Liver cell plasticity in Biliary Tract Cancer Miss Rachel Guest Senior Clinical Lecturer and Honorary Consultant Hepatobiliary Surgeon Contact details Email: rachel.guest@ed.ac.uk Research in a NutshellThe Guest laboratory is dedicated to understanding the biological mechanisms that lead to the development of Cholangiocarcinoma (CCA), an aggressive and treatment-resistant primary cancer arising from the bile ducts in the liver. Every year thousands of patients die from CCA in the UK and most receive no treatment due to late presentation. Our group works to develop novel pre-clinical models of the disease and better appreciate the molecular signals that drive its initiation and progression. In particular, we are interested in the link between liver injury and CCA and how the process of repair after cellular damage can go awry, leading to cancer. We have developed new models of Intrahepatic Cholangiocarcinoma using the most frequent mutations seen in human disease, those in the metabolic genes Isocitrate Dehydrogenase (IDH1/2). Our experiments seek to understand how the role of these mutations in the injured liver and how the products of IDH mutation lead to liver cancer. People NameRole Rachel GuestGroup Leader and Consultant Hepatobiliary SurgeonCaitlin McCaffreyResearch Assistant Key Publications Rachel Guest Research Explorer Profile Collaborations Professor Ian Tomlinson, University of OxfordDr Chiara Bardella, University of OxfordProfessor Tomoyoshi Soga, Keio University Tokyo Partners and Funders Wellcome (Career Development Fellowship)The Melville TrustCRUK Scientific Themes Cell plasticity, lineage tracing, pre-clinical modelling Disease Areas Cholangiocarcinoma, primary liver cancer, liver regeneration Technology Expertise Pre-clinical modelling This article was published on 2025-11-10