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Associations of serum sclerostin levels with body composition, pulmonary function, and exacerbations in COPD patients

In COPD, the bronchial epithelium shows a pathologically activated Wnt pathway. Sclerostin (SOST) is a secreted glycoprotein that is associated with bone metabolism and blocks the Wnt pathway. We hypothesized that low sclerostin levels might be associated with lung function and COPD exacerbations in...

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Bibliographic Details
Published in:Pulmonology 2022-08
Main Authors: Amado, C.A., García-Unzueta, M., Agüero, J., Martín-Audera, P., Fueyo, P., Lavín, B.A., Guerra, A.R., Muñoz, P., Tello, S., Berja, A., Casanova, C.
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Language:English
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Summary:In COPD, the bronchial epithelium shows a pathologically activated Wnt pathway. Sclerostin (SOST) is a secreted glycoprotein that is associated with bone metabolism and blocks the Wnt pathway. We hypothesized that low sclerostin levels might be associated with lung function and COPD exacerbations in patients. We studied 139 outpatients with stable COPD and normal kidney function. We assessed the serum levels of SOST and bone metabolism parameters, body composition, clinical characteristics and lung function at baseline. We followed the patients prospectively for 12 months after enrolment. Moderate exacerbations and hospital admissions were recorded during follow-up. The serum SOST levels were 23.98±7.6 pmol/l (men: 25.5±7.7 pmol/l, women: 20.3±5.9 pmol/l (p 
ISSN:2531-0437
2531-0437
DOI:10.1016/j.pulmoe.2022.06.003