Prognostic value of urinary pyridinium crosslinks and their derivatives in multiple myeloma

Autor: Khalil Kargar Samani, Michel Blanc, Claire Mathiot, Isabelle Azais, Thierry Facon, Michel Brazier, Saïd Kamel, Jacques Jamart, Jérôme Jaubert, Xavier Leleu
Rok vydání: 2004
Předmět:
Zdroj: Annals of Hematology. 84:19-24
ISSN: 1432-0584
0939-5555
DOI: 10.1007/s00277-004-0937-9
Popis: Bone disease is a common feature of multiple myeloma (MM). The goal of this study was to assess the prognostic significance of urinary markers of bone metabolism in MM. Urinary levels of total pyridinoline (T-Pyd), deoxypyridinoline (T-Dpd), crosslinked N-telopeptide (Ntx), C-telopeptide (Ctx) of type I collagen and immunologic free deoxypyridinoline (f-Dpd) were assessed in 82 consecutive, previously untreated MM patients (aged 65–75 years) diagnosed between June 1995 and December 1998. A correlation between disease stage according to the Durie-Salmon classification and T-Pyd (p=0.034) and T-Dpd (p=0.007) was observed, while T-Pyd (p=0.015) and to a lesser extent f-Dpd (p=0.081) were correlated to bone involvement measured by plain X-ray. None were correlated to M-component or magnetic resonance imaging (MRI). In univariate analysis high T-Pyd (p=0.007), T-Dpd (p=0.027), f-Dpd (p
Databáze: OpenAIRE