Mice lacking DKK1 in T cells exhibit high bone mass and are protected from estrogen-deficiency-induced bone loss

Juliane Lehmann1,2, Sylvia Thiele1,2, Ulrike Baschant1,2

  • 1Department of Medicine III, Division of Endocrinology, Diabetes and Bone Diseases, Technische Universität Dresden, Dresden 01307, Germany.

Iscience
|March 22, 2021
PubMed

Insights

T cells regulate bone mass by producing Dickkopf-1 (DKK1), a Wnt inhibitor. Blocking T cell DKK1 protects against osteoporosis, revealing a novel therapeutic target for bone diseases.

Area of Science:

  • Immunology
  • Bone Biology
  • Endocrinology

Background:

  • Dickkopf-1 (DKK1) is a Wnt pathway inhibitor crucial for bone formation and mass.
  • DKK1 dysregulation is implicated in various bone diseases, but its role in postmenopausal osteoporosis is unclear.
  • T cells are increasingly recognized for their involvement in bone metabolism.

Purpose of the Study:

  • To investigate the role of T cell-derived DKK1 in postmenopausal osteoporosis.
  • To elucidate the mechanism by which T cells influence bone remodeling.
  • To identify T cells as a potential therapeutic target for bone loss.

Main Methods:

  • Generation of mice lacking DKK1 specifically in T cells.
  • Ovariectomy to induce postmenopausal osteoporosis model.
  • Co-culture assays of activated T cells and osteoblasts.
  • Analysis of Wnt signaling, osteoblast differentiation, bone mass, and remodeling markers.
  • Adoptive transfer of wild-type T cells into Dkk1 knockout mice.

Main Results:

  • Mice lacking T cell DKK1 were protected from ovariectomy-induced bone loss.
  • Ovariectomy activated T cells (CD4+ and CD8+) and increased their DKK1 production.
  • Co-culture demonstrated that T cell DKK1 inhibits osteoblast differentiation via Wnt signaling.
  • T cell DKK1 deficiency led to higher bone mass and altered bone remodeling rates in physiological conditions.
  • Adoptive transfer of wild-type T cells reversed the bone mass phenotype in T cell-deficient Dkk1 knockout mice.

Conclusions:

  • T cells regulate bone remodeling in both health and disease through DKK1 production.
  • T cell-derived DKK1 is a key mediator of bone loss in postmenopausal osteoporosis.
  • Targeting T cell DKK1 represents a potential therapeutic strategy for osteoporosis and other bone diseases.