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Published in: Osteoporosis International 3/2013

01-03-2013 | Original Article

Sclerostin: a candidate biomarker of SCI-induced osteoporosis

Authors: L. R. Morse, S. Sudhakar, A. A. Lazzari, C. Tun, E. Garshick, R. Zafonte, R. A. Battaglino

Published in: Osteoporosis International | Issue 3/2013

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Abstract

Summary

We assessed several circulating proteins as candidate biomarkers of bone status in men with chronic spinal cord injury. We report that sclerostin is significantly associated with bone mineral content and bone density at all skeletal sites tested. We found no association between bone and any other tested biomarker.

Introduction

Spinal cord injury results in severe osteoporosis. To date, no circulating biomarker of spinal cord injury (SCI)-induced osteoporosis has been identified. We recently reported that circulating sclerostin is associated with bone density in chronic SCI. In this study, we assessed several circulating proteins as candidate biomarkers of bone in men with chronic SCI.

Methods

We assessed the relationship between bone mineral content or bone density and the following circulating bone-related proteins: sclerostin, DKK-1, soluble receptor activator of nuclear factor kappa B ligand, osteoprotegerin, osteocalcin, and c-telopeptide in 39 men with chronic SCI and 10 men with no SCI.

Results

After adjusting for age, lower sclerostin levels were significantly associated with lower bone mineral content and bone density at all skeletal sites tested (p = 0.0002−0.03). No other circulating protein was associated with bone mineral content or bone mineral density (p = 0.18−0.99).

