medigraphic.com
SPANISH

Acta Médica Grupo Angeles

Órgano Oficial del Hospital Angeles Health System
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
    • Names and affiliations of the Editorial Board
  • Policies
  • About us
    • Data sharing policy
    • Stated aims and scope
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2003, Number 1

<< Back Next >>

Acta Med 2003; 1 (1)

Effect of Hormone Replacement Therapy on Bone Remodeling Biochemical Markers and Somatotropic Axis during Postmenopause

Ángeles L, Hernández-Valencia M, Ochoa R, Saucedo R, Zárate A
Full text How to cite this article

Language: Spanish
References: 15
Page: 17-21
PDF size: 84.87 Kb.


Key words:

, Osteoporosis, postmenopausal, biochemical markers of bone turnover, somatotropic axis.

ABSTRACT

Somatotropic axis in menopausal women experiences variations that can influence changes in bone metabolism. Therefore, we carried out this study in postmenopausal women from 50-62 years of age to know variations of biochemical bone remodeling markers and correlation with somatotropic axis. Osteocalcin levels were measured, as well as deoxypyridinoline, bone-specific alkaline phosphatase, GH, and IGF-I, in addition to 17-Β estradiol (E2) and FSH by chemoluminescent methods and radioimmunoassays. There were correlations between osteocalcin (r = -0.64, p ‹ 0.01) and bone-specific alkaline phosphatase (r = ‹ 0.05) with E2, respectively; we observed that when E2 decreased, concentration of these two bone modeling markers increased. There also was correlation (p ‹ 0.05) between GH and osteocalcin, which could be best indicator in bone formation compared with bone-specific alkaline phosphatase. In addition, it was demonstrated that GH and IGH-I with low concentration in postmenopausal women contribute with negative changes in bone metabolism; therefore, somatotropic axis can be used as risk index in patients with bias for osteoporosis.


REFERENCES

  1. Consensus Development Conference: diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med 1993; 94: 646-650.

  2. Cosman F, Nieves J, Wilkinson C, Schnering D, Shen V, Lindsay R. Bone density changes and biochemical indices of skeletal turnover. Calcif Tissue Int 1996; 58: 236-243.

  3. Peterlik M. Aging, neuroendocrine function, and osteoporosis. Exp Gerontol 1997; 32: 577-586.

  4. Peienl P, Griesmacher A, Pointinger P, Marteau R, Hartl W, Gruber W, Bröll H. Association between female sex hormone and biochemical markers of bone turnover in peri-and postmenopausal women. Calcif Tissue Int 1998; 62: 388-394.

  5. Akesson K, Vergnaud P, Gineyts E. Impairment of bone in elderly women with hip fracture. Calcif Tissue Int 1993; 53: 162-169.

  6. Mundy RG. Cellular and molecular regulation of bone turnover. Bone 1999; 24: 35-38.

  7. Raisz GL. Physiology and pathophysiology of bone remodeling. Clin Chem 1999; 45: 1353-1358.

  8. Pacifici R. Cytokines, estrogen, and postmenopausal osteoporosis-second decade. Endocrinology 1998; 139: 2659-2661.

  9. Fonseca ME, Ochoa R, Galván RE, Hemández M, Mercado M, Zárate A. Increased serum levels of growth hormone and insulin-like growth factor-1 associated with simultaneous decreased circulating insulin in postmenopausal women receiving hormone replacement therapy. Menopause 1998; 6: 56-60.

  10. Canalis E, Agnus D. Insulin-like factors and their role in osteoporosis. Calcif Tissue Int 1996; 58: 133-134.

  11. Stepan JJ. Prediction of bone loss in postmenopausal women. Osteoporos Int 2000; Suppl 6: S45-S54.

  12. Watts NB. Clinical utility of biochemical markers of bone remodeling. Clin Chem 1999; 45: 1359-1368.

  13. Robins SP. Crosslinking of collagen: isolation structural characterization and glycosylation of pyridinoline. Biochem J 1983; 215: 167-173.

  14. Robins SP, Woitge H, Hesley R, Ju J, Seyedin S, Seibel MJ. Direct, enzymelinked immunoassay for urinary deoxypyridinoline as a specific marker for measuring bone resorption. J Bone Miner Res 1994; 10: 1643-1649.

  15. Heaney RP, Abrams SA, Dawson-Hughes B, Looker A, Marcus R, Matkovic V, Weaver C. Peak bone mass. Osteoporos Int 2000; 11: 985-1009.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Med. 2003;1