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<?release-delay 0|0?>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2025.8958</article-id>
<article-id pub-id-type="publisher-id">OR-54-4-08958</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>PTP4A1 promotes intrahepatic cholangiocarcinoma development and progression by interacting with PTEN and activating the PI3K/AKT/GSK&#x03B1; axis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Ou</given-names></name>
<xref rid="af1-or-54-4-08958" ref-type="aff">1</xref>
<xref rid="af2-or-54-4-08958" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Peng</surname><given-names>Yuhuai</given-names></name>
<xref rid="af2-or-54-4-08958" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Che</surname><given-names>Jinhui</given-names></name>
<xref rid="af1-or-54-4-08958" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Yubin</given-names></name>
<xref rid="af1-or-54-4-08958" ref-type="aff">1</xref>
<xref rid="c1-or-54-4-08958" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-54-4-08958"><label>1</label>Department of Hepatobiliary Surgery, Guangdong Provincial People&#x0027;s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong 510080, P.R. China</aff>
<aff id="af2-or-54-4-08958"><label>2</label>Department of Hepatobiliary Surgery, Hunan Provincial People&#x0027;s Hospital (The First-Affiliated Hospital of Hunan Normal University), Changsha, Hunan 410005, P.R. China</aff>
<author-notes>
<corresp id="c1-or-54-4-08958"><italic>Correspondence to</italic>: Professor Yubin Liu, Department of Hepatobiliary Surgery, Guangdong Provincial People&#x0027;s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, 106 Zhongshan Second Road, Guangzhou, Guangdong 510080, P.R. China, E-mail: <email>liuyubin@gdph.org.cn</email></corresp>
</author-notes>
<pub-date pub-type="collection"><month>10</month><year>2025</year></pub-date>
<pub-date pub-type="epub"><day>25</day><month>07</month><year>2025</year></pub-date>
<volume>54</volume>
<issue>4</issue>
<elocation-id>125</elocation-id>
<history>
<date date-type="received"><day>07</day><month>02</month><year>2025</year></date>
<date date-type="accepted"><day>17</day><month>06</month><year>2025</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; 2025 Li et al.</copyright-statement>
<copyright-year>2025</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Intrahepatic cholangiocarcinoma (ICC) is a highly aggressive biliary cancer originating within the liver with a high incidence, high degree of malignancy and extremely poor prognosis. Protein tyrosine phosphatase 4A1 (PTP4A1) plays a carcinogenic role in numerous tumors. However, the role of PTP4A1 in the progression of ICC has not been fully elucidated. The aim of the present study was to clarify the function of PTP4A1 in ICC. Cell Counting Kit-8 assay, 5-ethynyl-2&#x2032;-deoxyuridine staining and a cell colony formation assay were performed to detect cell proliferation and viability. Wound healing and Transwell assays were used to analyze cell migration and invasion. The interaction of PTP4A1 with phosphatase and tensin homolog (PTEN) was validated by immunofluorescence and co-immunoprecipitation assays. Reverse transcription-quantitative PCR, western blotting and immunohistochemistry were used to evaluate the mRNA and protein expression levels. The present study demonstrated that PTP4A1 was highly expressed and associated with invasive pathological features in ICC. Furthermore, PTP4A1 promoted ICC cell proliferation, migration and invasion both <italic>in vitro</italic> and <italic>in vivo</italic>. Mechanistically, PTP4A1 interacts with PTEN, contributes to the suppression of PTEN phosphorylation and promotes the activation of the PI3K/AKT/glycogen synthase kinase 3 alpha pathway. In addition, the present results demonstrated that the promotion of cell proliferation, migration and invasion by PTP4A1 was dependent on the regulation of the PTEN/PI3K/AKT/GSk3&#x03B1; pathway in ICC. Collectively, these data revealed that PTP4A1 is a promising target for ICC therapeutics.</p>
</abstract>
<kwd-group>
<kwd>intrahepatic cholangiocarcinoma</kwd>
<kwd>protein tyrosine phosphatase 4A1</kwd>
<kwd>phosphatase and tensin homolog</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>Fund of Science and Technology Department of Hunan</funding-source>
<award-id>2018SK50726</award-id>
</award-group>
<funding-statement>The present study was supported by the Fund of Science and Technology Department of Hunan (grant no. 2018SK50726).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Intrahepatic cholangiocarcinoma (ICC) is a highly aggressive and malignant liver cancer that accounts for 10&#x2013;20&#x0025; of primary liver cancers and is the second most common type after hepatocellular carcinoma (HCC) (<xref rid="b1-or-54-4-08958" ref-type="bibr">1</xref>,<xref rid="b2-or-54-4-08958" ref-type="bibr">2</xref>). The incidence of ICC has been increasing globally, with an average annual growth rate of 4.4&#x0025; over the past decade (<xref rid="b3-or-54-4-08958" ref-type="bibr">3</xref>). Unfortunately, most patients are diagnosed at advanced stages because of the asymptomatic nature of early ICC, leading to limited treatment options and poor clinical outcomes (<xref rid="b4-or-54-4-08958" ref-type="bibr">4</xref>). The 5-year survival rate remains dismal, at &#x007E;25-40&#x0025; even after curative resection, with a high recurrence rate (<xref rid="b5-or-54-4-08958" ref-type="bibr">5</xref>). Surgical resection is currently the only potentially curative treatment for ICC, but it is suitable for only a minority of patients. The molecular mechanisms underlying ICC growth and metastasis are not well understood, which hinders the development of new therapies. Factors such as chronic inflammation, genetic mutations in genes such as isocitrate dehydrogenase (NADP<sup>&#x002B;</sup> IDH 1/2), epidermal growth factor receptors, fibroblast growth factor receptors and ROS proto-oncogene 1, as well as aberrant signaling pathways, contribute to ICC development (<xref rid="b6-or-54-4-08958" ref-type="bibr">6</xref>&#x2013;<xref rid="b8-or-54-4-08958" ref-type="bibr">8</xref>). However, the clear mechanisms of ICC have not been fully elucidated, and there is an urgent need to investigate the molecular pathogenesis of ICC to identify new therapeutic targets and approaches.</p>
<p>PTP4A1, also known as protein tyrosine phosphatase 4A1, is an enzyme that belongs to the protein tyrosine phosphatase (PTP) family. It plays significant roles in various cellular processes, including cell proliferation, differentiation and migration (<xref rid="b9-or-54-4-08958" ref-type="bibr">9</xref>&#x2013;<xref rid="b11-or-54-4-08958" ref-type="bibr">11</xref>). PTP4A1 is involved in the dephosphorylation of tyrosine residues on proteins, which can influence the PI3K/AKT, ERK and transforming growth factor beta 1 (TGF&#x03B2;) signaling pathways (<xref rid="b12-or-54-4-08958" ref-type="bibr">12</xref>&#x2013;<xref rid="b15-or-54-4-08958" ref-type="bibr">15</xref>). PTP4A1 has also been implicated in the development and progression of several types of cancer, including non-small cell lung cancer (NSCLC) (<xref rid="b9-or-54-4-08958" ref-type="bibr">9</xref>), HCC (<xref rid="b16-or-54-4-08958" ref-type="bibr">16</xref>), cervical cancer (<xref rid="b13-or-54-4-08958" ref-type="bibr">13</xref>) and colon cancer (<xref rid="b17-or-54-4-08958" ref-type="bibr">17</xref>), where it may promote cell proliferation, survival and metastasis. High levels of PTP4A1 expression are associated with poor prognosis in various types of cancer (<xref rid="b9-or-54-4-08958" ref-type="bibr">9</xref>,<xref rid="b18-or-54-4-08958" ref-type="bibr">18</xref>,<xref rid="b19-or-54-4-08958" ref-type="bibr">19</xref>), suggesting its potential as a therapeutic target and biomarker. A previous study by the authors revealed that the lncRNA NEAT1 promoted cell proliferation, migration and invasion via the miR-186-5p/PTP4A1 axis in cholangiocarcinoma (<xref rid="b20-or-54-4-08958" ref-type="bibr">20</xref>). However, the function and mechanism of PTP4A1 in ICC remain largely unclear.</p>
<p>In the present study, the potential role and underlying molecular mechanism of PTP4A1 in ICC were explored. Our results revealed that PTP4A1 was upregulated in ICC and associated with lymph node metastasis, vascular invasion, tumor node metastasis (TNM) stage and differentiation of ICC. Furthermore, it was demonstrated that PTP4A1 promoted the proliferation, metastasis and invasion of ICC. In terms of mechanism, PTP4A1 interacts with PTEN, decreases the phosphorylation of PTEN and promotes the activation of the PI3K/AKT pathway. Therefore, our results suggest that PTP4A1 is a promising therapeutic target for ICC.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Patients and specimens</title>
<p>ICC tissues and matched adjacent non-tumor tissues were obtained from 60 patients (37 men and 23 women; median age, 64 years; age range, 41&#x2013;83 years) who underwent radical resection for ICC at the Hunan Provincial People&#x0027;s Hospital (Changsha, China) between January 2021 and January 2023. The diagnoses were pathologically confirmed by two independent pathologists. None of the patients received any anticancer therapy prior to surgery. A total of 40 pairs of fresh ICC specimens and matched adjacent non-tumor tissues were stored in liquid nitrogen immediately after resection and subsequently stored at &#x2212;80&#x00B0;C for reverse transcription-quantitative PCR (RT-qPCR) and WB. A total of 20 pairs of ICC specimens and matched adjacent non-tumor tissues were fixed in 4&#x0025; paraformaldehyde (PFA) at room temperature for 12&#x2013;24 h and subsequently subjected to paraffin embedding and immunohistochemical (IHC) analysis. All experiments in our research were approved (approval no. 2023&#x2013;151) by the Ethics Committee of the Hunan Provincial People&#x0027;s Hospital (Changsha, China) and carried out in accordance with the Declaration of Helsinki. Written informed consent was obtained from all participants.</p>
</sec>
<sec>
<title>Sample size selection and power calculation</title>
