Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid Hormone

Parathyroid hormone (PTH) changes morphology of osteoclasts within minutes after its systemic administration. The aim of our study was to test in healthy men whether both exogenous and endogenous PTH could change acutely (minutes to hours) the serum cross-linked C-telopeptide of type I collagen (bet...

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Main Authors: Vit Zikan, Jan J. Stepan
Format: Article
Language:English
Published: SAGE Publishing 2008-01-01
Series:Biomarker Insights
Subjects:
Online Access:http://la-press.com/article.php?article_id=501
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author Vit Zikan
Jan J. Stepan
author_facet Vit Zikan
Jan J. Stepan
author_sort Vit Zikan
collection DOAJ
description Parathyroid hormone (PTH) changes morphology of osteoclasts within minutes after its systemic administration. The aim of our study was to test in healthy men whether both exogenous and endogenous PTH could change acutely (minutes to hours) the serum cross-linked C-telopeptide of type I collagen (beta CTX), which is released during osteoclastic resorption of bone. Twelve healthy men (age range 24–34 yr) were each studied during 180 min on a control period, after a single subcutaneous injection of teriparatide, and after 30 min EDTA infusion to stimulate endogenous PTH secretion. The tests were started after overnight fast, 3 h after a standard calcium load. The EDTA infusion induced a significant decrease in serum ionized calcium (by 8.5% at 33 min) and a significant increase in plasma PTH (by 305% at 33 min). Both the EDTA and teriparatide resulted in a significant increase in beta CTX (p < 0.001) with maximum increases of 64% and 80%, respectively. A mild, but significant decrease in beta CTX was observed during the control test period. In conclusion, single-dose teriparatide injection as well as a stimulation of endogenous PTH in healthy men results in an acute increase of the bone resorption marker.
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spelling doaj.art-45df4c55224a4819b36e1a191b8141b62022-12-21T17:50:17ZengSAGE PublishingBiomarker Insights1177-27192008-01-0131924Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid HormoneVit ZikanJan J. StepanParathyroid hormone (PTH) changes morphology of osteoclasts within minutes after its systemic administration. The aim of our study was to test in healthy men whether both exogenous and endogenous PTH could change acutely (minutes to hours) the serum cross-linked C-telopeptide of type I collagen (beta CTX), which is released during osteoclastic resorption of bone. Twelve healthy men (age range 24–34 yr) were each studied during 180 min on a control period, after a single subcutaneous injection of teriparatide, and after 30 min EDTA infusion to stimulate endogenous PTH secretion. The tests were started after overnight fast, 3 h after a standard calcium load. The EDTA infusion induced a significant decrease in serum ionized calcium (by 8.5% at 33 min) and a significant increase in plasma PTH (by 305% at 33 min). Both the EDTA and teriparatide resulted in a significant increase in beta CTX (p < 0.001) with maximum increases of 64% and 80%, respectively. A mild, but significant decrease in beta CTX was observed during the control test period. In conclusion, single-dose teriparatide injection as well as a stimulation of endogenous PTH in healthy men results in an acute increase of the bone resorption marker.http://la-press.com/article.php?article_id=501bone resorptioncalciumC-telopeptideparathyroid hormoneteriparatide
spellingShingle Vit Zikan
Jan J. Stepan
Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid Hormone
Biomarker Insights
bone resorption
calcium
C-telopeptide
parathyroid hormone
teriparatide
title Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid Hormone
title_full Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid Hormone
title_fullStr Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid Hormone
title_full_unstemmed Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid Hormone
title_short Marker of Bone Resorption in Acute Response to Exogenous or Endogenous Parathyroid Hormone
title_sort marker of bone resorption in acute response to exogenous or endogenous parathyroid hormone
topic bone resorption
calcium
C-telopeptide
parathyroid hormone
teriparatide
url http://la-press.com/article.php?article_id=501
work_keys_str_mv AT vitzikan markerofboneresorptioninacuteresponsetoexogenousorendogenousparathyroidhormone
AT janjstepan markerofboneresorptioninacuteresponsetoexogenousorendogenousparathyroidhormone