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Copyright: ©Author(s) 2026.
World J Gastroenterol. Apr 7, 2026; 32(13): 115536
Published online Apr 7, 2026. doi: 10.3748/wjg.v32.i13.115536
Figure 4
Figure 4 Metabolisms of tryptophan and its roles in cholangiocarcinoma cells, including the kynurenine pathway and serotonin pathway. In the serotonin pathway, monoamine oxidase A (MAOA) expression and catalytic activity can be regulated by the transcription factor SP-1, which binds to the MAOA promoter. R1 repressor competitively binds to the SP-1 site on the MAOA core promoter, leading to suppression of MAOA gene expression. The up or down direction of the arrows indicates increased or decreased levels in cholangiocarcinoma cells. MAOA: Monoamine oxidase A; RAM2: R1 repressor; TPH1: Tryptophan hydroxylase; DDC: Dopa decarboxylase; IDO1: Indoleamine 2,3-dioxygenase 1.


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