitivity and specificity of diagnosis. In this study, we have identified a p38 MAP kinase, p38δ (also known as MAPK13 or SAPK4) as a protein that is upregulated in CC relative to HCC and to normal biliary tract tissues. We performed microarray gene expression profiling on 17 cases of CC, 12 cases of adjacent normal liver tissue, and three case of normal bile duct tissue. p38δ was upregulated in 16 out of 17 cases of CC relative to normal tissue. We subsequently performed immunohistochemical staining of p38δ in 54 cases of CC and 54 cases of HCC. p38δ staining distinguished CC from HCC with a sensitivity of 92.6% and a specificity of 90.7%. To explore the possible functional significance of p38δ expression in CC, we examined the effects of overexpression and knockdown of p38δ expression in human CC cell lines. Our results indicate that p38δ is important for motility and invasion of CC cells, suggesting that p38δ may play an important role in CC metastasis. In summary, p38δ may serve as a novel diagnostic marker for CC and may also serve as a new target for molecular based therapy of this disease.

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