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Lange, U; Teichmann, J; Obermayer-Pietsch, B.
Genetic aspects of osteopenia/osteoporosis in ankylosing spondylitis.
Z Orthop Unfall. 2009; 147(5): 577-581.
Doi: 10.1055/s-0029-1185711
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PubMed
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- Co-Autor*innen der Med Uni Graz
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Obermayer-Pietsch Barbara
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- Abstract:
- Aim: Secondary osteoporosis with subsequent fractures are well-known symptoms in ankylosing spondylitis. As a possible genetic component of osteoporosis, an association between bone mineral density (BMD) and polymorphisms of the vitamin D receptor (VDR) gene has been reported. Method: In the present study, we investigated relationships between these polymorphisms, BMD, biochemical markers of bone metabolism and markers of disease activity in ankylosing spondylitis. Results: AS patients showed osteoporosis more frequently than healthy controls. A mapping of activity indices and BMD showed an association of lumbar and peripheral BMD as well as of the current and median C-reactive protein over the last 3 years with the used Fokl-genotypes of the VDR in male patients with AS. Female AS patients showed no significant association. Conclusion: The pathophysiological mechanisms of this association are unclear, especially with respect to the inflammatory activity. An early assessment of the risk for osteopenia/osteoporosis in AS patients using molecular biological tests could make possible timely preventive measures or therapy.
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Absorptiometry, Photon -
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Adult -
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Alleles -
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Bone Density - genetics
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Bone Diseases, Metabolic - genetics
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C-Reactive Protein - metabolism
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Chromosomes, Human, Pair 12 - genetics
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Female -
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Genotype -
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Heterozygote Detection -
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Homozygote -
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Humans -
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Male -
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Middle Aged -
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Osteoporosis - genetics
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Polymerase Chain Reaction -
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Polymorphism, Genetic - genetics
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Receptors, Calcitriol - genetics
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Sex Factors -
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Spondylitis, Ankylosing - diagnosis Spondylitis, Ankylosing - genetics Spondylitis, Ankylosing - immunology
- Find related publications in this database (Keywords)
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ankylosing spondylitis
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osteopenia/osteoporosis
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genetic aspects
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vitamin D receptor gene polymorphisms