1. Mechanistic insights into liver-fluke-induced bile-duct cancer.
- Author
-
Smout, Michael J., Laha, Thewarach, Chaiyadet, Sujittra, Brindley, Paul J., and Loukas, Alex
- Subjects
- *
CLONORCHIS sinensis , *LIVER flukes , *OPISTHORCHIS viverrini , *EXTRACELLULAR vesicles , *DIGESTIVE enzymes - Abstract
Macro-organisms such as fluke parasites can induce carcinogenesis. Opisthorchis viverrini and Clonorchis sinensis are known to cause liver cancer. Opisthorchis felineus holds potential as a carcinogen. The carcinogenic drivers are complex and not fully known, but recent advances such as CRISPR gene editing of key fluke virulence factors have proved informative. For example, Ov-GRN-1 granulin growth factor is a critical virulence factor that drives host cell proliferation and ultimately promotes carcinogenic transformation. Secretion of extracellular vesicles (EVs) by flukes is a critical means of host–parasite communication and likely contributes to carcinogenesis. The impact of fluke infection on the host microbiome, as well as the fluke's own microbiome, is revealing likely roles in pathogenesis and requires more investigation. Candidate fluke vaccine antigens are emerging, but an effective fluke vaccine likely needs a multivalent approach. Liver fluke infection is a major risk for cholangiocarcinoma (CCA). It has been established that the Asian liver flukes, Clonorchis sinensis and Opisthorchis viverrini secrete growth factors, digestive enzymes, and extracellular vesicles (EVs) which contribute to abnormal cell development in the bile ducts where the worms reside. These secretions – combined with aberrant inflammation and repeated cycles of chronic wounding at the site of parasite attachment and grazing on the epithelium – promote biliary hyperplasia and fibrosis and ultimately malignant transformation. Application of post-genomic and gene-editing tools to the study of liver fluke immunobiology and pathogenesis has accelerated the discovery of essential virulence factors to which targeted therapies and diagnostics can be directed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF