| 1999 |
Gremlin is a member of the DAN family of BMP antagonists that binds and blocks BMP2, BMP4, and BMP7; exogenous recombinant Gremlin in the developing avian limb controls outgrowth, restricts programmed cell death, confines chondrogenesis, and regulates interdigital tissue regression, all mediated by neutralization of BMP signaling. |
In vivo administration of recombinant protein in chick embryo limb bud; expression analysis by in situ hybridization |
Development |
High |
10556075
|
| 2000 |
Drm/Gremlin is synthesized as a secreted glycoprotein that exists in both glycosylated and non-glycosylated forms; both undergo phosphorylation. The protein is present on the external cell surface and within the ER/Golgi. Both cell-associated and secreted forms bind 125I-BMP-4 and antagonize BMP signaling. |
Metabolic labeling, SDS-PAGE, confocal immunofluorescence microscopy, 125I-BMP-4 binding assay, BMP signaling reporter assay |
Journal of Biological Chemistry |
High |
10722723
|
| 2003 |
Gremlin (Cktsf1b1) is the principal BMP antagonist required for early limb outgrowth and patterning in mice; its loss interrupts the positive feedback loop between the zone of polarizing activity (ZPA/Shh) and the apical ectodermal ridge (AER/Fgf), resulting in abnormal skeletal patterning. The gremlin mutation is allelic to the limb deformity (ld) mutation. |
Mouse knockout/genetic mutation, in vivo skeletal phenotyping, genetic epistasis (allele complementation) |
Nature Genetics |
High |
12808456
|
| 2002 |
Drm/Gremlin overexpression in tumor-derived cell lines (Daoy, Saos-2) inhibits tumorigenesis, increases p21(Cip1) protein levels via a p53- and MAP kinase-independent transcriptional mechanism, and reduces phospho-p42/44 MAP kinase levels. |
Ecdysone-inducible and constitutive overexpression in tumor cell lines; Western blot for p21(Cip1) and phospho-p42/44 MAPK; tumorigenicity assays |
Biochemical and Biophysical Research Communications |
Medium |
12135612
|
| 2004 |
Drm/Gremlin and Dan physically interact with Slit1 and Slit2 proteins; this binding depends on glycosylation of Drm and is not competed by BMPs. Drm and Dan function as inhibitors of monocyte chemotaxis induced by SDF-1α or fMLP; Dan's inhibition is not due to blocking SDF-1α binding to its receptor. |
Co-immunoprecipitation/pulldown, monocyte chemotaxis assays, competitive binding assays |
Journal of Immunology |
Medium |
15528323
|
| 2006 |
Drm/Gremlin is a proangiogenic factor expressed by endothelium that stimulates endothelial cell migration and invasion in fibrin and collagen gels, binds with high affinity to endothelial cells, triggers tyrosine phosphorylation of intracellular signaling proteins, and induces neovascularization in the chick chorioallantoic membrane. This proangiogenic activity is BMP4-independent: BMP4 does not affect Drm/Gremlin–endothelium interaction. |
Protein purification from conditioned medium using endothelial sprouting assay; recombinant protein binding studies; in vitro migration/invasion assays; CAM neovascularization assay; tyrosine phosphorylation Western blot |
Blood |
High |
17077323
|
| 2006 |
BMP activity is necessary and sufficient for induction of Gremlin expression in the posterior limb bud (low BMP2 upregulates Gremlin; high BMP2 downregulates it). Shh activity is required to exclude Gremlin from the posterior limb domain, thereby terminating the Shh-Fgf4 signaling loop. |
Bead implantation assays (BMP2, Noggin beads in chick limb), oligozeugodactyly mutant limbs lacking Shh, cyclopamine Shh blockade, in vivo limb mesenchyme cultures |
Developmental Biology |
High |
16989805
|
| 2007 |
Gremlin promotes vascular smooth muscle cell (VSMC) proliferation and migration by blocking BMP signaling; stable overexpression blocks BMP-induced reduction of DNA synthesis, accelerates cell cycle progression through p27(kip1) down-regulation, and increases migration. Gremlin expression in VSMCs is induced by angiotensin II, TGF-β1, and PDGF, and is elevated in neointima of balloon-injured carotid arteries. |
