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Feasibility of Serum Pentosidine Level as a Potential Risk Factor for Osteoporotic Vertebral Compression Fracture

  • Choi, Dong-Hyuk (Department of Orthopaedic Surgery, Kwangju Christian Hospital) ;
  • Lee, Sang-Min (Department of Orthopaedic Surgery, Kwangju Christian Hospital) ;
  • Lim, Sung-An (Department of Orthopaedic Surgery, Kwangju Christian Hospital) ;
  • Choi, Yong-Soo (Department of Orthopaedic Surgery, Kwangju Christian Hospital)
  • 투고 : 2017.11.14
  • 심사 : 2018.05.08
  • 발행 : 2018.12.31

초록

Study Design: Feasibility study. Purpose: To evaluate the feasibility of using serum pentosidine level as a potential marker for osteoporotic vertebral compression fracture (OVCF). Overview of Literature: A review of previous studies suggests a negative correlation between serum pentosidine concentration and bone strength. However, it is unclear whether serum pentosidine level might be a potential marker of OVCF in Koreans. Methods: Forty patients who underwent bone mineral density examination were included in this study, and their serum pentosidine levels were prospectively analyzed. Serum pentosidine level was evaluated using enzyme-linked immunosorbent assay. Among all the patients, 11 with OVCF were assigned to the vertebral fracture group and 29 who did not have vertebral fracture were included in the non-fracture group. In addition, we used the Fracture Risk Assessment (FRAX) tool Korean version for assessing the 10-year probability of fracture. Results: There was a statistically significant difference in the mean serum pentosidine level (p=0.04) of the vertebral fracture group (110.8 ng/mL) and the non-fracture group (64.3 ng/mL). Logistic regression analyses showed that serum pentosidine was significantly associated with OVCF. The vertebral fracture group had significantly higher 10-year probability of major osteoporotic fracture as per FRAX than the non-fracture group. There was a positive correlation between pentosidine level and FRAX results (r=0.35, p=0.02). Conclusions: These results suggest that increased serum pentosidine level could be a potential marker for OVCF.

