Kong Y, Meng X, Zhou X, Liu H, Liu S
PUMC Hospital, Beijing.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 1997 Aug;19(4):257-62.
We extracted and purified osteocalcin (BGP) from calf femur by gel filtration, FPLC and HPLC subsequently. The rabbits were immunized by this antigen and produced antibody. With this antibody (final 1: 35,000 dilution) we established RIA for BGP. This assay is stable and sensitive, the kd was 2.29 x 10(11). The intra assay variation was 2.1% and the inter assay variaton was 5.6%. It has no crossreaction with insulin, parathyroid hormone or calcitonin.
The serum BGP values were detected in normal subjects and six kinds of bone metabolic diseases. In 81 normal subjects, the average serum BGP level was (5.3 +/- 1.5) ng/ml and in postmenopausal osteoporosis the serum BGP level [(6.2 +/- 1.9) ng/ml, n = 42] was higher than the normal (P < 0.05). The serum BGP levels were increased much in primary hyperparathyroidism [(12.8 +/- 7.0) ng/ml, n = 21, P < 0.001]. Increased values of BGP were also found in patients with chronic renal failure [(8.5 +/- 2.4) ng/ml, n = 18, P < 0.01] and Paget's disease [(6.7 +/- 2.2) ng/ml, n = 12, P < 0.05]. Decreased serum BGP values were found in Cushing syndrome [(2.9 +/- 0.9) ng/ml, n = 16, P < 0.001] and hypoparathyroidism [(3.4 +/- 1.1) ng/ml, n = 42, P < 0.001]. This result showed that in diseases with high bone turnover, the serum BGP levels were increased and in diseases with low bone turnover, the serum BGP levels were decreased.
The data suggest that serum BGP is a sensitive marker for bone turnover. It is very improtant in studying bone metabolic diseases.
我们先后通过凝胶过滤、快速蛋白质液相色谱法(FPLC)和高效液相色谱法(HPLC)从小牛股骨中提取并纯化骨钙素(BGP)。用该抗原免疫兔子并产生抗体。用此抗体(最终稀释度为1:35000)建立了BGP的放射免疫分析方法(RIA)。该检测方法稳定且灵敏,解离常数(kd)为2.29×10¹¹。批内变异为2.1%,批间变异为5.6%。它与胰岛素、甲状旁腺激素或降钙素无交叉反应。
检测了正常受试者及六种骨代谢疾病患者的血清BGP值。81名正常受试者的血清BGP平均水平为(5.3±1.5)ng/ml,绝经后骨质疏松症患者的血清BGP水平为[(6.2±1.9)ng/ml,n = 42],高于正常水平(P < 0.05)。原发性甲状旁腺功能亢进患者的血清BGP水平显著升高[(12.8±7.0)ng/ml,n = 21,P < 0.001]。慢性肾功能衰竭患者[(8.5±2.4)ng/ml, n = 18, P < 0.01]和佩吉特病患者[(6.7±2.2)ng/ml, n = 12, P < 0.05]的BGP值也升高。库欣综合征患者[(2.9±0.9)ng/ml, n = 16, P < 0.001]和甲状旁腺功能减退患者[(3.4±1.1)ng/ml, n = 42, P < 0.001]的血清BGP值降低。该结果表明,在骨转换率高的疾病中,血清BGP水平升高;在骨转换率低的疾病中,血清BGP水平降低。
数据表明血清BGP是骨转换的敏感标志物。它在研究骨代谢疾病中非常重要。