Abstract
Cancer-associated fibroblasts (CAFs) are the dominant component of the tumor microenvironment (TME), which contributes to tumor progression. Aldo-keto reductase 1 family member C3 (AKR1C3) has been correlated with the development of various kinds of cancers. Nevertheless, the effect and mechanism of CAFs on AKR1C3 in cholangiocarcinoma (CCA) remain unelucidated. Q-PCR assay and IHC were conducted to detect the expression of AKR1C3 in CCA tissues. Subsequently, CCK8 assay, colony formation, crystal violet assay, apoptosis assay, glucose uptake, and lactate production assay were performed to investigate the effect of AKR1C3 on the biological function of CCA cells. The regulatory effect of CAFs on AKR1C3 was examined in CCA cells cultured with a CAF-conditioned medium. Finally, western blot, co-immunoprecipitation, and ubiquitination degradation kits were used to explore the potential molecular mechanism. AKR1C3 was overexpressed in CCA tissues compared to normal tissues. Patients with a high staining intensity score of AKR1C3 exhibited a poor overall survival time. AKR1C3 was found to enhance the proliferation, colony formation, drug resistance, and aerobic glycolysis of CCA cells. Moreover, CAFs modulate the overexpression of AKR1C3 in the onset and progression of CCA through the IL-6/STAT3 signaling pathway. This regulation occurs via the IL-6/STAT3/AKR1C3 signaling axis, indicating that targeting AKR1C3 could serve as a potential therapeutic strategy for patients with CCA.
Data availability
Raw data are available upon request to the corresponding author.
References
Razumilava, N., Gores, G. J. & Cholangiocarcinoma Lancet 383, 2168–2179, doi:https://doi.org/10.1016/s0140-6736(13)61903-0 (2014).
Blechacz, B. & Cholangiocarcinoma Current knowledge and new developments. Gut Liver. 11, 13–26. https://doi.org/10.5009/gnl15568 (2017).
Brindley, P. J. et al. Cholangiocarcinoma. Nat. Rev. Dis. Primers. 7, 65. https://doi.org/10.1038/s41572-021-00300-2 (2021).
Ying, F., Chan, M. S. M. & Lee, T. K. W. Cancer-Associated fibroblasts in hepatocellular carcinoma and cholangiocarcinoma. Cell. Mol. Gastroenterol. Hepatol. 15, 985–999. https://doi.org/10.1016/j.jcmgh.2023.01.006 (2023).
Montori, M. et al. Cancer-Associated fibroblasts in cholangiocarcinoma: current knowledge and possible implications for therapy. J. Clin. Med. 11 https://doi.org/10.3390/jcm11216498 (2022).
Thongchot, S. et al. Cancer-Associated Fibroblast-Derived IL-6 determines unfavorable prognosis in cholangiocarcinoma by affecting Autophagy-Associated chemoresponse. Cancers (Basel). 13. https://doi.org/10.3390/cancers13092134 (2021).
Kittirat, Y. et al. Interleukin-6-derived cancer-associated fibroblasts activate STAT3 pathway contributing to gemcitabine resistance in cholangiocarcinoma. Front. Pharmacol. 13, 897368. https://doi.org/10.3389/fphar.2022.897368 (2022).
Chen, S. et al. Magnolol suppresses pancreatic cancer development in vivo and in vitro via negatively regulating TGF-β/Smad signaling. Front. Oncol. 10, 597672. https://doi.org/10.3389/fonc.2020.597672 (2020).
Penning, T. M. AKR1C3 (type 5 17β-hydroxysteroid dehydrogenase/prostaglandin F synthase): roles in malignancy and endocrine disorders. Mol. Cell. Endocrinol. 489, 82–91. https://doi.org/10.1016/j.mce.2018.07.002 (2019).
Xiao, X. Z., Lin, L. Y., Zhuang, M. K., Zhong, C. M. & Chen, F. L. Roles of AKR1C3 in malignancy. Chin. Med. J. (Engl). 134, 1052–1054. https://doi.org/10.1097/cm9.0000000000001379 (2021).
Pan, D. et al. AKR1C3 regulated by NRF2/MAFG complex promotes proliferation via stabilizing PARP1 in hepatocellular carcinoma. Oncogene 41, 3846–3858. https://doi.org/10.1038/s41388-022-02379-7 (2022).
Zhu, P. et al. Diagnostic and prognostic values of AKR1C3 and AKR1D1 in hepatocellular carcinoma. Aging (Albany NY). 13, 4138–4156. https://doi.org/10.18632/aging.202380 (2021).
Peraldo-Neia, C. et al. AKR1C3 is a biomarker and druggable target for oropharyngeal tumors. Cell. Oncol. (Dordr). 44, 357–372. https://doi.org/10.1007/s13402-020-00571-z (2021).
Pan, D. et al. AKR1C3 decreased CML sensitivity to Imatinib in bone marrow microenvironment via dysregulation of miR-379-5p. Cell. Signal. 84, 110038. https://doi.org/10.1016/j.cellsig.2021.110038 (2021).
