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Updated: Mar 2, 2026

Characterization of Cell Membrane Extensions and Studying Their Roles in Cancer Cell Adhesion Dynamics
Published on: March 26, 2018
The Dickkopf1-cytoskeleton-associated protein 4 axis creates a novel signalling pathway and may represent a molecular
Akira Kikuchi1, Katsumi Fumoto1, Hirokazu Kimura1
1Department of Biochemistry and Molecular Biology, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
Abstract:
Dickkopf 1 (DKK1) is a secreted protein and antagonizes oncogenic Wnt signalling by binding to the Wnt co-receptor, low-density lipoprotein receptor-related protein 6. DKK1 has also been suggested to regulate its own signalling, associated with tumour aggressiveness. However, the underlying mechanism by which DKK1 promotes cancer cell proliferation has remained to be clarified for a long time. The cytoskeleton-associated protein 4 (CKAP4), originally identified as an endoplasmic reticulum membrane protein, was recently found to act as a novel DKK1 receptor. DKK1 stimulates cancer cell proliferation when CKAP4 is expressed on the cell surface membrane. Although there are no tyrosine residues in the intracellular region of CKAP4, CKAP4 forms a complex with PI3K upon the binding of DKK1, leading to the activation of Akt. Both DKK1 and CKAP4 are frequently expressed in pancreatic and lung tumours, and their simultaneous expression is negatively correlated with prognosis. Knockdown of CKAP4 in cancer cells and treatment of mice with the anti-CKAP4 antibody inhibit Akt activity in cancer cells and suppress xenograft tumour formation, suggesting that CKAP4 may represent a therapeutic target for cancers expressing both DKK1 and CKAP4. This review will provide details of the novel DKK1-CKAP4 signalling axis that promotes cancer proliferation and discuss the possibility of targeting this pathway in future cancer drug development.
Linked Articles:
This article is part of a themed section on WNT Signalling: Mechanisms and Therapeutic Opportunities. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v174.24/issuetoc.
Insights
Dickkopf 1 (DKK1) binds to its novel receptor, cytoskeleton-associated protein 4 (CKAP4), to promote cancer cell proliferation. Targeting the DKK1-CKAP4 axis may offer new cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signalling
Background:
- Dickkopf 1 (DKK1) antagonizes Wnt signalling but also promotes tumour aggressiveness.
- The mechanism of DKK1-driven cancer cell proliferation was previously unclear.
- Cytoskeleton-associated protein 4 (CKAP4) is identified as a novel DKK1 receptor.
Purpose of the Study:
- To elucidate the mechanism of DKK1-mediated cancer cell proliferation.
- To investigate the role of CKAP4 as a DKK1 receptor.
- To evaluate the DKK1-CKAP4 axis as a potential therapeutic target.
Main Methods:
- Investigated DKK1-CKAP4 interaction and downstream signalling.
- Assessed CKAP4 expression in tumour samples.
- Utilized CKAP4 knockdown and anti-CKAP4 antibody treatment in preclinical models.
Main Results:
- DKK1 binding to cell surface CKAP4 stimulates cancer cell proliferation.
- DKK1-CKAP4 complex formation activates the PI3K/Akt pathway.
- High DKK1 and CKAP4 expression correlates with poor prognosis in pancreatic and lung cancers.
- CKAP4 inhibition suppresses tumour growth in vivo.
Conclusions:
- The DKK1-CKAP4 signalling axis drives cancer proliferation.
- CKAP4 is a viable therapeutic target for DKK1- and CKAP4-expressing cancers.
- Targeting this pathway holds promise for future cancer drug development.
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