Stable overexpression, gene silencing (siRNA), DNA synthesis assay, cell counting, cell cycle analysis, migration assay, in vivo balloon injury model, Western blot |
Journal of Molecular and Cellular Cardiology |
Medium |
18086474
|
| 2009 |
Allelic depletion of grem1 in streptozotocin-diabetic mice (grem1+/-) attenuates diabetic kidney disease: pSmad1/5/8 (BMP signaling) is maintained in grem1+/- kidneys (unlike wild-type diabetic kidneys), and markers of renal damage (fibronectin, CTGF, glomerular basement membrane thickening, microalbuminuria) are reduced, placing grem1 as a BMP antagonist driving renal injury. |
Grem1 heterozygous knockout mouse, streptozotocin diabetes model, immunohistochemistry, Western blot for pSmad1/5/8 and fibrosis markers, microalbuminuria measurement |
Diabetes |
High |
19401426
|
| 2011 |
Six1 regulates Grem1 expression in the metanephric mesenchyme (MM) to initiate ureteric bud branching morphogenesis: Six1-/- mice lack Grem1 expression in the MM, causing failure of ampulla formation. Restoring GREM1 protein to Six1-/- kidney rudiments rescues branching. Genetic reduction of BMP4 in Six1-/- mice (Six1-/-; Bmp4+/-) also restores urinary tract morphogenesis, placing Grem1 downstream of Six1 and upstream of BMP4 in this pathway. |
Six1 knockout mice, GREM1 protein rescue experiment, genetic epistasis (Six1-/-; Bmp4+/- double mutant), in vitro kidney rudiment culture |
Developmental Biology |
High |
21281623
|
| 2012 |
Gremlin-1 binds various cancer cell lines independently of BMP-2, BMP-4, BMP-7, and VEGFR2. This BMP-independent binding promotes cell migration, invasion, proliferation, and EMT (decreased E-cadherin), all of which are blocked by a neutralizing anti-gremlin-1 antibody (GRE1). |
Cell binding assays, antibody blocking, scratch wound healing assay, invasion assay, stable gremlin-1 transfection, E-cadherin immunostaining |
PLoS ONE |
Medium |
22514712
|
| 2015 |
Gremlin (VEGFR2 agonist) binds to VEGFR2 in renal proximal tubular epithelial cells and activates VEGFR2 signaling independently of its BMP antagonism. In vivo administration of recombinant gremlin to murine kidneys activates VEGFR2 signaling and triggers NF-κB-driven renal inflammation and immune cell infiltration; VEGFR2 blockade diminishes these effects. |
Recombinant gremlin administration in vivo and in vitro, VEGFR2 binding assay, VEGFR2 kinase inhibitor treatment, co-immunoprecipitation/binding in tubular cells, NF-κB activation by Western blot, histological analysis of inflammatory infiltrate |
Journal of Pathology |
High |
25810250
|
| 2015 |
Gremlin 1 defines a skeletal stem cell population (osteochondroreticular, OCR) in bone marrow metaphysis that self-renews and gives rise to osteoblasts, chondrocytes, and reticular marrow stromal cells (but not adipocytes); Grem1 expression is required for bone development, bone remodeling, and fracture repair. Grem1 also identifies intestinal reticular stem cells (iRSCs) that are cells of origin for the periepithelial intestinal mesenchymal sheath. |
Gremlin-1-Cre fate-mapping in mice, clonal analysis, in vivo bone development and fracture repair models, flow cytometry, transplantation assays |
Cell |
High |
25594183
|
| 2015 |
Gremlin 1 (along with FRZB and DKK1) inhibits hypertrophic differentiation of human articular chondrocytes, maintaining cartilage homeostasis. Supplementation of these proteins diminishes terminal hypertrophic differentiation without affecting chondrogenesis in long-bone explant cultures and in chondrogenically differentiating human MSCs. |
Recombinant protein supplementation in long-bone explant cultures and human MSC chondrogenic differentiation; gene expression profiling; whole-genome microarray |
Arthritis and Rheumatism |
Medium |
22576962
|
| 2015 |
