PMID- 28731148 OWN - NLM STAT- MEDLINE DCOM- 20180417 LR - 20231104 IS - 1791-244X (Electronic) IS - 1107-3756 (Print) IS - 1107-3756 (Linking) VI - 40 IP - 3 DP - 2017 Sep TI - Molecular genetics and targeted therapy of WNT-related human diseases (Review). PG - 587-606 LID - 10.3892/ijmm.2017.3071 [doi] AB - Canonical WNT signaling through Frizzled and LRP5/6 receptors is transduced to the WNT/beta-catenin and WNT/stabilization of proteins (STOP) signaling cascades to regulate cell fate and proliferation, whereas non-canonical WNT signaling through Frizzled or ROR receptors is transduced to the WNT/planar cell polarity (PCP), WNT/G protein-coupled receptor (GPCR) and WNT/receptor tyrosine kinase (RTK) signaling cascades to regulate cytoskeletal dynamics and directional cell movement. WNT/beta-catenin signaling cascade crosstalks with RTK/SRK and GPCR-cAMP-PKA signaling cascades to regulate beta-catenin phosphorylation and beta-catenin-dependent transcription. Germline mutations in WNT signaling molecules cause hereditary colorectal cancer, bone diseases, exudative vitreoretinopathy, intellectual disability syndrome and PCP-related diseases. APC or CTNNB1 mutations in colorectal, endometrial and prostate cancers activate the WNT/beta-catenin signaling cascade. RNF43, ZNRF3, RSPO2 or RSPO3 alterations in breast, colorectal, gastric, pancreatic and other cancers activate the WNT/beta-catenin, WNT/STOP and other WNT signaling cascades. ROR1 upregulation in B-cell leukemia and solid tumors and ROR2 upregulation in melanoma induce invasion, metastasis and therapeutic resistance through Rho-ROCK, Rac-JNK, PI3K-AKT and YAP signaling activation. WNT signaling in cancer, stromal and immune cells dynamically orchestrate immune evasion and antitumor immunity in a cell context-dependent manner. Porcupine (PORCN), RSPO3, WNT2B, FZD5, FZD10, ROR1, tankyrase and beta-catenin are targets of anti-WNT signaling therapy, and ETC-159, LGK974, OMP-18R5 (vantictumab), OMP-54F28 (ipafricept), OMP-131R10 (rosmantuzumab), PRI-724 and UC-961 (cirmtuzumab) are in clinical trials for cancer patients. Different classes of anti-WNT signaling therapeutics are necessary for the treatment of APC/CTNNB1-, RNF43/ZNRF3/RSPO2/RSPO3- and ROR1-types of human cancers. By contrast, Dickkopf-related protein 1 (DKK1), SOST and glycogen synthase kinase 3beta (GSK3beta) are targets of pro-WNT signaling therapy, and anti-DKK1 (BHQ880 and DKN-01) and anti-SOST (blosozumab, BPS804 and romosozumab) monoclonal antibodies are being tested in clinical trials for cancer patients and osteoporotic post-menopausal women. WNT-targeting therapeutics have also been applied as reagents for in vitro stem-cell processing in the field of regenerative medicine. FAU - Katoh, Masuko AU - Katoh M AD - M&M Medical BioInformatics, Tokyo 113-0033, Japan. FAU - Katoh, Masaru AU - Katoh M AD - Department of Omics Network, National Cancer Center, Tokyo 104-0045, Japan. LA - eng PT - Journal Article DEP - 20170719 PL - Greece TA - Int J Mol Med JT - International journal of molecular medicine JID - 9810955 RN - 0 (Neoplasm Proteins) SB - IM MH - Animals MH - *Colorectal Neoplasms, Hereditary Nonpolyposis/genetics/metabolism/therapy MH - *Endometrial Neoplasms/genetics/metabolism/therapy MH - Female MH - Humans MH - *Intellectual Disability/metabolism/therapy MH - Male MH - *Mutation MH - *Neoplasm Proteins/genetics/metabolism MH - *Prostatic Neoplasms/genetics/metabolism/therapy MH - Wnt Signaling Pathway/*genetics PMC - PMC5547940 EDAT- 2017/07/22 06:00 MHDA- 2018/04/18 06:00 PMCR- 2017/07/19 CRDT- 2017/07/22 06:00 PHST- 2017/04/03 00:00 [received] PHST- 2017/07/12 00:00 [accepted] PHST- 2017/07/22 06:00 [pubmed] PHST- 2018/04/18 06:00 [medline] PHST- 2017/07/22 06:00 [entrez] PHST- 2017/07/19 00:00 [pmc-release] AID - ijmm-40-03-0587 [pii] AID - 10.3892/ijmm.2017.3071 [doi] PST - ppublish SO - Int J Mol Med. 2017 Sep;40(3):587-606. doi: 10.3892/ijmm.2017.3071. Epub 2017 Jul 19.