<p>In more than 75&#x0025; of normal lung tissue samples, the percentage of PTP4A1-positive cells among the total cells is &#x003C;50&#x0025;, which is considered as low expression of PTP4A1 (<xref rid="b9-or-54-4-08958" ref-type="bibr">9</xref>). In the present study, it was assumed that the probability of PTP4A1 overexpression (OE) in ICC adjacent tissues (P1) was 0.3, and that in the ICC tissue (P2) was 0.7. Using the T-test method, with a significance level (&#x0251;) set at 0.05 and a statistical power (&#x03B2;) set at 0.8, the calculated sample size based on the sample size formula {n=(Z<sub>&#x0251;/2</sub>&#x002B;Z<sub>&#x03B2;</sub>)<sup>2</sup> &#x00D7; [p1(1-p1) &#x002B; p2 (1-p2)]/(p1-p2)<sup>2</sup>]} is 21. Using G&#x002A;Power, it was found that a sample size of 21 per group achieves a power of &#x007E;0.8 (80&#x0025;). In the present study, IHC results are subjective to some extent and may be affected by technical variability. Therefore, a relatively small sample size is needed to balance resource consumption and the reliability of the results. A sample size of 20 pairs was selected to avoid excessive experimental costs and workload. Western blotting (WB) and RT-qPCR are quantitative detection techniques that can accurately measure the expression levels of PTP4A1, with high sensitivity and specificity. A total of 10 pairs of ICC tumor tissues and adjacent tissues were analyzed by to determine the expression of PTP4A1. For RT-qPCR assay, a sample size of 40 pairs can provide sufficient statistical power to identify potential association between PTP4A1 expression and ICC clinical features.</p>
</sec>
<sec>
<title>Cell culture and transfection</title>
<p>The ICC cell lines HCCC-9810 and RBE were purchased from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China). The cells were cultured in DMEM supplemented with 10&#x0025; fetal bovine serum (FBS) in a 5&#x0025; CO<sub>2</sub>, 37&#x00B0;C incubator. Lentiviruses containing specific short hairpin RNA (shRNA) targeting PTP4A1 (sh-PTP4A1: ATCCAACCAATGCGACCTT) or shRNA negative control (sh-NC: TTCTCCGAACGTGTCACGT) were purchased from Shanghai GenePharma Co., Ltd. The PTP4A1 coding sequence was synthesized, cloned and inserted into a lentiviral GV492 vector. The empty GV492 vector was considered an empty vector (EV). A total of 5&#x00D7;10<sup>4</sup> HCCC-9810 and RBE cells were seeded into 6-well plates for 24 h. When the cells confluence was 30&#x0025;, they were infected with the appropriate lentiviruses. The optimal infection conditions were 10 &#x00B5;l lentivirus (10<sup>8</sup> TU/ml) &#x002B; 40 &#x00B5;l 25 &#x00D7; HiTransG lentivirus infection reagent (GeneChem, Inc.) &#x002B; 950 &#x00B5;l complete medium. After 16 h of infection, the medium was replaced with complete medium, and the cells were cultured for 72 h. Then, these cells were selected with 2 &#x00B5;g/ml of puromycin (cat. no. ab141453; Abcam) for three days and harvested for further studies.</p>
</sec>
<sec>
<title>Plasmids</title>
<p>A Flag-tagged PTEN wild-type (WT) plasmid [pLV3-CMV-PTEN (human)-3X FLAG-Puro; cat. no. P64887] was purchased from Wuhan MiaoLing Biotech Science Co., Ltd. PTEN S380A mutants were generated by Hieff Mut&#x2122; Site-Directed Mutagenesis Kit (cat. no. 11003ES10; Shanghai Yeasen Biotechnology Co., Ltd.). The primers used were as follows: forward, 5&#x2032;-TATAGATATGCTGACACCACTGACTCTGATCCAGAGA-3&#x2032; and reverse, 5&#x2032;-TGGTGTCAGCATATCTATAATGATCAGGTTCATTGTCA-3&#x2032;. Transfections were conducted using Lipofectamine&#x2122; 3000 (cat. no. L3000015; Invitrogen&#x0027; Thermo Fisher scientific, Inc.).</p>
</sec>
<sec>
<title>Proliferation, colony formation and 5-ethynyl-2&#x2032;-deoxyuridine (EdU) assays</title>
<p>For the proliferation assay, RBE and HCCC-9810 cells transfected with the PTP4A1-knockdown (KD) or OE lentiviral vector (3,000 per well) were seeded into 96-well plates and treated with Cell Counting Kit-8 (CCK-8) reagent (10 &#x00B5;l/well; Beyotime Institute of Biotechnology) at 37&#x00B0;C for 2 h. Subsequently, cell viability at 24, 48 or 72 h was evaluated using a microplate reader (Thermo Fisher Scientific, Inc.) at 450 nm. Experiments were performed in triplicate.</p>
<p>For the colony formation assay, RBE and HCCC-9810 cells transfected with the PTP4A1-KD or OE lentiviral vector (500 per well) were seed into 6-well plates and cultured in DMEM plus 10&#x0025; FBS in a 5&#x0025; CO<sub>2</sub> incubator at 37&#x00B0;C for 14 days and then fixed with 4&#x0025; PFA for 1 h at room temperature. The cells were then stained with crystal violet (0.1&#x0025;) at room temperature for 30 min. Images of the colonies were subsequently captured with an inverted light microscope with camera functionality at &#x00D7;10 magnification (3 images per sample). Experiments were performed in triplicate.</p>
<p>For the EdU assay, 3&#x00D7;10<sup>5</sup> RBE and HCCC-9810 cells transfected with the PTP4A1-KD were inoculated into 24-well plates and treated with 2 &#x00B5;M PTEN inhibitor SF1670 (cat. no. S7310; Selleck Chemicals) or 10 &#x00B5;M GSK3 inhibitor SB216763 (cat. no. S1075; Selleck Chemicals) for 24 h. Then, the cells were incubated with 20 &#x00B5;M EdU (Guangzhou RiboBio, Co., Ltd.) at 37&#x00B0;C for 2 h. Subsequently, the cells were fixed and permeated with 4&#x0025; PFA for 30 min and 0.5&#x0025; Triton X-100 for 10 min at room temperature. After being washed with PBS, the cells were reacted with 300 &#x00B5;l of Apollo reaction cocktail (Guangzhou RiboBio, Co., Ltd.) for 30 min, and the cell nuclei were stained with 300 ml of 1X Hoechst 33342 (Guangzhou RiboBio, Co., Ltd.) for 30 min. Finally, the cells were analyzed by fluorescence microscopy (magnification, &#x00D7;200; Nikon Corporation). Experiments were performed in triplicate.</p>
</sec>
<sec>
<title>Tumorigenesis in nude mice</title>
<p>A total of 10 male BALB/c nude mice (5 weeks-old; weighing 20 g) purchased from Hunan SJA Laboratory Animal Co., Ltd., were used to establish a xenograft model and were maintained in an environment at 24&#x00B1;2&#x00B0;C and 50&#x00B1;5&#x0025; humidity with a 12/12-h light/dark cycle. The animals were fed an autoclaved laboratory rodent diet. RBE/HCCC-9810 cell lines stably transfected with PTP4A1-KD and NC lentiviral vectors (5&#x00D7;10<sup>6</sup> cells/mouse) in 0.1 ml PBS were subcutaneously injected into the axillae of the anterior left limbs of the mice. Tumor volume was measured every four days for 4 weeks. The tumor volume was calculated as follows: Volume=0.5 &#x00D7; long diameter &#x00D7; short diameter<sup>2</sup>. A tumor diameter exceeding 17 mm, weight loss &#x003E;20&#x0025; of body weight, the animal exhibiting cachexia or wasting syndrome or the size of the solid tumor being &#x003E;10&#x0025; of body weight were considered as humane endpoint. The animals were sacrificed if any humane endpoints were reached. In the present study, the maximum tumor volume and diameter measured <italic>in vivo</italic> were 408.35 mm<sup>3</sup> and 12 mm respectively. Notably, none of the mice succumbed to humane endpoints during the experimental process. The mice were euthanized by cervical dislocation, in accordance with the recommendations of the American Veterinary Medical Association Guidelines for the Euthanasia of Animals. Tumors were harvested for imaging and monitored using Vernier calipers. All animal experiments described in the present study were reviewed and approved by Hunan Provincial People&#x0027;s Hospital (The First Affiliated Hospital of Hunan Normal University) (approval no. 2024-156). All animal protocols complied with the ARRIVE guidelines.</p>
</sec>
<sec>
<title>Wound healing assays</title>
<p>A total of 3&#x00D7;10<sup>5</sup> RBE and HCCC-9810 cells transfected with PTP4A1-KD or OE lentiviral vectors were cultured in 6-well plates for 24 h, after which an artificial scratch wound was generated with a sterile pipette tip (200 &#x00B5;l). The floating cells were then gently removed. The cells were subsequently cultured with serum-free medium at 37&#x00B0;C for 24 h. The width of each scratch was determined using an inverted microscope with camera functionality at 0 and 24 h after scratching, and the width of each wound was detected using ImageJ software (version 1.8.0; National Institutes of Health). Experiments were performed in triplicate.</p>
</sec>
<sec>
<title>Migration and invasion assays</title>
<p>Cell invasion and migration abilities were analyzed in Transwell assays using Transwell chambers (pore size: 8 mm, 24-well; Corning, Inc.) with or without Matrigel (BD Biosciences), respectively. Matrigel basement membrane matrix was diluted with serum-free DMEM (1:1). Matrigel matrix (100 &#x00B5;l/well) was added into the upper chamber and then solidified in an incubator at 37&#x00B0;C for 2 h. A total of 5&#x00D7;10<sup>4</sup> or 1&#x00D7;10<sup>5</sup> RBE or HCCC-9810 cells were suspended in 200 &#x00B5;l of serum-free medium and seeded into the upper chamber for migration and invasion, respectively. A total of 600 &#x00B5;l of medium plus 10&#x0025; FBS was added to the lower chamber. Then the cells were treated with PTEN inhibitor SF1670 or GSK3 inhibitor SB216763. After incubation at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub> for 24 h, the cells were fixed with 4&#x0025; PFA at room temperature for 30 min and stained with 0.5&#x0025; crystal violet at room temperature for 15 min. Images of the migratory and invasive cells were captured using an inverted light microscope with camera functionality. Experiments were performed in triplicate.</p>
</sec>
<sec>
<title>WB</title>
<p>The cells and tissues were lysed on ice in radioimmunoprecipitation assay (RIPA) lysis buffer (Shanghai Yeasen Biotechnology Co., Ltd.) supplemented with protease inhibitor cocktail tablets. Cell lysates were clarified by centrifugation (20 min at 15,000 &#x00D7; g at 4&#x00B0;C) and protein concentration determined using the BCA protein assay (Biosharp Life Sciences). Equal amounts of protein (40 &#x00B5;g) were subjected to 8&#x2013;12&#x0025; SDS-PAGE, transferred onto polyvinylidene difluoride (PVDF) membranes, blocked in 10&#x0025; milk at room temperature for 1 h and probed with anti-PTP4A1 (1:1,000; cat. no. 67584-1-Ig; Proteintech Group, Inc.), anti-AKT (1:1,000; cat. no. 9272S; Cell Signaling Technology, Inc.), anti-phosphorylated (p)-AKT (1:1,000; cat. no. 4060S; Cell Signaling Technology, Inc.), anti-PI3K (1:1,000; cat. no. R22768; Zen-bio, Inc.), anti-p-PI3K (1:1,000; cat. no. 341468; Zen-bio, Inc.), anti-PTEN (1:1,000; cat. no. R381415; Zen-bio, Inc.) and anti-p-PTEN (1:1,000; cat. no. 9551; Cell Signaling Technology, Inc.) antibodies at 4&#x00B0;C overnight. The membranes were subsequently incubated with anti-mouse HRP-conjugated antibodies (1:2,000; cat. no. SA00001-1; Proteintech Group, Inc.) or anti-rabbit HRP-conjugated antibodies (1:2,000; cat. no. SA00001-2; Proteintech Group, Inc.) for 1 h at room temperature. An enhanced chemiluminescence (ECL; cat. no. AC13895; Acmec Biochemical) detection system was used to visualize the protein bands. Densitometric analysis of western blots was performed using Image Lab Software (version 6.1; Bio-Rad Laboratories, Inc.). Experiments were performed in triplicate.</p>
