DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathway

Abstract Background The high metastasis rate is the primary contributor to the high mortality rate associated with muscle-invasive bladder cancer (MIBC). Therefore, elucidating the mechanisms involved and identifying potential therapeutic targets are crucial for improving the overall prognosis of bl...

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Main Authors: Tao Wang, Anqi Du, Yuan Peng, Jianjian Yin, Guoqiang Sun, Yihang Yu, Zhangran Sun, Qi Chang, Kaidi Gong, Shengna Han, Lirong Zhang, Dongkui Song
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Journal of Translational Medicine
Online Access:https://doi.org/10.1186/s12967-025-06754-2
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author Tao Wang
Anqi Du
Yuan Peng
Jianjian Yin
Guoqiang Sun
Yihang Yu
Zhangran Sun
Qi Chang
Kaidi Gong
Shengna Han
Lirong Zhang
Dongkui Song
author_facet Tao Wang
Anqi Du
Yuan Peng
Jianjian Yin
Guoqiang Sun
Yihang Yu
Zhangran Sun
Qi Chang
Kaidi Gong
Shengna Han
Lirong Zhang
Dongkui Song
author_sort Tao Wang
collection DOAJ
description Abstract Background The high metastasis rate is the primary contributor to the high mortality rate associated with muscle-invasive bladder cancer (MIBC). Therefore, elucidating the mechanisms involved and identifying potential therapeutic targets are crucial for improving the overall prognosis of bladder cancer (BLCA). Methods We used consensus clustering and differential gene expression analyses to identify the key gene desmoglein 3 (DSG3). Subsequently, we examined the expression of DSG3 in BLCA and its association with the clinical characteristics and prognosis. Comprehensive in vitro and in vivo experiments were conducted to elucidate the functions of DSG3 and the reasons behind the upregulation of DSG3 in BLCA, as well as to investigate the mechanisms by which DSG3 promotes metastasis. Results DSG3 was markedly upregulated in BLCA, particularly in the basal/squamous (Ba/Sq) subtype. Importantly, elevated DSG3 levels demonstrated a strong association with aggressive tumor behavior and poorer clinical outcomes. Functional experiments revealed that DSG3 knockdown significantly impeded cancer stemness characteristics, epithelial-mesenchymal transition (EMT), migration, and invasion capabilities in vitro, whereas in vivo studies showed marked reductions in tumorigenesis and lung metastasis. Mechanistic investigations indicated that STAT3 transcriptionally activated DSG3 expression in BLCA cells. Downstream pathway analysis further showed that DSG3 promoted AKT phosphorylation, thereby inhibiting GSK3β activity. This molecular pathway promoted β-catenin nuclear translocation, thereby triggering transcriptional upregulation of SOX2 and MMP7 expression, ultimately mediating BLCA progression. Conclusion Our study demonstrates a novel mechanism by which DSG3 enhances cancer stemness, EMT, migration, and invasive capabilities through upregulation of SOX2 and MMP7 expression through the AKT/GSK3β/β-catenin pathway, ultimately leading to growth and metastasis of BLCA. This study elucidated the role of DSG3 in BLCA and its mechanism in activating the Wnt/β-catenin signaling pathway. We anticipate this study will identify potential biomarkers for predicting progression and for assessing prognosis. Furthermore, this study introduced a novel intervention target for BLCA treatment.
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spelling doaj-art-cbf54c28d9834ac5a80075ea93ce0e6d2025-08-20T03:04:10ZengBMCJournal of Translational Medicine1479-58762025-07-0123112510.1186/s12967-025-06754-2DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathwayTao Wang0Anqi Du1Yuan Peng2Jianjian Yin3Guoqiang Sun4Yihang Yu5Zhangran Sun6Qi Chang7Kaidi Gong8Shengna Han9Lirong Zhang10Dongkui Song11Department of Urology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Pharmacology, School of Basic Medical Sciences, Zhengzhou UniversityDepartment of Urology, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Clinical Laboratory, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou UniversityDepartment of Pharmacology, School of Basic Medical Sciences, Zhengzhou UniversityDepartment of Pharmacology, School of Basic Medical Sciences, Zhengzhou UniversityDepartment of Pharmacology, School of Basic Medical Sciences, Zhengzhou UniversityDepartment of Medical Genetics and Prenatal Diagnosis, The Third Affiliated Hospital of Zhengzhou UniversityDepartment of Pharmacology, School of Basic Medical Sciences, Zhengzhou UniversityDepartment of Pharmacology, School of Basic Medical Sciences, Zhengzhou UniversityDepartment of Pharmacology, School of Basic Medical Sciences, Zhengzhou UniversityDepartment of Urology, The First Affiliated Hospital of Zhengzhou UniversityAbstract Background The high metastasis rate is the primary contributor to the high mortality rate associated with muscle-invasive bladder cancer (MIBC). Therefore, elucidating the mechanisms involved and identifying potential therapeutic targets are crucial for improving the overall prognosis of bladder cancer (BLCA). Methods We used consensus clustering and differential gene expression analyses to identify the key gene desmoglein 3 (DSG3). Subsequently, we examined the expression of DSG3 in BLCA and its association with the clinical characteristics and prognosis. Comprehensive in vitro and in vivo experiments were conducted to elucidate the functions of DSG3 and the reasons behind the upregulation of DSG3 in BLCA, as well as to investigate the mechanisms by which DSG3 promotes metastasis. Results DSG3 was markedly upregulated in BLCA, particularly in the basal/squamous (Ba/Sq) subtype. Importantly, elevated DSG3 levels demonstrated a strong association with aggressive tumor behavior and poorer clinical outcomes. Functional experiments revealed that DSG3 knockdown significantly impeded cancer stemness characteristics, epithelial-mesenchymal transition (EMT), migration, and invasion capabilities in vitro, whereas in vivo studies showed marked reductions in tumorigenesis and lung metastasis. Mechanistic investigations indicated that STAT3 transcriptionally activated DSG3 expression in BLCA cells. Downstream pathway analysis further showed that DSG3 promoted AKT phosphorylation, thereby inhibiting GSK3β activity. This molecular pathway promoted β-catenin nuclear translocation, thereby triggering transcriptional upregulation of SOX2 and MMP7 expression, ultimately mediating BLCA progression. Conclusion Our study demonstrates a novel mechanism by which DSG3 enhances cancer stemness, EMT, migration, and invasive capabilities through upregulation of SOX2 and MMP7 expression through the AKT/GSK3β/β-catenin pathway, ultimately leading to growth and metastasis of BLCA. This study elucidated the role of DSG3 in BLCA and its mechanism in activating the Wnt/β-catenin signaling pathway. We anticipate this study will identify potential biomarkers for predicting progression and for assessing prognosis. Furthermore, this study introduced a novel intervention target for BLCA treatment.https://doi.org/10.1186/s12967-025-06754-2
spellingShingle Tao Wang
Anqi Du
Yuan Peng
Jianjian Yin
Guoqiang Sun
Yihang Yu
Zhangran Sun
Qi Chang
Kaidi Gong
Shengna Han
Lirong Zhang
Dongkui Song
DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathway
Journal of Translational Medicine
title DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathway
title_full DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathway
title_fullStr DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathway
title_full_unstemmed DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathway
title_short DSG3 promotes bladder cancer growth and metastasis via AKT/GSK3β/β-catenin pathway
title_sort dsg3 promotes bladder cancer growth and metastasis via akt gsk3β β catenin pathway
url https://doi.org/10.1186/s12967-025-06754-2
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