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DKK1 in Cancer: A Bench-to-Bedside Review of Molecular Mechanisms and Clinical Applications
Meiheng Sun1, Yuzhe Wang2, Yihao Zhang1
1School of Chinese Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Abstract:
Dickkopf-1 (DKK1) is a secreted glycoprotein that traditionally acts as an antagonist of canonical Wnt/β-catenin signaling. Although it functions as a tumor suppressor in some specific biological background and disease stages, growing evidence links DKK1 to tumor progression, immune evasion, and therapy resistance in a variety of multiple malignancies. This review provides a comprehensive bench-to-bedside overview of DKK1 in cancer. We first delineate how DKK1 regulates both Wnt-dependent and Wnt-independent pathways. From a clinical perspective, we evaluate the application potential of DKK1 as a diagnostic and prognostic biomarker. We further discuss the progress of DKK1-targeted interventions, ranging from monoclonal antibodies in clinical trials to next-generation therapeutic modalities. Finally, we discuss the challenges in clinical translation and suggest future directions for DKK1-based precision medicine. In summary, by integrating preclinical insights with current clinical data, this review provides a strategic roadmap for advancing DKK1-targeted therapies in cancer.
Insights
Dickkopf-1 (DKK1) is a protein that can suppress tumors but also promote cancer progression and resistance. This review explores DKK1
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- Dickkopf-1 (DKK1) is a secreted glycoprotein.
- Traditionally, DKK1 antagonizes Wnt/β-catenin signaling.
- Emerging evidence implicates DKK1 in tumor progression, immune evasion, and therapy resistance across various cancers.
Purpose of the Study:
- To provide a comprehensive bench-to-bedside overview of DKK1 in cancer.
- To delineate DKK1's regulation of Wnt-dependent and Wnt-independent pathways.
- To evaluate DKK1's potential as a diagnostic and prognostic biomarker and discuss targeted interventions.
Main Methods:
- Literature review integrating preclinical insights and clinical data.
- Analysis of DKK1's role in Wnt signaling pathways.
- Evaluation of clinical applications and therapeutic strategies.
Main Results:
- DKK1 exhibits dual roles, acting as a tumor suppressor in certain contexts but promoting malignancy in others.
- DKK1 influences both canonical Wnt/β-catenin and Wnt-independent pathways.
- DKK1 shows potential as a biomarker and therapeutic target.
Conclusions:
- DKK1 is a critical factor in cancer development and progression.
- Targeting DKK1 offers promising therapeutic avenues.
- Further research is needed for successful clinical translation of DKK1-based therapies.
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