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Updated: Mar 31, 2026

Modeling Paracrine Noncanonical Wnt Signaling In Vitro
Published on: December 10, 2021
aBETting therapeutic resistance by Wnt signaling
Carl G Engelke1,2, Arul M Chinnaiyan1,2,3,4,5
1Michigan Center for Translational Pathology Ann Arbor, MI 48109, USA.
Abstract:
BET inhibition has emerged as a promising epigenetic therapy for malignancies in the last five years, but little consensus has developed regarding what may mediate the axis between sensitivity and resistance. Two recent papers published in Nature attempt to address this question in acute myeloid leukemia (AML) and independently identify the Wnt signaling pathway as a driver and biomarker of therapeutic resistance.
Insights
BET inhibition is a new epigenetic therapy for cancers. Researchers found the Wnt signaling pathway drives resistance to this therapy in acute myeloid leukemia, offering a potential biomarker for treatment.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- BET inhibitors represent a novel epigenetic therapy for various cancers.
- Therapeutic resistance remains a significant challenge, with limited understanding of its underlying mechanisms.
Purpose of the Study:
- To investigate the mechanisms mediating sensitivity and resistance to BET inhibition in acute myeloid leukemia (AML).
- To identify potential biomarkers for predicting response to BET inhibitor therapy.
Main Methods:
- Analysis of two independent studies published in Nature.
- Focus on molecular pathways implicated in BET inhibitor resistance in AML models.
Main Results:
- Both studies independently identified the Wnt signaling pathway.
- The Wnt pathway was implicated as a key driver of resistance to BET inhibition in AML.
- Wnt pathway activation serves as a potential biomarker for therapeutic resistance.
Conclusions:
- The Wnt signaling pathway is a critical determinant of response to BET inhibitors in AML.
- Targeting or monitoring the Wnt pathway may overcome or predict resistance to epigenetic therapies.
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