</sec>
<sec>
<title>RNA extraction and RT-qPCR</title>
<p>Total RNA was extracted from 1&#x00D7;10<sup>6</sup> cells or 0.5 g clinical samples using TRIzol<sup>&#x00AE;</sup> reagent (Invitrogen; Thermo Fisher Scientific, Inc.). Subsequently, reverse transcription was performed using a PrimeScript RT Reagent Kit (cat. no. BL1018A; Biosharp Life Sciences) according to the manufacturer&#x0027;s protocols. The synthesized cDNA was used as a template for PCR, which was performed using an ABI 7000 quantitative PCR instrument (Applied Biosystems; Thermo Fisher Scientific, Inc.) with a SYBR Green PCR kit (Vazyme Biotech Co., Ltd.). The following thermocycling conditions were used for the qPCR: Initial denaturation at 95&#x00B0;C for 30 sec, followed by 40 cycles of 95&#x00B0;C for 5 sec and annealing at 60&#x00B0;C for 30 sec, followed by 1 cycle of 95&#x00B0;C for 15 sec, 60&#x00B0;C for 30 sec and 95&#x00B0;C for 15 sec. Each reaction was performed in triplicate, and the expression values were normalized to those of the internal control GAPDH. mRNA expression was analyzed based on the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> relative quantification method (<xref rid="b21-or-54-4-08958" ref-type="bibr">21</xref>). The primers used for amplification were as follows: PTP4A1 forward, 5&#x2032;-ATTGAAGGTGGAATGAAATACGAAG-3&#x2032; and reverse, 5&#x2032;-TACTTCTCCAAATACAGAAGTTGCT-3&#x2032;; and GAPDH forward, 5&#x2032;-GGAGCGAGATCCCTCCAAAAT-3&#x2032; and reverse, 5&#x2032;-GGCTGTTGTCATACTTCTCATGG&#x0027;. Experiments were performed in triplicate.</p>
</sec>
<sec>
<title>IHC</title>
<p>ICC tumor tissues, matched adjacent non-tumor tissues tumor xenografts derived from HCCC-9810 and RBE cell lines were fixed in 4&#x0025; PFA at room temperature for 24 h, paraffin embedded and sectioned to a thickness of &#x007E;5 &#x00B5;m. The embedded tissues were dewaxed with xylene (10 min &#x00D7; 3 times), followed by rehydration with gradient ethanol (anhydrous ethanol, 95&#x0025; ethanol, 90&#x0025; ethanol, 80&#x0025; ethanol, 70&#x0025; ethanol, 5 min each), and antigen retrieval using microwave for 15 min. The primary antibody anti-PTP4A1 (1:200), anti-Ki67 (1:200; cat. no. R381101; Zen-bio, Inc.) and its corresponding secondary antibody (1:1,000) were subsequently applied, and the samples were incubated with the tissue slides in a wet box at 37&#x00B0;C for 2 h. Nuclei were counterstained with hematoxylin. The cells were imaged using a light microscope with camera functionality. ImageJ software (version 1.8.0; National Institutes of Health) was then used to calculate the average value and immunoreactivity score (IRS). The percentages of positively stained cells were scored from 1&#x2013;4 as follows: 0, 0&#x2013;5; 1, 6&#x2013;25; 2, 26&#x2013;50; 3, 51&#x2013;75; and 4, 76&#x2013;100&#x0025;. The staining intensity score was scored from 0&#x2013;3 as follows: 0, no staining signals; 1, weak staining; 2, moderate staining; and 3, strong staining. The IRS was the comprehensive score obtained by multiplying the staining cell score by the staining intensity score (0&#x2013;12).</p>
</sec>
<sec>
<title>Immunofluorescence (IF)</title>
<p>RBE cells transfected with the PTP4A OE vector were seeded on coverslips (1&#x00D7;10<sup>3</sup> cells/cm<sup>2</sup>). After 48 h, the cells were fixed with 4&#x0025; PFA at 4&#x00B0;C overnight. Then, the cells were permeabilized with 0.1&#x0025; Triton-X 100 (Sigma-Aldrich; Merck KGaA) for 30 min, blocked with 5&#x0025; BSA (Beijing Solarbio Science &#x0026; Technology Co., Ltd.) in PBS at room temperature for 2 h, and incubated with p-PTEN and PTP4A1 antibodies (1:100) at 4&#x00B0;C overnight. The coverslips were subsequently incubated with the Goat Anti-Rabbit IgG/Alexa Fluor 647 (1:1,000; cat. no. HY-P80952; MedChemExpress) and Goat Anti-Mouse IgG (H&#x002B;L) Cy3 (1:500; cat. no. S0012; Affinity Biosciences) for 1 h at room temperature. Finally, the slides were incubated with 1 &#x00B5;g/ml DAPI at room temperature for 30 min, and the cells were observed under a confocal microscope. Images from the basal plane of the cells were captured and stored as digital images. Each group was treated in triplicate.</p>
</sec>
<sec>
<title>Co-immunoprecipitation (Co-IP)</title>
<p>RBE cells were lysed on ice in RIPA lysis buffer supplemented with protease inhibitor cocktail tablets. A total of 1 &#x00B5;g of PTP4A1 antibody was added to the cell lysate, which was subsequently incubated at 4&#x00B0;C overnight with slow shaking. Subsequently, 10 &#x00B5;l of protein A agarose beads was added to the cell lysates, which were subsequently incubated overnight with the PTP4A1 antibody and then for 4 h at 4&#x00B0;C with slow shaking. 1 &#x00B5;g normal rabbit IgG (cat. no. 2729S; Cell Signaling Technology, Inc.) were included as a NC. The agarose beads were subsequently centrifuged at at 600 &#x00D7; g for 3 min at 4&#x00B0;C. The supernatant was carefully aspirated. Then, 20 &#x00B5;l of 2X SDS gel loading buffer was added to the beads, which were boiled for 6 min for WB. Experiments were performed in triplicate.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data analysis was performed using SPSS 20.2 (IBM Corp.). The values represent the mean &#x00B1; SD from 3 independent experiments. Unpaired Student&#x0027;s t-tests were performed to compare the differences between two groups. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>PTP4A1 is upregulated and associated with invasive pathological features in ICC</title>
<p>To investigate the function of PTP4A1 in ICC, PTP4A1 expression was first detected in ICC tissues using WB. The results revealed that PTP4A1 is overexpressed in tumor tissues compared with adjacent normal tissues (<xref rid="f1-or-54-4-08958" ref-type="fig">Fig. 1A</xref>). To further verify PTP4A1 expression in ICC, the expression levels of PTP4A1 in 20 pairs of ICC tissues and matched adjacent normal tissues were analyzed using IHC. The results revealed that PTP4A1 was highly expressed in ICC tissues (<xref rid="f1-or-54-4-08958" ref-type="fig">Fig. 1B and C</xref>). RT-qPCR was subsequently performed to evaluate the mRNA levels of PTP4A1 in 40 pairs of ICC tumor tissues and matched adjacent normal tissues. PTP4A1 mRNA was frequently upregulated in ICC (<xref rid="f1-or-54-4-08958" ref-type="fig">Fig. 1D</xref>). Furthermore, the relationships between PTP4A1 expression and the clinicopathological characteristics of patients with ICC were explored. Compared with that in patients with ICC with negative lymph node metastasis, PTP4A1 mRNA expression was higher in patients with ICC with positive lymph node metastasis (<xref rid="f1-or-54-4-08958" ref-type="fig">Fig. 1E</xref>). In addition, the PTP4A1 mRNA was overexpressed in patients with ICC with vascular invasion (<xref rid="f1-or-54-4-08958" ref-type="fig">Fig. 1F</xref>). Compared with patients with I/II TNM stage ICC, PTP4A1 was highly expressed in patients with III/IV TNM stage ICC (<xref rid="f1-or-54-4-08958" ref-type="fig">Fig. 1G</xref>). Moreover, the expression of PTP4A1 was related to the differentiation of ICC. PTP4A1 mRNA expression in poorly differentiated ICC tissues was higher than the levels in well-differentiated and moderately differentiated ICC tissues (<xref rid="f1-or-54-4-08958" ref-type="fig">Fig. 1H</xref>). Collectively, these results indicated that PTP4A1 is overexpressed and associated with aggressive pathological characteristics in ICC.</p>
</sec>
<sec>
<title>PTP4A1 promotes ICC cell proliferation, migration and invasion in vitro and in vivo</title>
<p>To investigate the potential biological function of PTP4A1 in ICC, RBE and HCCC-9810 cells were stably transfected with PTP4A1 KD and OE lentiviruses. The expression levels of PTP4A1 in the ICC cell lines RBE and HCCC-9810 were analyzed using WB and RT-qPCR. As demonstrated in <xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2A and B</xref>, the expression of PTP4A1 was significantly decreased in RBE and HCCC-9810 cells transfected with PTP4A1 KD lentivirus and significantly increased in REB and HCCC-9810 cells transfected with PTP4A1-OE lentivirus compared with that in ICC cells transfected with NC or EV lentivirus. CCK-8, EdU and colony formation assays were subsequently performed to evaluate the role of PTP4A1 in the proliferation of ICC cells. The results of the CCK-8 assays suggested that PTP4A1 promoted the proliferation of RBE and HCCC-9810 cells (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2C and D</xref>). The results of the EdU assays demonstrated that the viabilities of the RBE and HCCC-9810 cells transfected with the PTP4A1-KD lentivirus were lower than those of the corresponding NC cells (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2E and F</xref>). Consistent with these findings, the viabilities of RBE and HCCC-9810 cells transfected with the PTP4A1-OE lentivirus were greater than those of the corresponding EV-transfected cells (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2E and F</xref>). Additionally, the results of the colony formation assay revealed that PTP4A1 increased the survival ability of RBE and HCCC-9810 cells (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2G and H</xref>). Furthermore, a subcutaneous tumor formation experiment was conducted in nude mice in which RBE and HCCC-9810 cells were transfected with PTP4A1-KD lentivirus or NC lentivirus. All the mice successfully formed tumors. ICC tumor tissue images revealed that the tumors that originated from RBE and HCCC-9810 cells transfected with the PTP4A1-KD lentivirus were smaller than those in the NC groups (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2I</xref>). The tumor growth curves revealed that the tumors in RBE and HCCC-9810 cells transfected with PTP4A1-KD lentivirus grew slower than those in the NC groups did at the same time points (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2J</xref>). The volume of tumor tissues derived from RBE and HCCC-9810 cells transfected with the PTP4A1-KD lentivirus was significantly smaller than that derived from the NC cells (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2K and L</xref>). The IHC results revealed that the expression of the proliferation marker Ki67 was decreased in tumor tissues derived from RBE and HCCC-9810 cells transfected with the PTP4A1-KD lentivirus (<xref rid="f2-or-54-4-08958" ref-type="fig">Fig. 2N</xref>). Collectively, these results indicated that PTP4A1 promotes ICC proliferation <italic>in vitro</italic> and <italic>in vivo</italic>.</p>