Conclusion

These findings suggest that circulating sclerostin reflects the severity of bone loss and is a candidate biomarker of osteoporosis severity in chronic SCI.
Literature
1.
go back to reference Szollar SM, Martin EM, Sartoris DJ, Parthemore JG, Deftos LJ (1998) Bone mineral density and indexes of bone metabolism in spinal cord injury. Am J Phys Med Rehabil 77(1):28–35PubMedCrossRef Szollar SM, Martin EM, Sartoris DJ, Parthemore JG, Deftos LJ (1998) Bone mineral density and indexes of bone metabolism in spinal cord injury. Am J Phys Med Rehabil 77(1):28–35PubMedCrossRef
2.
go back to reference Morse LR et al (2009) Osteoporotic fractures and hospitalization risk in chronic spinal cord injury. Osteoporos Int 20(3):385–392PubMedCrossRef Morse LR et al (2009) Osteoporotic fractures and hospitalization risk in chronic spinal cord injury. Osteoporos Int 20(3):385–392PubMedCrossRef
3.
go back to reference Morse LR et al (2009) VA-based survey of osteoporosis management in spinal cord injury. PM R 1(3):240–244PubMedCrossRef Morse LR et al (2009) VA-based survey of osteoporosis management in spinal cord injury. PM R 1(3):240–244PubMedCrossRef
4.
go back to reference Morse LR et al (2009) Dual energy X-ray absorptiometry of the distal femur may be more reliable than the proximal tibia in spinal cord injury. Arch Phys Med Rehabil 90(5):827–831PubMedCrossRef Morse LR et al (2009) Dual energy X-ray absorptiometry of the distal femur may be more reliable than the proximal tibia in spinal cord injury. Arch Phys Med Rehabil 90(5):827–831PubMedCrossRef
5.
go back to reference Morse LR et al (2009) Barriers to providing dual energy X-ray absorptiometry services to individuals with spinal cord injury. Am J Phys Med Rehabil 88(1):57–60PubMedCrossRef Morse LR et al (2009) Barriers to providing dual energy X-ray absorptiometry services to individuals with spinal cord injury. Am J Phys Med Rehabil 88(1):57–60PubMedCrossRef
7.
go back to reference Hauschka PV, Lian JB, Cole DE, Gundberg CM (1989) Osteocalcin and matrix Gla protein: vitamin K-dependent proteins in bone. Physiol Rev 69(3):990–1047PubMed Hauschka PV, Lian JB, Cole DE, Gundberg CM (1989) Osteocalcin and matrix Gla protein: vitamin K-dependent proteins in bone. Physiol Rev 69(3):990–1047PubMed
8.
go back to reference Patterson-Buckendahl P (2011) Osteocalcin is a stress-responsive neuropeptide. Endocr Regul 45(2):99–110PubMedCrossRef Patterson-Buckendahl P (2011) Osteocalcin is a stress-responsive neuropeptide. Endocr Regul 45(2):99–110PubMedCrossRef
9.
go back to reference Rosen HN et al (2000) Serum CTX: a new marker of bone resorption that shows treatment effect more often than other markers because of low coefficient of variability and large changes with bisphosphonate therapy. Calcif Tissue Int 66(2):100–103PubMedCrossRef Rosen HN et al (2000) Serum CTX: a new marker of bone resorption that shows treatment effect more often than other markers because of low coefficient of variability and large changes with bisphosphonate therapy. Calcif Tissue Int 66(2):100–103PubMedCrossRef
10.
go back to reference Morse LR et al (2012) Association between sclerostin and bone density in chronic SCI. J Bone Miner Res Off J Am Soc Bone Miner Res 27(2):352–359CrossRef Morse LR et al (2012) Association between sclerostin and bone density in chronic SCI. J Bone Miner Res Off J Am Soc Bone Miner Res 27(2):352–359CrossRef
11.
go back to reference Garshick E et al (2005) A prospective assessment of mortality in chronic spinal cord injury. Spinal Cord 43(7):408–416PubMedCrossRef Garshick E et al (2005) A prospective assessment of mortality in chronic spinal cord injury. Spinal Cord 43(7):408–416PubMedCrossRef
12.
go back to reference Grandas NF et al (2005) Dyspnea during daily activities in chronic spinal cord injury. Arch Phys Med Rehabil 86(8):1631–1635PubMedCrossRef Grandas NF et al (2005) Dyspnea during daily activities in chronic spinal cord injury. Arch Phys Med Rehabil 86(8):1631–1635PubMedCrossRef
13.
go back to reference Kirshblum SC, Memmo P, Kim N, Campagnolo D, Millis S (2002) Comparison of the revised 2000 American Spinal Injury Association classification standards with the 1996 guidelines. Am J Phys Med Rehabil 81(7):502–505PubMedCrossRef Kirshblum SC, Memmo P, Kim N, Campagnolo D, Millis S (2002) Comparison of the revised 2000 American Spinal Injury Association classification standards with the 1996 guidelines. Am J Phys Med Rehabil 81(7):502–505PubMedCrossRef
14.
go back to reference Maimoun L et al (2002) Use of bone biochemical markers with dual-energy X-ray absorptiometry for early determination of bone loss in persons with spinal cord injury. Metabolism 51(8):958–963PubMedCrossRef Maimoun L et al (2002) Use of bone biochemical markers with dual-energy X-ray absorptiometry for early determination of bone loss in persons with spinal cord injury. Metabolism 51(8):958–963PubMedCrossRef
15.
