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Herrmann, M; Kraenzlin, M; Pape, G; Sand-Hill, M; Herrmann, W.
Relation between homocysteine and biochemical bone turnover markers and bone mineral density in peri- and post-menopausal women.
Clin Chem Lab Med. 2005; 43(10):1118-1123 Doi: 10.1515/CCLM.2005.195
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Abstract:
Recently, increased plasma homocysteine (Hcy) has been suggested as an independent risk factor for osteoporotic fractures. Therefore, it is tempting to speculate that Hcy adversely affects bone metabolism. This study aimed to analyze the relation between Hcy and biochemical markers of bone metabolism and bone mineral density (BMD). We investigated 143 peri- and post-menopausal women [median age (25th-75th percentile), 67 (57-75) years]. All subjects underwent a detailed medical examination, measurement of bone mineral density at lumbar spine (BMD-LS) and total hip (BMD-HIP), and fasting venous blood and urine sampling. Osteocalcin (OC), serum calcium (Ca), urinary desoxypyridinoline cross-links (DPD), osteoprotegerin (OPG) and soluble receptor activator of NF-kappaB ligand (sRANKL) were studied. According to BMD subjects were classified as normal (n=24), osteopenic (n=51) or osteoporotic (n=68). Median Hcy did not differ between normal, osteopenic and osteoporotic subjects (p=0.647). Partial correlation analysis, controlling for the major confounders, age, creatinine, menopause and previous fractures, revealed significant correlations between Hcy and DPD (r=0.193, p=0.022), as well as between Hcy and Ca (r=0.170, p=0.045). After adjustment for the same confounders, subsequent regression analysis confirmed significant associations of Hcy with DPD and Ca. No significant relations could be observed between Hcy and BMD-LS, BMD-HIP, OC, OPG or sRANKL. Our results demonstrate weak, but significant, relations between Hcy and markers of organic and inorganic bone resorption, suggesting a mechanistic role of Hcy in bone metabolism. The relation between Hcy and bone resorption was not dependent on OPG or sRANKL.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Amino Acids - urine
Biomarkers - metabolism
Bone Density - physiology
Bone and Bones - metabolism
Calcium - blood
Female -
Homocystine - blood
Humans -
Middle Aged -
Osteoporosis - blood
Osteoporosis - physiopathology
Perimenopause - physiology
Postmenopause - physiology
Risk Factors -

Find related publications in this database (Keywords)
bone mineral density
bone turnover markers
cross-links
desoxypyridinoline
homocysteine osteocalcin
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