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泰国健康人群的骨标志物

Bone markers in the healthy Thai people.

作者信息

Buranasinsup Shutipen, Jangsangthong Arunee, Bunyaratavej Narong

机构信息

Department of Pre-clinic and Applied Animal Science, Faculty of Veterinary Science, Mahidol University, Nakornpathom, Thailand.

出版信息

J Med Assoc Thai. 2011 Oct;94 Suppl 5:S96-101.

Abstract

Osteoporosis is a systemic skeletal disease characterized by low bone mineral density (BMD) and micro-architectural deterioration of the bone tissues resulting in bone fragility and susceptibility to fracture. It is caused by the decrease of bone formation and the increase of bone resorption. Both bone formation and resorption can be examined by the circulating biomolecules. The biomolecules using in determining the bone formation are composed of osteocalcin (OC) in form of N-terminal midmolecule fragment (N-MID) and undercarboxylated osteocalcin (UcOC). The other bone formation markers are matrix Gla protein (MGP) and N-terminal propeptide of Type I collagen (PINP) whereas the biomolecules using in determining the bone resorption comprises of C-terminal cross-linking telopeptide of Type I collagen (betaCTx), collagen cross-links molecules which are pyridinoline (PYD) and deoxypyridinoline (DPD). Nevertheless, some vitamins such as vitamin D (Vit D) and some hormones e.g. parathyroid hormone (PTH) are also affected to the bone quality. To monitor and assess the bone mass, the normal values of bone markers as well as the relevant biomolecules are important and should be established. The researchers aimed to investigate the normal values of the interesting bone biomarkers and the relevant biomolecules in the adult volunteers.

摘要

骨质疏松症是一种全身性骨骼疾病,其特征是骨矿物质密度(BMD)低以及骨组织的微结构恶化,导致骨骼脆弱和易骨折。它是由骨形成减少和骨吸收增加引起的。骨形成和吸收都可以通过循环生物分子进行检测。用于确定骨形成的生物分子由N端中分子片段(N-MID)形式的骨钙素(OC)和未羧化骨钙素(UcOC)组成。其他骨形成标志物是基质Gla蛋白(MGP)和I型胶原N端前肽(PINP),而用于确定骨吸收的生物分子包括I型胶原C端交联端肽(βCTx)、吡啶啉(PYD)和脱氧吡啶啉(DPD)等胶原交联分子。然而,一些维生素如维生素D(Vit D)和一些激素如甲状旁腺激素(PTH)也会影响骨骼质量。为了监测和评估骨量,骨标志物以及相关生物分子的正常参考值很重要,应该予以确定。研究人员旨在调查成年志愿者中这些相关骨生物标志物和生物分子的正常参考值。

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