Asbestos and Intrahepatic Cholangiocarcinoma

The link between asbestos exposure and the onset of thoracic malignancies is well established. However epidemiological studies have provided evidences that asbestos may be also involved in the development of gastrointestinal tumors, including intrahepatic cholangiocarcinoma (ICC). In line with this...

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Main Authors: Giovanni Brandi, Simona Tavolari
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/9/2/421
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author Giovanni Brandi
Simona Tavolari
author_facet Giovanni Brandi
Simona Tavolari
author_sort Giovanni Brandi
collection DOAJ
description The link between asbestos exposure and the onset of thoracic malignancies is well established. However epidemiological studies have provided evidences that asbestos may be also involved in the development of gastrointestinal tumors, including intrahepatic cholangiocarcinoma (ICC). In line with this observation, asbestos fibers have been detected in the liver of patients with ICC. Although the exact mechanism still remains unknown, the presence of asbestos fibers in the liver could be explained in the light of their translocation pathway following ingestion/inhalation. In the liver, thin and long asbestos fibers could remain trapped in the smaller bile ducts, particularly in the stem cell niche of the canals of Hering, and exerting their carcinogenic effect for a long time, thus inducing hepatic stem/progenitor cells (HpSCs) malignant transformation. In this scenario, chronic liver damage induced by asbestos fibers over the years could be seen as a classic model of stem cell-derived carcinogenesis, where HpSC malignant transformation represents the first step of this process. This phenomenon could explain the recent epidemiological findings, where asbestos exposure seems mainly involved in ICC, rather than extrahepatic cholangiocarcinoma, development.
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spelling doaj.art-295a3fc9264d4182a130371eed337e382023-09-03T04:38:36ZengMDPI AGCells2073-44092020-02-019242110.3390/cells9020421cells9020421Asbestos and Intrahepatic CholangiocarcinomaGiovanni Brandi0Simona Tavolari1Department of Experimental, Diagnostic and Specialty Medicine, S. Orsola-Malpighi University Hospital, 40138 Bologna, ItalyCenter for Applied Biomedical Research, S. Orsola-Malpighi University Hospital, 40138 Bologna, ItalyThe link between asbestos exposure and the onset of thoracic malignancies is well established. However epidemiological studies have provided evidences that asbestos may be also involved in the development of gastrointestinal tumors, including intrahepatic cholangiocarcinoma (ICC). In line with this observation, asbestos fibers have been detected in the liver of patients with ICC. Although the exact mechanism still remains unknown, the presence of asbestos fibers in the liver could be explained in the light of their translocation pathway following ingestion/inhalation. In the liver, thin and long asbestos fibers could remain trapped in the smaller bile ducts, particularly in the stem cell niche of the canals of Hering, and exerting their carcinogenic effect for a long time, thus inducing hepatic stem/progenitor cells (HpSCs) malignant transformation. In this scenario, chronic liver damage induced by asbestos fibers over the years could be seen as a classic model of stem cell-derived carcinogenesis, where HpSC malignant transformation represents the first step of this process. This phenomenon could explain the recent epidemiological findings, where asbestos exposure seems mainly involved in ICC, rather than extrahepatic cholangiocarcinoma, development.https://www.mdpi.com/2073-4409/9/2/421intrahepatic cholangiocarcinomaasbestoshepatic stem/progenitor cells
spellingShingle Giovanni Brandi
Simona Tavolari
Asbestos and Intrahepatic Cholangiocarcinoma
Cells
intrahepatic cholangiocarcinoma
asbestos
hepatic stem/progenitor cells
title Asbestos and Intrahepatic Cholangiocarcinoma
title_full Asbestos and Intrahepatic Cholangiocarcinoma
title_fullStr Asbestos and Intrahepatic Cholangiocarcinoma
title_full_unstemmed Asbestos and Intrahepatic Cholangiocarcinoma
title_short Asbestos and Intrahepatic Cholangiocarcinoma
title_sort asbestos and intrahepatic cholangiocarcinoma
topic intrahepatic cholangiocarcinoma
asbestos
hepatic stem/progenitor cells
url https://www.mdpi.com/2073-4409/9/2/421
work_keys_str_mv AT giovannibrandi asbestosandintrahepaticcholangiocarcinoma
AT simonatavolari asbestosandintrahepaticcholangiocarcinoma