SERUM LEVELS OF FIBROBLAST GROWTH FACTOR-23, OSTEOPROTEGERIN, AND RECEPTOR ACTIVATOR OF NUCLEAR FACTOR KAPPA B LIGAND IN PATIENTS WITH PROLACTINOMA

The aim of this study to was to evaluate the effect of fibroblast growth factor-23 (FGF-23), osteoprotegerin (OPG), receptor activator nuclear κB ligand (RANKL), and vitamin D hormones on bone loss in patients with hyperprolactinemia due to pituitary prolactinoma. We recruited 46 premenopausal femal...

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Veröffentlicht in:Endocrine practice 2017-03, Vol.23 (3), p.266-270
Hauptverfasser: Arslan, Muyesser Sayki, Sahin, Mustafa, Karakose, Melia, Tutal, Esra, Topaloglu, Oya, Ucan, Bekir, Demirci, Taner, Caliskan, Mustafa, Ozdemir, Seyda, Ozbek, Mustafa, Cakal, Erman
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container_issue 3
container_start_page 266
container_title Endocrine practice
container_volume 23
creator Arslan, Muyesser Sayki
Sahin, Mustafa
Karakose, Melia
Tutal, Esra
Topaloglu, Oya
Ucan, Bekir
Demirci, Taner
Caliskan, Mustafa
Ozdemir, Seyda
Ozbek, Mustafa
Cakal, Erman
description The aim of this study to was to evaluate the effect of fibroblast growth factor-23 (FGF-23), osteoprotegerin (OPG), receptor activator nuclear κB ligand (RANKL), and vitamin D hormones on bone loss in patients with hyperprolactinemia due to pituitary prolactinoma. We recruited 46 premenopausal female patients with prolactinoma and age and sex-matched healthy controls (Group 3, n = 20) for this cross-sectional study. Prolactinoma patients were divided into 2 groups as patients newly diagnosed (Group 1, n = 26) and those under cabergoline treatment (Group 2, n = 20). Anthropometric and metabolic variables; hormonal profiles; and osteocalcin, deoxypyridinoline (DOP), and bone mineral density measurements were performed for all participants. FGF-23, OPG, and RANKL levels were analyzed in all groups. FGF-23, OPG, calcium, phosphorus, and parathormone levels were similar between all groups despite significantly higher levels in the control group in terms of vitamin D and RANKL levels than in patients. Bone loss was found more in Group 2, particularly observed in Z scores of femur and spinal bone (P
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We recruited 46 premenopausal female patients with prolactinoma and age and sex-matched healthy controls (Group 3, n = 20) for this cross-sectional study. Prolactinoma patients were divided into 2 groups as patients newly diagnosed (Group 1, n = 26) and those under cabergoline treatment (Group 2, n = 20). Anthropometric and metabolic variables; hormonal profiles; and osteocalcin, deoxypyridinoline (DOP), and bone mineral density measurements were performed for all participants. FGF-23, OPG, and RANKL levels were analyzed in all groups. FGF-23, OPG, calcium, phosphorus, and parathormone levels were similar between all groups despite significantly higher levels in the control group in terms of vitamin D and RANKL levels than in patients. Bone loss was found more in Group 2, particularly observed in Z scores of femur and spinal bone (P&lt;.05). Correlation analysis revealed a negative correlation between FGF-23 and femur neck T score (r = -0.0433, P = .05) in patients with active prolactinoma. A positive correlation was also observed between parameters of DOP and OPG (r = 0.673, P = .02). In patients with remission there were a negative correlation between prolactin and luteinizing hormone (r = -600, P = .08). Additionally, a negative correlation was found between osteocalcin and osteoprotegerin in patients in remission (r = -0.73, P = .01). Our data indicated that FGF-23 and OPG levels do not play a critical role on the development of bone decrease in patients with hyperprolactinemia. However, further prospective studies in larger numbers of participants should be designed to clarify this issue. BFP = body fat percentage BMD = bone mineral density BMI = body mass index CV = coefficient of variation DOP = deoxypyridinoline ELISA = enzyme-linked immunosorbent assay FGF-23 = fibroblast growth factor-23 HOMA-IR = homeostatic model assessment of insulin resistance OPG = osteoprotegerin RANKL = receptor activator nuclear κB ligand.</description><identifier>ISSN: 1530-891X</identifier><identifier>EISSN: 1934-2403</identifier><identifier>DOI: 10.4158/EP161440.OR</identifier><identifier>PMID: 27849387</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Adult ; Amino Acids - blood ; Antineoplastic Agents - therapeutic use ; Biomarkers, Tumor - blood ; Bone Density ; Cabergoline ; Cross-Sectional Studies ; Ergolines - therapeutic use ; Female ; Fibroblast Growth Factors - blood ; Humans ; Middle Aged ; Osteocalcin - blood ; Osteoprotegerin - blood ; Pituitary Neoplasms - blood ; Pituitary Neoplasms - drug therapy ; Prolactinoma - blood ; Prolactinoma - drug therapy ; Prospective Studies ; RANK Ligand - blood ; Receptor Activator of Nuclear Factor-kappa B - blood ; Vitamin D - blood</subject><ispartof>Endocrine practice, 2017-03, Vol.23 (3), p.266-270</ispartof><rights>Copyright Allen Press Publishing Services Mar 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c317t-7f97c55c5ab0906241b8f261247fd85eb459f3a6a74626e23bd49bd6cde762333</citedby><cites>FETCH-LOGICAL-c317t-7f97c55c5ab0906241b8f261247fd85eb459f3a6a74626e23bd49bd6cde762333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1878752301?