The Role of Sclerostin in Bone and Ectopic Calcification
Open accessAbstract
Sclerostin, a 22-kDa glycoprotein that is mainly secreted by the osteocytes, is a soluble inhibitor of canonical Wnt signaling. Therefore, when present at increased concentrations, it leads to an increased bone resorption and decreased bone formation. Serum sclerostin levels are known to be increased in the elderly and in patients with chronic kidney disease. In these patient populations, there is a high incidence of ectopic cardiovascular calcification. These calcifications are strongly associated with cardiovascular morbidity and mortality. Although data are still controversial, it is likely that there is a link between ectopic calcification and serum sclerostin levels. The main question, however, remains whether sclerostin exerts either a protective or deleterious role in the ectopic calcification process.
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Osteocytes control osteoclast activity by secreting sclerostin, which increases bone resorption by downregulating osteoblast OPG production and decreases osteoblastogenesis by inhibiting Wnt/β-catenin signaling pathways in osteoblast precursors.
“Osteocytes control osteoclast activity by secreting sclerostin, which increases bone resorption by downregulating osteoblast OPG production and decreases osteoblastogenesis by inhibiting Wnt/β-catenin signaling pathways in osteoblast precursors [53].”
From Osteoclasts and Microgravity (2020) · cites this paper as [53]
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Increased bone density in sclerosteosis is due to the deficiency of a novel secreted protein (SOST)
Balemans, W. (2001) · Human Molecular Genetics · doi:10.1093/hmg/10.5.537 · Cited by 1,147 · see citing works
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Sorted by citations
Smith, J. K. (2020) · Life · doi:10.3390/life10090207 · Cited by 52 · see citing works
- Authors
- De Maré, A., D’Haese, P. C., & Verhulst, A.
- Affiliations
- Lab of Pathophysiology, Faculty of Pharmaceutical, Biomedical and Veterinary Sciences, Campus Drie Eiken, University of Antwerp, 2610 Antwerp, Belgium
- University of Antwerp (BE)
- Corresponding author
- Verhulst, Anja
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2020-04-30
- Volume
- 21
- Issue
- 9
- Pages
- 3199
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC7246472
- OpenAlex
- W3023937761
- Cited by
- 45
- References
- 1
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 10 · 2022: 10 · 2021: 5 · 2020: 6
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Fonds Wetenschappelijk Onderzoek (1182417N, 1182419N)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Dermatological and Skeletal Disorders
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Keywords
- sclerostin, ectopic calcification, cardiovascular calcification, osteocytes, Wnt/β-catenin signaling, bone resorption, bone formation, chronic kidney disease, older adults
- MeSH terms
- Animals, Bone and Bones, Humans, Adaptor Proteins, Signal Transducing, Renal Insufficiency, Chronic, Wnt Signaling Pathway, Vascular Calcification
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