Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus

Objective: The risk of fracture is higher in people with than without diabetes. Because bone mineral density is not a good predictive marker of bone strength in people with diabetes, another surrogate is needed. Sclerostin is an inhibitor of bone formation and is secreted mainly by osteocytes. This...

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Main Authors: Eisuke Tomatsu, Megumi Shibata, Yasumasa Yoshino, Sahoko Sekiguchi-Ueda, Ayako Kakita, Takeshi Takayanagi, Masaki Makino, Nobuki Hayakawa, Atsushi Suzuki
Format: Article
Language:English
Published: Fujita Medical Society 2018-02-01
Series:Fujita Medical Journal
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/fmj/4/1/4_2017006/_pdf/-char/en
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author Eisuke Tomatsu
Megumi Shibata
Yasumasa Yoshino
Sahoko Sekiguchi-Ueda
Ayako Kakita
Takeshi Takayanagi
Masaki Makino
Nobuki Hayakawa
Atsushi Suzuki
author_facet Eisuke Tomatsu
Megumi Shibata
Yasumasa Yoshino
Sahoko Sekiguchi-Ueda
Ayako Kakita
Takeshi Takayanagi
Masaki Makino
Nobuki Hayakawa
Atsushi Suzuki
author_sort Eisuke Tomatsu
collection DOAJ
description Objective: The risk of fracture is higher in people with than without diabetes. Because bone mineral density is not a good predictive marker of bone strength in people with diabetes, another surrogate is needed. Sclerostin is an inhibitor of bone formation and is secreted mainly by osteocytes. This study was performed to clarify how the serum sclerostin concentration reflects bone turnover in patients with type 2 diabetes. Methods: We measured the serum sclerostin concentration and other bone turnover markers in 49 patients with type 2 diabetes (26 men and 23 postmenopausal women). The osteo-sono assessment index was measured using ultrasonography at the calcaneus. Results: In men, the serum sclerostin concentration was significantly correlated with age, homocysteine, and pentosidine, reflecting an accumulation of advanced glycation end products in the bone. The multiple regression analysis showed that the serum pentosidine concentration was associated with the serum sclerostin concentration in men with type 2 diabetes. In contrast, sclerostin was not significantly correlated with pentosidine or other bone turnover markers in women with type 2 diabetes. Conclusions: The serum sclerostin concentration seems to increase in accordance with the accumulation of advanced glycation end products in patients with type 2 diabetes and might reflect the bone quality in men with diabetes.
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spelling doaj.art-1b45dbb520a041cc8feb9e65497961bf2022-12-22T00:33:50ZengFujita Medical SocietyFujita Medical Journal2189-72472189-72552018-02-01411510.20407/fmj.4.1_1Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitusEisuke TomatsuMegumi ShibataYasumasa YoshinoSahoko Sekiguchi-UedaAyako KakitaTakeshi TakayanagiMasaki MakinoNobuki HayakawaAtsushi SuzukiObjective: The risk of fracture is higher in people with than without diabetes. Because bone mineral density is not a good predictive marker of bone strength in people with diabetes, another surrogate is needed. Sclerostin is an inhibitor of bone formation and is secreted mainly by osteocytes. This study was performed to clarify how the serum sclerostin concentration reflects bone turnover in patients with type 2 diabetes. Methods: We measured the serum sclerostin concentration and other bone turnover markers in 49 patients with type 2 diabetes (26 men and 23 postmenopausal women). The osteo-sono assessment index was measured using ultrasonography at the calcaneus. Results: In men, the serum sclerostin concentration was significantly correlated with age, homocysteine, and pentosidine, reflecting an accumulation of advanced glycation end products in the bone. The multiple regression analysis showed that the serum pentosidine concentration was associated with the serum sclerostin concentration in men with type 2 diabetes. In contrast, sclerostin was not significantly correlated with pentosidine or other bone turnover markers in women with type 2 diabetes. Conclusions: The serum sclerostin concentration seems to increase in accordance with the accumulation of advanced glycation end products in patients with type 2 diabetes and might reflect the bone quality in men with diabetes.https://www.jstage.jst.go.jp/article/fmj/4/1/4_2017006/_pdf/-char/ensclerostintype 2 diabetesbone turnoverosteoporosis
spellingShingle Eisuke Tomatsu
Megumi Shibata
Yasumasa Yoshino
Sahoko Sekiguchi-Ueda
Ayako Kakita
Takeshi Takayanagi
Masaki Makino
Nobuki Hayakawa
Atsushi Suzuki
Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus
Fujita Medical Journal
sclerostin
type 2 diabetes
bone turnover
osteoporosis
title Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus
title_full Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus
title_fullStr Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus
title_full_unstemmed Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus
title_short Serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus
title_sort serum sclerostin concentration reflects bone turnover and glycation in men with type 2 diabetes mellitus
topic sclerostin
type 2 diabetes
bone turnover
osteoporosis
url https://www.jstage.jst.go.jp/article/fmj/4/1/4_2017006/_pdf/-char/en
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