Gremlin induces ocular hypertension in mice via Smad3-dependent signaling in the trabecular meshwork (TM): intravitreal Ad5.Gremlin elevates IOP and upregulates fibronectin and collagen-1 expression in TM of Smad3 wild-type but not Smad3 HET or KO mice. Gremlin and TGFβ2 reciprocally increase each other's expression in the TM. |
Intravitreal adenoviral injection in wild-type vs. Smad3 knockout mice, IOP measurement, Western blot, immunofluorescence, qPCR |
Investigative Ophthalmology & Visual Science |
High |
26284554
|
| 2015 |
Gremlin 1 is a key pro-fibrogenic factor in chronic pancreatitis: TGF-β induces Grem1 expression in pancreatic stellate cells; Grem1 blocks BMP2-induced Smad1/5 phosphorylation and abolishes BMP2's suppression of TGF-β-induced collagen expression. Grem1+/- mice show ~33% reduction in pancreatic fibrosis. |
Mouse CP model (cerulein), Grem1+/- knockout mice, isolated pancreatic stellate cell cultures, recombinant Grem1 protein treatment, Smad1/5 phosphorylation Western blot, collagen quantification |
Journal of Molecular Medicine |
High |
26141517
|
| 2016 |
Crystal structure of Gremlin-1 reveals a conserved dimeric structure similar to other DAN family inhibitors. Biophysical analysis shows Gremlin-1 and BMP-2 form larger oligomeric complexes beyond 1:1 stoichiometry. Mutagenesis mapped the Gremlin-1 binding site on BMP-2, revealing a mechanism of BMP inhibition distinct from Noggin and Chordin. |
X-ray crystallography (crystal structure of Gremlin-1), biolayer interferometry (BLI) binding kinetics, site-directed mutagenesis of BMP-2 |
Biochemical Journal |
High |
27036124
|
| 2016 |
GREM1 is a direct transcriptional target of CDX2 and TCF7L2 (Wnt effector): the CRC risk allele at rs16969681 lies in active chromatin with enhancer activity; CDX2 and TCF7L2 bind this region with higher affinity for the risk allele, driving stronger GREM1 expression. Higher Grem1 mRNA increases intestinal tumor burden in ApcMin mice. |
Chromatin accessibility/enhancer reporter assay, allele-specific CDX2/TCF7L2 binding assay, CDX2 overexpression-driven GREM1 re-expression, ApcMin mouse model with Grem1 dosage manipulation |
Cell Reports |
High |
25131200
|
| 2018 |
Gremlin activates the Notch signaling pathway in kidney tubular cells: recombinant gremlin upregulates Jagged-1, induces nuclear translocation of active Notch-1 (N1ICD), and upregulates Notch effectors hes-1 and hey-1 in vitro and in vivo. This Notch activation is linked to NF-κB-mediated renal inflammation. |
In vitro tubular cell culture, in vivo murine renal gremlin injection, γ-secretase inhibitor (DAPT) Notch blockade, Western blot for N1ICD, gene expression analysis |
Clinical Science |
Medium |
29720422
|
| 2018 |
SLIT2 and Gremlin interact directly: the SLIT2-Gremlin interaction inhibits both SLIT2-ROBO2 signaling in neurons and Gremlin antagonism of BMP activity in myoblasts and fibroblasts. BMP2 down-regulates SLIT2 expression through canonical BMP/SMAD4 signaling; Gremlin treatment, BMP receptor inhibition, or SMAD4 knockdown rescues SLIT2 repression—revealing negative cross-talk between the SLIT2 and BMP-Gremlin pathways. |
Direct binding assays, SLIT2-ROBO2 signaling assay in neurons, BMP activity assay in myoblasts/fibroblasts, SLIT2 promoter activity assay, SMAD4 knockdown, BMP receptor inhibition |
Journal of Biological Chemistry |
High |
29317497
|
| 2019 |
Cancer-associated fibroblast (CAF)-derived Grem1 abrogates BMP/SMAD signaling in breast cancer cells, promoting mesenchymal phenotype, stemness, and invasion. TGF-β secreted by breast cancer cells stimulates GREM1 expression in CAFs. Grem1 also promotes fibrogenic activation of CAFs and breast cancer cell intravasation and extravasation in zebrafish xenograft models. |
In situ hybridization, recombinant protein treatment, SMAD signaling assay, functional cell-based assays (stemness, invasion), collagen contraction assay, zebrafish xenograft co-injection model |
Breast Cancer Research |
Medium |
31533776
|
| 2020 |
