Role in Cardiac Development: DAND5 inactivation in mouse embryonic stem cells (mESCs) increases FLK-1+/PDGFR-α+ cardiac progenitor cells and cardiomyocyte proliferation, validated via flow cytometry and immunofluorescence .
Mechanistic Insights: Antibodies confirmed elevated phospho-SMAD2 and Ccnd1 expression in Dand5 knockout hearts, linking DAND5 to TGF-β/Nodal signaling modulation .
Breast Cancer Prognosis: Serum DAND5 levels (>30.8 pg/mL) correlate with poor disease-free survival (DFS) in 1,730 patients (HR = 1.58, p = 0.001) via ELISA .
Functional Assays: DAND5 overexpression in MDA-MB231 cells promoted angiogenesis (in vitro capillary formation) and tumor growth (in vivo xenografts), detected using IHC and Western blot .
| Parameter | Univariate Analysis (HR) | Multivariate Analysis (HR) |
|---|---|---|
| Tumor Size (>2 cm) | 3.317 (p < 0.001) | 1.613 (p = 0.004) |
| Lymph Node Status | 2.847 (p < 0.001) | 2.135 (p < 0.001) |
| Serum DAND5 Positivity | 1.58 (p = 0.001) | 1.4 (p = 0.048) |
Western Blot: Detects DAND5 at ~20 kDa in human heart tissue lysates .
Immunohistochemistry (IHC): Strong staining in human testis and heart tissues, with antigen retrieval recommended (TE buffer pH 9.0) .
Flow Cytometry: Used to analyze DAND5 expression in transfected HEK293T and COS7 cells .
Cardiovascular Research: DAND5 antibodies identified enhanced cardiomyocyte proliferation in Dand5 KO mESCs, supporting its role in cardiac regeneration .
Cancer Therapeutics: High serum DAND5 levels predict metastatic potential in breast cancer, highlighting its utility as a non-invasive biomarker .
DAND5 appears to play a critical role in establishing the left-right body axis. It may act as an antagonist to NODAL and BMP4 signaling pathways. Proteins containing cystine knots are known to have important roles in development, organogenesis, tissue growth, and differentiation.
DAND5 is an extracellular protein belonging to the Cerberus/DAN family of TGF-β/Nodal signaling antagonists. It functions primarily by binding to Nodal ligands and/or Nodal (co)receptors, preventing agonist-receptor interaction and subsequent signaling activation. DAND5 is considered a multivalent antagonist, as it can also bind to and inhibit BMP and WNT ligands . In developmental contexts, DAND5 plays critical roles in cardiac development, with loss-of-function studies in mice demonstrating increased thickness of ventricular heart walls due to enhanced cardiomyocyte proliferation .
DAND5 expression has been documented in cardiac tissues during development and in pluripotent stem cell-derived cardiomyocytes. Additionally, DAND5 expression has been observed in colorectal cancer tissues, with expression levels that positively correlate with cancer progression . DAND5 protein has also been detected in breast cancer tissues, where its expression correlates with disease outcomes .
DAND5 can be detected through several methodologies depending on the research question:
Immunohistochemistry (IHC) for tissue expression analysis
Western blotting for protein expression in cell lysates
RT-qPCR for mRNA expression analysis
ELISA for serum concentration measurement in clinical samples
For Western blotting applications, monoclonal anti-DAND5 antibodies have been successfully employed at a dilution of 1:2000 . Protein samples should be separated by SDS-PAGE and transferred to nitrocellulose membranes. After blocking in 5% BSA (w/v) at room temperature for 1 hour, membranes should be incubated with primary anti-DAND5 antibody overnight at 4°C, followed by appropriate secondary antibody incubation for 1 hour at room temperature. Signal detection is typically performed using enhanced chemiluminescence reagents .
