Wnt/β-catenin signaling contributes to tumor malignancy and is targetable in gastrointestinal stromal tumor Journal Article


Authors: Zeng, S.; Seifert, A. M.; Zhang, J. Q.; Cavnar, M. J.; Kim, T. S.; Balachandran, V. P.; Santamaria-Barria, J. A.; Cohen, N. A.; Beckman, M. J.; Medina, B. D.; Rossi, F.; Crawley, M. H.; Loo, J. K.; Maltbaek, J. H.; Besmer, P.; Antonescu, C. R.; DeMatteo, R. P.
Article Title: Wnt/β-catenin signaling contributes to tumor malignancy and is targetable in gastrointestinal stromal tumor
Abstract: Gastrointestinal stromal tumor (GIST) is the most common type of sarcoma and usually harbors either a KIT or PDGFRA mutation. However, the molecular basis for tumor malignancy is not well defined. Although the Wnt/β-catenin signaling pathway is important in a variety of cancers, its role in GIST is uncertain. Through analysis of nearly 150 human GIST specimens, we found that some human GISTs expressed β-catenin and contained active, dephosphorylated nuclear β-catenin. Furthermore, advanced human GISTs expressed reduced levels of the Wnt antagonist DKK4. Accordingly, in human GIST T1 cells, Wnt stimulation increased β-catenin–mediated transcriptional activity in a reporter assay as well as transcription of the downstream target genes Axin2 and CCND1. In contrast, DKK4 overexpression in GIST T1 cells reduced Wnt/β-catenin signaling. In addition, we showed that nuclear β-catenin stability was partially regulated by the E3 ligase COP1, as demonstrated with coimmunoprecipitation and COP1 knockdown. Three molecular inhibitors of the Wnt/β-catenin pathway demonstrated antitumor efficacy in various GIST models, both in vitro and in vivo. Notably, the tankyrase inhibitor G007-LK alone had substantial activity against tumors of genetically engineered KitV558Δ/+ mice, and the effect was increased by the addition of the Kit inhibitor imatinib mesylate. Collectively, our findings demonstrate that Wnt/β-catenin signaling is a novel therapeutic target for selected untreated or imatinib-resistant GISTs. ©2017 AACR.
Journal Title: Molecular Cancer Therapeutics
Volume: 16
Issue: 9
ISSN: 1535-7163
Publisher: American Association for Cancer Research  
Date Published: 2017-09-01
Start Page: 1954
End Page: 1966
Language: English
DOI: 10.1158/1535-7163.mct-17-0139
PROVIDER: scopus
PMCID: PMC5587376
PUBMED: 28611108
DOI/URL:
Notes: Article -- Export Date: 2 October 2017 -- Source: Scopus
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MSK Authors
  1. Ronald P DeMatteo
    637 DeMatteo
  2. Cristina R Antonescu
    899 Antonescu
  3. Michael Joseph Cavnar
    30 Cavnar
  4. Ferdinando Rossi
    23 Rossi
  5. Shan Zeng
    26 Zeng
  6. Peter Besmer
    115 Besmer
  7. Teresa Sora Kim
    23 Kim
  8. Megan Hannon Crawley
    12 Crawley
  9. Noah Avram Cohen
    19 Cohen
  10. Adrian Marcel Seifert
    16 Seifert
  11. Jennifer Qi Zhang
    27 Zhang
  12. Benjamin Medina
    16 Medina
  13. Jennifer Loo
    13 Loo