<p>To further explore the function of PTP4A1 in ICC metastasis, wound healing assays were performed, and the results revealed that PTP4A1-OE increased the migration of RBE and HCCC-9810 cells. However, the migration abilities of PTP4A1-downregulated RBE and HCCC-9810 cells were reduced (<xref rid="f3-or-54-4-08958" ref-type="fig">Fig. 3A and B</xref>). Similarly, the results of migration assays demonstrated that PTP4A1 promoted the migration of RBE and HCCC-9810 cells (<xref rid="f3-or-54-4-08958" ref-type="fig">Fig. 3C and D</xref>). Invasion assays suggested that PTP4A1 increased invasion in RBE and HCCC-9810 cells (<xref rid="f3-or-54-4-08958" ref-type="fig">Fig. 3E and F</xref>). In addition, PTP4A1-OE promoted epithelial-mesenchymal transition (EMT), and PTP4A1-KD inhibited EMT in RBE and HCCC-9810 cells (<xref rid="f3-or-54-4-08958" ref-type="fig">Fig. 3G-N</xref>). Furthermore, the results showed that PTP4A1-OE significantly increases the expression levels of MMP2 and MMP9, which are key enzymes involved in tumor invasion and metastasis. Conversely, PTP4A1-KD leads to a decrease in MMP2 and MMP9 expression (<xref rid="f3-or-54-4-08958" ref-type="fig">Fig. 3G-N</xref>). Expression of the epithelial cell marker E-cadherin was decreased and that of the mesenchymal cell marker N-cadherin was increased in tumorigenic tissues derived from RBE and HCCC-9810 cells transfected with PTP4A1-KD lentivirus (<xref rid="f3-or-54-4-08958" ref-type="fig">Fig. 3M</xref>). These results demonstrated that PTP4A1 promoted migration, invasion and EMT in ICC.</p>
</sec>
<sec>
<title>PTP4A1 interacts with PTEN and is involved in the activation of the PI3K/AKT/GSK3&#x03B1; pathway</title>
<p>To further clarify the mechanism by which PTP4A1 promotes the progression of ICC, Co-IP-MS was performed to screen for proteins that interact with PTP4A1. A Venn diagram revealed that 87 proteins may interact with PTP4A1 (<xref rid="f4-or-54-4-08958" ref-type="fig">Fig. 4A</xref>). Among them, focus was addressed on PTEN. To further verify the interaction between PTP4A1 and PTEN, IF staining was performed. The results revealed that PTP4A1 colocalized with PTEN in RBE cells (<xref rid="f4-or-54-4-08958" ref-type="fig">Fig. 4B</xref>). Co-IP analysis verified that PTP4A1 interacted with PTEN in RBE cells transfected with PTP4A1-OE lentivirus (<xref rid="f4-or-54-4-08958" ref-type="fig">Fig. 4C and D</xref>). PTP4A1 belongs to the PTP family and may play a role in the dephosphorylation of its interacting proteins. Next, the effect of PTP4A1 on PTEN phosphorylation was evaluated. The results revealed that PTP4A1-OE decreased PTEN phosphorylation and that KD of PTP4A1 increased the phosphorylation level of PTEN in RBE and HCCC-9810 cells, indicating that PTP4A1 inhibited the activation of PTEN (<xref rid="f4-or-54-4-08958" ref-type="fig">Fig. 4E</xref>). PTEN is a negative regulator of the PI3K/AKT/GSk3&#x03B1; signaling pathway. The activation of PI3K/AKT/GSk3&#x03B1; signaling in PTP4A1-OE and PTP4A1-KD RBE and HCCC-9810 cells was subsequently detected (<xref rid="f4-or-54-4-08958" ref-type="fig">Fig. 4E</xref>). These results indicated that PTP4A1 contributes to the activation of the PI3K/AKT/GSk3&#x03B1; signaling pathway by interacting with and regulating PTEN.</p>
<p>To further validate the inhibitory role of PTP4A1 in PTEN phosphorylation, a phospho-mimetic PTEN mutant plasmid (PTEN S380A) was first constructed and transfected into RBE and HCCC-9810 cells. The results of WB showed the successful OE of PTEN S380A (<xref rid="f5-or-54-4-08958" ref-type="fig">Fig. 5A</xref>). Subsequently, PTEN S380A plasmid was overexpressed in RBE and HCCC-9810 cells with stable PTP4A1-OE. WB revealed that the phospho-mimetic PTEN S380 mutant markedly diminished the phosphorylation levels of PI3K and AKT (<xref rid="f5-or-54-4-08958" ref-type="fig">Fig. 5B</xref>). Additionally, mimetic phosphorylation of PTEN S380 attenuated the PTP4A1-driven promotion of cell proliferation (<xref rid="f5-or-54-4-08958" ref-type="fig">Fig. 5C and D</xref>), invasion (<xref rid="f5-or-54-4-08958" ref-type="fig">Fig. 5E and F</xref>) and metastasis (<xref rid="f5-or-54-4-08958" ref-type="fig">Fig. 5G and H</xref>) in RBE and HCCC-9810 cells. These findings suggest that PTP4A1 may exert its oncogenic effects by modulating the PTEN/PI3K/AKT signaling pathway.</p>
</sec>
<sec>
<title>PTP4A1 promotes ICC progression through regulating the PTEN/PI3K/AKT/GSK3&#x03B1; signaling pathway</title>
<p>PTP4A1 promoted cell proliferation, migration and invasion; interacted with PTEN; and contributed to the activation of the PI3K/AKT/GSk3&#x03B1; signaling pathway. In addition, the PI3K/AKT/GSk3&#x03B1; pathway is involved in tumor progression. Thus, it was hypothesized that the promotion of cell proliferation, invasion and metastasis by PTP4A1 is dependent on the regulation of the PTEN/PI3K/AKT/GSk3&#x03B1; pathway. To test this hypothesis, RBE and HCCC-9810 cells were stably transfected with PTP4A1-KD lentivirus with the PTEN inhibitor SF1670 or the GSK3&#x03B1; inhibitor SB216763. The WB results revealed that the KD of PTP4A1 increased PTEN phosphorylation and decreased the activation of the PI3K/AKT/GSk3&#x03B1; pathway in RBE and HCCC-9810 cells (<xref rid="f6-or-54-4-08958" ref-type="fig">Fig. 6A</xref>). Additionally, the PTEN inhibitor SF1670 significantly inhibited PTEN phosphorylation and activated the PI3K/AKT/GSk3&#x03B1; pathway in RBE and HCCC-9810 cells with PTP4A1 KD (<xref rid="f6-or-54-4-08958" ref-type="fig">Fig. 6A</xref>). As a downstream molecule of PI3K/AKT, the GSK3&#x03B1; inhibitor SB216763 did not affect the phosphorylation of PTEN, PI3K or AKT (<xref rid="f6-or-54-4-08958" ref-type="fig">Fig. 6A</xref>). EdU assays revealed that the PTEN inhibitor SF1670 and the GSK3&#x03B1; inhibitor SB216763 significantly attenuated the inhibitory effect of PTP4A1 KD on the proliferation of RBE and HCCC-9810 cells (<xref rid="f6-or-54-4-08958" ref-type="fig">Fig. 6B and C</xref>). Furthermore, the results of migration (<xref rid="f6-or-54-4-08958" ref-type="fig">Fig. 6D and E</xref>) and invasion assays (<xref rid="f6-or-54-4-08958" ref-type="fig">Fig. 6F and G</xref>) revealed that the PTEN inhibitor SF1670 and the GSK3&#x03B1; inhibitor SB216763 reversed the inhibitory effects of PTP4A1 KD on the migration and invasion of RBE and HCCC-9810 cells. To validate the off-target effects of the PTEN inhibitor SF1670 and GSK3&#x03B1; inhibitor SB216763 on other pathways (ERK and TGF-&#x03B2;), the ERK and TGF-&#x03B2; signaling pathways were evaluated in RBE and HCCC-9810 cells co-treated with SF1670 or SB216763 and TGF-&#x03B2;. The results demonstrated that SF1670 and SB216763 did not significantly affect ERK phosphorylation levels or the activation status of the TGF-&#x03B2; signaling pathway in these cells, suggesting that these inhibitors did not exhibit off-target effects (<xref rid="f6-or-54-4-08958" ref-type="fig">Fig. 6H</xref>). Collectively, these results indicate that PTP4A1 promotes the progression of ICC by regulating the PTEN/PI3K/AKT/GSk3&#x03B1; pathway.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>ICC is a highly aggressive tumor with an advanced clinical stage, limited therapeutic options, and a high postoperative recurrence rate (<xref rid="b22-or-54-4-08958" ref-type="bibr">22</xref>,<xref rid="b23-or-54-4-08958" ref-type="bibr">23</xref>). Moreover, the prognosis of ICC is extremely poor, with a 5-year survival rate of only 25&#x2013;40&#x0025; (<xref rid="b5-or-54-4-08958" ref-type="bibr">5</xref>); moreover, the median overall survival (OS) time of patients with advanced ICC is as low as &#x007E;22 months (<xref rid="b24-or-54-4-08958" ref-type="bibr">24</xref>,<xref rid="b25-or-54-4-08958" ref-type="bibr">25</xref>). The molecular pathogenesis of ICC is complex and not fully understood. A deeper understanding of the molecular mechanisms of ICC may contribute to the development of novel therapeutic approaches to improve ICC prognosis. In the present study, it was revealed that PTP4A1 was overexpressed and associated with aggressive clinicopathological characteristics in ICC. Furthermore, it was demonstrated that PTP4A1 promoted cell proliferation, migration and invasion by interacting with PTEN and activating the PI3K/AKT/GSK3&#x03B1; pathway.</p>
<p>Accumulating data suggest that PTP4A1 functions as an oncogene and is involved in tumor progression (<xref rid="b26-or-54-4-08958" ref-type="bibr">26</xref>). An increasing number of studies, including the authors&#x0027; previous study (<xref rid="b20-or-54-4-08958" ref-type="bibr">20</xref>), have revealed that the OE of PTP4A1 is associated with poor OS in various types of tumors, such as NSCLC (<xref rid="b9-or-54-4-08958" ref-type="bibr">9</xref>), oral squamous cell carcinoma (OSCC) (<xref rid="b18-or-54-4-08958" ref-type="bibr">18</xref>), cervical cancer (<xref rid="b27-or-54-4-08958" ref-type="bibr">27</xref>) and HCC (<xref rid="b16-or-54-4-08958" ref-type="bibr">16</xref>,<xref rid="b19-or-54-4-08958" ref-type="bibr">19</xref>,<xref rid="b28-or-54-4-08958" ref-type="bibr">28</xref>). Similarly, it was revealed that PTP4A1 was highly expressed in ICC tissues. In addition, the present study demonstrated that PTP4A1 is associated with lymph node metastasis, vascular invasion, advanced TNM stage and poor differentiation of ICC. Consistent with the present findings, overexpressed PTP4A1 was significantly correlated with advanced TNM stage in patients with HCC (<xref rid="b16-or-54-4-08958" ref-type="bibr">16</xref>,<xref rid="b19-or-54-4-08958" ref-type="bibr">19</xref>) and with lymphatic metastasis in patients with NSCLC (<xref rid="b9-or-54-4-08958" ref-type="bibr">9</xref>). Based on the aforementioned results, it was hypothesized that PTP4A1 plays an essential role in tumor progression.</p>
