Loading

Commentary Open Access
Volume 1 | Issue 3 | DOI: https://doi.org/10.46439/cancerbiology.1.011

DKK2 mediated immunosuppressive pathway and angiogenesis for colon cancer progression

  • 1Department of Orthodontics, Shanghai Ninth People’s Hospital, School of Stomatology, Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University, Shanghai, China
  • 2Department of Cell Biology, Yale School of Medicine, New Haven, CT, United States
+ Affiliations - Affiliations

Corresponding Author

Qian Xiao, qian.xiao@yale.edu

Received Date: August 17, 2020

Accepted Date: September 18, 2020

Abstract

Available targeted therapies for colorectal cancer (CRC) are limited. Immunotherapy offers new options for cancer treatment, but most of CRC are refractory to current immune checkpoint blockade, which indicates the possible presence of yet uncharacterized immune-suppressive mechanisms. Herein we report that high levels of Dickkopf-related protein 2 (DKK2) are expressed in human CRC tumors, and the DKK2 blockade caused stronger activation of tumor-infiltrating CD8+ T cells in ex vivo culture. A correlation of high DKK2 expression with increased lymph node metastasis prevalence was observed in these CRC patients as well. Furthermore, antibody-mediated ablation of DKK2 activates natural killer (NK) cells and CD8+ T cells in tumors, impedes tumor progression, and reduced angiogenesis in a mouse genetic CRC model with mutations in APC and KRAS, which mimics advanced human CRC. Based on this, we performed a combined administration of DKK2 blockade with sub-optimal VEGFR blockade and observed a synergetic effect on suppressing tumor angiogenesis and progression, as well as extending survival, which yielded better results than those of every single therapy. Thus, this study provides further evidence for the potential therapeutic application of DKK2 blockade in the clinical treatment of human CRC.

Keywords

Colorectal cancer, DKK2, Immunosuppression, Angiogenesis, Tumor microenvironment

Author Information X