Skip to main content
Top
Published in: Medical Oncology 1/2011

01-03-2011 | Original Paper

Osteolytic lesions marker in multiple myeloma

Authors: Irena Djunic, Ivo Elezovic, Milica Marinkovic, Nada Suvajdzic-Vukovic, Dragica Tomin, Gradimir Jankovic, Jelena Bila, Darko Antic, Ana Vidovic, Borka Neskovic, Dragica Nikolic-Vukosavljevic

Published in: Medical Oncology | Issue 1/2011

Login to get access

Abstract

The degradation product of collagen type I carboxy terminal telopeptide (ICTP) represents a new biochemical parameter that reflects the changes in the resorption properties of skeletal system. Affection of the skeleton is one of the most important characteristics of multiple myeloma (MM). We estimated significance of ICTP as osteolysis predictor and overall survival in comparison with standard prognostic parameters β2-microglobulin and C-reactive protein (CRP), in patients with MM. With our results, we have shown significant difference in serum level of ICTP (P = 0.009) between patients with and without osteolysis on conventional radiography. It was proved that ICTP is the most significant predictor of osteolysis (P = 0.09), while CRP is the most significant risk factor for overall survival (P < 0.01). Being highly significant predictor of osteolysis, ICTP can be used for identification of patients with MM who had increased risk for developing osteolytic lesions.
Literature
1.
go back to reference Kyle RA. Multiple myeloma, review of 869 cases. Mayo Clin Proc. 1975;50:29–40.PubMed Kyle RA. Multiple myeloma, review of 869 cases. Mayo Clin Proc. 1975;50:29–40.PubMed
2.
go back to reference Abilgard N, Brixen K, Eriksen EF, Kristensen JE, Nilsen JL, Heickendorff L. Sequential analysis of biochemical markers of bone resorption and bone densitometry in multiple myeloma. Haematologica. 2004;89:567–77. Abilgard N, Brixen K, Eriksen EF, Kristensen JE, Nilsen JL, Heickendorff L. Sequential analysis of biochemical markers of bone resorption and bone densitometry in multiple myeloma. Haematologica. 2004;89:567–77.
3.
go back to reference Jakob C, Zavirski I, Heider U, et al. Serum levels of carboxy-terminal telopeptide of type-I collagen are elevated in patients with multiple myeloma showing skeletal manifestations in magnetic resonance imaging but lacking lytic bone lesions in conventional radiography. Clin Cancer Res. 2003;9:3047–51.PubMed Jakob C, Zavirski I, Heider U, et al. Serum levels of carboxy-terminal telopeptide of type-I collagen are elevated in patients with multiple myeloma showing skeletal manifestations in magnetic resonance imaging but lacking lytic bone lesions in conventional radiography. Clin Cancer Res. 2003;9:3047–51.PubMed
4.
go back to reference Dimopoulos MA, Moulopoulos LA, Datseris I, et al. Imaging of myeloma bone disease-implications for staging, prognosis and follow-up. Acta Oncol. 2000;39:823–7.PubMedCrossRef Dimopoulos MA, Moulopoulos LA, Datseris I, et al. Imaging of myeloma bone disease-implications for staging, prognosis and follow-up. Acta Oncol. 2000;39:823–7.PubMedCrossRef
5.
go back to reference Mariette X, Zagdanski AM, Guermazi A, et al. Prognostic value of vertebral lesions detected by magnetic resonance imaging in patients with stage I multiple myeloma. Br J Haematol. 1999;104:723–9.PubMedCrossRef Mariette X, Zagdanski AM, Guermazi A, et al. Prognostic value of vertebral lesions detected by magnetic resonance imaging in patients with stage I multiple myeloma. Br J Haematol. 1999;104:723–9.PubMedCrossRef
6.
go back to reference Moulopoulos LA, Dimopoulos MA. Magnetic resonance imging of bone marrow in hematologic malignancis. Blood. 1997;90:2127–47.PubMed Moulopoulos LA, Dimopoulos MA. Magnetic resonance imging of bone marrow in hematologic malignancis. Blood. 1997;90:2127–47.PubMed
7.
go back to reference Abilgaard N, Glerup H, Rungby J, et al. Biochemical markers of bone metabolism reflect osteoclastic and osteoblastic activity in multiple myeloma. Eur J Haematol. 2000;64:124–9. Abilgaard N, Glerup H, Rungby J, et al. Biochemical markers of bone metabolism reflect osteoclastic and osteoblastic activity in multiple myeloma. Eur J Haematol. 2000;64:124–9.
8.
go back to reference Abilgaard N, Brixen K, Kristensen JE, Eriksen EF, Nielsen JL, Heickendorff L. Comparison of five biochemical markers of bone resorption in multiple myeloma: eleveted pretreatment levels of S-ICTP and U-Ntx are predictive for early progression of the bone disease during standard chemotherapy. Br J Haem. 2003;120:235–42.CrossRef Abilgaard N, Brixen K, Kristensen JE, Eriksen EF, Nielsen JL, Heickendorff L. Comparison of five biochemical markers of bone resorption in multiple myeloma: eleveted pretreatment levels of S-ICTP and U-Ntx are predictive for early progression of the bone disease during standard chemotherapy. Br J Haem. 2003;120:235–42.CrossRef
9.
go back to reference Batallie R, Chappard D, Marcelli C, et al. Recruitment of new osteoblasts and osteoclasts is the earliest critical event of pathogenesis of human multiple myeloma. J Clin Invest. 1991;88:62–6.CrossRef Batallie R, Chappard D, Marcelli C, et al. Recruitment of new osteoblasts and osteoclasts is the earliest critical event of pathogenesis of human multiple myeloma. J Clin Invest. 1991;88:62–6.CrossRef
