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Updated: Jan 13, 2026

Mimicking and Manipulating Pancreatic Acinar-to-Ductal Metaplasia in 3-dimensional Cell Culture
Published on: February 11, 2019
DKK3 Initially Preserves Acinar Integrity Through MEK-Fos Signaling, but Later Switches to an Oncogenic Role in
Dharini Srinivasan1, Elodie Roger1, Lukas Perkhofer1,2
1Institute for Molecular Oncology and Stem Cell Biology, Ulm University Hospital, 89081, Ulm, Germany.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) is characterized by its intricate biology governed by spatiotemporal dynamics in the expression and function of specific proteins. Here, DKK3 is identified as a dynamic player with a dual role in PDAC. Using the KRASG12D-driven mouse model with homozygous (DDKC) and heterozygous (DKC) DKK3 knockout, its stage and compartment-specific functions are investigated. Knockout mice exhibited shorter lifespans with a higher incidence of high-grade, desmoplastic, and metastatic cancers. DKK3-deficient acini exhibited a marked increase in acinar-to-ductal metaplasia, with increased MAPK signaling and induction of the downstream effector Fos. During the progression of mouse and human PDAC, DKK3 expression shifted from epithelial dysplastic cells to cancer-associated fibroblasts (CAFs). At the endpoint, DKK3-expressing CAFs emerged as crucial contributors to tumor aggressiveness and fibrosis. Orthotopic transplantations confirm a stromal role, particularly in DDKC tumors, while mechanistic studies demonstrate that DKK3 activates IL6-JAK-STAT3 signaling and pro-migratory/mesenchymal programs that are reversed by pharmacologic STAT3 inhibition in DDKC cells. Concordantly, DKK3 expression correlates with IL6-JAK-STAT3 gene signatures in human PDAC datasets. Together, these findings underscore the intricate and context-sensitive role of DKK3, delaying oncogenesis during early stages while paradoxically promoting tumor progression in later stages, suggesting that therapeutic targeting strategies should be approached with caution.
Insights
Dickkopf-3 (DKK3) has a dual role in pancreatic ductal adenocarcinoma (PDAC). It delays early oncogenesis but promotes later tumor progression, indicating cautious therapeutic targeting.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Pancreatic ductal adenocarcinoma (PDAC) involves complex protein dynamics.
- The role of Dickkopf-3 (DKK3) in PDAC progression is not fully understood.
Purpose of the Study:
- To investigate the stage and compartment-specific functions of DKK3 in PDAC.
- To elucidate the mechanisms by which DKK3 influences PDAC development and aggressiveness.
Main Methods:
- Utilized a KRASG12D-driven mouse model with varying DKK3 knockout levels (homozygous and heterozygous).
- Analyzed acinar-to-ductal metaplasia, MAPK signaling, and Fos induction.
- Investigated DKK3 expression shifts during PDAC progression in mouse and human samples.
- Performed orthotopic transplantations and mechanistic studies involving IL6-JAK-STAT3 signaling.
- Correlated DKK3 expression with human PDAC gene signatures.
Main Results:
- DKK3 knockout mice showed reduced lifespan and increased high-grade, desmoplastic, and metastatic PDAC.
- DKK3 deficiency in acini led to increased metaplasia, MAPK signaling, and Fos induction.
- DKK3 expression shifted from epithelial cells to cancer-associated fibroblasts (CAFs) during PDAC progression.
- DKK3-expressing CAFs promoted tumor aggressiveness and fibrosis.
- DKK3 activated IL6-JAK-STAT3 signaling and pro-migratory programs in PDAC, which were reversed by STAT3 inhibition.
- DKK3 expression correlated with IL6-JAK-STAT3 signatures in human PDAC.
Conclusions:
- DKK3 exhibits context-dependent roles in PDAC, delaying early oncogenesis but promoting later-stage tumor progression.
- DKK3-expressing CAFs are key drivers of PDAC aggressiveness and fibrosis.
- Therapeutic strategies targeting DKK3 in PDAC require careful consideration due to its paradoxical functions.
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