go back to reference Reiter AL, Volk A, Vollmar J, Fromm B, Gerner HJ (2007) Changes of basic bone turnover parameters in short-term and long-term patients with spinal cord injury. European Spine J: Off Publ Eur Spine Soc, Eur Spinal Deformity Soc, Eur Sect Cervical Spine Res Soc 16(6):771–776CrossRef Reiter AL, Volk A, Vollmar J, Fromm B, Gerner HJ (2007) Changes of basic bone turnover parameters in short-term and long-term patients with spinal cord injury. European Spine J: Off Publ Eur Spine Soc, Eur Spinal Deformity Soc, Eur Sect Cervical Spine Res Soc 16(6):771–776CrossRef
16.
go back to reference Modder UI et al (2011) Relation of age, gender, and bone mass to circulating sclerostin levels in women and men. J Bone Miner Res: Off J Am Soc Bone Miner Res 26(2):373–379CrossRef Modder UI et al (2011) Relation of age, gender, and bone mass to circulating sclerostin levels in women and men. J Bone Miner Res: Off J Am Soc Bone Miner Res 26(2):373–379CrossRef
17.
go back to reference Cejka D et al (2012) Sclerostin serum levels correlate positively with bone mineral density and microarchitecture in haemodialysis patients. Nephrol Dial Transplant Off Publ Eur Dial Transplant Assoc Eur Ren Assoc 27(1):226–230CrossRef Cejka D et al (2012) Sclerostin serum levels correlate positively with bone mineral density and microarchitecture in haemodialysis patients. Nephrol Dial Transplant Off Publ Eur Dial Transplant Assoc Eur Ren Assoc 27(1):226–230CrossRef
18.
go back to reference Drake MT et al (2010) Effects of parathyroid hormone treatment on circulating sclerostin levels in postmenopausal women. J Clin Endocrinol Metab 95(11):5056–5062PubMedCrossRef Drake MT et al (2010) Effects of parathyroid hormone treatment on circulating sclerostin levels in postmenopausal women. J Clin Endocrinol Metab 95(11):5056–5062PubMedCrossRef
19.
go back to reference Agholme F, Isaksson H, Kuhstoss S, Aspenberg P (2011) The effects of Dickkopf-1 antibody on metaphyseal bone and implant fixation under different loading conditions. Bone 48(5):988–996PubMedCrossRef Agholme F, Isaksson H, Kuhstoss S, Aspenberg P (2011) The effects of Dickkopf-1 antibody on metaphyseal bone and implant fixation under different loading conditions. Bone 48(5):988–996PubMedCrossRef
20.
go back to reference Li X et al (2008) Targeted deletion of the sclerostin gene in mice results in increased bone formation and bone strength. J Bone Miner Res 23(6):860–869PubMedCrossRef Li X et al (2008) Targeted deletion of the sclerostin gene in mice results in increased bone formation and bone strength. J Bone Miner Res 23(6):860–869PubMedCrossRef
21.
go back to reference Lin C et al (2009) Sclerostin mediates bone response to mechanical unloading through antagonizing Wnt/beta-catenin signaling. J Bone Miner Res 24(10):1651–1661PubMedCrossRef Lin C et al (2009) Sclerostin mediates bone response to mechanical unloading through antagonizing Wnt/beta-catenin signaling. J Bone Miner Res 24(10):1651–1661PubMedCrossRef
22.
go back to reference MacDonald BT et al (2007) Bone mass is inversely proportional to Dkk1 levels in mice. Bone 41(3):331–339PubMedCrossRef MacDonald BT et al (2007) Bone mass is inversely proportional to Dkk1 levels in mice. Bone 41(3):331–339PubMedCrossRef
23.
go back to reference Robling AG et al (2008) Mechanical stimulation of bone in vivo reduces osteocyte expression of Sost/sclerostin. J Biol Chem 283(9):5866–5875PubMedCrossRef Robling AG et al (2008) Mechanical stimulation of bone in vivo reduces osteocyte expression of Sost/sclerostin. J Biol Chem 283(9):5866–5875PubMedCrossRef
24.
go back to reference Robling AG, Bellido T, Turner CH (2006) Mechanical stimulation in vivo reduces osteocyte expression of sclerostin. J Musculoskelet Neuronal Interact 6(4):354PubMed Robling AG, Bellido T, Turner CH (2006) Mechanical stimulation in vivo reduces osteocyte expression of sclerostin. J Musculoskelet Neuronal Interact 6(4):354PubMed
25.
go back to reference Li X et al (2005) Sclerostin binds to LRP5/6 and antagonizes canonical Wnt signaling. J Biol Chem 280(20):19883–19887PubMedCrossRef Li X et al (2005) Sclerostin binds to LRP5/6 and antagonizes canonical Wnt signaling. J Biol Chem 280(20):19883–19887PubMedCrossRef
26.
go back to reference Mao B et al (2002) Kremen proteins are Dickkopf receptors that regulate Wnt/beta-catenin signalling. Nature 417(6889):664–667PubMedCrossRef Mao B et al (2002) Kremen proteins are Dickkopf receptors that regulate Wnt/beta-catenin signalling. Nature 417(6889):664–667PubMedCrossRef
27.
Metadata
Title
Sclerostin: a candidate biomarker of SCI-induced osteoporosis
Authors
L. R. Morse
S. Sudhakar
A. A. Lazzari
C. Tun
E. Garshick
R. Zafonte
R. A. Battaglino
Publication date
01-03-2013
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 3/2013
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-012-2072-0

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