Skip to main content
Log in

Serum osteocalcin in normal children and children with glucocorticoid-induced osteoporosis

  • Original Articles
  • Published:
Journal of Bone and Mineral Metabolism Aims and scope Submit manuscript

Abstract

We have measured serum osteocalcin (OC) by radioimmunoassay in normal children, adults and patients with glucocorticoid-induced osteoporosis in childhood. And we have compared its concentration to the severity of osteoporosis evaluated by Jikei Medical College Classification.

As the age increased up to 14 years, serum OC increased. However, no significant correlation with age was noted (r=0.244). In the controls serum OC was higher in children (11.00±2.10 ng/ml) than in adults (5.35±1.47 ng/ml) (p<0.005).

Serum OC showed a cosiderable variation among patients with glucocorticoid-induced osteoporosis. Serum OC was significantly decreased in the patients with glucocorticoid-induced osteoporosis (9.09±3.32 ng/ml, vs. 11.00±2.10 ng/ml in age matched controls, p<0.02). Our data suggest that measurement of serum OC at regular intervals in patients requiring glucocorticoid therapy, might be useful to assess the early phase of osteoporosis and the therapeutic effects of drugs administered to osteoporosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Jowsey, J. and Riggs, B.L.: Bone formation in hypercortisonism. Acta Endocrinol. 63: 21–28, 1870.

    Google Scholar 

  2. Peck, W.A., Brant, J. and Miller, I.: Hydrocortisone-induced inhibition of protein synthesis and uridine incorporation in isolated bone cells in vitro. Proc. Natl. Acad. Sci. USA 57: 1599–1606, 1967.

    CAS  PubMed  Google Scholar 

  3. Fucik, R.F., Kukreja, S.C., Hargis, G.K., Bowser, E.N., Henderson, W.J. and Williams, G.A.: Effect of glucocorticoids on function of the parathyroid gland in man. J. Clin. Endocrinol. Metab. 40: 152–155, 1975.

    CAS  PubMed  Google Scholar 

  4. Lukert, B.P. and Adams, J.S.: Calcium and phosphorus homeostasis in man: Effect of corticosteroids. Arch. Intern. Med. 136: 1249–1253, 1976.

    CAS  PubMed  Google Scholar 

  5. Suzuki, Y., Ichikawa, Y., Saito, E. and Homma, M.: Importance of increased urinary calcium excretion in the development of secondary hyperparathyroidism of patients under glucocorticoid therapy. Metabolism 32: 151–156, 1983.

    Article  CAS  PubMed  Google Scholar 

  6. Hauschka, P.V., Lian, J.B. and Gallop, P.M.: Direct identification of the calcium-binding aminoacid, γ-carboxyglutamate in mineralized tissue. Proc. Natl. Acad. Sci. USA 72: 3925–3929, 1975.

    CAS  PubMed  Google Scholar 

  7. Price, P.A., Stsuka, A.S., Poser, J.W., Kristaponis, J. and Raman, N.: Characterization of a gamma-carboxyglutamic acid-containing protein from bone. Proc. Natl. Acad. Sci. USA 73: 1447–1451, 1976.

    CAS  PubMed  Google Scholar 

  8. Lian, J.B. and Friedman, P.A.: The vitamin K dependent synthesis of γ-carboxyglutamic acid by bone microsomes.: J. Biol. Chem. 253: 6623–6626, 1978.

    CAS  PubMed  Google Scholar 

  9. Price, P.A., Parthemore, J.G. and Deftos, L.J.: New biochemical marker for bone metabolism. J. Clin. Invest. 66: 878–883, 1980.

    CAS  PubMed  Google Scholar 

  10. Gundberg, C.M., Lian, J.B. and Gallop, P.M.: Measurements of γ-carboxyglutamate and circulating osteocalcin in normal children and adults. Clinica Chimica Acta 128: 1–8, 1983.

    Article  CAS  Google Scholar 

  11. Hauschka, P.V., Frenkel, J., DeMuth, R. and Gundberg, C.M.: Presence of osteocalcin and related higher molecular weight carboxyglutamic acid-containing proteins in developing bone. J. Biol. Chem. 258: 176–182, 1983.

    CAS  PubMed  Google Scholar 

  12. Price, P.A., Williamson, M.K. and Lethriger, J.W.: Origin of the vitamin K-dependent bone protein found in plasma and its clearance by kidney and bone. J. Biol. Chem. 256: 12760–12766, 1981.

    CAS  PubMed  Google Scholar 

  13. Brown, J.P., Delmas, P.D. Malaval, L., Edouard, C., Chapuy, M.C. and Meunier, P.J.: Serum bone gla-protein: A specific marker for bone formation in postmenopausal osteoporosis. Lancet 1: 1091–1093, 1984.

    CAS  PubMed  Google Scholar 

  14. Slovik, D.M., Gundberg, C.M. Neer, R.M. and Lian, J.B.: Clinical evaluation of bone turnover by serum osteocalcin measurements in a hospital setting. J. Clin. Endocrinol. Metab. 59: 228–230, 1984.

    CAS  PubMed  Google Scholar 

  15. Garrel, D.R., Delmas, P.D. Malaval, L. and Tourniaire, J.: Serum bone gla protein: A marker of bone turnover in hyperthyroidism. J. Clin. Endocrinol. Metab. 62: 1052–1055, 1986.

    CAS  PubMed  Google Scholar 

  16. Lukert, B.P., Higgins, J.C. and Stoskopf, M.M.: Serum osteocalcin is increased in patients with hyperthyroidism and decreased in patients receiving glucocorticoids. J. Clin. Endocrinol. Metab. 62: 1056–1058, 1986.

    CAS  PubMed  Google Scholar 

  17. Cole, D.E.C., Carpenter, T.O. and Gundberg, C.M.: Serum osteocalcin concentrations in children with metabolic bone disease. J. Pediat. 106: 770–776, 1985.

    Article  CAS  PubMed  Google Scholar 

  18. Kruse, K. and Kracht, U: Evaluation of serum osteocalcin as an index of altered bone metabolism. Eur. J. Pediatr. 145: 27–33, 1986.

    Article  CAS  PubMed  Google Scholar 

  19. Delmas, P.D., Chatelain, P., Malaval, L. and Bonne, G.: Serum bone GLA-protein in growth hormone deficient children. J. Bone Mineral Research 1: 333–338, 1986.

    CAS  Google Scholar 

  20. Dempster, D.W., Arlot, M.A. and Meunier, P.J.: Mean wall thickness and formation periods of trabecular bone packets in corticosteroid-induced osteoporosis. Calcif. Tissue Int. 35: 410–417, 1983.

    CAS  PubMed  Google Scholar 

  21. Barragry, J.M., France, M.W., Carter, N.D., Auton, J.A., Beer, M. and Boucher, B.J.: Vitamin-D metabolism in nephrotic syndrome. Lancet 2: 629–632, 1977.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Niimi, H., Nishioka, T., Kurayama, H. et al. Serum osteocalcin in normal children and children with glucocorticoid-induced osteoporosis. J Bone Miner Metab 6, 38–42 (1988). https://doi.org/10.1007/BF02378738

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02378738

Key words

Navigation