키워드

참고문헌

  1. NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001;285:785-95. https://doi.org/10.1001/jama.285.6.785
  2. Kanis JA, Melton LJ 3rd, Christiansen C, Johnston CC, Khaltaev N. The diagnosis of osteoporosis. J Bone Miner Res 1994;9:1137-41.
  3. Baim S, Binkley N, Bilezikian JP, et al. Official positions of the International Society for Clinical Densitometry and executive summary of the 2007 ISCD Position Development Conference. J Clin Densitom 2008;11:75-91. https://doi.org/10.1016/j.jocd.2007.12.007
  4. Simon LS. Osteoporosis. Clin Geriatr Med 2005;21:603-29. https://doi.org/10.1016/j.cger.2005.02.002
  5. Viguet-Carrin S, Garnero P, Delmas PD. The role of collagen in bone strength. Osteoporos Int 2006;17:319-36. https://doi.org/10.1007/s00198-005-2035-9
  6. Bailey AJ, Sims TJ, Ebbesen EN, Mansell JP, Thomsen JS, Mosekilde L. Age-related changes in the biochemical properties of human cancellous bone collagen: relationship to bone strength. Calcif Tissue Int 1999;65:203-10. https://doi.org/10.1007/s002239900683
  7. Wang X, Shen X, Li X, Agrawal CM. Age-related changes in the collagen network and toughness of bone. Bone 2002;31:1-7. https://doi.org/10.1016/S8756-3282(01)00697-4
  8. Saito M, Marumo K. Collagen cross-links as a determinant of bone quality: a possible explanation for bone fragility in aging, osteoporosis, and diabetes mellitus. Osteoporos Int 2010;21:195-214. https://doi.org/10.1007/s00198-009-1066-z
  9. Oxlund H, Mosekilde L, Ortoft G. Reduced concentration of collagen reducible cross links in human trabecular bone with respect to age and osteoporosis. Bone 1996;19:479-84. https://doi.org/10.1016/S8756-3282(96)00283-9
  10. Vashishth D. The role of the collagen matrix in skeletal fragility. Curr Osteoporos Rep 2007;5:62-6. https://doi.org/10.1007/s11914-007-0004-2
  11. Viguet-Carrin S, Roux JP, Arlot ME, et al. Contribution of the advanced glycation end product pentosidine and of maturation of type I collagen to compressive biomechanical properties of human lumbar vertebrae. Bone 2006;39:1073-9. https://doi.org/10.1016/j.bone.2006.05.013
  12. Yamamoto M, Yamaguchi T, Yamauchi M, Yano S, Sugimoto T. Serum pentosidine levels are positively associated with the presence of vertebral fractures in postmenopausal women with type 2 diabetes. J Clin Endocrinol Metab 2008;93:1013-9. https://doi.org/10.1210/jc.2007-1270
  13. Shiraki M, Kuroda T, Tanaka S, Saito M, Fukunaga M, Nakamura T. Nonenzymatic collagen cross-links induced by glycoxidation (pentosidine) predicts vertebral fractures. J Bone Miner Metab 2008;26:93-100. https://doi.org/10.1007/s00774-007-0784-6
  14. Kang HY, Yang KH, Kim YN, et al. Incidence and mortality of hip fracture among the elderly population in South Korea: a population-based study using the national health insurance claims data. BMC Public Health 2010;10:230. https://doi.org/10.1186/1471-2458-10-230
  15. Lippuner K, Johansson H, Kanis JA, Rizzoli R. Remaining lifetime and absolute 10-year probabilities of osteoporotic fracture in Swiss men and women. Osteoporos Int 2009;20:1131-40. https://doi.org/10.1007/s00198-008-0779-8
  16. Urena P, De Vernejoul MC. Circulating biochemical markers of bone remodeling in uremic patients. Kidney Int 1999;55:2141-56. https://doi.org/10.1046/j.1523-1755.1999.00461.x
  17. Park C, Ha YC, Jang S, Jang S, Yoon HK, Lee YK. The incidence and residual lifetime risk of osteoporosis-related fractures in Korea. J Bone Miner Metab 2011;29:744-51. https://doi.org/10.1007/s00774-011-0279-3
  18. So GY, Park KH, Yoon DH, Ryu JH, Choi YS. Feasibility of FRAX for prediction of osteoporotic vertebral fractures in Korea. Asian Spine J 2012;6:22-8. https://doi.org/10.4184/asj.2012.6.1.22
  19. Sell DR, Monnier VM. Structure elucidation of a senescence cross-link from human extracellular matrix: implication of pentoses in the aging process. J Biol Chem 1989;264:21597-602.
  20. Saito M, Fujii K, Mori Y, Marumo K. Role of collagen enzymatic and glycation induced crosslinks as a determinant of bone quality in spontaneously diabetic WBN/Kob rats. Osteoporos Int 2006;17:1514-23. https://doi.org/10.1007/s00198-006-0155-5
  21. Allen MR, Gineyts E, Leeming DJ, Burr DB, Delmas PD. Bisphosphonates alter trabecular bone collagen cross-linking and isomerization in beagle dog vertebra. Osteoporos Int 2008;19:329-37. https://doi.org/10.1007/s00198-007-0533-7
  22. Hernandez CJ, Tang SY, Baumbach BM, et al. Trabecular microfracture and the influence of pyridinium and non-enzymatic glycation-mediated collagen cross-links. Bone 2005;37:825-32. https://doi.org/10.1016/j.bone.2005.07.019
  23. Odetti P, Rossi S, Monacelli F, et al. Advanced glycation end products and bone loss during aging. Ann N Y Acad Sci 2005;1043:710-7. https://doi.org/10.1196/annals.1333.082
  24. Sanguineti R, Storace D, Monacelli F, Federici A, Odetti P. Pentosidine effects on human osteoblasts in vitro. Ann N Y Acad Sci 2008;1126:166-72. https://doi.org/10.1196/annals.1433.044
  25. Garnero P, Borel O, Gineyts E, et al. Extracellular post-translational modifications of collagen are major determinants of biomechanical properties of fetal bovine cortical bone. Bone 2006;38:300-9. https://doi.org/10.1016/j.bone.2005.09.014
  26. Vashishth D, Gibson GJ, Khoury JI, Schaffler MB, Kimura J, Fyhrie DP. Influence of nonenzymatic glycation on biomechanical properties of cortical bone. Bone 2001;28:195-201. https://doi.org/10.1016/S8756-3282(00)00434-8
  27. Kanis JA, McCloskey EV, Johansson H, Oden A, Melton LJ 3rd, Khaltaev N. A reference standard for the description of osteoporosis. Bone 2008;42:467-75. https://doi.org/10.1016/j.bone.2007.11.001
  28. Kanis JA, Borgstrom F, De Laet C, et al. Assessment of fracture risk. Osteoporos Int 2005;16:581-9. https://doi.org/10.1007/s00198-004-1780-5

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