<p>Furthermore, the findings of the present study showed that PTP4A1 KD decreased ICC cell proliferation, migration and invasion <italic>in vivo</italic> and <italic>in vitro</italic>. Similarly, PTP4A1 OE increased these processes, which is consistent with the findings of previous studies in colorectal cancer (<xref rid="b17-or-54-4-08958" ref-type="bibr">17</xref>,<xref rid="b29-or-54-4-08958" ref-type="bibr">29</xref>), OSCC (<xref rid="b18-or-54-4-08958" ref-type="bibr">18</xref>), esophageal squamous cell carcinoma (ESCC) (<xref rid="b30-or-54-4-08958" ref-type="bibr">30</xref>) and HCC (<xref rid="b16-or-54-4-08958" ref-type="bibr">16</xref>,<xref rid="b19-or-54-4-08958" ref-type="bibr">19</xref>). Mechanistically, a previous study indicated that PTP4A1 regulated proliferation and apoptosis by downregulating the protein level of P53 (<xref rid="b17-or-54-4-08958" ref-type="bibr">17</xref>) and promoted EMT via the ERK/GSK3&#x03B2;/&#x03B2;-catenin pathway in colon cancer (<xref rid="b29-or-54-4-08958" ref-type="bibr">29</xref>). In cervical cancer, PTP4A1 aggravated malignant progression by activating the ERK pathway (<xref rid="b13-or-54-4-08958" ref-type="bibr">13</xref>,<xref rid="b31-or-54-4-08958" ref-type="bibr">31</xref>). Additionally, PTP4A1 contributes to metastasis through altering mitochondrial metabolic reprogramming mediated by PMK2 and ACO2 in OSCC (<xref rid="b18-or-54-4-08958" ref-type="bibr">18</xref>). These results indicate that PTP4A1 exerts oncogenic effects through diverse mechanisms across distinct tumor types. However, it has been reported that PTP4A1 promotes migration and invasion by activating the PI3K/AKT pathway in HCC (<xref rid="b16-or-54-4-08958" ref-type="bibr">16</xref>,<xref rid="b19-or-54-4-08958" ref-type="bibr">19</xref>) and ESCC (<xref rid="b30-or-54-4-08958" ref-type="bibr">30</xref>). ICC, a liver malignancy with a relatively low incidence rate, shares similarities with HCC in terms of oncogenesis.</p>
<p>PTP4A1 has been reported to suppress E-cadherin and increase migration and invasion via the PI3K/AKT and ERK pathways in HCC (<xref rid="b16-or-54-4-08958" ref-type="bibr">16</xref>,<xref rid="b19-or-54-4-08958" ref-type="bibr">19</xref>), promote TGF-&#x03B2; signaling in human fibroblasts through interacting with SRC and activating the ERK pathway (<xref rid="b15-or-54-4-08958" ref-type="bibr">15</xref>).</p>
<p>The present study demonstrated that PTP4A1 promoted cell viability, migration and invasion by activating the PI3K/AKT pathway in ICC. Nevertheless, the molecular mechanism by which PTP4A1 activates the PI3K/AKT pathway remains unclear. PTEN is a classical tumor suppressor that antagonizes PI3K/AKT signaling (<xref rid="b32-or-54-4-08958" ref-type="bibr">32</xref>,<xref rid="b33-or-54-4-08958" ref-type="bibr">33</xref>). In the present study, it was found that PTP4A1 interacted with PTEN. PTP4A1 is a protein tyrosine phosphatase, and its OE decreased the phosphorylation of PTEN and increased the phosphorylation of PI3K, AKT and its downstream protein GSK3&#x03B1;. By contrast, PTP4A1 KD increased PTEN phosphorylation and inactivated PI3K/AKT/GSK3&#x03B1;, indicating that PTP4A1 activated the PI3K/AKT pathway by suppressing the activation of PTEN. In addition, the PTEN inhibitor SF1670 and the GSK3&#x03B1; inhibitor SB216763 significantly attenuated the inhibitory effects of PTP4A1 KD on the proliferation, migration and invasion of ICC cells.</p>
<p>In conclusion, the present study demonstrated that PTP4A1 was overexpressed and associated with aggressive pathological characteristics in ICC. As an oncogene, PTP4A1 promotes cell proliferation, migration and invasion in a manner dependent on the regulation of the PTEN/PI3K/AKT/GSk3&#x03B1; pathway, indicating that PTP4A1 may serve as a valuable therapeutic target for ICC.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The data generated in the present study may be requested from the corresponding author.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>OL was responsible for project development, data collection and manuscript writing. YP collected and analyzed data. JC collected data. YL contributed to the study conception and design, revised and edited the manuscript. All authors read and approved the final version of the manuscript. OL and YP confirm the authenticity of all the raw data.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The experimental protocols were approved (approval no. 2023-151) by the Ethics Committee of Hunan Provincial People&#x0027;s Hospital (The First Affiliated Hospital of Hunan Normal University; Changsha, China). Written informed consent was obtained from all participants. All animal experiments described in the present study were reviewed and approved by Hunan Provincial People&#x0027;s Hospital (The First Affiliated Hospital of Hunan Normal University) (approval no. 2024-156). All animal protocols complied with the ARRIVE guidelines. Euthanasia was performed by means of cervical dislocation, in accordance with the recommendations of the American Veterinary Medical Association Guidelines for the Euthanasia of Animals.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="b1-or-54-4-08958"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sung</surname><given-names>H</given-names></name><name><surname>Ferlay</surname><given-names>J</given-names></name><name><surname>Siegel</surname><given-names>RL</given-names></name><name><surname>Laversanne</surname><given-names>M</given-names></name><name><surname>Soerjomataram</surname><given-names>I</given-names></name><name><surname>Jemal</surname><given-names>A</given-names></name><name><surname>Bray</surname><given-names>F</given-names></name></person-group><article-title>Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries</article-title><source>CA Cancer J Clin</source><volume>71</volume><fpage>209</fpage><lpage>249</lpage><year>2021</year><pub-id pub-id-type="pmid">33538338</pub-id></element-citation></ref>
<ref id="b2-or-54-4-08958"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moris</surname><given-names>D</given-names></name><name><surname>Palta</surname><given-names>M</given-names></name><name><surname>Kim</surname><given-names>C</given-names></name><name><surname>Allen</surname><given-names>PJ</given-names></name><name><surname>Morse</surname><given-names>MA</given-names></name><name><surname>Lidsky</surname><given-names>ME</given-names></name></person-group><article-title>Advances in the treatment of intrahepatic cholangiocarcinoma: An overview of the current and future therapeutic landscape for clinicians</article-title><source>CA Cancer J Clin</source><volume>73</volume><fpage>198</fpage><lpage>222</lpage><year>2023</year><pub-id pub-id-type="pmid">36260350</pub-id></element-citation></ref>
<ref id="b3-or-54-4-08958"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Banales</surname><given-names>JM</given-names></name><name><surname>Marin</surname><given-names>JJG</given-names></name><name><surname>Lamarca</surname><given-names>A</given-names></name><name><surname>Rodrigues</surname><given-names>PM</given-names></name><name><surname>Khan</surname><given-names>SA</given-names></name><name><surname>Roberts</surname><given-names>LR</given-names></name><name><surname>Cardinale</surname><given-names>V</given-names></name><name><surname>Carpino</surname><given-names>G</given-names></name><name><surname>Andersen</surname><given-names>JB</given-names></name><name><surname>Braconi</surname><given-names>C</given-names></name><etal/></person-group><article-title>Cholangiocarcinoma 2020: The next horizon in mechanisms and management</article-title><source>Nat Rev Gastroenterol Hepatol</source><volume>17</volume><fpage>557</fpage><lpage>588</lpage><year>2020</year><pub-id pub-id-type="doi">10.1038/s41575-020-0310-z</pub-id><pub-id pub-id-type="pmid">32606456</pub-id></element-citation></ref>
<ref id="b4-or-54-4-08958"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Greten</surname><given-names>TF</given-names></name><name><surname>Schwabe</surname><given-names>R</given-names></name><name><surname>Bardeesy</surname><given-names>N</given-names></name><name><surname>Ma</surname><given-names>L</given-names></name><name><surname>Goyal</surname><given-names>L</given-names></name><name><surname>Kelley</surname><given-names>RK</given-names></name><name><surname>Wang</surname><given-names>XW</given-names></name></person-group><article-title>Immunology and immunotherapy of cholangiocarcinoma</article-title><source>Nat Rev Gastroenterol Hepatol</source><volume>20</volume><fpage>349</fpage><lpage>365</lpage><year>2023</year><pub-id pub-id-type="doi">10.1038/s41575-022-00741-4</pub-id><pub-id pub-id-type="pmid">36697706</pub-id></element-citation></ref>
<ref id="b5-or-54-4-08958"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mazzaferro</surname><given-names>V</given-names></name><name><surname>Gorgen</surname><given-names>A</given-names></name><name><surname>Roayaie</surname><given-names>S</given-names></name><name><surname>Droz Dit Busset</surname><given-names>M</given-names></name><name><surname>Sapisochin</surname><given-names>G</given-names></name></person-group><article-title>Liver resection and transplantation for intrahepatic cholangiocarcinoma</article-title><source>J Hepatol</source><volume>72</volume><fpage>364</fpage><lpage>377</lpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.jhep.2019.11.020</pub-id><pub-id pub-id-type="pmid">31954498</pub-id></element-citation></ref>
