OBJECTIVE: Dickkopf-1 (DKK-1) is an inhibitor of osteoblastogenesis, and its lower levels are linked to new bone formation. The aim of this study was therefore to explore serum levels of DKK-1 and to evaluate DKK-1's association with the severity of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). METHODS: Serum levels of total and functional DKK-1 and C-reactive protein (CRP) were measured in 37 patients with DISH and 22 healthy age and sex-matched controls. Plain radiographs of the cervical and thoracic spine were performed, and the diagnosis of DISH was defined using the Resnick criteria. Patients were divided into three groups based on spinal involvement. Bone mineral density (BMD) and bone turnover markers were evaluated in patients with DISH. RESULTS: The levels of total serum DKK-1 were significantly lower in patients with DISH than in healthy controls (p<0.0001). Importantly, low serum levels of DKK-1 were associated with more severe spinal involvement in DISH, independent of age, sex, disease duration, CRP, bone turnover markers or BMD. However, these findings were less significant for functional DKK-1. CONCLUSION: These observations indicate that DKK-1 may play a significant role in bone formation during DISH.
- MeSH
- biologické markery krev MeSH
- C-reaktivní protein metabolismus MeSH
- difuzní idiopatická skeletální hyperostóza krev patofyziologie radiografie MeSH
- hrudní obratle radiografie MeSH
- kostní denzita fyziologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mezibuněčné signální peptidy a proteiny krev MeSH
- remodelace kosti fyziologie MeSH
- senioři MeSH
- studie případů a kontrol MeSH
- stupeň závažnosti nemoci MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
The degeneration of articular cartilage results from osteoarthritis and many other forms of severe arthritis. Current treatments for cartilage repair are less than satisfactory, and rarely restore a full function or return the tissue to its natural state. The leading strategies in the treatment are aimed at the transplantation of cells and/or the use of various biological grafts, bioactive agents, or biologically compatible implant matrices. The insertion of a crushed autologous bone graft has been reported as a possible therapy. However, the regenerative quality of the tissue was less than 70% of healthy cartilage for fragments and controls. The implantation of cycloolefin-blend 3D-cylinders with hydrogel scaffolds on their proximal parts and with the applications of type I collagen films is one of several surgical therapies. The replacement and continuous biomechanical properties of the subchondral bone play an important role in the morphology and the quality of chondrogenesis. The initial biomechanical stability of COC-blend polymer replacements in the subchondral bone contributes to the formation of a new cartilage tissue. The initial bearing capacities of the implanted tissue/replacements and vertical positions of the replacements have a principal influence upon both the quality and the quantity of new articular cartilage.
- MeSH
- analýza selhání vybavení MeSH
- chondrogeneze fyziologie MeSH
- kloubní chrupavka cytologie růst a vývoj chirurgie MeSH
- kostní náhrady terapeutické užití MeSH
- prasata MeSH
- protézy - design MeSH
- výsledek terapie MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
