|
Condition and Nutrition Assessment Table
|
Bone Resorption Assay - Urine
|
|
Overview
|
Clinician Info
|
CPT Codes
|
Kit Instructions
|
Sample Reports
|
Interpretive Guide
|
References
|
The Warning Signs of Bone Loss?
Unfortunately, There Are None...
Accelerated bone loss affects more than 44 million Americans 50 years of age and older. 80% of them are women. But men, younger women, and otherwise healthy, active individuals can also experience the dangerous thinning and weakening of bones associated with osteoporosis. The Bone Resorption Assay can not only identify individuals at risk, but also monitor the effect of your therapeutic interventions.
Bone Density = Formation - Resorption
Bone is a very active tissue, undergoing constant "remodeling," a process of both formation and resorption. Net loss of bone mass occurs when the resorption rate exceeds the rate of formation of new bone. The rate of bone loss is highly variable from one individual to another. Since the bone formation process is difficult to assess, it is important to identify both men and women with rapid bone resorption. These individuals are at greatest risk for osteoporosis and will benefit most from therapeutic intervention.
Bone-specific collagen breakdown
The protein matrix of bone upon which the mineral structure is accumulated consists of Type I collagen. Type I bone collagen contains unique cross-linked protein structures that give greater stability. Active bone resorption requires a breakdown of this protein structure; the peptide fragments from this breakdown are excreted in urine. Since bone resorption is a relatively constant process, the amount of specific peptides found in the urine provides an accurate measure of the rate of bone resorption.
The Bone Resorption Assay measures the deoxypyridinoline fragment of Type I collagen breakdown from a single urine specimen. This is the fragment that contains the cross-linking point and has been demonstrated to be more specific to bone resorption than breakdown fragments measured in some earlier assays.
Simple and Cost-Effective
Serial bone scans are costly and do not indicate present bone activity. Also, they can only detect changes in bone density over long periods of time, often up to twelve months. The Bone Resorption Assay detects biochemical markers which reflect present remodeling activity. The relatively low cost of this assay makes it a cost-effective tool to routinely monitor bone resorption rates and the effectiveness of therapy. Repeated measurements every six to twelve weeks will monitor the effectiveness of your therapeutic interventions and allow timely adjustments.
The Metametrix Bone Resorption Assay features:
- Measurement of deoxypyridinoline, a more accurate assessment of current bone loss.
- A simple, cost-effective assay, allowing for "real-time" monitoring of therapeutic efficacy.
- A guide for interventions to restore bone health or slow bone loss.
| Test name: |
0018 - Bone Resorption Assay
|
|
|
| Description: |
The Bone Resorption Assay measures cross-linked peptide sequences
of Type I collagen that makes up the bone matrix excreted in urine.
Deoxypyridinoline and pyridinoline are direct products of the
breakdown of bone. By measuring deoxypyridinoline in the urine,
our test can help identify accelerated bone breakdown and predict
the probability of bone loss without therapy. The Bone Resorption
Assay can also help monitor whether therapy is working and measure
a patient's response to therapy within three months.
|
|
|
| Method: |
Chemiluminescence, Spectrophotometry |
|
|
| Turnaround time: |
6-8 days, 7 days average |
|
|
|
Analytes:
|
Creatinine Bone collagen peptide (deoxypyridinoline or DPD)
|
| 82523 |
- |
Collagen cross links |
| 82570 |
- |
Creatinine |
|
| |
ReferencesDeoxypyridinoline
|
|
|
Effects of the phytoestrogen genistein on bone metabolism in osteopenic postmenopausal women: a randomized trial
Marini H, Minutoli L, Polito F. Ann Intern Med. 2007 Jun 19;146(12):839-47.
Thyroid hormone deficiency and postmenopausal status independently increase serum osteoprotegerin concentrations in women.
Botella-Carretero JI, Alvarez-Blasco F, San Millán JL. Eur J Endocrinol. 2007 May;156(5):539-45.
Biochemical markers of bone turnover may predict progression to osteoporosis in osteopenic women: the JPOS Cohort Study.
Iki M, Morita A, Ikeda Y, Sato Y. J Bone Miner Metab. 2007;25(2):122-9. Epub 2007 Feb 26.
Urinary excretion of deoxypyridinoline increases after gastrointestinal surgery.
Kani T, Miki C, Tonouchi H. Nutrition. 2003 Sep;19(9):747-53.
High phosphorus intake only slightly affects serum minerals, urinary pyridinium crosslinks and renal function in young women.
Grimm M, Müller A, Hein G. Eur J Clin Nutr. 2001 Mar;55(3):153-61.
Urinary excretion of deoxypyridinoline in 24-hour and first-void samples in healthy Turkish children.
Soylu H, Aras S, Kutlu NO. Clin Biochem. 2000 Jun;33(4):269-72.
Dietary sodium, an independent determinant for urinary deoxypyridinoline in elderly women.
Itoh R, Suyama Y, Oguma Y. Eur J Clin Nutr. 1999 Nov;53(11):886-90.
Common biochemical markers of bone turnover predict future bone loss: a 5-year follow-up study.
Löfman O, Magnusson P, Toss G, Larsson L. Clin Chim Acta. 2005 Jun;356(1-2):67-75. Epub 2005 Mar 17.
Increased bone turnover in late postmenopausal women is a major determinant of osteoporosis.
Garnero P, Sornay-Rendu E, Chapuy MC. J Bone Miner Res. 1996 Mar;11(3):337-49.
Acute effects of a single session of aerobic exercise with or without weight-lifting on bone turnover in healthy young women.
Tosun A, Bölükbaşi N, Cingi E. Mod Rheumatol. 2006;16(5):300-4.
Commencing, continuing and stopping brisk walking: effects on bone mineral density, quantitative ultrasound of bone and markers of bone metabolism in postmenopausal women.
Brooke-Wavell K, Jones PR, Hardman AE, Tsuritan , Yamada Y. Osteoporos Int. 2001;12(7):581-7.
|
|
|
|
|
|