Bone matrix quality and plasma homocysteine levels

• Published in: Bone (New York, N.Y.) N.Y.), 2009-05, Vol.44 (5), p.959-964
• Main Authors: Blouin, S, Thaler, H.W, Korninger, C, Schmid, R, Hofstaetter, J.G, Zoehrer, R, Phipps, R, Klaushofer, K, Roschger, P, Paschalis, E.P
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Biological and medical sciences; Bone Density; Bone Matrix; Bone mineral density distribution; Bone quality; Collagen cross-links; Female; Fracture; FTIR; Fundamental and applied biological sciences. Psychology; Homocysteine - blood; Humans; Injuries of the limb. Injuries of the spine; Investigative techniques, diagnostic techniques (general aspects); Medical sciences; Orthopedics; Osteoarticular system. Muscles; Plasma homocysteine level; qBEI; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Spectroscopy, Fourier Transform Infrared; Traumas. Diseases due to physical agents; Vertebrates: anatomy and physiology, studies on body, several organs or systems
• ISSN: 8756-3282; 1873-2763
• DOI: 10.1016/j.bone.2008.12.023

Abstract It has recently been reported in the clinical literature that blood homocysteine levels correlate well with fracture risk, although a couple of reports exist to the opposite. Bone strength depends on both bone quantity and quality. The purpose of the present study was to investigate possible correlations between plasma homocysteine levels and bone material properties (Bone Mineral Density Distribution; BMDD, and collagen cross-link ratio). In the present study, femoral heads from subjects ( N = 19, females, age range 70–95 years old) with known homocysteine plasma levels were investigated. The bone material was collected during hemiarthroplasty surgery. We have determined collagen cross-link ratio and bone mineralization density distribution (BMDD) in bone tissue from patients with acute femoral neck fractures, by Fourier Transform Infrared Imaging (FTIRI) and quantitative Backscattered Electron Imaging (qBEI), respectively. The collagen cross-link ratio that was spectroscopically determined was pyridinoline/divalent cross-links (pyr/divalent). The BMDD variables quantified were: CaMean: the weighted mean calcium concentration; CaPeak: the most frequent Ca concentration; CaWidth: the width of the distribution, a measure of the mineralization homogeneity; CaLow: the percentage of bone area that is mineralized below the 5th percentile in the reference range; CaHigh: the percentage of bone area that is mineralized above the 95th percentile in the reference range. There was a significant correlation between plasma homocysteine levels and collagen cross-link ratio in areas of primary mineralized bone ( p < 0.0001), unlike the case of trabecular bone surfaces undergoing resorption ( p > 0.05). On the other hand there was no correlation in any of the BMDD parameters and plasma homocysteine levels ( p > 0.05). The results are consistent with the known effect of homocysteine on collagen post-translational modifications. These changes were independent of bone mineral characteristics. The results of the present study offer a mechanism by which homocysteine affects bone quality, but caution should be exercised since all patients examined had sustained fracture.