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Asynchronous Transitions from High-Risk Hepatoblastoma to Carcinoma - PubMed

12 hours ago
  • #WNT signaling
  • #hepatocellular carcinoma
  • #hepatoblastoma
  • Pediatric hepatocellular tumors include hepatoblastoma (HB) and hepatocellular carcinoma (HCC), with some showing mixed features (HBCs).
  • HBCs consist of heterogeneous mixtures of HB-like, HBC-like, and HCC-like molecular cell types.
  • HBC outcomes are worse than HB, with HBC cells being more chemoresistant due to cell identity, genetic alterations, and embryonic differentiation stage.
  • HBC cells originate from HB cells arrested at early hepatic stem cell development stages due to aberrant WNT signaling activation.
  • Inhibition of WNT signaling promoted differentiation and enhanced chemotherapy sensitivity.
  • HBCs reflect dynamic processes of multiple HB-to-HBC and HBC-to-HCC transitions, indicating evolutionary complexity.
  • A study limitation is the inability to pinpoint chemotherapy-induced genome modifications' role.