CRISPR-Cas9 gene editing technology has been successfully employed to generate DAND5 knockout and correction models. For example, researchers have:
Generated DAND5-corrected hiPSC lines to serve as isogenic controls
Created DAND5 full-mutant hiPSC lines to study complete loss of function
Produced Dand5 knockout mouse embryonic stem cell lines
These gene-edited lines enable the analysis of DAND5's role in processes such as cardiomyocyte differentiation and proliferation by comparing isogenic lines that differ only in DAND5 function .
Transient knockdown of DAND5 can be achieved using siRNA transfection. In published studies, siRNA for DAND5 was synthesized and transfected into cells using TurboFect siRNA Transfection Reagent at a final concentration of 10 nM. Cells were typically collected 48-72 hours post-transfection for subsequent experiments. This approach has been successfully applied in colorectal cancer cell lines such as RKO and HCT116 to study the effects of DAND5 depletion on cell proliferation, migration, and invasion .
Studies using DAND5-deficient pluripotent stem cells have demonstrated that DAND5 inactivation significantly enhances cardiac differentiation. In mouse embryonic stem cells (mESCs), Dand5 knockout resulted in approximately double the number of cardiac beating foci compared to wild-type cells . This enhancement occurs through two main mechanisms:
Early formation of cardiac progenitor cells, shown by increased proportion of FLK-1+/PDGFR-α+ cardiac progenitor cells
Increased proliferative capacity of cardiomyocytes derived from DAND5-deficient stem cells
DAND5 primarily antagonizes the TGF-β/Nodal signaling pathway, with loss of DAND5 function leading to increased levels of phosphorylated-SMAD2, indicating enhanced Nodal signaling activity. Transcriptional profiling of DAND5-deficient cardiomyocytes reveals upregulation of genes involved in:
Early cardiac gene networks governing differentiation
Cell cycling pathways
Cardiac regenerative pathways
Interestingly, genes involved in cardiomyocyte maturation show reduced expression in DAND5-deficient cells, suggesting a complex role in balancing proliferation versus maturation .
Electrophysiological assessments using multi-electrode array (MEA) technology have shown that DAND5-deficient cardiomyocytes, despite their higher proliferative capacity, maintain electrophysiological competence . This suggests that modulating DAND5 levels could potentially serve as a strategy for generating larger numbers of functional cardiomyocytes from pluripotent stem cells for applications such as cardiac repair .
In colorectal cancer (CRC), high DAND5 protein expression in tissues increases with advancing TNM stage. Serum DAND5 levels in CRC patients are significantly higher than in normal controls and correlate with:
Similarly, in breast cancer, positive DAND5 staining in tissues is associated with a higher likelihood of disease events (HR=5.494; 95% CI: 1.008-2.353; P=0.048) and poorer disease-free survival (P=0.041) .
Serum DAND5 has shown promise as a diagnostic and prognostic biomarker in both colorectal and breast cancer:
For CRC diagnosis:
Cut-off value: 199.5 pg/ml
High accuracy in distinguishing CRC patients from healthy subjects
Positive correlation between serum DAND5 levels and matched DAND5 expression in CRC tissues
For breast cancer prognosis:
Positive serum DAND5 is associated with increased risk of disease events (univariate: HR=1.58; 95% CI: 1.206-2.070; P=0.001)
Correlates with poor disease-free survival (P=0.001) and distant disease-free survival (P=0.002)
In vitro studies using siRNA-mediated knockdown of DAND5 in colorectal cancer cell lines have demonstrated that DAND5 depletion:
Significantly decreases cancer cell proliferation
Reduces cell migration and invasion
Affects epithelial-mesenchymal transition (EMT) phenotype, likely through modulation of E-cadherin and Snail expression
Additionally, secreted DAND5 has been shown to promote tumor growth and angiogenesis both in vitro and in vivo models of breast cancer .
When studying DAND5 function, it is critical to include appropriate controls that isolate the specific effects of DAND5 modulation. The most rigorous approach employs isogenic cell lines that differ only in DAND5 status. Studies have successfully generated:
DAND5-corrected isogenic control lines from patient-derived iPSCs
DAND5 full-mutant lines from the same parental cells
This approach minimizes confounding variables that might arise from different genetic backgrounds and allows for direct attribution of phenotypic differences to DAND5 function.
