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猫骨代谢血清和尿液标志物测量方法的比较。

A comparison of methods for measuring serum and urinary markers of bone metabolism in cats.

作者信息

DeLaurier A, Jackson B, Pfeiffer D, Ingham K, Horton M A, Price J S

机构信息

Bone and Mineral Centre, Department of Medicine, University College London, London WC1E 6JJ, UK.

出版信息

Res Vet Sci. 2004 Aug;77(1):29-39. doi: 10.1016/j.rvsc.2004.02.007.

Abstract

Biochemical markers of bone cell activity have recently been shown to be useful for monitoring skeletal health in domestic animals, including dogs and horses. The aim of this study was to evaluate a number of biochemical assays, originally developed for use in humans, for their ability to measure indicators of bone cell activity in serum and urine of normal cats over a range of ages. Bone alkaline phosphatase (BAP), a marker of bone formation, was measured in serum using wheatgerm lectin precipitation (WGL) and by ELISA. The curve derived from serial dilution of feline serum was parallel with the ELISA standard curve, indicating species cross-reactivity, and there was a significant relationship between assays (rs = 0.97, P < 0.001). Deoxypyridinoline (DPD), a marker of bone resorption, was measured in its total form in urine by HPLC and ELISA, and in its free form in serum and urine by ELISA. The dilution curve for free DPD in urine showed parallelism with the assay standard curve; however, the curves for total DPD in urine and serum did not. A significant relationship was established between total urinary DPD (HPLC) with total serum DPD (rs = 0.69, P < 0.001), and with free urinary DPD (rs = 0.95, P < 0.001) concentrations. Carboxy-terminal telopeptide of type I collagen (CTX) concentration, another marker of bone resorption, was measured in serum and urine by ELISA, and there was a significant relationship between assays (rs = 0.82, P < 0.001). CTX could not be measured reliably using an auto-analysis method. A significant relationship was established between total urinary DPD (HPLC) with serum CTX (rs = 0.59, P < 0.05), and urinary CTX (rs = 0.65, P < 0.001) concentrations. BAP (ELISA and WGL), total urinary DPD (HPLC), urinary CTX (ELISA), and serum CTX (ELISA) concentrations were significantly inversely correlated with age (rs = -0.66, -0.88, -0.61, -0.70, and -0.51, P < 0.05 respectively). Cats under two years of age had significantly higher BAP, total urinary DPD (HPLC), and urinary CTX concentrations compared to older cats. In conclusion, this study has shown that a number of commercially available assays provide reliable methods for non-invasively monitoring bone cell activity in cats and has shown that bone turnover decreases within the first two years of life, until complete skeletal maturity is attained. Future studies can now be directed at evaluating the potential clinical application of these methods.

摘要

最近研究表明,骨细胞活性的生化标志物可用于监测家畜(包括犬和马)的骨骼健康状况。本研究旨在评估一些最初用于人类的生化检测方法,以测定不同年龄正常猫血清和尿液中骨细胞活性指标的能力。采用麦胚凝集素沉淀法(WGL)和酶联免疫吸附测定法(ELISA)检测血清中骨形成标志物骨碱性磷酸酶(BAP)。猫血清系列稀释得到的曲线与ELISA标准曲线平行,表明存在种属交叉反应,两种检测方法之间存在显著相关性(rs = 0.97,P < 0.001)。采用高效液相色谱法(HPLC)和ELISA检测尿液中骨吸收标志物脱氧吡啶啉(DPD)的总量,采用ELISA检测血清和尿液中游离形式的DPD。尿液中游离DPD的稀释曲线与检测标准曲线平行;然而,尿液和血清中总DPD的曲线并非如此。尿液中总DPD(HPLC法)与血清中总DPD(rs = 0.69,P < 0.001)以及与尿液中游离DPD(rs = 0.95,P < 0.001)浓度之间建立了显著相关性。采用ELISA检测血清和尿液中I型胶原羧基末端肽(CTX)浓度,两种检测方法之间存在显著相关性(rs = 0.82,P < 0.001)。无法使用自动分析方法可靠地检测CTX。尿液中总DPD(HPLC法)与血清CTX(rs = 0.59,P < 0.05)以及尿液CTX(rs = 0.65,P < 0.001)浓度之间建立了显著相关性。BAP(ELISA法和WGL法)、尿液中总DPD(HPLC法)、尿液CTX(ELISA法)以及血清CTX(ELISA法)浓度与年龄显著负相关(rs分别为 -0.66、-0.88、-0.61、-0.70和 -0.51,P均 < 0.05)。与年龄较大的猫相比,两岁以下的猫BAP、尿液中总DPD(HPLC法)和尿液CTX浓度显著更高。总之,本研究表明,一些市售检测方法为非侵入性监测猫的骨细胞活性提供了可靠方法,并且表明在生命的头两年内骨转换率下降,直至骨骼完全成熟。现在可以针对评估这些方法的潜在临床应用开展进一步研究。

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