作为一种化疗抗性蛋白,DKK1调节结直肠癌中奥沙利铂的反应。
DKK1 as a chemoresistant protein modulates oxaliplatin responses in colorectal cancer.
作者信息
Hsieh Chi-Che, Li Ting-Wei, Li Chun-Chun, Chen Shang-Hung, Wei You-Lin, Chiang Nai-Jung, Shen Che-Hung
机构信息
National Institute of Cancer Research, National Health Research Institutes, Tainan, 704, Taiwan.
School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, 110, Taiwan.
出版信息
Oncogenesis. 2024 Sep 27;13(1):34. doi: 10.1038/s41389-024-00537-y.
Oxaliplatin is effective against colorectal cancer (CRC), but resistance hampers treatment. We found upregulated Dickkopf-1 (DKK1, a secreted protein) in oxaliplatin-resistant (OR) CRC cell lines and DKK1 levels increased by more than 2-fold in approximately 50% of oxaliplatin-resistant CRC tumors. DKK1 activates AKT via cytoskeleton-associated protein 4 (CKAP4, a DKK1 receptor), modulating oxaliplatin responses in vitro and in vivo. The leucine zipper (LZ) domain of CKAP4 and cysteine-rich domain 1 (CRD1) of secreted DKK1 are crucial for their interaction and AKT signaling. By utilizing the LZ protein, we disrupted DKK1 signaling, enhancing oxaliplatin sensitivity in OR CRC cells and xenograft tumors. This suggests that DKK1 as a chemoresistant factor in CRC via AKT activation. Targeting DKK1 with the LZ protein offers a promising therapeutic strategy for oxaliplatin-resistant CRC with high DKK1 levels. This study sheds light on oxaliplatin resistance mechanisms and proposes an innovative intervention for managing this challenge.
奥沙利铂对结直肠癌(CRC)有效,但耐药性阻碍了治疗。我们发现,在奥沙利铂耐药(OR)的CRC细胞系中,Dickkopf-1(DKK1,一种分泌蛋白)上调,并且在约50%的奥沙利铂耐药CRC肿瘤中,DKK1水平增加了两倍多。DKK1通过细胞骨架相关蛋白4(CKAP4,一种DKK1受体)激活AKT,在体外和体内调节奥沙利铂反应。CKAP4的亮氨酸拉链(LZ)结构域和分泌型DKK1的富含半胱氨酸结构域1(CRD1)对它们的相互作用和AKT信号传导至关重要。通过利用LZ蛋白,我们破坏了DKK1信号传导,增强了OR CRC细胞和异种移植肿瘤对奥沙利铂的敏感性。这表明DKK1通过激活AKT作为CRC中的化疗耐药因子。用LZ蛋白靶向DKK1为高DKK1水平的奥沙利铂耐药CRC提供了一种有前景的治疗策略。这项研究揭示了奥沙利铂耐药机制,并提出了应对这一挑战的创新干预措施。