Imaging is useful in detecting bile duct tumors. Hypersecretion of mucus is rare but highly characteristic of bile duct adenoma.

Tricho‐rhino‐phalangeal syndrome (TRPS) is an autosomal dominant skeletal disorder caused by mutations of TRPS1. Based on the similar expression patterns of Trps1 and Gdf5, we hypothesized a possible functional interaction between these two molecules. Using a chondrogenic cell line (ATDC5), we investigated the association of Gdf5‐mediated signaling pathways with Trps1 and the phenotypic changes of ATDC5 cells due to over‐expression or suppression of Trps1. Treatment of cells with Gdf5 enhanced Trps1 protein levels and phosphorylation of p38 mitogen‐activated protein kinase (MAPK) in a dose‐dependent manner. Nuclear translocation of Trps1 was also induced by Gdf5. These effects were blocked by a dominant negative form of activin‐linked kinase 6 (dn‐Alk6) and by SB203580, an inhibitor of the p38 MAPK pathway. Conversely, Gdf5 expression was suppressed by the over‐expression of Trps1. Trps1‐overexpressing ATDC5 (O/E) cells differentiated into chondrocytes more quickly than mock‐infected control cells, whereas cells transfected with dn‐Alk6 showed slower differentiation. On the other hand, O/E cells showed an increase of apoptosis along with the up‐regulation of cleaved caspase 3 and down‐regulation of Bcl‐2, whereas dn‐Alk6 cells showed suppression of apoptosis. In conclusion, Trps1 acts downstream of the Gdf5 signaling pathway and promotes the differentiation and apoptosis of ATDC5 cells.

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