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,27933,27934,64394,64398,72478</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27849387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arslan, Muyesser Sayki</creatorcontrib><creatorcontrib>Sahin, Mustafa</creatorcontrib><creatorcontrib>Karakose, Melia</creatorcontrib><creatorcontrib>Tutal, Esra</creatorcontrib><creatorcontrib>Topaloglu, Oya</creatorcontrib><creatorcontrib>Ucan, Bekir</creatorcontrib><creatorcontrib>Demirci, Taner</creatorcontrib><creatorcontrib>Caliskan, Mustafa</creatorcontrib><creatorcontrib>Ozdemir, Seyda</creatorcontrib><creatorcontrib>Ozbek, Mustafa</creatorcontrib><creatorcontrib>Cakal, Erman</creatorcontrib><title>SERUM LEVELS OF FIBROBLAST GROWTH FACTOR-23, OSTEOPROTEGERIN, AND RECEPTOR ACTIVATOR OF NUCLEAR FACTOR KAPPA B LIGAND IN PATIENTS WITH PROLACTINOMA</title><title>Endocrine practice</title><addtitle>Endocr Pract</addtitle><description>The aim of this study to was to evaluate the effect of fibroblast growth factor-23 (FGF-23), osteoprotegerin (OPG), receptor activator nuclear κB ligand (RANKL), and vitamin D hormones on bone loss in patients with hyperprolactinemia due to pituitary prolactinoma. 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Correlation analysis revealed a negative correlation between FGF-23 and femur neck T score (r = -0.0433, P = .05) in patients with active prolactinoma. A positive correlation was also observed between parameters of DOP and OPG (r = 0.673, P = .02). In patients with remission there were a negative correlation between prolactin and luteinizing hormone (r = -600, P = .08). Additionally, a negative correlation was found between osteocalcin and osteoprotegerin in patients in remission (r = -0.73, P = .01). Our data indicated that FGF-23 and OPG levels do not play a critical role on the development of bone decrease in patients with hyperprolactinemia. However, further prospective studies in larger numbers of participants should be designed to clarify this issue. 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We recruited 46 premenopausal female patients with prolactinoma and age and sex-matched healthy controls (Group 3, n = 20) for this cross-sectional study. Prolactinoma patients were divided into 2 groups as patients newly diagnosed (Group 1, n = 26) and those under cabergoline treatment (Group 2, n = 20). Anthropometric and metabolic variables; hormonal profiles; and osteocalcin, deoxypyridinoline (DOP), and bone mineral density measurements were performed for all participants. FGF-23, OPG, and RANKL levels were analyzed in all groups. FGF-23, OPG, calcium, phosphorus, and parathormone levels were similar between all groups despite significantly higher levels in the control group in terms of vitamin D and RANKL levels than in patients. Bone loss was found more in Group 2, particularly observed in Z scores of femur and spinal bone (P&lt;.05). Correlation analysis revealed a negative correlation between FGF-23 and femur neck T score (r = -0.0433, P = .05) in patients with active prolactinoma. A positive correlation was also observed between parameters of DOP and OPG (r = 0.673, P = .02). In patients with remission there were a negative correlation between prolactin and luteinizing hormone (r = -600, P = .08). Additionally, a negative correlation was found between osteocalcin and osteoprotegerin in patients in remission (r = -0.73, P = .01). Our data indicated that FGF-23 and OPG levels do not play a critical role on the development of bone decrease in patients with hyperprolactinemia. However, further prospective studies in larger numbers of participants should be designed to clarify this issue. BFP = body fat percentage BMD = bone mineral density BMI = body mass index CV = coefficient of variation DOP = deoxypyridinoline ELISA = enzyme-linked immunosorbent assay FGF-23 = fibroblast growth factor-23 HOMA-IR = homeostatic model assessment of insulin resistance OPG = osteoprotegerin RANKL = receptor activator nuclear κB ligand.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>27849387</pmid><doi>10.4158/EP161440.OR</doi><tpages>5</tpages></addata></record>
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identifier ISSN: 1530-891X
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subjects Adult
Amino Acids - blood
Antineoplastic Agents - therapeutic use
Biomarkers, Tumor - blood
Bone Density
Cabergoline
Cross-Sectional Studies
Ergolines - therapeutic use
Female
Fibroblast Growth Factors - blood
Humans
Middle Aged
Osteocalcin - blood
Osteoprotegerin - blood
Pituitary Neoplasms - blood
Pituitary Neoplasms - drug therapy
Prolactinoma - blood
Prolactinoma - drug therapy
Prospective Studies
RANK Ligand - blood
Receptor Activator of Nuclear Factor-kappa B - blood
Vitamin D - blood
title SERUM LEVELS OF FIBROBLAST GROWTH FACTOR-23, OSTEOPROTEGERIN, AND RECEPTOR ACTIVATOR OF NUCLEAR FACTOR KAPPA B LIGAND IN PATIENTS WITH PROLACTINOMA
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