c Aberrant expression and function of retinoic acid receptor ␥ (RAR␥) are often involved in the progression of several cancers. However, the role of RAR␥ in cholangiocarcinoma (CCA), chemoresistant bile duct carcinoma with a poor prognosis, remains unclear. In the present study, we found that RAR␥ was frequently overexpressed in human CCA specimens. Its overexpression was associated with poor differentiation, lymph node metastasis, high serum carbohydrate antigen 19-9 level, and poor prognosis of CCA. Downregulation of RAR␥ reduced CCA cell proliferation, migration, invasion, and colony formation ability in vitro and tumorigenic potential in nude mice. RAR␥ knockdown resulted in upregulation of cell cycle inhibitor P21, as well as downregulation of cyclin D1, proliferating cell nuclear antigen, and matrix metallopeptidase 9, in parallel with suppression of the Akt/ NF-B pathway. Furthermore, overexpression of RAR␥ contributed to the multidrug chemoresistance of CCA cells, at least in part due to upregulation of P glycoprotein via activation of the Wnt/-catenin pathway. Molecular mechanism studies revealed that RAR␥ interacted with -catenin and led to -catenin nuclear translocation. Taken together, our results suggested that RAR␥ plays an important role in the proliferation, metastasis, and chemoresistance of CCA through simultaneous activation of the Akt/NF-B and Wnt/-catenin pathways, serving as a potential molecular target for CCA treatment. C holangiocarcinoma (CCA) is the second most common primary hepatic malignancy, next to hepatocellular carcinoma (HCC) originating from bile duct epithelia (1). The incidence of this deadly neoplasm has increased rapidly in the past 3 decades. CCA is characterized by poor prognosis and a 5-year survival rate of less than 5% because of its remarkably high malignancy, early metastasis, and multidrug resistance (2). Thus, it is urgent to address the mechanisms underlying CCA proliferation, metastasis, and chemoresistance for the development of novel therapeutic strategies.Like other nuclear receptors, retinoic acid receptors (RARs) are transcription factors that are essential in embryonic development, maintenance of differentiated cellular phenotypes, metabolism, and cell death (3, 4). There are three RAR subtypes: ␣, , and ␥. Among them, RAR␥ plays unique and uncharacterized roles in many different cell types and specific cell microenvironments. For example, RAR␥ is critical for maintaining a balance between hematopoietic stem cell self-renewal and differentiation (5). It also mediates the retinoic acid (RA)-induced growth arrest and differentiation of S91 murine melanoma cells (6). Overexpression of RAR␥ increases death of SH-SY5Y neuroblastoma cells in response to RA (7), suppresses the progression of nonhematopoietic-cell-intrinsic myeloproliferative syndromes (8), and inhibits the invasiveness of melanoma by RAR␥-inducible gene carbohydrate sulfotransferase 10 (9). RAR␥ also shows an antiproliferative property in mouse keratinocytes (10).One of the mechanisms that u...