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Updated: Aug 15, 2026

Culturing and Measuring Fetal and Newborn Murine Long Bones
Published on: April 26, 2019
High bone turnover of type I collagen depends on fetal growth
Kazutoshi Nakano1, Toshiyuki Iwamatsu, Cong Mei Wang
1Department of Pediatrics, Tokyo Women's Medical University, 8-1, Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan. knakano@ped.twmu.ac.jp
Insights
Bone turnover markers, carboxy-terminal propeptide of type I procollagen (PICP) and pyridinoline cross-linked telopeptide domain of type I collagen (ICTP), are high in newborns and decrease with fetal growth. Fetal osteoblasts drive proliferation, but maturation factors need further study.
Area of Science:
- Neonatal Physiology
- Skeletal Biology
- Endocrinology
Background:
- Bone metabolism in newborns is not fully understood.
- Preterm and term newborns exhibit distinct developmental trajectories.
Purpose of the Study:
- To elucidate bone metabolic processes in preterm and term newborns.
- To investigate the relationship between fetal growth and bone turnover markers.
Main Methods:
- Collected umbilical cord blood from 74 newborns (27-42 gestational weeks).
- Measured bone metabolic markers: PICP, ICTP, ALP, BAP.
- Assessed hormones: CT, E2, PTH, IGF-I.
- Performed cross-sectional regression analyses with fetal growth parameters (GWs, BW, BH, HC).
Main Results:
- PICP and ICTP were significantly elevated and decreased with increasing gestational age, birth weight, height, and head circumference.
- BAP and ALP levels did not change significantly with fetal growth.
- E2 and CT correlated positively with calcium but not with bone markers.
Conclusions:
- Bone formation and resorption are highly active in fetuses, dependent on fetal growth.
- Fetal osteoblasts primarily influence the proliferation phase of bone development.
- Further research is needed to identify factors contributing to high fetal bone turnover.
Abstract:
The bone metabolic processes of proliferation and differentiation in preterm and term newborns have yet to be fully elucidated. Seventy-four umbilical cord blood samples were collected from preterm and term newborns delivered at 27 to 42 gestational weeks (GWs). Carboxy-terminal propeptide of type I procollagen (PICP), pyridinoline cross-linked telopeptide domain of type I collagen (ICTP), alkaline phosphatase (ALP), and bone-specific alkaline phosphatase (BAP) were measured. Calcitonin (CT), estrogen (E2), intact parathyroid hormone, and insulin-like growth factor-I (IGF-I) were also examined in 20 or 23 randomly selected samples. We conducted cross-sectional regression analyses for bone metabolic markers, fetal growth markers including GWs, birth weight (BW), height (BH) and head circumference (HC), and bone related hormones. PICP and ICTP activities were very high, but decreased significantly with fetal growth based on GWs, BW, BH, and HC changes (GWs, BW, and BH to both PICP and ICTP, P < 0.0001; HC to ICTP, P < 0.0001; HC to PICP, P < 0.05), while BAP and ALP did not change significantly. E2 and CT both showed a significant positive correlation with Ca (P < 0.05), but neither hormone had any apparent correlation with PICP, ALP, BAP, or ICTP. These results suggest very active bone formation and resorption of type I collagen to be dependent on fetal growth and that fetal osteoblasts dominate the proliferation phase of development rather than the maturation phase. However, factors contributing to high bone turnover in the fetus remain to be elucidated.
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