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Am J Physiol Gastrointest Liver Physiol (October 2, 2008). doi:10.1152/ajpgi.90455.2008
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Submitted on July 24, 2008
Revised on September 9, 2008
Accepted on September 29, 2008

The endocannabinoid anandamide inhibits cholangiocarcinoma growth via activation of the non-canonical Wnt signaling pathway

Sharon DeMorrow1*, Heather Francis2, Eugenio Gaudio3, Julie Venter4, Antonio Franchitto, Shelley Kopriva, Paolo Onori, Romina Mancinelli, Gabriel Frampton, Monique Coufal, Brett M Mitchell5, Bradley Vaculin, and Gianfranco Alpini6

1 S&W Hospital, Texas A&M HSC
2 Scott & White Hospital
3 University of Rome
4 Texas A&M Health Science Center, College of Medicine
5 Texas A&M Health Science Center
6 Central Texas Veterans Health Care System and The Texas A & M University System Health Science Center College of Medicine

* To whom correspondence should be addressed. E-mail: demorrow{at}medicine.tamhsc.edu.

Cholangiocarcinomas are cancers that have poor prognosis and limited treatment options. The non-canonical Wnt pathway is mediated predominantly by Wnt 5a, which activates a Ca2+-dependent pathway involving protein kinase C, or a Ca2+-independent pathway involving the orphan receptor Ror2 and subsequent activation of Jun-N terminal kinase (JNK). This pathway is associated with growth-suppressing effects in numerous cell types. We have shown that anandamide decreases cholangiocarcinoma growth in vitro. Therefore, we determined the effects of anandamide on cholangiocarcinoma tumor growth in vivo using a xenograft model and evaluated the effects of anandamide on the non-canonical Wnt signaling pathways. Chronic administration of anandamide decreased tumor growth and was associated with increased Wnt 5a expression in vitro and in vivo. Treatment of cholangiocarcinoma cells with recombinant Wnt 5a decreased cell proliferation in vitro. Neither anandamide nor Wnt 5a affected intracellular calcium release, but both increased the JNK phosphorylation. Stable knockdown of Wnt 5a or Ror2 expression in cholangiocarcinoma cells abolished the effects of anandamide on cell proliferation and JNK activation. Modulation of the endocannabinoid system may be important in cholangiocarcinoma treatment. The antiproliferative actions of the non-canonical Wnt signaling pathway warrants further investigation to dissect the mechanism by which this may occur.







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