PMID- 30569110 OWN - NLM STAT- MEDLINE DCOM- 20190520 LR - 20211209 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 54 IP - 3 DP - 2019 Mar TI - DKK3 knockdown confers negative effects on the malignant potency of head and neck squamous cell carcinoma cells via the PI3K/Akt and MAPK signaling pathways. PG - 1021-1032 LID - 10.3892/ijo.2018.4667 [doi] AB - Dickkopf‑related protein 3 (DKK3), which is a member of the Dickkopf WNT signaling pathway inhibitor family, is considered to be a tumor suppressor, due to its reduced expression in cancer cells and its ability to induce apoptosis when overexpressed by adenovirus. However, our previous study demonstrated alternative functions for DKK3 in head and neck squamous cell carcinoma (HNSCC). Our study reported that DKK3 expression was predominantly upregulated in HNSCC cell lines and tissue samples, and its expression was significantly correlated with poor prognosis. Furthermore, DKK3 overexpression in HNSCC cells significantly increased cancer cell proliferation, migration, invasion and in vivo tumor growth. These data have led to the hypothesis that DKK3 may exert oncogenic functions and may increase the malignant properties of HNSCC. The present study established a stable DKK3 knockdown cell line (HSC‑3 shDKK3) using lentivirus‑mediated short hairpin RNA, and assessed its effects on cancer cell behavior using MTT, migration and invasion assays. In addition, its effects on in vivo tumor growth were assessed using a xenograft model. Furthermore, the molecular mechanisms underlying the effects of DKK3 knockdown were investigated by microarray analysis, pathway analysis and western blotting. Compared with control cells, HSC‑3 shDKK3 cells exhibited significantly reduced proliferation, migration and invasion, and formed significantly smaller tumor masses when subcutaneously transplanted into nude mice. In addition, in HSC‑3 shDKK3 cells, the expression levels of phosphorylated (p)‑protein kinase B (Akt) (Ser473), p‑phosphoinositide 3‑kinase (PI3K) p85 (Tyr467), p‑PI3K p55 (Try199), p‑3‑phosphoinositide‑dependent protein kinase‑1 (PDK1) (Ser241) and total p38 mitogen‑activated protein kinase (MAPK) were reduced. Furthermore, phosphorylation of mechanistic target of rapamycin (mTOR) (Ser2448) was slightly decreased in HSC‑3 shDKK3 cells, which may be due to the increased expression of DEP domain‑containing mTOR‑interacting protein. Conversely, DKK3 overexpression in HSC‑3 shDKK3 cells rescued cellular proliferation, migration and invasion. With regards to expression levels, p‑PI3K and p‑PDK1 expression was not altered, whereas mTOR and p‑p38 MAPK expression was elevated. These data supported the hypothesis and indicated that DKK3 may contribute to the malignant phenotype of HNSCC cells via the PI3K/Akt/mTOR and MAPK signaling pathways. FAU - Katase, Naoki AU - Katase N AD - Department of Oral Pathology, Institute of Biomedical Sciences, Nagasaki University, Nagasaki, Nagasaki 852‑8588, Japan. FAU - Nishimatsu, Shin-Ichiro AU - Nishimatsu SI AD - Department of Molecular and Developmental Biology, Kawasaki Medical School, Kurashiki, Okayama 701‑0192, Japan. FAU - Yamauchi, Akira AU - Yamauchi A AD - Department of Biochemistry, Kawasaki Medical School, Kurashiki, Okayama 701‑0192, Japan. FAU - Yamamura, Masahiro AU - Yamamura M AD - Department of Clinical Oncology, Kawasaki Medical School, Kurashiki, Okayama 701‑0192, Japan. FAU - Fujita, Shuichi AU - Fujita S AD - Department of Oral Pathology, Institute of Biomedical Sciences, Nagasaki University, Nagasaki, Nagasaki 852‑8588, Japan. LA - eng PT - Comparative Study PT - Journal Article DEP - 20181214 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Chemokines) RN - 0 (DKK3 protein, human) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adaptor Proteins, Signal Transducing MH - Animals MH - Cell Line, Tumor MH - Cell Movement MH - Cell Proliferation MH - Chemokines MH - Computational Biology MH - Gene Knockdown Techniques MH - Humans MH - Intercellular Signaling Peptides and Proteins/deficiency/*genetics/*metabolism MH - *MAP Kinase Signaling System/genetics MH - Mice, Nude MH - Microarray Analysis MH - Neoplasm Invasiveness MH - Phosphatidylinositol 3-Kinases/genetics/*metabolism MH - Prognosis MH - Proto-Oncogene Proteins c-akt/genetics/*metabolism MH - Signal Transduction/genetics MH - Squamous Cell Carcinoma of Head and Neck/genetics/metabolism/*physiopathology MH - TOR Serine-Threonine Kinases/metabolism OTO - NOTNLM OT - head and neck squamous cell carcinoma OT - Dickkopfrelated protein 3 OT - phosphoinositide 3-kinase OT - protein kinase B OT - mitogen-activated protein kinase EDAT- 2018/12/21 06:00 MHDA- 2019/05/21 06:00 CRDT- 2018/12/21 06:00 PHST- 2018/05/16 00:00 [received] PHST- 2018/10/12 00:00 [accepted] PHST- 2018/12/21 06:00 [pubmed] PHST- 2019/05/21 06:00 [medline] PHST- 2018/12/21 06:00 [entrez] AID - 10.3892/ijo.2018.4667 [doi] PST - ppublish SO - Int J Oncol. 2019 Mar;54(3):1021-1032. doi: 10.3892/ijo.2018.4667. Epub 2018 Dec 14.