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Wnt therapy for bone loss: golden goose or Trojan horse?
Greg H. Enders
Greg H. Enders
Published March 23, 2009
Citation Information: J Clin Invest. 2009;119(4):758-760. https://doi.org/10.1172/JCI38973.
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Commentary

Wnt therapy for bone loss: golden goose or Trojan horse?

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Abstract

The Wnt pathway has been found to play a role in the development of many tissues and to spur growth and differentiation of adult osteoblasts, sparking interest in its potential clinical application for bone growth. However, when deregulated, this pathway can be oncogenic in some tissues. In this issue of the JCI, Kansara and colleagues reveal that Wnt inhibitory factor 1 is epigenetically silenced in human osteosarcomas and that its absence augments osteosarcoma formation in mice (see the related article beginning on page 837). These observations suggest the need for caution in stimulating the Wnt pathway for therapeutic bone growth.

Authors

Greg H. Enders

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Figure 1

The Wnt signaling pathway.

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The Wnt signaling pathway.
Wnt ligands bind to transmembrane receptors o...
Wnt ligands bind to transmembrane receptors of the Frizzled family. Secreted factors such as WIFs and SFRPs compete with Wnt ligands for binding. Activated receptor signals through Dishevelled and Casein kinase 1 (CK1) to a protein complex containing glycogen synthase kinase–3 (GSK3), axis inhibition protein 1 (Axin), and APC. The APC complex constitutively directs β-catenin ubiquitination and degradation. The Wnt signal inhibits the APC complex, leading to β-catenin stabilization and accumulation in the nucleus. Nuclear β-catenin binds T cell factor (Tcf) transcription factors to drive expression of genes such as c-Myc and Cyclin D1 that support cell growth, proliferation, and survival. Oncogenes are shown in green; tumor suppressor genes are shown in red. In this issue of the JCI, Kansara et al. provide evidence that WIF1 is a tumor suppressor and that epigenetic silencing of WIF1 accelerates osteosarcomagenesis (17).

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