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Expression of Dickkopf-related Protein 1 in Patients with Temporomandibular Osteoarthritis after Treatment with Hyaluronic Acid

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Summary

We previously reported that the increased expression of Dickkopf-related protein 1 (DKK1) is positively related to vascular endothelial growth factor in the synovial fluid from patients with temporomandibular joint disorders (TMDs). DKK1 is involved in angiogenic activities in the TMD synovium in vitro, but the expression of DKK1 after treatment of TMD-osteoarthritis (TMD-OA) with hyaluronic acid (HA) remains unknown. In this study, we assessed the expression of DKK1 in the synovial fluid of TMD-OA patients before and after treatment with HA via enzyme-linked immunosorbent assay. We also investigated the role of DKK1 in TMD-OA via immunohistochemical staining. The relationship between the expression of DKK1 and the clinicopathological characteristics was determined by Pearson analysis. The results showed that the expression of DKK1 was significantly decreased after treatment with HA. Correlation analyses indicated that the expression of DKK1 in the TMD-OA samples was closely correlated with mouth opening and pain. These findings suggest that DKK1 could play an important role in the pathogenesis and treatment of TMD. Reduction of the pain by HA treatment may be correlated with the decreased expression of DKK1.

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References

  1. Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders, N Engl J Med, 2008,359(25):2693–2705

    Article  CAS  Google Scholar 

  2. Hampton T. Improvements needed in management of temporomandibular joint disorders. JAMA, 2008,299(10): 1119–1121

    Article  CAS  Google Scholar 

  3. Donahue RP, Hu JC, Athanasiou KA. Remaining Hurdles for Tissue-Engineering the Temporomandibular Joint Disc. Trends Mol Med, 2019, 25(3):241–256

    Article  CAS  Google Scholar 

  4. Sharma S, Wactawski-Wende J, LaMonte MJ, et al. Incident injury is strongly associated with subsequent incident temporomandibular disorder: results from the OPPERA study. Pain, 2019, 160(7):1551–1561

    Article  Google Scholar 

  5. Theologis T, Efstathopoulos N, Nikolaou V, et al. Association between serum and synovial fluid Dickkopf-1 levels with radiographic severity in primary knee osteoarthritis patients. Clin Rheumatol, 2017, 36(8):1865–1872

    Article  Google Scholar 

  6. Ferreira N, Masterson D, Lopes de Lima R, et al. Efficacy of viscosupplementation with hyaluronic acid in temporomandibular disorders: A systematic review. J Craniomaxillofac Surg, 2018, 46(11):1943–1952

    Article  Google Scholar 

  7. Goiato MC, da Silva EV, de Medeiros RA, et al. Are intra-articular injections of hyaluronic acid effective for the treatment of temporomandibular disorders? A systematic review. Int J Oral Maxillofac Surg, 2016, 45(12):1531–1537

    Article  CAS  Google Scholar 

  8. Liang L, Tu Y, Lu J, et al. Dkk1 exacerbates doxorubicin-induced cardiotoxicity by inhibiting the Wnt/beta-catenin signaling pathway. J Cell Sci, 2019, 132 (10):doi: https://doi.org/10.1242/jcs.228478

  9. Huang X, Post JN, Zhong L, et al. Dickkopf-related protein 1 and gremlin 1 show different response than frizzled-related protein in human synovial fluid following knee injury and in patients with osteoarthritis. Osteoarthritis Cartilage, 2018, 26(6):834–843

    Article  CAS  Google Scholar 

  10. Jiang SJ, Li W, Li YJ, et al. Dickkopfrelated protein 1 induces angiogenesis by upregulating vascular endothelial growth factor in the synovial fibroblasts of patients with temporomandibular joint disorders. Mol Med Rep, 2015, 12(4):4959–4966

    Article  CAS  Google Scholar 

  11. Li W, Long X, Jiang S, et al. Histamine and substance P in synovial fluid of patients with temporomandibular disorders. J Oral Rehabil, 2015, 42(5):363–369

