Department of Medicine III, Technische Universität Dresden, Dresden, Germany.
Center for Healthy Aging, Technische Universität Dresden, Dresden, Germany.
J Bone Miner Res. 2019 Jul;34(7):1314-1323. doi: 10.1002/jbmr.3702. Epub 2019 Mar 7.
Dickkopf-1 (Dkk1) is a negative regulator of bone formation and bone mass and is deregulated in bone loss induced by arthritis and glucocorticoid (GC) exposure. However, the role of Dkk1 in these pathological processes is still unknown. Here, we used conditional Dkk1 knock-out mice to determine the role of Dkk1 produced by osteolineage cells in the development of arthritis and GC-induced bone loss. Osteoprogenitor (Osx-Cre)- and osteocyte (Dmp1-Cre)-specific knock-out mice and their Cre-negative controls were subjected to two arthritis models, K/BxN and antigen-induced arthritis. Disease induction and progression were assessed. GC-induced bone loss was induced in 25-week-old female mice by implanting prednisolone (7.5 mg) slow-release pellets for 4 weeks. Dkk1 ;Osx-Cre mice subjected to K/BxN arthritis showed mildly reduced disease severity with reduced infiltration of neutrophils and T cells into affected joints and reduced bone erosions compared with Cre-negative controls. Osteocyte-specific Dkk1 deletion did not affect disease severity or local bone erosions. However, systemic bone loss at the spine was less severe in both mouse lines. In contrast to arthritis, both lines were protected from GC-induced bone loss. Although the Cre-negative controls lost about 26% and 31% bone volume potentially caused by decreased bone formation, Cre-positive mice did not exhibit such alterations. Dkk-1 deficiency in osteolineage cells protects against GC-induced bone loss, whereas it had only minor effects in arthritis. Therefore, Dkk1 may be a promising therapeutic target especially for bone diseases in which inhibition of bone formation represents the predominant mechanism. © 2019 American Society for Bone and Mineral Research.
Dickkopf-1 (Dkk1) 是骨形成和骨量的负调节剂,在关节炎和糖皮质激素 (GC) 暴露引起的骨丢失中失调。然而,Dkk1 在这些病理过程中的作用仍不清楚。在这里,我们使用条件性 Dkk1 敲除小鼠来确定成骨细胞产生的 Dkk1 在关节炎和 GC 诱导的骨丢失发展中的作用。成骨前体细胞 (Osx-Cre)-和骨细胞 (Dmp1-Cre)-特异性敲除小鼠及其 Cre 阴性对照小鼠被用于两种关节炎模型,即 K/BxN 和抗原诱导的关节炎。评估了疾病诱导和进展。通过植入泼尼松龙(7.5mg)缓释微球 4 周,在 25 周龄雌性小鼠中诱导 GC 诱导的骨丢失。与 Cre 阴性对照小鼠相比,接受 K/BxN 关节炎的 Dkk1;Osx-Cre 小鼠显示出疾病严重程度降低,受影响关节中中性粒细胞和 T 细胞浸润减少,骨侵蚀减少。骨细胞特异性 Dkk1 缺失不影响疾病严重程度或局部骨侵蚀。然而,两种小鼠系的脊柱全身骨丢失程度较轻。与关节炎相反,两种系都受到 GC 诱导的骨丢失的保护。尽管 Cre 阴性对照小鼠的骨形成减少导致约 26%和 31%的骨体积丢失,但 Cre 阳性小鼠没有表现出这种变化。成骨细胞中 Dkk-1 的缺乏可预防 GC 诱导的骨丢失,而在关节炎中仅具有较小的影响。因此,Dkk1 可能是一种有前途的治疗靶点,特别是对于以抑制骨形成作为主要机制的骨疾病。© 2019 美国骨矿研究协会。