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Secreted frizzled-related protein 4 (SFRP4) is a secreted glycoprotein belonging to the SFRP family, characterized by a cysteine-rich domain homologous to the Wnt-binding site of Frizzled receptors. SFRP4 acts primarily as a soluble antagonist of Wnt signaling, modulating cell proliferation, apoptosis, and differentiation in various tissues. Its clinical significance includes roles in tumorigenesis (serving as an oncogenic or tumor suppressive factor depending on context), regulation of insulin secretion with implications for diabetes, effects on bone remodeling, and immune microenvironment modulation. Elevated expression of SFRP4 can serve as a prognostic biomarker in several cancers and may represent a therapeutic target for immunomodulation and chemosensitization.
Antagonism or modulation of Wnt signaling pathway (which controls cell proliferation, differentiation, and apoptosis); Modulation of immune cell infiltration and chemokine production; Sensitization of cancer stem cells to chemotherapy
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