In ankylosing spondylitis, the pathological metabolism of the bone tissue is regulated by various proteins; of these, Dkk-1 protein, an antagonist of the Wnt-signaling pathway, is of particular interest. We compared the methods of Dkk-1 detection in the blood serum of patients with ankylosing spondylitis (conventional ELISA and aptamer/antibody assay) and analyzed the relationship between Dkk-1 level and structural progression of ankylosing spondylitis and secondary osteoporosis. Dkk-1 levels in patients were significantly increased and depended on the stage of the disease, but not on the presence/absence of osteoporosis. Thus, Dkk-1 is a potential serum marker of progression of ankylosing spondylitis reflecting a tendency to structural progression of the disease before the appearance of radiographic changes. The results obtained by both methods practically coincided, which suggests good prospects for applying DNA aptamer-based test system.
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References
Grebennikova TA, Belaya ZhE, Rozhinskaya LYa, Melnichenko GA. The canonical Wnt/β-catenin pathway: from the history of its discovery to clinical application. Ter. Arkhiv. 2016;88(10):74-81. https://doi.org/10.17116/terarkh201688674-81. Russian.
Daoussis D, Andonopoulos AP. The emerging role of Dickkopf-1 in bone biology: is it the main switch controlling bone and joint remodeling? Semin. Arthritis Rheum. 2011;41(2):170-177. https://doi.org/10.1016/j.semarthrit.2011.01.006
Daoussis D, Liossis SN, Solomou EE, Tsanaktsi A, Bounia K, Karampetsou M, Yiannopoulos G, Andonopoulos AP. Evidence that Dkk-1 is dysfunctional in ankylosing spondylitis. Arthritis Rheum. 2010;62(1):150-158. https://doi.org/10.1002/art.27231
Delgado-Calle J, Sato AY, Bellido T. Role and mechanism of action of sclerostin in bone. Bone. 2017;96:29-37. https://doi.org/10.1016/j.bone.2016.10.007
Diarra D, Stolina M, Polzer K, Zwerina J, Ominsky MS, Dwyer D, Korb A, Smolen J, Hoffmann M, Scheinecker C, van der Heide D, Landewe R, Lacey D, Richards WG, Schett G. Dickkopf-1 is a master regulator of joint remodeling. Nat. Med. 2007;13(2):156-163. https://doi.org/10.1038/nm1538
Heiland GR, Appel H, Poddubnyy D, Zwerina J, Hueber A, Haibel H, Baraliakos X, Listing J, Rudwaleit M, Schett G, Sieper J. High level of functional dickkopf-1 predicts protection from syndesmophyte formation in patients with ankylosing spondylitis. Ann. Rheum. Dis. 2012;71(4):572-574. https://doi.org/10.1136/annrheumdis-2011-200216
Klavdianou K, Liossis SN, Daoussis D. Dkk1: a key molecule in joint remodelling and fibrosis. Mediterr. J. Rheumatol. 2017;28(4):174-182. https://doi.org/10.31138/mjr.28.4.174
Liao HT, Lin YF, Tsai CY, Chou TC. Bone morphogenetic proteins and Dickkopf-1 in ankylosing spondylitis. Scand. J. Rheumatol. 2018;47(1):56-61. https://doi.org/10.1080/03009742.2017.1287305
Nocturne G, Pavy S, Boudaoud S, Seror R, Goupille P, Chanson P, van der Heijde D, van Gaalen F, Berenbaum F, Mariette X, Briot K, Feydy A, Claudepierre P, Dieudé P, Nithitham J, Taylor KE, Criswell LA, Dougados M, Roux C, Miceli-Richard C. Increase in Dickkopf-1 serum level in recent spondyloarthritis. Data from the DESIR Cohort. PLoS One. 2015;10(8):e0134974. https://doi.org/10.1371/journal.pone.0134974
Pedersen SJ, Maksymowych WP. The pathogenesis of ankylosing spondylitis: an update. Curr. Rheumatol. Rep. 2019;21(10):58. https://doi.org/10.1007/s11926-019-0856-3
Rossini M, Viapiana O, Idolazzi L, Ghellere F, Fracassi E, Troplini S, Povino MR, Kunnathully V, Adami S, Gatti D. Higher level of Dickkopf-1 is associated with low bone mineral density and higher prevalence of vertebral fractures in patients with ankylosing spondylitis. Calcif. Tissue Int. 2016;98(5):438-445. https://doi.org/10.1007/s00223-015-0093-3
Shatunova EA, Korolev MA, Omelchenko VO, Kurochkina YD, Davydova AS, Venyaminova AG, Vorobyeva MA. Aptamers for proteins associated with rheumatic diseases: progress, challenges, and prospects of diagnostic and therapeutic applications. Biomedicines. 2020;8(11):527. https://doi.org/10.3390/biomedicines8110527
Walsh MC, Choi Y. Biology of the RANKL-RANK-OPG system in immunity, bone, and beyond. Front. Immunol. 2014;5:511. https://doi.org/10.3389/fimmu.2014.00511
Xiong JH, Liu J, Chen J. Clinical significance and prognostic value of tumor necrosis factor-α and dickkopf related protein-1 in ankylosing spondylitis. World J. Clin. Cases. 2020;8(7):1213-1222. https://doi.org/10.12998/wjcc.v8.i7.1213
Zhou Y, Li W, Tseng Y, Zhang J, Liu J. Developing slow-off dickkopf-1 aptamers for early-diagnosis of hepatocellular carcinoma. Talanta. 2019;194:422-429. https://doi.org/10.1016/j.talanta.2018.10.014
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Translated from Byulleten’ Eksperimental’noi Biologii i Meditsiny, Vol. 173, No. 3, pp. 307-312, March, 2022
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Vorobyeva, M.A., Shatunova, E.A., Kolpakov, K.I. et al. Clinical Diagnostic Value of Dkk-1 Level in Ankylosing Spondylitis: Comparison of Test Systems Based on Aptamers and Antibodies. Bull Exp Biol Med 173, 317–321 (2022). https://doi.org/10.1007/s10517-022-05541-z
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DOI: https://doi.org/10.1007/s10517-022-05541-z