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The role of Dickkopf-1 in bone development, homeostasis, and disease
Joseph J Pinzone1, Brett M Hall, Nanda K Thudi
1Department of Internal Medicine, The Ohio State University, Columbus, USA. joseph.pinzone@osumc.edu
Abstract:
Wnt/beta-catenin signaling is central to bone development and homeostasis in adulthood and its deregulation is associated with bone pathologies. Dickkopf-1 (DKK1), a soluble inhibitor of Wnt/beta-catenin signaling required for embryonic head development, regulates Wnt signaling by binding to the Wnt coreceptor lipoprotein-related protein-5 (LRP5)/Arrow. LRP5 mutations causing high bone mass syndromes disrupt DKK1-mediated regulation of LRP5. Forced overexpression of Dkk1 in osteoblasts causes osteopenia, disruption of the hematopoietic stem cell (HSC) niche, and defects in HSC function. Dkk1 also inhibits fracture repair. Studies suggest that DKK1 activation in osteoblasts is the underlying cause of glucocorticoid- and estrogen deficiency-mediated osteoporosis, and at least partially underlies the teratogenic effects of thalidomide on limb development. DKK1 induces proliferation of mesenchymal stem cells (MSC) in vitro and may play a role in the development of high-grade undifferentiated pleomorphic sarcomas derived from MSC and osteosarcomas. DKK1 has been implicated in causing erosive arthritis, the osteolytic phenotypes of multiple myeloma and metastatic breast cancer, and osteoblastic metastases of prostate cancer. Preclinical studies have shown that neutralizing DKK1/Dkk1 and/or enhancing Wnt/beta-catenin signaling may prove effective in treating bone pathologies. Here, we review the rapidly growing body of literature defining a pivotal role for DKK1 in bone health and disease.
Insights
Dickkopf-1 (DKK1) is a key regulator of Wnt/beta-catenin signaling in bone development and disease. Neutralizing DKK1 may effectively treat various bone pathologies.
Area of Science:
- Bone Biology
- Signaling Pathways
- Developmental Biology
Background:
- Wnt/beta-catenin signaling is crucial for bone development and homeostasis.
- Deregulation of this pathway is linked to bone pathologies.
- Dickkopf-1 (DKK1) is a Wnt signaling inhibitor essential for embryonic development.
Purpose of the Study:
- To review the literature on DKK1's role in bone health and disease.
- To highlight DKK1's involvement in various bone pathologies.
- To discuss potential therapeutic strategies targeting DKK1.
Main Methods:
- Literature review of studies on DKK1 and bone biology.
- Analysis of DKK1's function in embryonic development and adult homeostasis.
- Examination of DKK1's role in bone diseases and potential treatments.
Main Results:
- DKK1 regulates Wnt signaling by binding to LRP5.
- DKK1 overexpression causes osteopenia, HSC niche disruption, and impaired fracture repair.
- DKK1 is implicated in osteoporosis, sarcomas, arthritis, multiple myeloma, and metastatic cancers.
Conclusions:
- DKK1 plays a pivotal role in bone health and disease.
- Targeting DKK1 or enhancing Wnt/beta-catenin signaling shows therapeutic potential for bone pathologies.
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