Comparison of bone turnover markers in peripheral blood and bone marrow aspirate

• Published in: Bone (New York, N.Y.) N.Y.), 2018-11, Vol.116, p.315-320
• Main Authors: Ornstrup, M.J., Kjær, T.N., Harsløf, T., Jørgensen, N.R., Pedersen, S.B., Langdahl, B.L.
• Format: Article
• Language: English
• Subjects: Biochemistry; Biomarkers - blood; Bone Density; Bone marrow; Bone Marrow - metabolism; Bone mineral density; Bone Remodeling; Bone turnover markers; Female; Humans; Kinetics; Lumbar Vertebrae - physiology; Male; Middle Aged; Peripheral blood; Suction
• ISSN: 8756-3282; 1873-2763
• DOI: 10.1016/j.bone.2018.08.023

Bone remodeling takes place in the bone marrow environment. We investigated if levels of bone turnover markers (BTMs) differ between bone marrow and peripheral blood, if the bone marrow is an independent compartment, and how well the measurements in bone marrow correlate with bone mineral density. Sixty-six men participated in a placebo controlled study designed to evaluate the effect of 16 weeks supplementation with resveratrol on bone mineral density and BTM. Bone marrow aspirates and blood samples were drawn at baseline and at week 16. Procollagen I N-terminal propeptide (PINP), C-terminal telopeptide of type I collagen (CTx), osteocalcin, bone specific alkaline phosphatase (BAP), and osteoprogeterin (OPG) were analyzed. Bland-Altman analysis was used to compare measurements across compartment to detect possible systematic or proportional differences. Paired t-test was performed if no proportional difference was revealed at the difference vs concentration plot. Measurements of PINP, CTx, and BAP differed proportionally between compartments depending on concentration; at low concentrations absolute values were only slightly different, while at higher average concentrations the levels were much higher in bone marrow than blood. Osteocalcin measures in bone marrow were systematically and significantly lower than in blood (mean ± SD; 14.4 μg/L ± 5.3 μg/L versus 21.7 μg/L ± 6.0 μg/L respectively, p