Serum levels of Dickkopf-1 are a potential negative biomarker of survival in geriatric patients.

Abstract:

:Fragility fractures due to osteoporosis and its most dreaded complication - hip fractures - are the cause of disability, high mortality and place a considerable burden on global health economics. Although much work has been done to accurately predict mortality and find risk factors for poor health outcome, little attention was given to the Wnt-catenin signaling pathway and its role in the posttraumatic course of disease. We studied 238 geriatric patients (175 women (mean age 84yrs) and 63 men (mean age 82yrs)) in total that were admitted to a department of Acute Geriatric Care. 150 out of these patients had suffered a hip fracture and 88 not. After discharge patients were followed up with an average follow-up time of 4.06±1.07yrs. The follow-up mortality rate was 15.7%. In an age- and sex-adjusted model, low serum levels of Dickkopf-1 (Dkk-1), an inhibitor of the canonical Wnt signaling pathway, were significantly associated with mortality. The strong association of Dkk-1 levels and mortality has clinical relevance as it suggests Dkk-1 to be a therapeutic target to improve survival after hip fractures.

journal_name

Exp Gerontol

journal_title

Experimental gerontology

authors

Dovjak P,Heinze G,Rainer A,Sipos W,Pietschmann P

doi

10.1016/j.exger.2017.06.002

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

104-109

eissn

0531-5565

issn

1873-6815

pii

S0531-5565(16)30248-0

journal_volume

96

pub_type

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