Anti-DKK1 antibody promotes bone fracture healing through activation of β-catenin signaling

Bone. 2015 Feb:71:63-75. doi: 10.1016/j.bone.2014.07.039. Epub 2014 Sep 28.

Abstract

In this study we investigated if Wnt/β-catenin signaling in mesenchymal progenitor cells plays a role in bone fracture repair and if DKK1-Ab promotes fracture healing through activation of β-catenin signaling. Unilateral open transverse tibial fractures were created in CD1 mice and in β-catenin(Prx1ER) conditional knockout (KO) and Cre-negative control mice (C57BL/6 background). Bone fracture callus tissues were collected and analyzed by radiography, micro-CT (μCT), histology, biomechanical testing and gene expression analysis. The results demonstrated that treatment with DKK1-Ab promoted bone callus formation and increased mechanical strength during the fracture healing process in CD1 mice. DKK1-Ab enhanced fracture repair by activation of endochondral ossification. The normal rate of bone repair was delayed when the β-catenin gene was conditionally deleted in mesenchymal progenitor cells during the early stages of fracture healing. DKK1-Ab appeared to act through β-catenin signaling to enhance bone repair since the beneficial effect of DKK1-Ab was abrogated in β-catenin(Prx1ER) conditional KO mice. Further understanding of the signaling mechanism of DKK1-Ab in bone formation and bone regeneration may facilitate the clinical translation of this anabolic agent into therapeutic intervention.

Keywords: Conditional knockout; Dkk1-Ab; Fracture healing; Mesenchymal progenitor cells; β-Catenin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies / pharmacology*
  • Biomarkers / metabolism
  • Biomechanical Phenomena / drug effects
  • Bony Callus / drug effects
  • Bony Callus / pathology
  • Cartilage / drug effects
  • Cartilage / pathology
  • Fracture Healing / drug effects*
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / pathology*
  • Gene Expression Regulation / drug effects
  • Integrases / metabolism
  • Intercellular Signaling Peptides and Proteins / immunology*
  • Male
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Organ Size / drug effects
  • Osteoclasts / drug effects
  • Osteoclasts / metabolism
  • Osteoclasts / pathology
  • Radiography
  • Recombination, Genetic / genetics
  • Signal Transduction / drug effects*
  • beta Catenin / metabolism*

Substances

  • Antibodies
  • Biomarkers
  • Dkk1 protein, mouse
  • Intercellular Signaling Peptides and Proteins
  • beta Catenin
  • Cre recombinase
  • Integrases