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Gastroenterology

Targeting Xanthine Oxidoreductase: A New Frontier to Overcome EGFR TKI Resistance in Intrahepatic Cholangiocarcinoma

MedXY Editorial TeamOct 28, 2025
drug resistanceintrahepatic cholangiocarcinoma

Highlight

  • Xanthine oxidoreductase (XOR) is identified as a key mediator of resistance to EGFR tyrosine kinase inhibitors (TKIs) in intrahepatic cholangiocarcinoma (iCCA).
  • XOR promotes EGFR protein stability via USP8-mediated deubiquitination and upregulates MUC1, enhancing oncogenic signaling and DNA damage repair.
  • Knockdown or inhibition of XOR reduces tumor proliferation, exacerbates DNA damage, and significantly increases sensitivity of iCCA cells to EGFR TKIs like gefitinib.
  • Targeting XOR offers a novel therapeutic strategy to overcome TKI resistance and improve outcomes in patients with iCCA, an aggressive liver cancer with limited treatment options.

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This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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