GREM1 promotes breast cancer cell metastasis by activating STAT3, which drives MMP13 transcription. GREM1 knockdown reduces tumor growth and lung metastasis in an orthotopic mouse model. |
GREM1 knockdown/overexpression, orthotopic mouse model, STAT3 activation assay, MMP13 expression analysis, migration/invasion assays |
International Journal of Molecular Sciences |
Medium |
33287358
|
| 2020 |
Gremlin-1 activates VEGFR2-Akt-mTORC2 signaling in retinal pigment epithelial (RPE) cells to promote cell proliferation, migration, and VEGF production; VEGFR2 inhibition or knockdown, and mTORC2 component knockdown (Rictor, Sin1), abolished these effects. |
Pharmacological inhibition (SU5416), shRNA knockdown of VEGFR2/mTORC2 components, Western blot for p-Akt/mTORC2, proliferation/migration assays, VEGF ELISA |
Oncotarget |
Medium |
27894090
|
| 2020 |
GREM1 in rheumatoid arthritis fibroblast-like synoviocytes (RA-FLS) promotes cell proliferation, survival, migration, and invasion via αvβ3 integrin signaling: GREM1 siRNA reduces pErk1/2, pAkt, and Bcl2 while increasing Bax expression; these effects are completely blocked by anti-αvβ3 integrin neutralizing antibodies. |
siRNA knockdown, recombinant GREM1 treatment, αvβ3 integrin neutralizing antibody, Western blot for signaling proteins, cell proliferation/migration/invasion assays |
Journal of Rheumatology |
Medium |
26834210
|
| 2020 |
GREM1 activates Akt/STAT3 signaling to increase glycolysis in breast cancer cells by upregulating hexokinase-2 (HK2) expression; this operates via a ROS-Akt-STAT3 axis and increases glucose uptake and lactate production. |
GREM1 overexpression, glucose uptake/lactate production assays, Western blot for STAT3/Akt/HK2, ROS measurement, signaling inhibitors |
Biochemical and Biophysical Research Communications |
Low |
33097188
|
| 2021 |
Stromal Grem1 upregulation from topographically distinct fibroblast populations is required for adaptive BMP pathway attenuation during intestinal regeneration after ulceration; this Grem1-mediated BMP antagonism is obligatory but functionally submaximal for regenerative stem cell reprogramming. Mechanistically, BMP pathway activation (via Bmp4) abrogates regenerative stem cell dedifferentiation despite convergent YAP/TAZ effects on cell fate. |
Novel mouse model (autocrine Bmp4 ligand), spatial BMP signaling mapping (mouse and human), Grem1 deletion transgenic mice, Bmp4 or Grem1 epithelial overexpression, intestinal regeneration assays |
Gastroenterology |
High |
33819486
|
| 2021 |
Grem1+ fibroblastic reticular cells (FRCs) localize at T-B cell junctions in secondary lymphoid organs and are required for homeostatic maintenance of resident conventional dendritic cells (cDCs): Grem1+ FRC depletion causes preferential loss, decreased homeostatic proliferation and survival of cDCs, and compromised T cell immunity. |
scRNA-seq (human and mouse lymph nodes), Grem1-CreERT2 knock-in mice for genetic depletion, multi-omics characterization, flow cytometry, functional T cell immunity assays |
Nature Immunology |
High |
33903764
|
| 2022 |
Grem1 inhibits the expression of EMT transcription factors Snai1 (Snail) and Snai2 (Slug) in epithelial PDAC cells, maintaining epithelial identity by suppressing BMP activity. Grem1 inactivation in established PDAC causes direct conversion of epithelial to mesenchymal cells; conversely, Grem1 overexpression causes epithelialization of mesenchymal PDAC cells. This paracrine mechanism (Grem1 expressed in mesenchymal cells, acting on epithelial cells) is required to maintain cellular heterogeneity in pancreatic cancer. |
Conditional Grem1 knockout in established PDAC mouse tumors, Grem1 overexpression in mesenchymal PDAC cells, time-course cell fate analysis, Snai1/Snai2 expression analysis, human PDAC validation |
Nature |
High |
35768509
|
| 2022 |
