Multi-Omic and Spatial Profiling Identifies an Epithelial DKK1 Associated with Microenvironmental Remodeling in

Jiajia Xu1,2, Kaiqiang Qian3, Yanyu Ding1,2

  • 1Department of Immunology, School of Basic Medical Sciences, Center for Big Data and Population Health of IHM, Anhui Medical University, Hefei 230032, China.

PubMed

Insights

Dickkopf-1 (DKK1) is an epithelial regulator driving pancreatic cancer progression and immune changes. Targeting DKK1 may offer new therapeutic strategies for pancreatic ductal adenocarcinoma (PDAC).

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genomics

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) is marked by a desmoplastic stroma and immune evasion.
  • Identifying key regulators of PDAC progression and its microenvironment is crucial for developing effective treatments.

Purpose of the Study:

  • To identify and characterize clinically relevant regulators of PDAC.
  • To understand the role of these regulators in malignant progression and tumor microenvironment reprogramming.

Main Methods:

  • Integrated multi-cohort transcriptomic data (bulk, single-cell, spatial).
  • Validated findings using machine learning and independent cohorts.
  • Assessed DKK1 expression, spatial distribution, and functional impact via knockdown assays.

Main Results:

  • Identified DKK1, COL10A1, SULF1, and SLC24A3 as key regulators.
  • DKK1, expressed by tumor cells, correlates with malignant progression and intratumoral heterogeneity.
  • DKK1 influences epithelial-endothelial and endothelial-immune signaling, myeloid infiltration, and cytotoxic lymphocyte levels.
  • DKK1 knockdown impairs PDAC cell migration, proliferation, and clonogenicity, increasing apoptosis.

Conclusions:

  • DKK1 is an epithelial-derived regulator implicated in PDAC progression and tumor microenvironment remodeling.
  • DKK1 shows potential as a biomarker and therapeutic target for PDAC.
  • DKK1-targeted therapies could be combined with stroma-modulating agents and immunotherapy.