Recker R R, Kimmel D B, Parfitt A M, Davies K M, Keshawarz N, Hinders S
Center for Hard Tissue Research, Dept. of Medicine, Creighton University, Omaha, NE.
J Bone Miner Res. 1988 Apr;3(2):133-44. doi: 10.1002/jbmr.5650030203.
Transilial bone biopsies were obtained from 34 healthy postmenopausal women following in vivo fluorochrome labeling. Stained and unstained undecalcified sections were evaluated using a Merz grid. Standard histomorphometric data from cancellous bone tissue were collected and the results were evaluated and presented as variables commonly used in bone histomorphometry. The normal ranges, medians, means, and standard deviations for the group of 34 are presented in tabular form for structural, surface, basic dynamic, and derived dynamic data. Similar data for individuals grouped by ages 45-54, 55-64, and 65-74 are also presented. Secular trends for the whole group are evaluated. The structural and surface data are not much different from previous reports of sudden-death accident victims, when methodologic differences are considered. The mineral apposition rate (MAR) was 0.53 +/- 0.08 micron/day, similar to previous reports in cancellous bone, but one-third less than in cortical bone. MAR showed a marked decline with age. In contrast, the extent of tetracycline-labeled surfaces varied widely without a secular trend. Double-label surface (dLS/BS) ranged from 0.5 to 8.0% and single-label surface (sLS/BS), from 0.5 to 10.5%. Mineralizing osteoid surface (MS/OS) varied from 2 to 64%. Using only double-label surface to represent mineralizing surface, volume-based bone formation rate (BFR/BV) ranged from 0.7 to 28%/yr, and the remodeling period (Rm.P) varied from 0.28 to 4.5 years. Calculations using other representations of mineralizing surface [double plus one-half single label (MS/BS"); all label (MS/BS')] are also presented. These bone histomorphometric data are important because: (1) they come from a cohort of living subjects that was recruited solely for the purpose of establishing normal bone histomorphometry; (2) they represent the age range of patients with postmenopausal osteoporosis; and (3) they markedly expand the bone histomorphometric database of healthy persons given in vivo fluorochrome labeling prior to transilial biopsy.
对34名健康绝经后女性进行活体荧光色素标记后,获取经髂骨骨活检样本。使用Merz网格对染色和未染色的不脱钙切片进行评估。收集松质骨组织的标准组织形态计量学数据,并对结果进行评估,以骨组织形态计量学中常用的变量形式呈现。以表格形式列出了34名研究对象的结构、表面、基本动力学和衍生动力学数据的正常范围、中位数、均值和标准差。还列出了按45 - 54岁、55 - 64岁和65 - 74岁分组的个体的类似数据。评估了整个研究组的长期趋势。考虑到方法学差异,结构和表面数据与先前关于猝死事故受害者的报告没有太大差异。骨矿化沉积率(MAR)为0.53±0.08微米/天,与先前松质骨的报告相似,但比皮质骨低三分之一。MAR随年龄显著下降。相比之下,四环素标记表面的范围差异很大,没有长期趋势。双标记表面(dLS/BS)范围为0.5%至8.0%,单标记表面(sLS/BS)范围为0.5%至10.5%。矿化类骨质表面(MS/OS)范围为2%至64%。仅使用双标记表面来表示矿化表面时,基于体积的骨形成率(BFR/BV)范围为0.7%至28%/年,重塑期(Rm.P)范围为0.28至4.5年。还给出了使用矿化表面的其他表示形式[双标记加二分之一单标记(MS/BS");所有标记(MS/BS')]进行的计算。这些骨组织形态计量学数据很重要,原因如下:(1)它们来自仅为建立正常骨组织形态计量学而招募的一组在世受试者;(2)它们代表了绝经后骨质疏松症患者的年龄范围;(3)它们显著扩展了在经髂骨活检前进行活体荧光色素标记的健康人的骨组织形态计量学数据库。