DIURNAL RHYTHM IN SERUM ACTIVITY OF WHEAT-GERM LECTIN-PRECIPITABLE ALKALINE-PHOSPHATASE - TEMPORAL RELATIONSHIPS WITH THE DIURNAL RHYTHM OF SERUM OSTEOCALCIN

被引:23
作者
NIELSEN, HK
BRIXEN, K
MOSEKILDE, L
机构
[1] University Department of Endocrinology and Metabolism, Aarhus Amtssygehus
关键词
ALKALINE PHOSPHATASE; BONE ISOENZYME; BONE MARKERS; CIRCADIAN RHYTHM; OSTEOBLASTIC ACTIVITY;
D O I
10.3109/00365519009104952
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Serum levels of osteocalcin (S-OC) and lectin-precipitable alkaline phosphatase activity (S-LAP) are sensitive markers of osteoblastic activity. Diurnal variation has been found for S-OC but has not been reported for S-LAP. We measured S-LAP and serum total alkaline phosphatase (S-TAP) in samples drawn every 60 min during a 24-h study period in nine normal subjects and correlated the findings with the diurnal variation in S-OC. A significant (p < 0.05) diurnal variation in S-LAP characterized by peaks at 1430 hours and 2330 hours and nadir at 0630 hours was found. Peak levels were 30% higher than nadir level (p < 0.05). S-TAP also varied significantly (p < 0.05) with nadir at 0630 hours, showing a difference of 23% between peak and nadir levels (p < 0.05). Significant cross-correlation was found between S-OC and S-LAP and S-TAP when these lagged 4 h after S-OC: r = 0.51 (p < 0.02) and r = 0.65 (p < 0.003), respectively. In other words, changes in S-LAP and S-TAP preceded changes in S-OC by 4 h. There were no significant cross-correlations between the non-lectin-precipitable fraction of AP and S-OC. In conclusion, S-LAP varies in a diurnal rhytm closely related with the diurnal rhythm of S-OC. The almost similar patterns in the diurnal serum levels of these two osteoblastic products strongly suggest that osteoblastic activity fluctuates rhythmically during the day in humans.
引用
收藏
页码:851 / 856
页数:6
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