<ref id="b6-or-54-4-08958"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kelley</surname><given-names>RK</given-names></name><name><surname>Bridgewater</surname><given-names>J</given-names></name><name><surname>Gores</surname><given-names>GJ</given-names></name><name><surname>Zhu</surname><given-names>AX</given-names></name></person-group><article-title>Systemic therapies for intrahepatic cholangiocarcinoma</article-title><source>J Hepatol</source><volume>72</volume><fpage>353</fpage><lpage>363</lpage><year>2020</year><pub-id pub-id-type="doi">10.1016/j.jhep.2019.10.009</pub-id><pub-id pub-id-type="pmid">31954497</pub-id></element-citation></ref>
<ref id="b7-or-54-4-08958"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brindley</surname><given-names>PJ</given-names></name><name><surname>Bachini</surname><given-names>M</given-names></name><name><surname>Ilyas</surname><given-names>SI</given-names></name><name><surname>Khan</surname><given-names>SA</given-names></name><name><surname>Loukas</surname><given-names>A</given-names></name><name><surname>Sirica</surname><given-names>AE</given-names></name><name><surname>The</surname><given-names>BT</given-names></name><name><surname>Wongkham</surname><given-names>S</given-names></name><name><surname>Gores</surname><given-names>GJ</given-names></name></person-group><article-title>Cholangiocarcinoma</article-title><source>Nat Rev Dis Primers</source><volume>7</volume><fpage>65</fpage><year>2021</year><pub-id pub-id-type="doi">10.1038/s41572-021-00300-2</pub-id><pub-id pub-id-type="pmid">34504109</pub-id></element-citation></ref>
<ref id="b8-or-54-4-08958"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vogel</surname><given-names>A</given-names></name><name><surname>Segatto</surname><given-names>O</given-names></name><name><surname>Stenzinger</surname><given-names>A</given-names></name><name><surname>Saborowski</surname><given-names>A</given-names></name></person-group><article-title>FGFR2 inhibition in cholangiocarcinoma</article-title><source>Annu Rev Med</source><volume>74</volume><fpage>293</fpage><lpage>306</lpage><year>2023</year><pub-id pub-id-type="doi">10.1146/annurev-med-042921-024707</pub-id><pub-id pub-id-type="pmid">36170665</pub-id></element-citation></ref>
<ref id="b9-or-54-4-08958"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>T</given-names></name><name><surname>Shi</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>G</given-names></name><name><surname>Zhu</surname><given-names>Q</given-names></name><name><surname>Mi</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>R</given-names></name></person-group><article-title>Overexpression of PTP4A1 is associated with poor overall survival in non-small cell lung cancer</article-title><source>Int J Clin Exp Pathol</source><volume>11</volume><fpage>3583</fpage><lpage>3590</lpage><year>2018</year><pub-id pub-id-type="pmid">31949737</pub-id></element-citation></ref>
<ref id="b10-or-54-4-08958"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>JP</given-names></name><name><surname>Luo</surname><given-names>Y</given-names></name><name><surname>Yu</surname><given-names>X</given-names></name><name><surname>Wang</surname><given-names>WQ</given-names></name><name><surname>Zhou</surname><given-names>B</given-names></name><name><surname>Liang</surname><given-names>F</given-names></name><name><surname>Zhang</surname><given-names>ZY</given-names></name></person-group><article-title>Phosphatase activity, trimerization, and the C-terminal polybasic region are all required for PRL1-mediated cell growth and migration</article-title><source>J Biol Chem</source><volume>282</volume><fpage>29043</fpage><lpage>29051</lpage><year>2007</year><pub-id pub-id-type="doi">10.1074/jbc.M703537200</pub-id><pub-id pub-id-type="pmid">17656357</pub-id></element-citation></ref>
<ref id="b11-or-54-4-08958"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bai</surname><given-names>Y</given-names></name><name><surname>Luo</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>S</given-names></name><name><surname>Zhang</surname><given-names>L</given-names></name><name><surname>Shen</surname><given-names>K</given-names></name><name><surname>Dong</surname><given-names>Y</given-names></name><name><surname>Walls</surname><given-names>CD</given-names></name><name><surname>Quilliam</surname><given-names>LA</given-names></name><name><surname>Wells</surname><given-names>CD</given-names></name><name><surname>Cao</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>ZY</given-names></name></person-group><article-title>PRL-1 protein promotes ERK1/2 and RhoA protein activation through a non-canonical interaction with the Src homology 3 domain of p115 Rho GTPase-activating protein</article-title><source>J Biol Chem</source><volume>286</volume><fpage>42316</fpage><lpage>42324</lpage><year>2011</year><pub-id pub-id-type="doi">10.1074/jbc.M111.286302</pub-id><pub-id pub-id-type="pmid">22009749</pub-id></element-citation></ref>
<ref id="b12-or-54-4-08958"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>LZ</given-names></name><name><surname>He</surname><given-names>YZ</given-names></name><name><surname>Dong</surname><given-names>PP</given-names></name><name><surname>Ma</surname><given-names>LJ</given-names></name><name><surname>Wang</surname><given-names>ZC</given-names></name><name><surname>Liu</surname><given-names>XY</given-names></name><name><surname>Duan</surname><given-names>M</given-names></name><name><surname>Yang</surname><given-names>LX</given-names></name><name><surname>Shi</surname><given-names>JY</given-names></name><name><surname>Zhou</surname><given-names>J</given-names></name><etal/></person-group><article-title>Protein tyrosine phosphatase PTP4A1 promotes proliferation and epithelial-mesenchymal transition in intrahepatic cholangiocarcinoma via the PI3K/AKT pathway</article-title><source>Oncotarget</source><volume>7</volume><fpage>75210</fpage><lpage>75220</lpage><year>2016</year><pub-id pub-id-type="doi">10.18632/oncotarget.12116</pub-id><pub-id pub-id-type="pmid">27655691</pub-id></element-citation></ref>
<ref id="b13-or-54-4-08958"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Ma</surname><given-names>N</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Wei</surname><given-names>H</given-names></name><name><surname>Zhang</surname><given-names>H</given-names></name><name><surname>Pang</surname><given-names>X</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Wu</surname><given-names>D</given-names></name><name><surname>Wang</surname><given-names>D</given-names></name><name><surname>Yang</surname><given-names>Z</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name></person-group><article-title>Circular RNA circNRIP1 promotes migration and invasion in cervical cancer by sponging miR-629-3p and regulating the PTP4A1/ERK1/2 pathway</article-title><source>Cell Death Dis</source><volume>11</volume><fpage>399</fpage><year>2020</year><pub-id pub-id-type="doi">10.1038/s41419-020-2607-9</pub-id><pub-id pub-id-type="pmid">32457332</pub-id></element-citation></ref>
<ref id="b14-or-54-4-08958"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Luo</surname><given-names>Y</given-names></name><name><surname>Liang</surname><given-names>F</given-names></name><name><surname>Zhang</surname><given-names>ZY</given-names></name></person-group><article-title>PRL1 promotes cell migration and invasion by increasing MMP2 and MMP9 expression through Src and ERK1/2 pathways</article-title><source>Biochemistry</source><volume>48</volume><fpage>1838</fpage><lpage>1846</lpage><year>2009</year><pub-id pub-id-type="doi">10.1021/bi8020789</pub-id><pub-id pub-id-type="pmid">19199380</pub-id></element-citation></ref>
<ref id="b15-or-54-4-08958"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sacchetti</surname><given-names>C</given-names></name><name><surname>Bai</surname><given-names>Y</given-names></name><name><surname>Stanford</surname><given-names>SM</given-names></name><name><surname>Di Benedetto</surname><given-names>P</given-names></name><name><surname>Cipriani</surname><given-names>P</given-names></name><name><surname>Santelli</surname><given-names>E</given-names></name><name><surname>Piera-Velazquez</surname><given-names>S</given-names></name><name><surname>Chernitskiy</surname><given-names>V</given-names></name><name><surname>Kiosses</surname><given-names>WB</given-names></name><name><surname>Ceponis</surname><given-names>A</given-names></name><etal/></person-group><article-title>PTP4A1 promotes TGF&#x03B2; signaling and fibrosis in systemic sclerosis</article-title><source>Nat Commun</source><volume>8</volume><fpage>1060</fpage><year>2017</year><pub-id pub-id-type="doi">10.1038/s41467-017-01168-1</pub-id><pub-id pub-id-type="pmid">29057934</pub-id></element-citation></ref>
<ref id="b16-or-54-4-08958"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jin</surname><given-names>S</given-names></name><name><surname>Wang</surname><given-names>K</given-names></name><name><surname>Xu</surname><given-names>K</given-names></name><name><surname>Xu</surname><given-names>J</given-names></name><name><surname>Sun</surname><given-names>J</given-names></name><name><surname>Chu</surname><given-names>Z</given-names></name><name><surname>Lin</surname><given-names>D</given-names></name><name><surname>Koeffler</surname><given-names>PH</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Yin</surname><given-names>D</given-names></name></person-group><article-title>Oncogenic function and prognostic significance of protein tyrosine phosphatase PRL-1 in hepatocellular carcinoma</article-title><source>Oncotarget</source><volume>5</volume><fpage>3685</fpage><lpage>3696</lpage><year>2014</year><pub-id pub-id-type="doi">10.18632/oncotarget.1986</pub-id><pub-id pub-id-type="pmid">25003523</pub-id></element-citation></ref>
<ref id="b17-or-54-4-08958"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname><given-names>H</given-names></name><name><surname>Ye</surname><given-names>L</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name></person-group><article-title>GINS2 regulates the proliferation and apoptosis of colon cancer cells through PTP4A1</article-title><source>Mol Med Rep</source><volume>25</volume><fpage>117</fpage><year>2022</year><pub-id pub-id-type="doi">10.3892/mmr.2022.12633</pub-id><pub-id pub-id-type="pmid">35137928</pub-id></element-citation></ref>