Adeniji, A. O., Chen, M. & Penning, T. M. AKR1C3 as a target in castrate resistant prostate cancer. J. Steroid Biochem. Mol. Biol. 137, 136–149. https://doi.org/10.1016/j.jsbmb.2013.05.012 (2013).
Zhao, J. et al. AKR1C3 overexpression mediates methotrexate resistance in choriocarcinoma cells. Int. J. Med. Sci. 11, 1089–1097. https://doi.org/10.7150/ijms.9239 (2014).
Zheng, J., Yang, Z., Li, Y., Yang, L. & Yao, R. Knockdown of AKR1C3 promoted Sorafenib sensitivity through inhibiting the phosphorylation of AKT in hepatocellular carcinoma. Front. Oncol. 12, 823491. https://doi.org/10.3389/fonc.2022.823491 (2022).
Pant, K., Richard, S., Peixoto, E. & Gradilone, S. A. Role of glucose metabolism reprogramming in the pathogenesis of cholangiocarcinoma. Front. Med. (Lausanne). 7, 113. https://doi.org/10.3389/fmed.2020.00113 (2020).
Raggi, C., Taddei, M. L., Rae, C., Braconi, C. & Marra, F. Metabolic reprogramming in cholangiocarcinoma. J. Hepatol. 77, 849–864. https://doi.org/10.1016/j.jhep.2022.04.038 (2022).
Wang, S., Yang, Q., Fung, K. M. & Lin, H. K. AKR1C2 and AKR1C3 mediated prostaglandin D2 metabolism augments the PI3K/Akt proliferative signaling pathway in human prostate cancer cells. Mol. Cell. Endocrinol. 289, 60–66. https://doi.org/10.1016/j.mce.2008.04.004 (2008).
Kitamura, H. et al. Interleukin-6/STAT3 signaling as a promising target to improve the efficacy of cancer immunotherapy. Cancer Sci. 108, 1947–1952. https://doi.org/10.1111/cas.13332 (2017).
Hirano, T. IL-6 in inflammation, autoimmunity and cancer. Int. Immunol. 33, 127–148. https://doi.org/10.1093/intimm/dxaa078 (2021).
Xu, J., Lin, H., Wu, G., Zhu, M. & Li, M. IL-6/STAT3 is a promising therapeutic target for hepatocellular carcinoma. Front. Oncol. 11, 760971. https://doi.org/10.3389/fonc.2021.760971 (2021).
Isomoto, H. Epigenetic alterations in cholangiocarcinoma-sustained IL-6/STAT3 signaling in cholangio- carcinoma due to SOCS3 epigenetic Silencing. Digestion 79 (Suppl 1), 2–8. https://doi.org/10.1159/000167859 (2009).
Leng, K. et al. Akirin2 is modulated by miR-490-3p and facilitates angiogenesis in cholangiocarcinoma through the IL-6/STAT3/VEGFA signaling pathway. Cell. Death Dis. 10, 262. https://doi.org/10.1038/s41419-019-1506-4 (2019).
Zheng, T. et al. Gankyrin promotes tumor growth and metastasis through activation of IL-6/STAT3 signaling in human cholangiocarcinoma. Hepatology 59, 935–946. https://doi.org/10.1002/hep.26705 (2014).
Mao, X. et al. Crosstalk between cancer-associated fibroblasts and immune cells in the tumor microenvironment: new findings and future perspectives. Mol. Cancer. 20, 131. https://doi.org/10.1186/s12943-021-01428-1 (2021).
Chen, X. & Song, E. Turning foes to friends: targeting cancer-associated fibroblasts. Nat. Rev. Drug Discov. 18, 99–115. https://doi.org/10.1038/s41573-018-0004-1 (2019).
Cantallops Vilà, P., Ravichandra, A., Agirre Lizaso, A., Perugorria, M. J. & Affò, S. Heterogeneity, crosstalk, and targeting of cancer-associated fibroblasts in cholangiocarcinoma. Hepatology 79, 941–958. https://doi.org/10.1097/hep.0000000000000206 (2024).
Acknowledgements
This work was supported by the Natural Science Foundation of Fujian Province (Grant Number: 2022J01776).
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Tian-cong Huang and Wen-du Feng conceived the study; Guo-xu Fang, Qing-hua Zhang, Guang-ya Wei and Cheng-zong Li collected the report; Tian-cong Huang, Jian-min Wang and Jing-Feng Liu wrote the manuscript and edited the manuscript. All authors have approved publishment of the manuscript.
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Huang, Tc., Feng, Wd., Fang, Gx. et al. Cancer-Associated fibroblasts regulate the development of cholangiocarcinoma through IL-6/STAT3/AKR1C3 signaling axis. Sci Rep (2026). https://doi.org/10.1038/s41598-026-37583-y
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DOI: https://doi.org/10.1038/s41598-026-37583-y