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First published on April 28, 2008
This version was published on January 1, 2008
Neuro Oncol 2008 10(3):244-253; DOI:10.1215/15228517-2008-016
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Duke University Press

Basic and Translational Investigations

REIC/Dkk-3 induces cell death in human malignant glioma

Yoshifumi Mizobuchi, Kazuhito Matsuzaki, Kazuyuki Kuwayama, Keiko Kitazato, Hideo Mure, Teruyoshi Kageji and Shinji Nagahiro

Department of Neurosurgery, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Kuramoto-cho, Tokushima, Japan

Address all correspondence to Yoshifumi Mizobuchi, Department of Neurosurgery, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, 3-18-15, Kuramoto-cho, Tokushima, Japan 770-8503 (mizo{at}yj8.so-net.ne.jp).

The progression of glioma to more malignant phenotypes results from the stepwise accumulation of genetic alterations and the consequent disruption of the apoptotic pathway and augmentation of survival signaling. REIC/Dkk-3, a member of the human Dickkopf (Dkk) family, plays a role as a suppressor of the growth of several human cancers; however, to date it has not been identified in brain tumors. We compared the gene and protein expression of REIC/Dkk-3 in human malignant glioma and normal brain tissues using quantitative real-time PCR, Western blotting, and immunohistochemistry. We also performed small interfering REIC/Dkk-3 (siREIC/Dkk-3) knockdown and REIC/Dkk-3 overexpression experiments to examine the role of REIC/Dkk-3 in human malignant glioma cells in vitro. In brain tissue from patients with malignant glioma, the gene and protein expression of REIC/Dkk-3 was lower than in normal brain tissue and was related to the malignancy grade. In the primary glioblastoma cell line, REIC/Dkk-3 transfection led to apoptosis owing to the activation of phosphorylated JUN, caspase-9, and caspase-3 and the reduction of β-catenin; in REIC/Dkk-3 knockdown experiments, cell growth was augmented. Our results suggest that REIC/Dkk-3 regulates the growth and survival of these cells in a caspase-dependent and -independent way via modification of the Wnt signaling pathway. Our work is the first documentation that the gene and protein expression of REIC/Dkk-3 is down-regulated in human malignant glioma. Our demonstration of the mechanisms underlying REIC/Dkk-3-induced cell death indicates that REIC/Dkk-3 plays a pivotal role in the biology of human malignant glioma and suggests that REIC/Dkk-3 is a promising candidate for molecular target therapy.

Key Words: apoptosis • β-catenin • caspase • malignant glioma • REIC/Dkk-3







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Copyright 2008 by Society for Neuro-Oncology