The finding that Dickkopf1 (Dkk1) is a dual function protein demonstrates
a mechanism for the coordination of cell migration and antagonism of
Wnt/.beta.-catenin signaling during developmental and pathological
processes. The profile of Dkk proteins expressed by human breast cancers
correlates with indicators of outcome: Dkk1 associates with markers of
poor prognosis whereas expression of single function Dkk2 or Dkk3 (which
inhibit Wnt/.beta.-catenin signaling and promote migration, respectively)
correlates with phenotypes reflective of good prognosis. Therefore, the
pro-migratory activities of Dkk1 and 3 identified here offer new insights
into breast cancer progression and a potential avenue for therapeutic
intervention.