Summary
Enhanced stemness in colorectal cancer has been reported and it contributes to aggressive progression, but the underlying mechanisms remain unclear. Here we report a Wnt ligand, Dickkopf-2 (DKK2) is essential for developing colorectal cancer stemness. Genetic depletion of
DKK2
in intestinal epithelial or stem cells reduced tumorigenesis and expression of the stem cell marker genes including
LGR5
in a model of colitis-associated cancer. Sequential mutations in
APC
,
KRAS
,
TP53
, and
SMAD4
genes in colonic organoids revealed a significant increase of
DKK2
expression by APC knockout and further increased by additional
KRAS
and
TP53
mutations. Moreover, DKK2 activates proto-oncogene tyrosine-protein kinse Src followed by increased LGR5 expressing cells in colorectal cancer through degradation of HNF4α1 protein. These findings suggest that DKK2 is required for colonic epithelial cells to enhance LGR5 expression during the progression of colorectal cancer.