Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
1995-12-14
pubmed:abstractText
We examined the response of different biochemical markers of bone resorption to bisphosphonate therapy (400 mg of etidronate daily for 6 months) in mild Paget disease (n = 14). Urinary markers included hydroxyproline (OHP), total (T) and free (F) pyridinolines (Pyds) determined by HPLC, immunoreactive FPyds, immunoreactive TPyds, and the N- and C-terminal telopeptides of type I collage (NTx, CL). Serum measurements included tartrate-resistant acid phosphatase (TRAcP) and the C-terminal telopeptide of type I collagen (ICTP). ICTP and TRAcP showed a minimal response to therapy (% change at 6 months, -13.1 +/- 6.8 and -6.7 +/- 3.4, respectively). The response was greatest for urinary telopeptides (NTx and CL; % change -75.7 +/- 7.5 and -73.4 +/- 8.9, respectively). The response was somewhat greater for TPyds than for FPyds. We conclude that: (a) ICTP and TRAcP are unreliable indicators of changes in bone turnover; (b) oligopeptide-bound Pyds and telopeptide fragments of type I collagen in urine show a somewhat greater response to therapy than do FPyds and may be more sensitive indicators of bone resorption; and (c) as yet no evidence suggests that these markers are substantially better predictors of the clinical response to therapy than serum total alkaline phosphatase or urinary OHP. There are several problems with the interpretation of these measurements in Paget disease, and the clinical utility of these measurements remains uncertain.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0009-9147
pubmed:author
pubmed:issnType
Print
pubmed:volume
41
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1592-8
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:7586548-Acid Phosphatase, pubmed-meshheading:7586548-Aged, pubmed-meshheading:7586548-Aged, 80 and over, pubmed-meshheading:7586548-Amino Acids, pubmed-meshheading:7586548-Biological Markers, pubmed-meshheading:7586548-Bone Resorption, pubmed-meshheading:7586548-Chromatography, High Pressure Liquid, pubmed-meshheading:7586548-Collagen, pubmed-meshheading:7586548-Drug Resistance, pubmed-meshheading:7586548-Etidronic Acid, pubmed-meshheading:7586548-Female, pubmed-meshheading:7586548-Humans, pubmed-meshheading:7586548-Hydroxyproline, pubmed-meshheading:7586548-Male, pubmed-meshheading:7586548-Middle Aged, pubmed-meshheading:7586548-Osteitis Deformans, pubmed-meshheading:7586548-Peptide Fragments, pubmed-meshheading:7586548-Tartrates, pubmed-meshheading:7586548-Testosterone
pubmed:year
1995
pubmed:articleTitle
Different responses of biochemical markers of bone resorption to bisphosphonate therapy in Paget disease.
pubmed:affiliation
Department of Human Metabolism and Clinical Biochemistry, University of Sheffield, UK.
pubmed:publicationType
Journal Article