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, Eberhard Denk Human Nutrition Laboratory, Institute of Food Science and Nutrition, ETH‐Zurich, Zurich, Switzerland Search for other works by this author on: Oxford Academic Darren Hillegonds Center for Accelerator Mass Spectrometry, Lawrence Livermore National Laboratory, Livermore, California, USA Search for other works by this author on: Oxford Academic Richard F Hurrell Human Nutrition Laboratory, Institute of Food Science and Nutrition, ETH‐Zurich, Zurich, Switzerland Search for other works by this author on: Oxford Academic John Vogel Center for Accelerator Mass Spectrometry, Lawrence Livermore National Laboratory, Livermore, California, USA Search for other works by this author on: Oxford Academic Karin Fattinger Department of General Internal Medicine, Inselspital, University Hospital Bern, Bern, Switzerland Search for other works by this author on: Oxford Academic Hans J Häuselmann Center of Rheumatology and Bone Diseases, Klinik im Park, Zurich, Switzerland Search for other works by this author on: Oxford Academic Marius Kraenzlin Division of Endocrinology, Diabetes and Clinical Nutrition, Department of Medicine, University Hospital Basel, Switzerland Search for other works by this author on: Oxford Academic Thomas Walczyk Human Nutrition Laboratory, Institute of Food Science and Nutrition, ETH‐Zurich, Zurich, Switzerland Address reprint requests to: Thomas Walczyk, PhD, Department of Chemistry, Faculty of Science, Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, 3 Science Drive, Singapore 117543, Singapore Search for other works by this author on: Oxford Academic
Journal of Bone and Mineral Research, Volume 22, Issue 10, 1 October 2007, Pages 1518–1525, https://doi.org/10.1359/jbmr.070617
Published:
04 December 2009
Article history
Received:
20 September 2006
Revision received:
07 March 2007
Accepted:
15 June 2007
Published:
04 December 2009
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Eberhard Denk, Darren Hillegonds, Richard F Hurrell, John Vogel, Karin Fattinger, Hans J Häuselmann, Marius Kraenzlin, Thomas Walczyk, Evaluation of 41Calcium as a New Approach to Assess Changes in Bone Metabolism: Effect of a Bisphosphonate Intervention in Postmenopausal Women With Low Bone Mass, Journal of Bone and Mineral Research, Volume 22, Issue 10, 1 October 2007, Pages 1518–1525, https://doi.org/10.1359/jbmr.070617
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Abstract
A new technique was evaluated to identify changes in bone metabolism directly at high sensitivity through isotopic labeling of bone Ca. Six women with low BMD were labeled with 41Ca up to 700 days and treated for 6 mo with risedronate. Effect of treatment on bone could be identified using 41Ca after 4–8 wk in each individual.
Introduction: Isotopic labeling of bone using 41Ca, a long‐living radiotracer, has been proposed as an alternative approach for measuring changes in bone metabolism to overcome current limitations of available techniques. After isotopic labeling of bone, changes in urinary 41Ca excretion reflect changes in bone Ca balance. The aim of this study was to validate this new technique against established measures. Changes in bone Ca balance were induced by giving a bisphosphonate.
Materials and Methods: Six postmenopausal women with diagnosed osteopenia/osteoporosis received a single oral dose of 100 nCi 41Ca for skeleton labeling. Urinary 41Ca/40Ca isotope ratios were monitored by accelerator mass spectrometry up to 700 days after the labeling process. Subjects received 35 mg risedronate per week for 6 mo. Effect of treatment was monitored using the 41Ca signal in urine and parallel measurements of BMD by DXA and biochemical markers of bone metabolism in urine and blood.
Results: Positive response to treatment was confirmed by BMD measurements, which increased for spine by +3.0% (p = 0.01) but not for hip. Bone formation markers decreased by −36% for bone alkaline phosphatase (BALP; p = 0.002) and −59% for procollagen type I propeptides (PINP;p = 0.001). Urinary deoxypyridinoline (DPD) and pyridinoline (PYD) were reduced by −21% (p = 0.019) and −23% (p = 0.009), respectively, whereas serum and urinary carboxy‐terminal teleopeptides (CTXs) were reduced by −60% (p = 0.001) and −57.0% (p = 0.001), respectively. Changes in urinary 41Ca excretion paralleled findings for conventional techniques. The urinary 41Ca/40Ca isotope ratio was shifted by −47 ± 10% by the intervention. Population pharmaco*kinetic analysis (NONMEM) of the 41Ca data using a linear three‐compartment model showed that bisphosphonate treatment reduced Ca transfer rates between the slowly exchanging compartment (bone) and the intermediate fast exchanging compartment by 56% (95% CI: 45–58%).
Conclusions: Isotopic labeling of bone using 41Ca can facilitate human trials in bone research by shortening of intervention periods, lowering subject numbers, and having easier conduct of cross‐over studies compared with conventional techniques.
41Ca, bisphosphonate, biomarkers, BMD, calcium kinetics
Copyright © 2007 ASBMR
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model)
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