<ref id="b18-or-54-4-08958"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>B</given-names></name><name><surname>Si</surname><given-names>W</given-names></name><name><surname>Wei</surname><given-names>B</given-names></name><name><surname>Zhang</surname><given-names>X</given-names></name><name><surname>Chen</surname><given-names>P</given-names></name></person-group><article-title>PTP4A1 promotes oral squamous cell carcinoma (OSCC) metastasis through altered mitochondrial metabolic reprogramming</article-title><source>Cell Death Discov</source><volume>9</volume><fpage>360</fpage><year>2023</year><pub-id pub-id-type="doi">10.1038/s41420-023-01657-x</pub-id><pub-id pub-id-type="pmid">37773151</pub-id></element-citation></ref>
<ref id="b19-or-54-4-08958"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>JW</given-names></name><name><surname>Chang</surname><given-names>JG</given-names></name><name><surname>Yeh</surname><given-names>KT</given-names></name><name><surname>Chen</surname><given-names>RM</given-names></name><name><surname>Tsai</surname><given-names>JJ</given-names></name><name><surname>Su</surname><given-names>WW</given-names></name><name><surname>Hu</surname><given-names>RM</given-names></name></person-group><article-title>Increased expression of PRL-1 protein correlates with shortened patient survival in human hepatocellular carcinoma</article-title><source>Clin Transl Oncol</source><volume>14</volume><fpage>287</fpage><lpage>293</lpage><year>2012</year><pub-id pub-id-type="doi">10.1007/s12094-012-0797-z</pub-id><pub-id pub-id-type="pmid">22484636</pub-id></element-citation></ref>
<ref id="b20-or-54-4-08958"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>O</given-names></name><name><surname>Jiang</surname><given-names>B</given-names></name><name><surname>Yi</surname><given-names>WM</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>PZ</given-names></name><name><surname>Guo</surname><given-names>C</given-names></name><name><surname>Sun</surname><given-names>ZP</given-names></name><name><surname>Peng</surname><given-names>C</given-names></name></person-group><article-title>LncRNA NEAT1 promotes cell proliferation, migration, and invasion via the miR-186-5p/PTP4A1 axis in cholangiocarcinoma</article-title><source>Kaohsiung J Med Sci</source><volume>37</volume><fpage>379</fpage><lpage>391</lpage><year>2021</year><pub-id pub-id-type="doi">10.1002/kjm2.12354</pub-id><pub-id pub-id-type="pmid">33502823</pub-id></element-citation></ref>
<ref id="b21-or-54-4-08958"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(&#x2212;Delta Delta C(T)) Method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year><pub-id pub-id-type="doi">10.1006/meth.2001.1262</pub-id><pub-id pub-id-type="pmid">11846609</pub-id></element-citation></ref>
<ref id="b22-or-54-4-08958"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bekki</surname><given-names>Y</given-names></name><name><surname>Von Ahrens</surname><given-names>D</given-names></name><name><surname>Takahashi</surname><given-names>H</given-names></name><name><surname>Schwartz</surname><given-names>M</given-names></name><name><surname>Gunasekaran</surname><given-names>G</given-names></name></person-group><article-title>Recurrent intrahepatic cholangiocarcinoma-review</article-title><source>Front Oncol</source><volume>21</volume><fpage>776863</fpage><year>2021</year><pub-id pub-id-type="doi">10.3389/fonc.2021.776863</pub-id><pub-id pub-id-type="pmid">34746017</pub-id></element-citation></ref>
<ref id="b23-or-54-4-08958"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sapisochin</surname><given-names>G</given-names></name><name><surname>Ivanics</surname><given-names>T</given-names></name><name><surname>Heimbach</surname><given-names>J</given-names></name></person-group><article-title>Liver transplantation for intrahepatic cholangiocarcinoma: Ready for prime time?</article-title><source>Hepatology</source><volume>75</volume><fpage>455</fpage><lpage>472</lpage><year>2022</year><pub-id pub-id-type="doi">10.1002/hep.32258</pub-id><pub-id pub-id-type="pmid">34859465</pub-id></element-citation></ref>
<ref id="b24-or-54-4-08958"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Edeline</surname><given-names>J</given-names></name><name><surname>Touchefeu</surname><given-names>Y</given-names></name><name><surname>Guiu</surname><given-names>B</given-names></name><name><surname>Farge</surname><given-names>O</given-names></name><name><surname>Tougeron</surname><given-names>D</given-names></name><name><surname>Baumgaertner</surname><given-names>I</given-names></name><name><surname>Ayav</surname><given-names>A</given-names></name><name><surname>Campillo-Gimenez</surname><given-names>B</given-names></name><name><surname>Beuzit</surname><given-names>L</given-names></name><name><surname>Pracht</surname><given-names>M</given-names></name><etal/></person-group><article-title>Radioembolization plus chemotherapy for first-line treatment of locally advanced intrahepatic cholangiocarcinoma: A phase 2 clinical trial</article-title><source>JAMA Oncol</source><volume>6</volume><fpage>51</fpage><lpage>59</lpage><year>2020</year><pub-id pub-id-type="doi">10.1001/jamaoncol.2019.3702</pub-id><pub-id pub-id-type="pmid">31670746</pub-id></element-citation></ref>
<ref id="b25-or-54-4-08958"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shi</surname><given-names>GM</given-names></name><name><surname>Huang</surname><given-names>XY</given-names></name><name><surname>Wu</surname><given-names>D</given-names></name><name><surname>Sun</surname><given-names>HC</given-names></name><name><surname>Liang</surname><given-names>F</given-names></name><name><surname>Ji</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>GH</given-names></name><name><surname>Lu</surname><given-names>JC</given-names></name><name><surname>Meng</surname><given-names>XL</given-names></name><etal/></person-group><article-title>Toripalimab combined with lenvatinib and GEMOX is a promising regimen as first-line treatment for advanced intrahepatic cholangiocarcinoma: A single-center, single-arm, phase 2 study</article-title><source>Signal Transduct Target Ther</source><volume>8</volume><fpage>106</fpage><year>2023</year><pub-id pub-id-type="doi">10.1038/s41392-023-01317-7</pub-id><pub-id pub-id-type="pmid">36928584</pub-id></element-citation></ref>
<ref id="b26-or-54-4-08958"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gim&#x00E9;nez-Mascarell</surname><given-names>P</given-names></name><name><surname>Oyenarte</surname><given-names>I</given-names></name><name><surname>Hardy</surname><given-names>S</given-names></name><name><surname>Breiderhoff</surname><given-names>T</given-names></name><name><surname>Stuiver</surname><given-names>M</given-names></name><name><surname>Kostantin</surname><given-names>E</given-names></name><name><surname>Diercks</surname><given-names>T</given-names></name><name><surname>Pey</surname><given-names>AL</given-names></name><name><surname>Ere&#x00F1;o-Orbea</surname><given-names>J</given-names></name><name><surname>Mart&#x00ED;nez-Chantar</surname><given-names>ML</given-names></name><etal/></person-group><article-title>Structural basis of the oncogenic interaction of phosphatase PRL-1 with the magnesium transporter CNNM2</article-title><source>J Biol Chem</source><volume>292</volume><fpage>786</fpage><lpage>801</lpage><year>2017</year><pub-id pub-id-type="doi">10.1074/jbc.M116.759944</pub-id><pub-id pub-id-type="pmid">27899452</pub-id></element-citation></ref>
<ref id="b27-or-54-4-08958"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reich</surname><given-names>R</given-names></name><name><surname>Hadar</surname><given-names>S</given-names></name><name><surname>Davidson</surname><given-names>B</given-names></name></person-group><article-title>Expression and clinical role of protein of regenerating liver (PRL) phosphatases in ovarian carcinoma</article-title><source>Int J Mol Sci</source><volume>12</volume><fpage>1133</fpage><lpage>1145</lpage><year>2011</year><pub-id pub-id-type="doi">10.3390/ijms12021133</pub-id><pub-id pub-id-type="pmid">21541048</pub-id></element-citation></ref>
<ref id="b28-or-54-4-08958"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fu</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>B</given-names></name><name><surname>Huang</surname><given-names>R</given-names></name><name><surname>Ji</surname><given-names>X</given-names></name><name><surname>Bai</surname><given-names>WK</given-names></name></person-group><article-title>Long noncoding RNA DLEU2 promotes growth and invasion of hepatocellular carcinoma by regulating miR-30a-5p/PTP4A1 axis</article-title><source>Pathol Res Pract</source><volume>238</volume><fpage>154078</fpage><year>2022</year><pub-id pub-id-type="doi">10.1016/j.prp.2022.154078</pub-id><pub-id pub-id-type="pmid">36049439</pub-id></element-citation></ref>
<ref id="b29-or-54-4-08958"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>JX</given-names></name><name><surname>Mai</surname><given-names>SJ</given-names></name><name><surname>Huang</surname><given-names>XX</given-names></name><name><surname>Wang</surname><given-names>FW</given-names></name><name><surname>Liao</surname><given-names>YJ</given-names></name><name><surname>Lin</surname><given-names>MC</given-names></name><name><surname>Kung</surname><given-names>HF</given-names></name><name><surname>Zeng</surname><given-names>YX</given-names></name><name><surname>Xie</surname><given-names>D</given-names></name></person-group><article-title>MiR-29c mediates epithelial-to-mesenchymal transition in human colorectal carcinoma metastasis via PTP4A and GNA13 regulation of &#x03B2;-catenin signaling</article-title><source>Ann Oncol</source><volume>25</volume><fpage>2196</fpage><lpage>2204</lpage><year>2014</year><pub-id pub-id-type="doi">10.1093/annonc/mdu439</pub-id><pub-id pub-id-type="pmid">25193986</pub-id></element-citation></ref>
<ref id="b30-or-54-4-08958"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zou</surname><given-names>J</given-names></name><name><surname>Ma</surname><given-names>Q</given-names></name><name><surname>Gao</surname><given-names>C</given-names></name><name><surname>Yang</surname><given-names>M</given-names></name><name><surname>Wen</surname><given-names>J</given-names></name><name><surname>Xu</surname><given-names>L</given-names></name><name><surname>Guo</surname><given-names>X</given-names></name><name><surname>Zhong</surname><given-names>X</given-names></name><name><surname>Duan</surname><given-names>Y</given-names></name></person-group><article-title>WTAP promotes proliferation of esophageal squamous cell carcinoma via m6A-dependent epigenetic promoting of PTP4A1</article-title><source>Cancer Sci</source><volume>115</volume><fpage>2254</fpage><lpage>2268</lpage><year>2024</year><pub-id pub-id-type="doi">10.1111/cas.15924</pub-id><pub-id pub-id-type="pmid">38746998</pub-id></element-citation></ref>