    Article  CAS  Google Scholar 

  12. Sayour EJ, McLendon P, McLendon R, et al. Increased proportion of FoxP3+ regulatory T cells in tumor infiltrating lymphocytes is associated with tumor recurrence and reduced survival in patients with glioblastoma. Cancer Immunol Immunother, 2015, 64(4):419–427

    Article  CAS  Google Scholar 

  13. Dong Y, Wu G, Zhu T, et al. VEGF promotes cartilage angiogenesis by phospho-ERK1/2 activation of Dll4 signaling in temporomandibular joint osteoarthritis caused by chronic sleep disturbance in Wistar rats. Oncotarget, 2017, 8(11):17849–17861

    Article  Google Scholar 

  14. Liu J, Dai J, Wang Y, et al. Significance of new blood vessels in the pathogenesis of temporomandibular joint osteoarthritis. Exp Ther Med, 2017, 13(5):2325–2331

    Article  CAS  Google Scholar 

  15. Xu L, Guo H, Li C, et al. A time-dependent degeneration manner of condyle in rat CFA-induced inflamed TMJ. Am J Transl Res, 2016, 8(2):556–567

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Li L, Wang L, Sun Y, et al. Establishment and histological evaluation of a goat traumatic temporomandibular joint model. J Oral Maxillofac Surg, 2015, 73(5):943–950

    Article  Google Scholar 

  17. Cevidanes LH, Walker D, Schilling J, et al. 3D osteoarthritic changes in TMJ condylar morphology correlates with specific systemic and local biomarkers of disease. Osteoarthritis Cartilage, 2014, 22(10):1657–1667

    Article  CAS  Google Scholar 

  18. Zhang Y, Shao S, Zhang J, et al. Temporal summation and motor function modulation during repeated jaw movements in patients with temporomandibular disorder pain and healthy controls. Pain, 2017, 158(7):1272–1279

    Article  Google Scholar 

  19. Ernberg M. The role of molecular pain biomarkers in temporomandibular joint internal derangement. J Oral Rehabil, 2017, 44(6):481–491

    Article  CAS  Google Scholar 

  20. Macedo CG, Jain AK, Franz-Montan M, et al. Microneedles enhance topical delivery of 15-deoxy-Delta(12,14)-prostaglandin J2 and reduce nociception in temporomandibular joint of rats. J Control Release, 2017, 265:22–29

    Article  CAS  Google Scholar 

  21. Zotti F, Albanese M, Rodella LF, et al. Platelet-Rich Plasma in Treatment of Temporomandibular Joint Dysfunctions: Narrative Review. Int J Mol Sci, 2019, 20(2):277

    Article  Google Scholar 

  22. Li H, Chen Y, Chen S. Enhancement of rotator cuff tendon-bone healing using bone marrow-stimulating technique along with hyaluronic acid. J Orthop Translat, 2019, 17:96–102

    Article  Google Scholar 

  23. Puviani M, Campione E, Offidani AM, et al. Effects of a cream containing 5% hyaluronic acid mixed with a bacterial-wall-derived glycoprotein, glycyrretinic acid, piroctone olamine and climbazole on signs, symptoms and skin bacterial microbiota in subjects with seborrheic dermatitis of the face. Clin Cosmet Investig Dermatol, 2019, 12:285–293

    Article  CAS  Google Scholar 

  24. Gokce Kutuk S, Gokce G, Arslan M, et al. Clinical and Radiological Comparison of Effects of Platelet-Rich Plasma, Hyaluronic Acid, and Corticosteroid Injections on Temporomandibular Joint Osteoarthritis. J Craniofac Surg, 2019, 30(4):1144–1148

    Article  Google Scholar 

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Correspondence to You-jian Peng.

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The authors declare that they have no competing interest.

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This study was supported by the Project of Wuhan University for Young Teachers (No. 2042018kf0145).

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Jiang, Sj., Jin, Zz. & Peng, Yj. Expression of Dickkopf-related Protein 1 in Patients with Temporomandibular Osteoarthritis after Treatment with Hyaluronic Acid. CURR MED SCI 40, 574–579 (2020). https://doi.org/10.1007/s11596-020-2215-z

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  • DOI: https://doi.org/10.1007/s11596-020-2215-z

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