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Increased circulating Dickkopf-1 in Paget's disease of bone

Marshall, Michael J.
Evans, Sally F.
Sharp, Christopher A.
Powell, Diane E.
McCarthy, Helen S.
Davie, Michael W. J.
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Abstract
This article discusses Dickkopf-1 (Dkk-1), which is a secreted inhibitor of Wnt signaling which in adults regulates bone turnover. Dkk-1 over-production is implicated in osteolytic disease where it inhibits bone formation and stimulates bone breakdown. Recently it was reported that osteoblastic cells from Paget's disease of bone (PDB) over-expressed Dkk-1. This study aimed yo see if increased Dkk-1 was detected in serum from patients with PDB. The results showed that Dkk-1 and total serum alkaline phosphatase activity (tsAP) were significantly elevated in sera from PDB patients. Patients with polyostotic PDB had significantly higher levels of tsAP but not Dkk-1, than monostotic patients. TsAP but not Dkk-1, was significantly lower in sera from bisphosphonate treated versus untreated PDB patients. Dkk-1 and tsAP were not significantly correlated. Dkk-1 may be a useful biomarker of PDB and the authors speculate that Dkk-1 may play a central role in the etiology of PDB.
Citation
Clinical Biochemistry, 42(10-11), 2009, pp. 965-969
Publisher
Elsevier
Journal
Clinical Biochemistry
Research Unit
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Type
Article
Language
en
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ISSN
0009-9120
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http://www.journals.elsevier.com/clinical-biochemistry/