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Dickkopf-3: An Update on a Potential Regulator of the Tumor Microenvironment
Zainab Al Shareef1,2, Mai Nidal Asad Ershaid2, Rula Mudhafar2
1College of Medicine, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates.
Abstract:
Dickkopf-3 (Dkk-3) is a member of the Dickkopf family protein of secreted Wingless-related integration site (Wnt) antagonists that appears to modulate regulators of the host microenvironment. In contrast to the clear anti-tumorigenic effects of Dkk-3-based gene therapies, the role of endogenous Dkk-3 in cancer is context-dependent, with elevated expression associated with tumor promotion and suppression in different settings. The receptors and effectors that mediate the diverse effects of Dkk-3 have not been characterized in detail, contributing to an ongoing mystery of its mechanism of action. This review compares the various functions of Dkk-3 in the tumor microenvironment, where Dkk-3 has been found to be expressed by subpopulations of fibroblasts, endothelial, and immune cells, in addition to epithelial cells. We also discuss how the activation or inhibition of Dkk-3, depending on tumor type and context, might be used to treat different types of cancers.
Insights
Dickkopf-3 (Dkk-3) is a secreted protein that can fight tumors. Its role in cancer varies, acting as both a promoter and suppressor depending on the context.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Dickkopf-3 (Dkk-3) is a secreted antagonist of the Wingless-related integration site (Wnt) signaling pathway.
- Dkk-3's function in the tumor microenvironment is complex and context-dependent, with roles in both tumor promotion and suppression.
- The precise receptors and downstream effectors of Dkk-3 remain largely uncharacterized, obscuring its mechanism of action.
Purpose of the Study:
- To review the diverse functions of Dickkopf-3 (Dkk-3) within the tumor microenvironment.
- To explore the cell types expressing Dkk-3 in tumors, including fibroblasts, endothelial cells, immune cells, and epithelial cells.
- To discuss the potential therapeutic strategies involving Dkk-3 modulation for cancer treatment.
Main Methods:
- Literature review and synthesis of existing research on Dickkopf-3 (Dkk-3).
- Comparative analysis of Dkk-3 expression and function across different cancer types and cellular contexts.
- Discussion of potential therapeutic targeting of Dkk-3 pathways.
Main Results:
- Dickkopf-3 (Dkk-3) is expressed by various cells within the tumor microenvironment.
- Endogenous Dkk-3 exhibits context-dependent roles, potentially promoting or suppressing tumor growth.
- Dkk-3-based gene therapies show anti-tumorigenic effects, contrasting with the variable roles of endogenous Dkk-3.
Conclusions:
- Dickkopf-3 (Dkk-3) is a multifaceted protein with significant implications in cancer biology.
- Understanding Dkk-3's complex roles and mechanisms is crucial for developing effective cancer therapies.
- Targeting Dkk-3 activation or inhibition presents a promising avenue for novel cancer treatments, contingent on tumor type and specific context.
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