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DLK1-Fc is a recombinant fusion protein consisting of the extracellular domain of delta-like 1 homolog (DLK1, also known as preadipocyte factor 1 or Pref-1) fused to the Fc region of human IgG1. Originally developed by the Korea Research Institute of Bioscience and Biotechnology (KRIBB) and Y-Biologics, DLK1-Fc acts as a soluble form of DLK1. It has been investigated in preclinical studies for multiple therapeutic indications, including cancer metastasis (specifically liver and pancreatic cancers), obesity, type 2 diabetes, and sarcopenia/muscle atrophy. Mechanistically, DLK1-Fc binds to activin receptor type 2B (ACVR2B) to inhibit myostatin-mediated signaling, thereby preventing muscle wasting. Additionally, it interacts with fibronectin and integrin alpha-5/beta-1 to activate the MEK/ERK pathway, upregulating Sox9 and inhibiting adipogenesis, which reduces fat mass and improves insulin sensitivity.
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