在亚太地区人口中使用骨转换标记物的应用
Samuel Vasikaran1, Subashini C Thambiah2, Rui Zhen Tan3
1Department of Clinical Biochemistry, Fiona Stanley Hospital, Perth, Australia.
Annals of laboratory medicine
|October 23, 2023
概括
骨循环标记 (BTMs) 有助于管理代谢性骨疾病. 本综述为亚太地区人口使用BTM提供了指导,重点是骨质疏松症的诊断和治疗.
科学领域:
- 生物化学 生化学
- 内分泌学 在内分泌学.
- 整形外科 整形外科 整形外科
背景情况:
- 骨循环标记 (BTM) 反映了骨重塑,对代谢性骨病管理至关重要.
- 现有的BTM研究主要来自北半球的高加索人群,限制了其在其他地方的适用性.
- 最近,BTM诊断使用的指导方针和证据取得了重大进展.
研究的目的:
- 审查亚太地区种群的可用BTM数据.
- 为该地区使用BTM作为诊断生物标志物提供指导.
- 在亚太地区的背景下,解决BTM在代谢性骨病中的临床应用.
主要方法:
- 文献综述专注于亚太地区的研究.
- 对BTMs的参考间隔,变化值和治疗目标的分析.
- 评估适用于慢性病患者的BTM.
主要成果:
- 类型I原的公原I N终端和β异构的C终端端是骨质疏松症的参考BTM.
- 亚太地区人口的绝经前参考间隔可用.
- 骨特异性性酸酸酶和耐酸酸酸酶5b适用于患有功能障碍的患者.
结论:
- 在亚太地区,BTM对于骨质疏松症的管理有价值.
- 对于这一群体,建议使用特定的BTM和参考间隔.
- 需要进一步的研究和测试协调,以提高临床BTM的实用性.
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