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Updated: Aug 20, 2025

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Published on: January 28, 2020
Correlation between serum Dickkopf-1 (DKK1) levels and coronary artery stenosis
Hongxiu Xu1, Zhenjiang Ding2, Jiaoyue Chen3
1Development of Endocrinology, The Affiliated Hospital of Chengde Medical University, Chengde, Hebei 067000, PR China; The First Hospital of Qinghuangdao, PR China.
Insights
Serum Dickkopf-1 (DKK1) levels are higher in patients with coronary heart disease (CHD) and correlate with stenosis severity. DKK1 is an independent risk factor for CHD.
Area of Science:
- Cardiology
- Biochemistry
- Medical Research
Background:
- Coronary atherosclerotic heart disease (CHD) poses a significant health burden.
- Understanding biomarkers for CHD severity is crucial for patient management.
- Dickkopf-1 (DKK1) has emerged as a potential factor in cardiovascular disease.
Purpose of the Study:
- To investigate the correlation between serum Dickkopf-1 (DKK1) levels and the degree of coronary artery stenosis.
- To assess DKK1 as a potential biomarker for coronary atherosclerotic heart disease.
Main Methods:
- A cohort of 311 patients undergoing coronary angiography were analyzed.
- Serum concentrations of DKK1, RBP4, and PAI-1 were measured.
- Patients were categorized into non-CHD and CHD groups, with the latter further stratified by Gensini score.
Main Results:
- Serum DKK1, RBP4, and PAI-1 levels were significantly elevated in the CHD group compared to the non-CHD group.
- Higher DKK1, RBP4, and PAI-1 levels were observed in patients with moderate to severe coronary artery stenosis (higher Gensini scores).
- Serum DKK1 showed a positive correlation with inflammatory markers RBP4 and PAI-1.
Conclusions:
- Elevated serum DKK1 levels are associated with coronary heart disease and correlate with the severity of coronary artery stenosis.
- DKK1 is identified as an independent risk factor for coronary heart disease.
- DKK1 may serve as a valuable biomarker for assessing CHD risk and severity.
Background And Aims:
To study the correlation between the level of serum Dickkopf-1 (DKK1) and the degree of coronary artery stenosis in patients with coronary atherosclerotic heart disease.
Methods And Results:
In 2018, general data and biochemical indexes of 311 patients who underwent coronary angiography were recorded. Before procedure, arterial blood was drawn and the concentrations of DKK1, retinol binding protein 4 (RBP4), plasminogen activator inhibitor (PAI-1) were measured. Based on coronary angiography results, subjects were divided into a coronary heart disease (CHD) group; and a non-coronary heart disease (non-CHD)group. The CHD group was divided into three subgroups: the low Gensini score; the middle Gensini score; and the high Gensini score subgroups. Compared with those of the non-CHD group, DKK1, RBP4 and PAI-1 of the CHD group were significantly higher, while the OC was lower. DKK1,RBP4 and PAI-1 levels of the middle and high Gensini subgroups were significantly higher, compared with that of the low Gensini subgroup. Differences between osteocalcin (OC), beta-isomerized C-terminal telopeptidase (β-CTX), and 25(OH)2D3 of the three subgroups were not significant. Correlation between DKK1 and the inflammatory factors, RBP4 and PAI-1, was positive. Correlation between DKK1 and β - CTX, 25(OH)2D3 and OC was not significant. DKK1 was a risk factor for CHD. The degree of coronary artery stenosis was related to DKK1 concentration.
Conclusions:
Serum DKK1 levels in coronary heart disease patients were significantly higher, and positively correlated with the degree of coronary artery stenosis. DKK1 level is an independent risk factor for coronary heart disease.
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