Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee Osteoarthritis

Background: Osteoarthritis (OA) is a frequently complex joint disease that involves all joint components, including cartilage degeneration and new bone development. Dickkopf-1 (Dkk-1) regulates bone growth and repair in OA. The purpose of this study is to determine Dkk-1 blood levels in individuals...

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Main Authors: Adel Ibrahim Azzam, Abdelrahman Mohamed Labib, Abd-Elshafy Ahmed Haseeb, Ahmed Fathy Abd-Elaziz
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Medical Ultrasound
Subjects:
Online Access:https://journals.lww.com/10.4103/jmu.jmu_139_23
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author Adel Ibrahim Azzam
Abdelrahman Mohamed Labib
Abd-Elshafy Ahmed Haseeb
Ahmed Fathy Abd-Elaziz
author_facet Adel Ibrahim Azzam
Abdelrahman Mohamed Labib
Abd-Elshafy Ahmed Haseeb
Ahmed Fathy Abd-Elaziz
author_sort Adel Ibrahim Azzam
collection DOAJ
description Background: Osteoarthritis (OA) is a frequently complex joint disease that involves all joint components, including cartilage degeneration and new bone development. Dickkopf-1 (Dkk-1) regulates bone growth and repair in OA. The purpose of this study is to determine Dkk-1 blood levels in individuals with primary knee joint OA, as well as their associations with disease progression and severity. Methods: This study included 45 individuals with primary OA of the knee and 45 healthy participants. Demographic data, body mass index, Visual Analog Scale, and Western Ontario and McMaster Universities Arthritis questionnaire scores were gathered. On radiography, the Kellgren and Lawrence score was acquired. The knee joint ultrasonography results were documented. The blood level of Dkk-1 was determined using the enzyme-linked immunosorbent assay method. Results: Dkk-1 levels in the blood were substantially higher in patients with OA than in healthy persons. Serum Dkk-1 levels appeared to have a significantly inverted relationship with radiological OA grades in knee OA (P < 0.001). Dkk-1 serum levels were significantly lower in individuals with ultrasonographic knee effusion (median = 3.2, interquartile range [IQR] = 3.1–4.16) than in those without effusion (median = 4.79, IQR = 4.04–5.09). Furthermore, there was a strong correlation between Dkk-1 levels and ultrasonographically measured femoral cartilage thickness. Conclusion: Dkk-1 is an interesting radiological indicator associated with degenerative articular joint disease. It may have a crucial function in slowing the process of degeneration in knee OA and reflecting the disease’s radiographic and clinical severity.
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spelling doaj-art-08212fc0252d44e4a43eb1896b05f4542025-08-20T02:09:43ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522025-01-01331293410.4103/jmu.jmu_139_23Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee OsteoarthritisAdel Ibrahim AzzamAbdelrahman Mohamed LabibAbd-Elshafy Ahmed HaseebAhmed Fathy Abd-ElazizBackground: Osteoarthritis (OA) is a frequently complex joint disease that involves all joint components, including cartilage degeneration and new bone development. Dickkopf-1 (Dkk-1) regulates bone growth and repair in OA. The purpose of this study is to determine Dkk-1 blood levels in individuals with primary knee joint OA, as well as their associations with disease progression and severity. Methods: This study included 45 individuals with primary OA of the knee and 45 healthy participants. Demographic data, body mass index, Visual Analog Scale, and Western Ontario and McMaster Universities Arthritis questionnaire scores were gathered. On radiography, the Kellgren and Lawrence score was acquired. The knee joint ultrasonography results were documented. The blood level of Dkk-1 was determined using the enzyme-linked immunosorbent assay method. Results: Dkk-1 levels in the blood were substantially higher in patients with OA than in healthy persons. Serum Dkk-1 levels appeared to have a significantly inverted relationship with radiological OA grades in knee OA (P < 0.001). Dkk-1 serum levels were significantly lower in individuals with ultrasonographic knee effusion (median = 3.2, interquartile range [IQR] = 3.1–4.16) than in those without effusion (median = 4.79, IQR = 4.04–5.09). Furthermore, there was a strong correlation between Dkk-1 levels and ultrasonographically measured femoral cartilage thickness. Conclusion: Dkk-1 is an interesting radiological indicator associated with degenerative articular joint disease. It may have a crucial function in slowing the process of degeneration in knee OA and reflecting the disease’s radiographic and clinical severity.https://journals.lww.com/10.4103/jmu.jmu_139_23dickkopf-1kellgren–lawrenceosteoarthritiswestern ontario and mcmaster universities arthritis index
spellingShingle Adel Ibrahim Azzam
Abdelrahman Mohamed Labib
Abd-Elshafy Ahmed Haseeb
Ahmed Fathy Abd-Elaziz
Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee Osteoarthritis
Journal of Medical Ultrasound
dickkopf-1
kellgren–lawrence
osteoarthritis
western ontario and mcmaster universities arthritis index
title Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee Osteoarthritis
title_full Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee Osteoarthritis
title_fullStr Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee Osteoarthritis
title_full_unstemmed Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee Osteoarthritis
title_short Correlation of Circulating Dickkopf-1 Level with Sonographic Findings and Radiographic Grading in Primary Knee Osteoarthritis
title_sort correlation of circulating dickkopf 1 level with sonographic findings and radiographic grading in primary knee osteoarthritis
topic dickkopf-1
kellgren–lawrence
osteoarthritis
western ontario and mcmaster universities arthritis index
url https://journals.lww.com/10.4103/jmu.jmu_139_23
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