Related Experiment Video
Updated: Jun 25, 2026

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
Inflammation induction of Dickkopf-1 mediates chondrocyte apoptosis in osteoarthritic joint
1Department of Orthopedic Surgery, Chang Gung Memorial Hospital Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Objective:
Dysregulated Wnt signaling appears to modulate chondrocyte fate and joint disorders. Dickkopf-1 (DKK1) regulates the pathogenesis of skeletal tissue by inhibiting Wnt actions. This study examined whether DKK1 expression is linked to chondrocyte fate in osteoarthritis (OA).
Method:
Articular cartilage specimens harvested from nine patients with knee OA and from six controls with femoral neck fracture were assessed for DKK1, interleukin-1beta (IL-1beta), tumor necrosis factor-alpha (TNF-alpha), Bad, Bax, Bcl2 and caspase-3 expression by real time-polymerase chain reaction (RT-PCR) and immunohistochemistry. Apoptotic chondrocytes were detected by terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate-biotin nick end-labelling (TUNEL) and 4', 6-dianidino-2-phenylindole dihydrochloride (DAPI) staining. Human chondrocyte cultures were treated with recombinant IL-1beta and monoclonal DKK1 antibody to determine whether DKK1 impairs chondrocyte survival.
Results:
Expression of DKK1 correlated with inflammatory cytokine levels (IL-1beta and TNF-alpha expressions), proapoptosis regulators (Bad and caspase-3 expressions) and TUNEL staining in OA cartilage tissues. The IL-1beta induced expressions of DKK1, Bax, Bad and caspase-3-dependent apoptosis of chondrocyte cultures. Neutralization of DKK1 by monoclonal DKK1 antibody significantly abrogated IL-1beta-mediated caspase-3 cleavage and apoptosis and reversed chondrocyte proliferation. Recombinant DKK1 treatment impaired chondrocyte growth and promoted apoptosis. By suppressing nuclear beta-catenin accumulation and Akt phosphorylation, DKK1 mediated IL-1beta promotion of chondrocyte apoptosis.
Conclusion:
Chondrocyte apoptosis correlates with joint OA. Expression of DKK1 contributes to cartilage deterioration and is a potent factor in OA pathogenesis. Attenuating DKK1 may reduce cartilage deterioration in OA.
Insights
Dickkopf-1 (DKK1) expression correlates with osteoarthritis (OA) progression and chondrocyte apoptosis. Inhibiting DKK1 may reduce cartilage damage in OA by preventing inflammatory responses and cell death.
Area of Science:
- Biochemistry
- Cell Biology
- Orthopedics
Background:
- Dysregulated Wnt signaling is implicated in chondrocyte dysfunction and joint disorders.
- Dickkopf-1 (DKK1), an inhibitor of Wnt signaling, plays a role in skeletal tissue pathogenesis.
- The relationship between DKK1 expression and chondrocyte fate in osteoarthritis (OA) requires investigation.
Purpose of the Study:
- To examine the link between Dickkopf-1 (DKK1) expression and chondrocyte fate in osteoarthritis (OA).
- To investigate the role of DKK1 in mediating inflammation-induced chondrocyte apoptosis.
Main Methods:
- Articular cartilage from OA patients and controls were analyzed for DKK1, inflammatory cytokines (IL-1beta, TNF-alpha), and apoptosis markers using RT-PCR and immunohistochemistry.
- Chondrocyte apoptosis was assessed via TUNEL and DAPI staining.
- Human chondrocyte cultures were treated with IL-1beta and anti-DKK1 antibodies to evaluate DKK1's effect on chondrocyte survival.
Main Results:
- DKK1 expression positively correlated with inflammatory cytokines (IL-1beta, TNF-alpha) and pro-apoptotic markers (Bad, caspase-3) in OA cartilage.
- Interleukin-1beta (IL-1beta) induced DKK1 expression and subsequent chondrocyte apoptosis.
- Neutralization of DKK1 inhibited IL-1beta-induced apoptosis and restored chondrocyte proliferation, while recombinant DKK1 promoted apoptosis.
Conclusions:
- Chondrocyte apoptosis is a key feature of osteoarthritis (OA).
- DKK1 expression contributes significantly to cartilage degradation and OA pathogenesis.
- Targeting DKK1 presents a potential therapeutic strategy to mitigate cartilage deterioration in OA.
Related Concept Videos
The Extrinsic Apoptotic Pathway
The JAK-STAT Signaling Pathway

