Stroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancer

Abstract Mechanisms related to tumor evasion from NK cell-mediated immune surveillance remain enigmatic. Dickkopf-1 (DKK1) is a Wnt/β-catenin inhibitor, whose levels correlate with breast cancer progression. We find DKK1 to be expressed by tumor cells and cancer-associated fibroblasts (CAFs) in pati...

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Main Authors: Seunghyun Lee, Biancamaria Ricci, Jennifer Tran, Emily Eul, Jiayu Ye, Qihao Ren, David Clever, Julia Wang, Pamela Wong, Michael S. Haas, Sheila A. Stewart, Cynthia X. Ma, Todd A. Fehniger, Roberta Faccio
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-56420-w
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author Seunghyun Lee
Biancamaria Ricci
Jennifer Tran
Emily Eul
Jiayu Ye
Qihao Ren
David Clever
Julia Wang
Pamela Wong
Michael S. Haas
Sheila A. Stewart
Cynthia X. Ma
Todd A. Fehniger
Roberta Faccio
author_facet Seunghyun Lee
Biancamaria Ricci
Jennifer Tran
Emily Eul
Jiayu Ye
Qihao Ren
David Clever
Julia Wang
Pamela Wong
Michael S. Haas
Sheila A. Stewart
Cynthia X. Ma
Todd A. Fehniger
Roberta Faccio
author_sort Seunghyun Lee
collection DOAJ
description Abstract Mechanisms related to tumor evasion from NK cell-mediated immune surveillance remain enigmatic. Dickkopf-1 (DKK1) is a Wnt/β-catenin inhibitor, whose levels correlate with breast cancer progression. We find DKK1 to be expressed by tumor cells and cancer-associated fibroblasts (CAFs) in patient samples and orthotopic breast tumors, and in bone. By using genetic approaches, we find that bone-derived DKK1 contributes to the systemic DKK1 elevation in tumor-bearing female mice, while CAFs contribute to DKK1 at primary tumor site. Systemic and bone-specific DKK1 targeting reduce tumor growth. Intriguingly, deletion of CAF-derived DKK1 also limits breast cancer progression, without affecting its levels in circulation, and regardless of DKK1 expression in the tumor cells. While not directly supporting tumor proliferation, stromal-DKK1 suppresses NK cell activation and cytotoxicity by downregulating AKT/ERK/S6 phosphorylation. Importantly, increased DKK1 levels and reduced cytotoxic NK cells are detected in women with progressive breast cancer. Our findings indicate that DKK1 represents a barrier to anti-tumor immunity through suppression of NK cells.
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spelling doaj-art-115f0a936c0f487cb6c72ae68ef970292025-02-02T12:32:02ZengNature PortfolioNature Communications2041-17232025-01-0116111910.1038/s41467-025-56420-wStroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancerSeunghyun Lee0Biancamaria Ricci1Jennifer Tran2Emily Eul3Jiayu Ye4Qihao Ren5David Clever6Julia Wang7Pamela Wong8Michael S. Haas9Sheila A. Stewart10Cynthia X. Ma11Todd A. Fehniger12Roberta Faccio13Department of Orthopaedic Surgery, Washington University School of MedicineDepartment of Orthopaedic Surgery, Washington University School of MedicineDepartment of Medicine, Washington University School of MedicineDepartment of Orthopaedic Surgery, Washington University School of MedicineDepartment of Cell Biology and Physiology, Washington University School of MedicineDepartment of Cell Biology and Physiology, Washington University School of MedicineDepartment of Orthopaedic Surgery, Washington University School of MedicineDepartment of Medicine, Washington University School of MedicineDepartment of Medicine, Washington University School of MedicineLeap TherapeuticsDepartment of Medicine, Washington University School of MedicineDepartment of Medicine, Washington University School of MedicineDepartment of Medicine, Washington University School of MedicineDepartment of Orthopaedic Surgery, Washington University School of MedicineAbstract Mechanisms related to tumor evasion from NK cell-mediated immune surveillance remain enigmatic. Dickkopf-1 (DKK1) is a Wnt/β-catenin inhibitor, whose levels correlate with breast cancer progression. We find DKK1 to be expressed by tumor cells and cancer-associated fibroblasts (CAFs) in patient samples and orthotopic breast tumors, and in bone. By using genetic approaches, we find that bone-derived DKK1 contributes to the systemic DKK1 elevation in tumor-bearing female mice, while CAFs contribute to DKK1 at primary tumor site. Systemic and bone-specific DKK1 targeting reduce tumor growth. Intriguingly, deletion of CAF-derived DKK1 also limits breast cancer progression, without affecting its levels in circulation, and regardless of DKK1 expression in the tumor cells. While not directly supporting tumor proliferation, stromal-DKK1 suppresses NK cell activation and cytotoxicity by downregulating AKT/ERK/S6 phosphorylation. Importantly, increased DKK1 levels and reduced cytotoxic NK cells are detected in women with progressive breast cancer. Our findings indicate that DKK1 represents a barrier to anti-tumor immunity through suppression of NK cells.https://doi.org/10.1038/s41467-025-56420-w
spellingShingle Seunghyun Lee
Biancamaria Ricci
Jennifer Tran
Emily Eul
Jiayu Ye
Qihao Ren
David Clever
Julia Wang
Pamela Wong
Michael S. Haas
Sheila A. Stewart
Cynthia X. Ma
Todd A. Fehniger
Roberta Faccio
Stroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancer
Nature Communications
title Stroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancer
title_full Stroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancer
title_fullStr Stroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancer
title_full_unstemmed Stroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancer
title_short Stroma-derived Dickkopf-1 contributes to the suppression of NK cell cytotoxicity in breast cancer
title_sort stroma derived dickkopf 1 contributes to the suppression of nk cell cytotoxicity in breast cancer
url https://doi.org/10.1038/s41467-025-56420-w
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