Bone Sialoprotein Level in Osteoporotic Diabetic Patients type II with Microvascular Complication

Khaled H. Mohamed, H. Taha, M. Kamel, H. Farhan
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Abstract

Objective: The aim of this study is to assess the level of serum bone sialoprotein as a diagnostic biomarker in cases of diabetic bone diseases and its relation to diabetic microvascular complications. Methods: A total of 60 subjects; 30 diabetic patients type II with micro-vascular complications (retinopathy and/or nephropathy) as a case group and 30 healthy individuals serve as control group was recruited in this case–control study from diabetes and endocrinology clinic and internal medicine department in Beni Suef university hospital. The biochemical and metabolic parameters and bone turnover marker will be assessed in all patients. Results: Serum bone sialoprotein (BSP) was found to be significantly higher in diabetic patients with microvascular complication compared to normal control group. Moreover, bone sialoprotein (BSP) was positively correlated to osteoporosis of lumbar spine. Conclusion: Bone sialoprotein increase could be used as a biomarker of diabetic bone disease diagnosis and could be a predictor of spinal osteoporotic fractures in diabetic patients.
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伴有微血管并发症的2型骨质疏松性糖尿病患者的骨涎蛋白水平
目的:探讨血清骨涎蛋白水平作为诊断糖尿病骨病的生物标志物及其与糖尿病微血管并发症的关系。方法:共60例受试者;本研究从贝尼苏夫大学附属医院糖尿病与内分泌科门诊和内科招募伴有微血管并发症(视网膜病变和/或肾病)的2型糖尿病患者30例作为病例组,健康人群30例作为对照组。评估所有患者的生化代谢参数和骨转换标志物。结果:伴有微血管并发症的糖尿病患者血清骨涎蛋白(BSP)明显高于正常对照组。此外,骨涎蛋白(BSP)与腰椎骨质疏松症呈正相关。结论:骨涎蛋白升高可作为糖尿病骨病诊断的生物标志物,并可作为糖尿病患者脊柱骨质疏松性骨折的预测指标。
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