Differential characteristics of bone quality and bone turnover biochemical markers in patients with hip Fragility Fractures and Hip Osteoarthritis: results of a clinical pilot study

2011 ◽  
Vol 23 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Giuseppina Resmini ◽  
Silvia Migliaccio ◽  
Luca Dalle Carbonare ◽  
Umberto Sala ◽  
Marina Brama ◽  
...  
2001 ◽  
Vol 62 (3) ◽  
pp. 187-193 ◽  
Author(s):  
Nicola Giordano ◽  
Emilio Battisti ◽  
Simone Geraci ◽  
Marco Fortunato ◽  
Clorinda Santacroce ◽  
...  

2010 ◽  
Vol 103 (12) ◽  
pp. 1706-1710 ◽  
Author(s):  
Nicola M. Lowe ◽  
Soma R. Mitra ◽  
Peter C. Foster ◽  
Issak Bhojani ◽  
John F. McCann

Suboptimal vitamin D status among the South Asian UK population is widely reported; however, its impact on bone health is unclear. The aim of the present study was to conduct a comparative investigation of vitamin D status in postmenopausal South Asian (SA) and Caucasian (C) women and its relationship to parathyroid hormone (PTH) concentration, biochemical markers of bone turnover and bone quality. A cross-sectional study of community-dwelling women aged 50–66 years was carried out. A total of sixty-six SA women of Pakistani origin and forty-two C women living in the same community were recruited. Fasting blood was taken for the measurement of vitamin D, PTH and biochemical markers of bone turnover, including type-1 collagen β C-telopeptide (βCTX), procollagen type-1 amino-terminal propeptide (P1NP), and bone-specific alkaline phosphatase (BAP) activity. Bone quality was assessed using broadband ultrasound attenuation (BUA). Total serum 25-hydroxyvitamin D (25(OH)D) was significantly lower in the SA women than the C women (medians: SA 10·5 v. C 47·1 nmol/l; P < 0·001) This was associated with a significantly elevated serum PTH concentration in the SA group (medians: SA 7·3 v. C 4·5 pmol/l; P < 0·01). BAP activity was also significantly higher in the SA group, indicating elevated osteoblast activity and bone turnover (medians: SA 23·0 v. C 20·0 U/l; P < 0·05). No significant differences were observed between the two groups for P1NP, βCTX or BUA. Although the SA women had significantly higher serum PTH and lower 25(OH)D concentrations than C women, this was not associated with significantly higher markers of bone resorption, or reduced bone quality in the SA women.


2011 ◽  
Vol 7 (6) ◽  
pp. 689-698 ◽  
Author(s):  
K Henriksen ◽  
DJ Leeming ◽  
C Christiansen ◽  
MA Karsdal

Monitoring bone turnover of the adult and aging skeleton is essential for optimal treatment of bone metabolic diseases, such as postmenopausal osteoporosis. Diagnosis of osteoporosis is based solely on dual-emission x-ray absorptiometry-based measurements of bone mineral density. However, within the last 20 years, biochemical markers of bone turnover have been implemented to a larger degree, and especially within the field of drug development. Numerous clinical studies have underscored that the markers have promise in terms of predicting patients at high risk of losing bone, future fracture events and importantly also the fracture efficacy of drugs in development. Furthermore, while classical methods often require years to monitor the changes, the bone turnover markers do so within a shorter time span. The aims of this article are to provide an update on the different biochemical markers of bone turnover, and to give an overview of their applications in epidemiological and clinical research especially in women. The main emphasis will be on their utility in clinical trials testing the efficacy of drugs for the treatment of osteoporosis, and their ability to supplement bone mass measurements. Finally, recent evidence suggests that biochemical markers may provide information on bone age that may indirectly relate to bone quality, and this is discussed together with future possibilities for measuring bone quality using bone turnover markers. In summary, a more targeted use of biomarkers could assist in the identification of high-risk patients, the process of drug discovery and monitoring of the efficacy of osteoporosis treatment in clinical settings.


2013 ◽  
Author(s):  
Maurizio Feola ◽  
Cecilia Rao ◽  
Monica Celi ◽  
Elena Gasbarra ◽  
Umberto Tarantino

Author(s):  
Michelle Hall ◽  
Libby Spiers ◽  
Gabrielle Knox ◽  
Rana S. Hinman ◽  
Priya Sumithran ◽  
...  

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