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Dickkopf-1 Is Associated with Periarticular Bone Loss in Patients with Rheumatoid Arthritis

Open Journal of Rheumatology and Autoimmune Diseases 2013年第4期3卷 216-220页

作者： berit grandaunet Silje Watterdal Syversen Mari Hoff Glenn Haugeberg Désirée van der Heijde Tore K. Kvien Therese Standal Centre of Excellence for Molecular Inflammation Research Trondheim Norway. Depart- ment of Neuroscience Norwegian University of Science and Technology Trondheim Norway Department of Rhe- umatology Leiden University Medical Centre Leiden The Netherlands Department of Rheumatology Diakonhjemmet Hospital Oslo Norway KG Jebsen Center for Myeloma Research and Department of Cancer Research and Molecular Medicine Norwegian University of Science and Technology Trondheim Norway

Objective: To examine whether cytokines shown to suppress osteoblasts, Dickkopf-1 (DKK1) and hepatocyte growth factor (HGF), are associated with periarticular bone loss in rheumatoid arthritis (RA). Methods: RA patients with short disease duration were prospectively followed and hand bone mineral density was assessed by digital X-ray radiogrammetry (DXR) at baseline and after 1, 2 and 5 years. Plasma samples collected at baseline from 136 of the included patients were analyzed for HGF and DKK1. Group comparisons, correlation analyses and multivariate analyses were performed to evaluate the relationship between baseline cytokine levels and DXR-BMD. Results: Patients with hand bone loss after 1 year had significantly higher baseline plasma levels of DKK1 than patients without bone loss. Patients with periarticular bone loss after 2 and 5 years had significantly higher baseline plasma levels of HGF. Baseline DKK1 but not HGF levels were independently associated with periarticular bone loss after 1 year. Conclusion: High serum levels of DKK1 are weakly but independently associated with periarticular bone loss in RA. The importance of DKK1 and HGF for loss of periarticular bone needs to be defined in future studies.

关键词： Rheumatoid Arthritis Osteoporosis Osteoblast DKK1 HGF

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