PMID- 29063951 OWN - NLM STAT- MEDLINE DCOM- 20190417 LR - 20190417 IS - 1432-1963 (Electronic) IS - 0172-8113 (Linking) VI - 38 IP - Suppl 2 DP - 2017 Nov TI - [Biliary tract cancers : Molecular characterization and identification of novel prognostic markers]. PG - 192-197 LID - 10.1007/s00292-017-0359-9 [doi] AB - BACKGROUND: Bile duct cancers (BTCs) are highly aggressive tumors with a dismal prognosis and an increasing incidence. BTC is a tumorbiologically and clinically heterogeneous tumor group and can be subdivided according to anatomical aspects into intrahepatic cholangiocarcinomas (iCCA), extrahepatic cholangiocarcinomas (eCCA) and gallbladder carcinomas (GBC). NEW THERAPY OPTIONS: Chronic inflammatory processes of the biliary system seem to play a role in the development of these tumors. Insights into molecular cholangiocarcinogenesis could make an important contribution to novel and more precise classification attempts and to the development of new, targeted therapies for BTC. EPIGENETIC AND GENETIC ALTERATIONS IN CHOLANGIOCARCINOMAS: The first description of genome-wide DNA methylation patterns in CCA showed drastic global methylation differences between CCA and corresponding non-neoplastic tissue (matched-pair analyses). Moreover, significant methylation differences between the CCA subtypes (eCCA and iCCA) could be found. Using immunohistochemistry and Sanger sequencing, it was shown that the actual BRAF V600E mutation rate seems to be significantly lower (1.3%) than previously described in the literature. IMMUNEPHENOTYPING IN BILIARY TRACT CANCERS: A comprehensive, subtype-specific characterization of tumor-infiltrating immune cells as well as an expression analysis of Major Histocompatibility Complex I was performed in a large and well-characterized BTC cohort. For further studies on the efficacy of immunomodulatory therapy approaches for BTC, the presented results provide a solid basis. FAU - Goeppert, B AU - Goeppert B AD - Pathologisches Institut, Universitatsklinikum Heidelberg, Im Neuenheimer Feld 224, 69120, Heidelberg, Deutschland. benjamin.goeppert@uni-heidelberg.de. LA - ger PT - Journal Article PT - Review TT - Karzinome der Gallenwege : Molekulare Charakterisierung und Identifikation neuer prognostischer Marker. PL - Germany TA - Pathologe JT - Der Pathologe JID - 8006541 RN - 0 (Biomarkers, Tumor) SB - IM MH - Biliary Tract Neoplasms/*pathology/therapy MH - *Biomarkers, Tumor MH - Humans MH - Prognosis OTO - NOTNLM OT - Bile duct cancer OT - Carcinogenesis OT - Cholangiocarcinoma OT - Gallbladder OT - Liver neoplasms EDAT- 2017/10/25 06:00 MHDA- 2019/04/18 06:00 CRDT- 2017/10/25 06:00 PHST- 2017/10/25 06:00 [pubmed] PHST- 2019/04/18 06:00 [medline] PHST- 2017/10/25 06:00 [entrez] AID - 10.1007/s00292-017-0359-9 [pii] AID - 10.1007/s00292-017-0359-9 [doi] PST - ppublish SO - Pathologe. 2017 Nov;38(Suppl 2):192-197. doi: 10.1007/s00292-017-0359-9.