Loss of ALK4 promotes cancer progression through regulating TGF-β receptor N-glycosylation

Manqi Zhang1, Jian Chen1, Mary C Leupold1

  • 1Department of Medicine, Division of Medical Oncology, Duke University Medical Center, Durham, NC, USA.

Nature Communications
|December 17, 2025
PubMed

Insights

Loss of Activin receptor-like kinase 4 (ALK4) promotes cancer progression and metastasis. ALK4 loss enhances transforming growth factor-β (TGF-β) signaling by altering receptor glycosylation, which can be targeted to suppress cancer growth.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • The transforming growth factor-β (TGF-β) pathway plays a dual role in cancer, inhibiting initial tumor formation but promoting metastasis later.
  • Activin receptor-like kinase 4 (ALK4), a TGF-β family receptor, is often lost or mutated in cancers, correlating with poor patient outcomes.
  • The precise role and molecular mechanisms of ALK4 in cancer progression are not fully understood.

Purpose of the Study:

  • To investigate the function and mechanism of ALK4 in cancer progression.
  • To elucidate how ALK4 loss influences TGF-β signaling pathways.
  • To identify potential therapeutic targets based on ALK4's role in cancer.

Main Methods:

  • In vitro assays assessing anchorage-independent growth, migration, invasion, and epithelial-mesenchymal transition.
  • In vivo studies using breast and pancreatic cancer models.
  • Analysis of TGF-β receptor N-linked glycosylation and cell surface stabilization.
  • Investigation of the roles of β1,6 N-acetylglucosaminyltransferase V (MGAT5) and galectin-3.

Main Results:

  • ALK4 loss significantly enhanced cancer cell growth, migration, invasion, and epithelial-mesenchymal transition in vitro.
  • ALK4 deficiency promoted tumor progression in vivo in breast and pancreatic cancer models.
  • ALK4 loss led to increased N-linked glycosylation and cell surface stabilization of TGF-β receptors.
  • Upregulation of MGAT5 and galectin-3 by ALK4 loss was identified as a key mechanism promoting receptor stabilization and TGF-β signaling.

Conclusions:

  • Loss of ALK4 expression drives cancer progression and metastasis by enhancing canonical TGF-β signaling.
  • The mechanism involves increased MGAT5-mediated glycosylation and galectin-3 binding, stabilizing TGF-β receptors at the cell surface.
  • Targeting MGAT5 or N-glycosylation represents a potential therapeutic strategy to counteract ALK4-loss-induced cancer progression.

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