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Automated HPLC Assay for Urinary Collagen Cross-links: Effect of Age, Menopause, and Metabolic Bone Diseases

The pyridinium cross-links pyridinoline (PYD) and deoxypyridinoline (DPD) are established markers of bone resorption. We evaluated the analytical and clinical performance of a commercially available PYD HPLC assay and established reference intervals in children and adults. We used a commercially ava...

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Published in:Clinical chemistry (Baltimore, Md.) Md.), 2008-09, Vol.54 (9), p.1546-1553
Main Authors: Kraenzlin, Marius E, Kraenzlin, Claude A, Meier, Christian, Giunta, Cecilia, Steinmann, Beat
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description The pyridinium cross-links pyridinoline (PYD) and deoxypyridinoline (DPD) are established markers of bone resorption. We evaluated the analytical and clinical performance of a commercially available PYD HPLC assay and established reference intervals in children and adults. We used a commercially available reagent set (Chromsystems Instruments & Chemicals) to measure PYD and DPD in 319 healthy controls (156 premenopausal women, 80 healthy men, and 83 healthy children age 1 month to 14 years) and 397 patients with metabolic bone diseases (postmenopausal osteoporosis, n = 175; male osteoporosis, n = 176; hyperparathyroidism, n = 17; hyperthyroidism, n = 19; Paget disease, n = 10). The mean intraassay and interassay CVs were
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We evaluated the analytical and clinical performance of a commercially available PYD HPLC assay and established reference intervals in children and adults. We used a commercially available reagent set (Chromsystems Instruments &amp; Chemicals) to measure PYD and DPD in 319 healthy controls (156 premenopausal women, 80 healthy men, and 83 healthy children age 1 month to 14 years) and 397 patients with metabolic bone diseases (postmenopausal osteoporosis, n = 175; male osteoporosis, n = 176; hyperparathyroidism, n = 17; hyperthyroidism, n = 19; Paget disease, n = 10). The mean intraassay and interassay CVs were &lt;6% and &lt;8% for both PYD and DPD, respectively. The reference interval was constant for premenopausal women in the age group 20-49 years. In men, cross-link values peaked at 20-29 years and decreased thereafter. Women with postmenopausal osteoporosis had significantly higher PYD (51%) and DPD (58%) values compared to premenopausal women. 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Similar results were found in osteoporotic men. In children the highest values were found in the first weeks and months after birth, followed by a decrease of 50%-60% at age 11-14 years. In metabolic bone diseases cross-link concentrations were significantly increased. The DPD:PYD ratio (mean value approximately 0.2) was remarkably constant in all populations evaluated. The automated HPLC assay is a precise and convenient method for PYD and DPD measurement. We established reference intervals for adult women and men and for children up to 14 years old. The cross-link concentrations we determined by use of this HPLC method confirm its clinical value in enabling identification of increased bone resorption in patients with metabolic bone diseases.</abstract><cop>Washington, DC</cop><pub>Am Assoc Clin Chem</pub><pmid>18653826</pmid><doi>10.1373/clinchem.2008.105262</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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ispartof Clinical chemistry (Baltimore, Md.), 2008-09, Vol.54 (9), p.1546-1553
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1530-8561
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source Oxford Journals Online
subjects Adult
Age Distribution
Analytical, structural and metabolic biochemistry
Biological and medical sciences
Bone density
Bone diseases
Bone Diseases, Metabolic - urine
Bones
Chromatography, High Pressure Liquid - methods
Circadian rhythm
Collagen - urine
Disease
Female
Fluorescence
Fundamental and applied biological sciences. Psychology
Genetic disorders
Health
Humans
Hydrochloric acid
Investigative techniques, diagnostic techniques (general aspects)
Liquid chromatography
Male
Medical sciences
Menopause - urine
Metabolic disorders
Middle Aged
Osteoporosis
Womens health
title Automated HPLC Assay for Urinary Collagen Cross-links: Effect of Age, Menopause, and Metabolic Bone Diseases
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