Studies have shown that DAND5's effects on cardiomyocyte proliferation may vary at different stages of differentiation. For example, in one study, DAND5-variant cardiomyocytes showed significantly increased proliferation at day 10 of differentiation, but this difference diminished by day 20 . Therefore, experimental designs should include multiple timepoints for evaluation, particularly:
Early differentiation (days 0-5): to capture effects on cardiac progenitor specification
Mid-differentiation (days 6-12): to evaluate early cardiomyocyte proliferation
Late differentiation (days 13-20+): to assess maturation and sustained proliferative effects
Multiple complementary techniques should be employed to robustly assess DAND5's effects on cell proliferation:
Flow cytometry analysis of cell cycle markers
Colony formation assays (quantifying colonies containing >50 cells)
Expression analysis of cell cycle regulators via RT-qPCR
Immunofluorescence staining for proliferation markers (e.g., Ki67, phospho-histone H3)
These approaches collectively provide a comprehensive assessment of proliferative capacity beyond what any single assay could reveal.
Inconsistent immunostaining results may stem from several factors:
Antibody specificity: Validate antibodies using positive and negative controls, including DAND5 knockout tissues/cells
Fixation conditions: Optimize fixation protocols, as DAND5 is an extracellular protein that may require specific preservation methods
Antigen retrieval: Test multiple antigen retrieval methods if using formalin-fixed, paraffin-embedded samples
Scoring system standardization: Implement a rigorous scoring system for immunohistochemistry, such as the immunoreactive score used in published studies that multiplies staining intensity (0-3) by percentage of positive cells (0-4)
When analyzing DAND5 serum concentration data:
Establish appropriate cut-off values for the specific cancer type and assay method (e.g., 199.5 pg/ml for CRC, 30.8 pg/ml for breast cancer)
Use receiver operating characteristic (ROC) curves to determine sensitivity, specificity, and area under the curve (AUC)
Apply both univariate and multivariate analyses when correlating with clinical outcomes
Account for potential confounding factors such as tumor stage, grade, and treatment history
Validate findings in independent cohorts before clinical application
When encountering contradictory findings about DAND5 function:
Examine the specific cell types or tissue contexts, as DAND5's effects may be context-dependent
Consider partial versus complete loss of function (heterozygous variants versus complete knockout)
Evaluate the efficiency level of DAND5 protein in variant cell lines compared to controls
Assess the temporal dynamics, as observed effects may change over time
Analyze the precise molecular mechanisms, as DAND5 can inhibit multiple signaling pathways (Nodal, BMP, WNT)
DAND5 modulation shows promise for regenerative medicine applications, particularly for cardiac repair. Since DAND5 inactivation enhances both cardiac progenitor formation and cardiomyocyte proliferation while maintaining functional competence, targeted inhibition of DAND5 could potentially:
Improve efficiency of deriving cardiomyocytes from patient-specific iPSCs
Expand cardiomyocyte populations for cell therapy applications
Enhance cardiac regeneration following injury
Serve as a target for small molecule modulators to stimulate endogenous cardiac repair
Development of therapeutic approaches targeting DAND5 should consider:
The multivalent nature of DAND5 inhibition (affects Nodal, BMP, and WNT pathways)
Potential off-target effects in non-cardiac tissues where DAND5 is expressed
The balance between proliferation enhancement and proper functional maturation
Delivery methods for DAND5-targeting agents (e.g., neutralizing antibodies, small molecules, or RNA interference)
Temporal aspects of intervention, as DAND5's effects may vary at different developmental or disease stages
Emerging technologies that could advance our understanding of DAND5 include:
Cryo-electron microscopy to elucidate the 3D structure of DAND5 and its interactions with ligands
Single-cell transcriptomics to characterize cell-specific responses to DAND5 modulation
CRISPR activation/inhibition systems for precise temporal control of DAND5 expression
Organ-on-chip models to study DAND5 function in complex tissue contexts
Computational modeling of DAND5 binding affinities to different signaling molecules