<ref id="b31-or-54-4-08958"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Chi</surname><given-names>Y</given-names></name><name><surname>Chen</surname><given-names>H</given-names></name><name><surname>Zhao</surname><given-names>L</given-names></name></person-group><article-title>Long non-coding RNA USP30-AS1 aggravates the malignant progression of cervical cancer by sequestering microRNA-299-3p and thereby overexpressing PTP4A1</article-title><source>Oncol Lett</source><volume>22</volume><fpage>505</fpage><year>2021</year><pub-id pub-id-type="doi">10.3892/ol.2021.12766</pub-id><pub-id pub-id-type="pmid">33986866</pub-id></element-citation></ref>
<ref id="b32-or-54-4-08958"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Glaviano</surname><given-names>A</given-names></name><name><surname>Foo</surname><given-names>ASC</given-names></name><name><surname>Lam</surname><given-names>HY</given-names></name><name><surname>Yap</surname><given-names>KCH</given-names></name><name><surname>Jacot</surname><given-names>W</given-names></name><name><surname>Jones</surname><given-names>RH</given-names></name><name><surname>Eng</surname><given-names>H</given-names></name><name><surname>Nair</surname><given-names>MG</given-names></name><name><surname>Makvandi</surname><given-names>P</given-names></name><name><surname>Geoerger</surname><given-names>B</given-names></name><etal/></person-group><article-title>PI3K/AKT/mTOR signaling transduction pathway and targeted therapies in cancer</article-title><source>Mol Cancer</source><volume>22</volume><fpage>138</fpage><year>2023</year><pub-id pub-id-type="doi">10.1186/s12943-023-01827-6</pub-id><pub-id pub-id-type="pmid">37596643</pub-id></element-citation></ref>
<ref id="b33-or-54-4-08958"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Parsons</surname><given-names>R</given-names></name></person-group><article-title>Discovery of the PTEN tumor suppressor and its connection to the PI3K and AKT oncogenes</article-title><source>Cold Spring Harb Perspect Med</source><volume>10</volume><fpage>a036129</fpage><year>2020</year><pub-id pub-id-type="doi">10.1101/cshperspect.a036129</pub-id><pub-id pub-id-type="pmid">31932465</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-or-54-4-08958" position="float">
<label>Figure 1.</label>
<caption><p>PTP4A1 is highly expressed and associated with aggressive pathological characteristics in ICC. (A) PTP4A1 expression levels in 10 pairs of ICC tissues (T) and matched adjacent normal tissues (N). (B) Representative images of IHC staining for PTP4A1 in ICC tumor tissues and matched adjacent normal tissues. (C) PTP4A1 IHC scores in ICC tumor tissues and matched adjacent normal tissues. (D) PTP4A1 mRNA levels were greater in ICC tissues than in adjacent normal tissues. (E-H) Higher mRNA expression of PTP4A1 was positively associated with (E) lymph node metastasis, (F) vascular invasion, (G) III/IV TNM stage and (H) poor differentiation in ICC. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01. PTP4A1, protein tyrosine phosphatase 4A1; ICC, intrahepatic cholangiocarcinoma; IHC, immunohistochemical.</p></caption>
<alt-text>Figure 1. PTP4A1 is highly expressed and associated with aggressive pathological characteristics in ICC. (A) PTP4A1 expression levels in 10 pairs of ICC tissues (T) and matched adjacent normal tissues...</alt-text>
<graphic xlink:href="or-54-04-08958-g00.tif"/>
</fig>
<fig id="f2-or-54-4-08958" position="float">
<label>Figure 2.</label>
<caption><p>PTP4A1 promotes intrahepatic cholangiocarcinoma cell proliferation <italic>in vitro</italic> and <italic>in vivo</italic>. (A) Western blotting and (B) reverse transcription-quantitative PCR were performed to detect PTP4A1 mRNA and protein expression levels in RBE and HCCC-9810 cells stably transfected with PTP4A1-OE or PTP4A1-KD lentivirus. (C and D) Cell Counting Kit-8, (E and F) EdU and (G and H) cell colony formation assays were used to evaluate the proliferation and viability of RBE and HCCC-9810 cells stably transfected with PTP4A1-OE or PTP4A1-KD lentivirus. (I) RBE and HCCC-9810 cells stably transfected with PTP4A1-KD lentivirus and NC cells were injected into nude mice, and subcutaneous xenograft tumors were successfully established (n=5 for each group). (J) Compared with those in the NC group, tumor weight were significantly decreased in the PTP4A1-KD group. (K and L) The tumor growth curves of RBE (K) and HCCC-9810 (L) cells in nude mice. (M) Representative immunohistochemical staining for Ki67 in xenograft tumor tissues. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01. PTP4A1, protein tyrosine phosphatase 4A1; OE, overexpression; KD, knockdown; NC, negative control; EV, empty vector.</p></caption>
<alt-text>Figure 2. PTP4A1 promotes intrahepatic cholangiocarcinoma cell proliferation in vitro and in vivo . (A) Western blotting and (B) reverse transcription&#x2013;quantitative PCR were performed to detect PTP4A1 ...</alt-text>
<graphic xlink:href="or-54-04-08958-g01.tif"/>
</fig>
<fig id="f3-or-54-4-08958" position="float">
<label>Figure 3.</label>
<caption><p>PTP4A1 promotes migration, invasion and EMT in intrahepatic cholangiocarcinoma. (A and B) Wound healing and (C and D) migration assays were used to detect the effect of PTP4A1 on the migration of RBE and HCCC-9810 cells. Invasion assays (E and F) were used to evaluate the invasion abilities of RBE and HCCC-9810 cells stably transfected with PTP4A1-overexpressing and PTP4A1-knockdown lentiviruses. (G) EMT marker and MMP2/MMP9 expression in RBE and HCCC-9810 cells stably transfected with PTP4A1-OE and PTP4A1-KD lentiviruses. (H-N) Quantitative analysis of (H) FN1, (I) E-cadherin, (J) N-cadherin, (K) Vimetin, (L) MMP9 and (N) MMP2 expression levels. (M) E-cadherin and N-cadherin expression levels in tumorigenic tissues were measured by immunohistochemistry. &#x002A;&#x002A;P&#x003C;0.01. PTP4A1, protein tyrosine phosphatase 4A1; EMT, epithelial-mesenchymal transition; OE, overexpression; KD, knockdown; NC, negative control; EV, empty vector.</p></caption>
<alt-text>Figure 3. PTP4A1 promotes migration, invasion and EMT in intrahepatic cholangiocarcinoma. (A and B) Wound healing and (C and D) migration assays were used to detect the effect of PTP4A1 on the migrati...</alt-text>
<graphic xlink:href="or-54-04-08958-g02.tif"/>
</fig>
<fig id="f4-or-54-4-08958" position="float">
<label>Figure 4.</label>
<caption><p>PTP4A1 interacts with PTEN and regulates the activation of the PI3K/AKT/GSK&#x03B1; pathway. (A) Venn diagram showing the potential PTP4A1-interacting proteins screened by co-IP-MS based on the screening criteria of &#x2018;1-PTP4A1-flag and 2-PTP4A1-flag not 1-PTP4A1-IgG not 2-PTP4A1-IgG&#x2019;. (B) PTP4A1 colocalized with PTEN in RBE cells. (C and D) Co-IPs were performed to confirm the association between PTP4A1 and PTEN. (E) PTP4A1 regulated the activation of the PTEN/PI3K/AKT/GSK&#x03B1; signaling pathway in RBE and HCCC-9810 cells. PTP4A1, protein tyrosine phosphatase 4A1; PTEN, phosphatase and tensin homolog; co-IP, co-immunoprecipitation; OE, overexpression; KD, knockdown; NC, negative control; EV, empty vector; p-, phosphorylated.</p></caption>
<alt-text>Figure 4. PTP4A1 interacts with PTEN and regulates the activation of the PI3K/AKT/GSK &#x03B1; pathway. (A) Venn diagram showing the potential PTP4A1&#x2013;interacting proteins screened by co&#x2013;IP&#x2013;MS based on the sc...</alt-text>
<graphic xlink:href="or-54-04-08958-g03.tif"/>
</fig>
<fig id="f5-or-54-4-08958" position="float">
<label>Figure 5.</label>
<caption><p>Inhibitory role of PTP4A1 on PTEN phosphorylation. (A) PTEN S380A was overexpressed in the RBE and HCCC-9810 cells. (B) Western blotting was used to detect the expression and phosphorylation of PI3K and AKT and in PTP4A-OE RBE and HCCC-9810 cells transfected with the phospho-mimetic PTEN mutant plasmid (PTEN S380A). (C-H) Phospho-mimetic PTEN S380A reversed the promoting effects of PTP4A1 on the (C and D) proliferation, (E and F) invasion and (G and H) metastasis of RBE and HCCC-9810 cells. &#x002A;&#x002A;P&#x003C;0.01. PTP4A1, protein tyrosine phosphatase 4A1; PTEN, phosphatase and tensin homolog; OE, overexpression; EV, empty vector.</p></caption>
<alt-text>Figure 5. Inhibitory role of PTP4A1 on PTEN phosphorylation. (A) PTEN S380A was overexpressed in the RBE and HCCC&#x2013;9810 cells. (B) Western blotting was used to detect the expression and phosphorylation...</alt-text>
<graphic xlink:href="or-54-04-08958-g04.tif"/>
</fig>
<fig id="f6-or-54-4-08958" position="float">
<label>Figure 6.</label>
<caption><p>PTP4A1 promotes intrahepatic cholangiocarcinoma cell proliferation, migration and invasion by regulating the PTEN/PI3K/AKT/GSk3&#x03B1; pathway. (A) WB was performed to examine the expression and phosphorylation of PTEN, PI3K, AKT and GSk3&#x03B1; in PTP4A-KD RBE and HCCC-9810 cells treated with the PTEN inhibitor SF1670 or the GSK3&#x03B1; inhibitor SB216763. (B and C) A 5-ethynyl-2&#x2032;-deoxyuridine assay was used to evaluate the effects of the PTEN inhibitor SF1670 or the GSK3&#x03B1; inhibitor SB216763 on the proliferation of PTP4A-KD RBE and HCCC-9810 cells. (D-G) SF1670 and SB216763 attenuated the inhibitory effects of PTP4A1 knockdown on (D and E) migration and (F and G) invasion in RBE and HCCC-9810 cells. (H) WB was used to evaluate the ERK and TGF-&#x03B2; signaling pathways in RBE and HCCC-9810 cells co-treated with SF1670 or SB216763 and TGF-&#x03B2;. &#x002A;&#x002A;P&#x003C;0.01. PTP4A1, protein tyrosine phosphatase 4A1; PTEN, phosphatase and tensin homolog; WB, western blotting; KD, knockdown; NC, negative control; p-, phosphorylated.</p></caption>
<alt-text>Figure 6. PTP4A1 promotes intrahepatic cholangiocarcinoma cell proliferation, migration and invasion by regulating the PTEN/PI3K/AKT/GSk3 &#x03B1; pathway. (A) WB was performed to examine the expression and ...</alt-text>
<graphic xlink:href="or-54-04-08958-g05.tif"/>
</fig>
</floats-group>
</article>
