CORRELATION BETWEEN GAMMA GLUTAMYLTRANSFERASE FRACTIONS AND BONE QUALITY

M. FRANZINI, A. NESTI, D. PANETTA, V. FIERABRACCI, S. MARCHETTI, P.D. PARCHI, L. CAPONI, A. PAOLICCHI, V. MUSETTI, P. SALVADORI, M. EDMIN, A. PUCCI, E. BONICOLI, M. SCAGLIONE, N. PIOLANTI

Article ID: 6548
Vol 31, Issue 4S1, 2017
DOI: https://doi.org/10.54517/jbrha6548
Received: 8 January 2018; Accepted: 8 January 2018; Available online: 8 January 2018; Issue release: 8 January 2018

Abstract

Gamma-glutamyltransferase (GGT) has been recently identified as a bone-resorbing factor. The aimof this study was to investigate the association between plasma GGT fractions levels and bone quality.Plasma GGT fractions were analysed by gel-filtration chromatography. Bone quality was establishedquantitatively by two micro-CT derived microarchitectural parameters: the BV/TV (mineralised bonevolume/total volume), and the SMI (structure model index) that describes the rod-like (low resistant) orplate-like (high-resistant) shape of bone trabeculae. We enrolled 93 patients hospitalised for elective totalhip replacement (group Arthrosis, n=46) or for proximal femoral fracture (group Fracture, n=47). Patientswithin the first quartile of BV/TV (Q1, osteoporotic patients, n=6) showed higher levels of b-GGT fraction[median (min-max): 3.37 (1.42–6.81)] compared to patients with normal bone density (fourth quartileQ4, n=10; 1.40 (0.83–4.36); p=0.0393]. Also, according to SMI, b-GGT value was higher in the subgroupwith bone fragility [Q1, n=8: 1.36 (0.43–4.36); Q4, n=8: 5.10 (1.4 –7.60); p=0.0117]. In conclusion, patientscharacterised by fragile bone structure showed specifically higher levels of plasma b-GGT activity thussuggesting fractional GGT analysis as a possible biomarker in the diagnosis of osteoporosis.


Keywords

Osteoporosis;gamma-glutamyltransferase;GGT fraction;micro-CT;biomarker


References

Supporting Agencies



Copyright (c) 2017 M. FRANZINI, A. NESTI, D. PANETTA, V. FIERABRACCI, S. MARCHETTI, P.D. PARCHI, L. CAPONI, A. PAOLICCHI, V. MUSETTI, P. SALVADORI, M. EDMIN, A. PUCCI, E. BONICOLI, M. SCAGLIONE, N. PIOLANTI




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