Grem1 accelerates nucleus pulposus cell apoptosis in intervertebral disc degeneration by inhibiting TGF-β-mediated Smad2/3 phosphorylation: Grem1 siRNA reduces apoptosis in TNF-α-induced degenerative NP cells and inhibits IVDD progression in vivo. |
siRNA knockdown, flow cytometry for apoptosis, Western blot for p-Smad2/3, immunofluorescence, in vivo IVDD rat model with local siRNA injection |
Experimental & Molecular Medicine |
Medium |
35440754
|
| 2020 |
Grem1 depletion in adult mice causes fatal enteropathy (failure of epithelial cell replication and maturation, villous atrophy) and bone marrow failure with haematopoietic insufficiency, demonstrating an essential homeostatic role for Grem1 in maintaining intestinal epithelial renewal and haematopoiesis. |
Inducible Grem1 conditional knockout (ROSA26CreER-Grem1flx/flx) in adult mice, tamoxifen induction, histopathology, assessment of epithelial proliferation and bone marrow cellularity |
Journal of Pathology |
High |
32297672
|
| 2022 |
GREM1 and ISLR are CAF-specific genes that antagonistically regulate stromal BMP signaling in colorectal cancer: GREM1 inhibits BMP signaling while ISLR promotes it. They mark distinct fibroblast subpopulations differentially regulated by TGF-β and FOXL1. GREM1-neutralizing antibody or fibroblast Islr overexpression reduces CRC tumoroid growth and promotes Lgr5+ stem cell differentiation. AAV8-mediated Islr delivery to hepatocytes increased BMP signaling and improved survival in a mouse liver metastasis model. |
Human CRC RNA analysis, in situ hybridization, CRC tumoroid assays with GREM1-neutralizing antibody, fibroblast Islr overexpression, AAV8 gene delivery in mouse hepatic metastasis model, BMP signaling assays |
Gastroenterology |
High |
33197448
|
| 2022 |
Gremlin-1 induces endothelial-to-mesenchymal transition (EndMT) in pulmonary artery endothelial cells (PAECs) via phospho-Smad2/3-dependent signaling; BMP-7 reverses Gremlin-1-induced EndMT by inducing phospho-Smad1/5/8 and suppressing phospho-Smad2/3. |
Recombinant gremlin-1 treatment, BMP-7 treatment, immunofluorescence for EndMT markers (α-SMA, VWF), Western blot for Smad phosphorylation, migration and tube formation assays |
Experimental Cell Research |
Medium |
32145252
|
| 2022 |
In NAFLD/NASH, Gremlin 1 (expressed highly in visceral fat) is pro-senescent and antagonistic to BMP4. BMP4 is anti-senescent, anti-steatotic, anti-inflammatory and anti-fibrotic in liver cell spheroids. Both senescence and anti-senescence factors target the YAP/TAZ pathway in this context. |
Human liver biopsies (n=58), liver cell spheroids (stellate and hepatocyte cells), recombinant BMP4 and Gremlin 1 treatment, senescence markers, YAP/TAZ pathway assays, machine learning analysis |
Nature Metabolism |
Medium |
35995996
|
| 2014 |
Aberrant epithelial GREM1 expression (caused by the HMPS duplication) disrupts homeostatic intestinal BMP morphogen gradients, alters cell fate along the vertical epithelial axis, and promotes persistence/reacquisition of stem cell properties in Lgr5-negative progenitor cells that have exited the stem cell niche, enabling ectopic crypt formation and cancer initiation from non-stem cells. |
HMPS patient tissue analysis, mouse model of GREM1 epithelial overexpression, BMP gradient mapping, Lgr5 lineage tracing, histology, somatic mutation analysis |
Nature Medicine |
High |
25419707
|
| 2023 |
Grem1 marks a bipotent chondrogenic/osteogenic progenitor cell population within the articular surface; these progenitors are depleted by injury-induced OA and aging, and their genetic ablation causes OA in mice. Foxo1 is required for Grem1-lineage cell survival (Foxo1 ablation in Grem1-lineage cells causes OA). FGFR3 pathway activation by FGF18 drives Grem1-lineage chondrocyte progenitor proliferation, increases cartilage thickness, and reduces OA. |
Grem1-Cre lineage tracing, genetic cell ablation in mice, Foxo1 conditional knockout in Grem1-lineage cells, FGF18 administration, transcriptomic analysis, OA scoring |
Nature Communications |
High |
37907525
|