Buranasinsup Shutipen, Jangsangthong Arunee, Bunyaratavej Narong
Department of Pre-clinic and Applied Animal Science, Faculty of Veterinary Science, Mahidol University, Nakornpathom, Thailand.
J Med Assoc Thai. 2011 Oct;94 Suppl 5:S90-5.
There are several circulating bone markers that are useful for physicians in determining the bone quality. The markers are composed of N-terminal propeptide of type I collagen (PINP) which determines the bone formation, undercarboxylated osteocalcin (UcOC) and N-mid fragment of osteocalcin (N-MID) which determines the bone remodeling, C-telopeptide of type I collagen (betaPCTx) or betacrosslap (betaCTx), pyridinoline (PYD) and deoxypyridinoline (DPD) which determines the bone resorption. The vitamin named vitamin D (VitD) also affects the bone property. However there is little information about the relationship of these biomarkers. In this experiment, the researchers investigated the correlation of the circulating biomarkers and found the correlations between UcOC and betaCTx (r = 0.471, p = 0.011), between UcOC and Vit D (r = 0.39, p = 0.04), between N-MID and PINP (r = 0.833, p = 0.000), between N-MID and PCTx (r = 0.641, p = 0.000) and lastly between PINP and betaCTx (r = 0.657, p = 0.000) in the male group whereas the correlations between UcOC and PYD (r = 0.318, p = 0.043), between UcOC and DPD (r = 0.551, p = 0.008), between N-MID and PINP (r = 0.721, p = 0.000), between N-MID and PCTx (r = 0.719, p = 0.000), between N-MID and PYD (r = 0.485, p = 0.001), between N-MID and Vit D (r = 0.347, p = 0.026), between PINP and JCTx (r = 0.632, p = 0.000), between PINP and PYD (r = 0.312, p = 0.047), between bCTx and PYD (r = 0.365, p = 0.019), between PYD and DPD (r = 0.567, p = 0.006) and lastly between PYD and Vit D (r = 0.409, p = 0.008) were found in the females. In addition, the new biomolecule named matrix Gla protein (MGP), a small protein produced by bone tissues was also investigated. The authors found the correlation between MGP and PYD (r = 0.468, p = 0.012) in the males and found the correlations between UcOC and MGP (r = 0.421, p = 0.006), between N-MID and MGP (r = 0.333, p = 0.033), between MGP and PYD (r = 0.471, p = 0.002), between MGP and DPD (r = 0.472, p = 0.026) in the female group.
有几种循环骨标志物对医生确定骨质很有用。这些标志物包括决定骨形成的I型胶原N端前肽(PINP)、未羧化骨钙素(UcOC)和决定骨重塑的骨钙素N中段(N-MID)、I型胶原C端肽(βPCTx)或β交联(βCTx)、吡啶啉(PYD)和脱氧吡啶啉(DPD),后者决定骨吸收。名为维生素D(VitD)的维生素也会影响骨特性。然而,关于这些生物标志物之间的关系,信息很少。在本实验中,研究人员调查了循环生物标志物之间的相关性,发现在男性组中,UcOC与βCTx之间存在相关性(r = 0.471,p = 0.011)、UcOC与Vit D之间存在相关性(r = 0.39,p = 0.04)、N-MID与PINP之间存在相关性(r = 0.833,p = 0.000)、N-MID与PCTx之间存在相关性(r = 0.641,p = 0.000),最后PINP与βCTx之间存在相关性(r = 0.657,p = 0.000);而在女性组中,发现UcOC与PYD之间存在相关性(r = 0.318,p = 0.043)、UcOC与DPD之间存在相关性(r = 0.551,p = 0.008)、N-MID与PINP之间存在相关性(r = 0.721,p = 0.000)、N-MID与PCTx之间存在相关性(r = 0.719,p = 0.000)、N-MID与PYD之间存在相关性(r = 0.485,p = 0.001)、N-MID与Vit D之间存在相关性(r = 0.347,p = 0.026)、PINP与JCTx之间存在相关性(r = 0.632,p = 0.000)、PINP与PYD之间存在相关性(r = 0.312,p = 0.047)、bCTx与PYD之间存在相关性(r = 0.365,p = 0.019)、PYD与DPD之间存在相关性(r = 0.567,p = 0.006),最后PYD与Vit D之间存在相关性(r = 0.409,p = 0.008)。此外,还研究了一种名为基质Gla蛋白(MGP)的新生物分子,它是骨组织产生的一种小蛋白。作者发现男性中MGP与PYD之间存在相关性(r = 0.468,p = 0.012),女性组中UcOC与MGP之间存在相关性(r = 0.421,p = 0.006)、N-MID与MGP之间存在相关性(r = 0.333,p = 0.033)、MGP与PYD之间存在相关性(r = 0.471,p = 0.002)、MGP与DPD之间存在相关性(r = 0.472,p = 0.026)。