Clinical evaluation of bone turnover by serum osteocalcin measurements in a hospital setting.

Clinical evaluation of bone turnover by serum osteocalcin measurements in a hospital setting.
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在医院环境中通过血清骨钙素测量对骨转换进行临床评估。

DOI:
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发表时间:
1984
影响因子:
5.8
通讯作者:
J. Lian
J. Lian
中科院分区:
医学2区
文献类型:
--
作者:
D. Slovik;C. Gundberg;R. Neer;J. Lian

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骨钙素是一种主要的非胶原性骨蛋白,其血清水平在某些代谢性骨病患者中升高,但其他疾病对血清骨钙素水平的影响尚不清楚。我们测量了250例患有各种疾病的康复医院患者的血清骨钙素浓度。平均血清骨钙素水平升高的患者1)最近髋部骨折谁需要开放复位和针插入(平均值± SE,19.0 ± 3.2 ng/ml),2)原发性(22.0 +/- 4.9 ng/ml)或继发性甲状旁腺功能亢进(51.6 +/- 9.9 ng/ml),3)骨的佩吉特病(22.7 +/- 6.1 ng/ml),或4)未接受治疗的转移性骨骼疾病(37.5 +/- 11.3)。平均血清骨钙素水平正常的患者接受1)髋关节假体最近骨折或严重退行性关节疾病的髋关节(6.4 +/- 0.9 ng/ml),2)近期因骨转移进行化疗或放疗(6.1 +/- 1.3 ng/ml),或3)与骨疾病无关的各种医学问题(5.2 +/- 0.3 ng/ml)。血清骨钙素和碱性磷酸酶值没有相关性。这项研究表明,血清骨钙素水平是正常的疾病不涉及骨,可用于综合医院的设置,其中伴随疾病的存在,并可能提供额外的信息,代谢性骨病的临床评价。
Serum levels of osteocalcin, the major noncollagenous bone protein, are elevated in patients with certain metabolic bone diseases, but the effects of other illnesses on serum osteocalcin levels are not known. We measured serum osteocalcin concentrations in 250 patients in a rehabilitation hospital who suffered from various illnesses. Mean serum osteocalcin levels were elevated in patients with 1) recent hip fracture who required open reduction and pin insertion (mean +/- SE, 19.0 +/- 3.2 ng/ml), 2) primary (22.0 +/- 4.9 ng/ml) or secondary hyperparathyroidism (51.6 +/- 9.9 ng/ml), 3) Paget's disease of bone (22.7 +/- 6.1 ng/ml), or 4) metastatic skeletal disease who had not received therapy (37.5 +/- 11.3). Mean serum osteocalcin levels were normal in patients who had received 1) a hip prosthesis for a recent fracture or for severe degenerative joint disease of the hip (6.4 +/- 0.9 ng/ml), 2) recent chemotherapy or irradiation for bone metastases (6.1 +/- 1.3 ng/ml), or 3) a variety of medical problems not related to bone disease (5.2 +/- 0.3 ng/ml). Serum osteocalcin and alkaline phosphatase values did not correlate. This study demonstrates that serum osteocalcin levels are normal in disorders not involving bone, can be used in a general-hospital setting, where concomitant illnesses are present, and may provide additional information for the clinical evaluation of metabolic bone disease.
通过测量血清骨 Gla 蛋白评估绝经后骨质疏松症的骨转换。
DOI: --
发表时间: 1983
期刊: The Journal of laboratory and clinical medicine
影响因子: --
作者:
Delmas,PD;Wahner,HW;Mann,KG;Riggs,BL
通讯作者: Riggs,BL
DOI: 10.1172/jci110882
发表时间: 1983
期刊: The Journal of clinical investigation
影响因子: --
作者:
Delmas,PD;Stenner,D;Wahner,HW;Mann,KG;Riggs,BL
通讯作者: Riggs,BL
DOI: 10.1016/s0021-9258(18)42960-2
发表时间: 1981-12
期刊: The Journal of biological chemistry
影响因子: --
作者:
P. Price;M. Williamson;J. W. Lothringer
通讯作者: P. Price;M. Williamson;J. W. Lothringer
DOI: 10.1210/jcem-57-5-1028
发表时间: 1983-01-01
影响因子: 5.8
作者:
DELMAS, PD;WILSON, DM;RIGGS, BL
通讯作者: RIGGS, BL
DOI: 10.1172/jci109954
发表时间: 1980-01-01
影响因子: 15.9
作者:
PRICE, PA;PARTHEMORE, JG;NISHIMOTO, SK
通讯作者: NISHIMOTO, SK