RT Journal Article SR Electronic T1 Interleukin-6-driven progranulin expression increases cholangiocarcinoma growth by an Akt-dependent mechanism JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 268 OP 277 DO 10.1136/gutjnl-2011-300643 VO 61 IS 2 A1 Gabriel Frampton A1 Pietro Invernizzi A1 Francesca Bernuzzi A1 Hae Yong Pae A1 Matthew Quinn A1 Darijana Horvat A1 Cheryl Galindo A1 Li Huang A1 Matthew McMillin A1 Brandon Cooper A1 Lorenza Rimassa A1 Sharon DeMorrow YR 2012 UL http://gut.bmj.com/content/61/2/268.abstract AB Background and objectives Cholangiocarcinoma is a devastating cancer of biliary origin with limited treatment options. The growth factor, progranulin, is overexpressed in a number of tumours. The study aims were to assess the expression of progranulin in cholangiocarcinoma and to determine its effects on tumour growth.Methods The expression and secretion of progranulin were evaluated in multiple cholangiocarcinoma cell lines and in clinical samples from patients with cholangiocarcinoma. The role of interleukin 6 (IL-6)-mediated signalling in the expression of progranulin was assessed using a combination of specific inhibitors and shRNA knockdown techniques. The effect of progranulin on proliferation and Akt activation and subsequent effects of FOXO1 phosphorylation were assessed in vitro. Progranulin knockdown cell lines were established, and the effects on cholangiocarcinoma growth were determined.Results Progranulin expression and secretion were upregulated in cholangiocarcinoma cell lines and tissue, which were in part via IL-6-mediated activation of the ERK1/2/RSK1/C/EBPβ pathway. Blocking any of these signalling molecules, by either pharmacological inhibitors or shRNA, prevented the IL-6-dependent activation of progranulin expression. Treatment of cholangiocarcinoma cells with recombinant progranulin increased cell proliferation in vitro by a mechanism involving Akt phosphorylation leading to phosphorylation and nuclear extrusion of FOXO1. Knockdown of progranulin expression in cholangiocarcinoma cells decreased the expression of proliferating cellular nuclear antigen, a marker of proliferative capacity, and slowed tumour growth in vivo.Conclusions Evidence is presented for a role for progranulin as a novel growth factor regulating cholangiocarcinoma growth. Specific targeting of progranulin may represent an alternative for the development of therapeutic strategies.