10.
go back to reference Batallie R, Chappard D, Marcelli C, et al. Osteoblast stimulation in multiple myeloma lacking lytic bone lesions. Br J Haematol. 1990;76:484–7.CrossRef Batallie R, Chappard D, Marcelli C, et al. Osteoblast stimulation in multiple myeloma lacking lytic bone lesions. Br J Haematol. 1990;76:484–7.CrossRef
11.
go back to reference Dizdar O, Barista I, Umut K, et al. Biochemical markers of bone turnover in diagnosis of myeloma bone disease. Am J Haemat. 2007;82:185–91.CrossRef Dizdar O, Barista I, Umut K, et al. Biochemical markers of bone turnover in diagnosis of myeloma bone disease. Am J Haemat. 2007;82:185–91.CrossRef
12.
go back to reference Abilgaard N, Bentzen S, Nielsen JL, Heickendorff L. Serum markers of bone metabolism in multiple myeloma: prognostic value of the carboxy-terminal telopeptide of type I collagen (ICTP). Br J Haem. 1997;96:103–10.CrossRef Abilgaard N, Bentzen S, Nielsen JL, Heickendorff L. Serum markers of bone metabolism in multiple myeloma: prognostic value of the carboxy-terminal telopeptide of type I collagen (ICTP). Br J Haem. 1997;96:103–10.CrossRef
13.
go back to reference Christenson RH. Biochemical markers of bone metabolism: an overview. Clin Biochem. 1997;30:573–93.PubMedCrossRef Christenson RH. Biochemical markers of bone metabolism: an overview. Clin Biochem. 1997;30:573–93.PubMedCrossRef
14.
go back to reference Jakob C, Zavrski I, Heider U, et al. Bone resorption parameters [carboxy-terminal telopeptide of type-I collagen (ICTP), amino-terminal collagen type-I telopeptide (Ntx), and deoxypyridinoline (Dpd)] in MGUS and multiple myeloma. Eur J Haematol. 2002;69:37–42.PubMedCrossRef Jakob C, Zavrski I, Heider U, et al. Bone resorption parameters [carboxy-terminal telopeptide of type-I collagen (ICTP), amino-terminal collagen type-I telopeptide (Ntx), and deoxypyridinoline (Dpd)] in MGUS and multiple myeloma. Eur J Haematol. 2002;69:37–42.PubMedCrossRef
15.
go back to reference Carlson K, Larsson A, Simonsson B, Turesson I, Westin J, Ljunghall S. Evaluation of bone disease in multiple myeloma: a comparison between the resorption markers urinary deoxypyridinoline/creatinine (DPD) and serum ICTP, and an evaluation of the DPD/osteocalcin and ICTP/osteocalcin rations. Eur J Haematol. 1999;62(5):300–6.PubMedCrossRef Carlson K, Larsson A, Simonsson B, Turesson I, Westin J, Ljunghall S. Evaluation of bone disease in multiple myeloma: a comparison between the resorption markers urinary deoxypyridinoline/creatinine (DPD) and serum ICTP, and an evaluation of the DPD/osteocalcin and ICTP/osteocalcin rations. Eur J Haematol. 1999;62(5):300–6.PubMedCrossRef
16.
go back to reference Risteli J, Elomas I, Nieml S, Novamo A, Risteli L. Radioimmunoassay for the pyridinoline cross-linked carboxy-terminal telopeptide of type I collagen: a new serum marker of bone degradation. Clin Chem. 1993;39(4):635–40.PubMed Risteli J, Elomas I, Nieml S, Novamo A, Risteli L. Radioimmunoassay for the pyridinoline cross-linked carboxy-terminal telopeptide of type I collagen: a new serum marker of bone degradation. Clin Chem. 1993;39(4):635–40.PubMed
17.
go back to reference Elmoaa I, Virkkunen P, Risteli L, Risteli J. Serum concentration of the cross-linked carboxyterminal telopeptide of type I collagen (ICTP) is a useful prognostic indicator in multiple myeloma. Br J Cancer. 1992;66(2):337–41.CrossRef Elmoaa I, Virkkunen P, Risteli L, Risteli J. Serum concentration of the cross-linked carboxyterminal telopeptide of type I collagen (ICTP) is a useful prognostic indicator in multiple myeloma. Br J Cancer. 1992;66(2):337–41.CrossRef
18.
go back to reference Fonseca R, Trendle MC, Leong T, et al. Prognostic value of serum markers of bone metabolism in untreated multiple myeloma patients. Br J Haematol. 2000;109:24–9.PubMedCrossRef Fonseca R, Trendle MC, Leong T, et al. Prognostic value of serum markers of bone metabolism in untreated multiple myeloma patients. Br J Haematol. 2000;109:24–9.PubMedCrossRef
19.
go back to reference Batallie R, Boccadoro M, Klein B, Durie BG, Pileri A. C-reactive protein and β2-microglobulin produce a simple and powerful myeloma staging sistem. Blood. 1992;80:733–7. Batallie R, Boccadoro M, Klein B, Durie BG, Pileri A. C-reactive protein and β2-microglobulin produce a simple and powerful myeloma staging sistem. Blood. 1992;80:733–7.
Metadata
Title
Osteolytic lesions marker in multiple myeloma
Authors
Irena Djunic
Ivo Elezovic
Milica Marinkovic
Nada Suvajdzic-Vukovic
Dragica Tomin
Gradimir Jankovic
Jelena Bila
Darko Antic
Ana Vidovic
Borka Neskovic
Dragica Nikolic-Vukosavljevic
Publication date
01-03-2011
Publisher
Springer US
Published in
Medical Oncology / Issue 1/2011
Print ISSN: 1357-0560
Electronic ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-010-9432-4

Other articles of this Issue 1/2011

Medical Oncology 1/2011 Go to the issue