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Shisa family member 3 (SHISA3) encodes a single-pass transmembrane adaptor protein of the Shisa family that regulates WNT and FGF signaling by blocking the maturation and cell surface transport of their receptors. SHISA3 functions primarily as a tumor suppressor by accelerating β-catenin degradation, thus antagonizing the WNT pathway. Loss or epigenetic silencing of SHISA3 (often via promoter hypermethylation) is associated with enhanced tumorigenesis, cancer cell proliferation, migration, metastasis, and poor clinical outcomes in various cancers. Restoration of SHISA3 expression can inhibit cancer cell growth and migration, indicating its promise as a diagnostic, prognostic, and predictive biomarker in oncology
For demethylating agents: reactivation of SHISA3 by demethylation of its promoter; resulting in restored tumor suppression activity
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