Blockade of Dickkopf (DKK)-1 induces fusion of sacroiliac joints

S Uderhardt1, D Diarra, J Katzenbeisser

  • 1Department of Internal Medicine 3 and Institute for Clinical Immunology, University of Erlangen-Nuremberg, Erlangen, Germany.

Abstract

Insights

Dickkopf-1 (DKK-1) blockade prevents sacroiliac joint fusion in a mouse model of inflammatory arthritis. DKK-1 inhibition promotes ankylosis, suggesting a role in axial joint disease.

Area of Science:

  • Immunology
  • Rheumatology
  • Molecular Biology

Background:

  • Sacroiliac joint fusion is a hallmark of spondyloarthropathies.
  • Wingless (Wnt) signaling plays a role in bone remodeling.
  • Dickkopf-1 (DKK-1) is an inhibitor of Wnt signaling.

Purpose of the Study:

  • To investigate the role of DKK-1 in sacroiliac joint fusion.
  • To determine if DKK-1 inhibition affects inflammatory arthritis and joint ankylosis.

Main Methods:

  • Utilized tumor necrosis factor transgenic (TNFtg) mice with bilateral sacroiliitis.
  • Administered vehicle, anti-TNF antibody, or anti-DKK1 antibody.
  • Analyzed sacroiliac joints for inflammation, bone erosion, osteoclast formation, and ankylosis via histology and immunohistochemistry.

Main Results:

  • TNF blockade reduced inflammation, bone erosion, and osteoclast numbers but did not induce ankylosis.
  • DKK1 blockade did not affect inflammation but significantly reduced bone erosions and osteoclast counts.
  • DKK1 blockade promoted collagen type X expression, hypertrophic chondrocytes, and sacroiliac joint ankylosis.

Conclusions:

  • DKK1 influences inflammatory sacroiliac joint remodeling by preventing joint ankylosis.
  • The Wnt signaling pathway is implicated in structural bone changes in axial joint disease.
  • This model elucidates pathophysiological processes of sacroiliac joint ankylosis in spondyloarthropathies.