Serum sclerostin and DKK1 in relation to exercise against bone loss in experimental bed rest

Autor: Jörn Rittweger, Daniel L. Belavý, Heinz J. Roth, Gabriele Armbrecht, Dieter Felsenberg, Petra Frings-Meuthen, Natalie Baecker, Gisela Beller, Martina Heer, Judith Buehlmeier
Rok vydání: 2016
Předmět:
0301 basic medicine
Adult
Genetic Markers
Male
medicine.medical_specialty
animal structures
Time Factors
Endocrinology
Diabetes and Metabolism

medicine.medical_treatment
chemistry.chemical_element
030209 endocrinology & metabolism
Calcium
Bed rest
Bone resorption
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Endocrinology
Bone Density
Osteogenesis
Internal medicine
medicine
Bone mineral density
Humans
Immobilisation
Training
Orthopedics and Sports Medicine
Femur
Exercise
pQCT
Adaptor Proteins
Signal Transducing

Proximal femur
business.industry
Osteoblast
General Medicine
Spaceflight
030104 developmental biology
medicine.anatomical_structure
chemistry
DKK1
embryonic structures
Bone Morphogenetic Proteins
Bone mineral content
Sclerostin
Intercellular Signaling Peptides and Proteins
business
Bed Rest
Biomarkers
DOI: 10.1007/s00774-015-0681-3
Popis: The impact of effective exercise against bone loss during experimental bed rest appears to be associated with increases in bone formation rather than reductions of bone resorption. Sclerostin and dickkopf-1 are important inhibitors of osteoblast activity. We hypothesized that exercise in bed rest would prevent increases in sclerostin and dickkopf-1. Twenty-four male subjects performed resistive vibration exercise (RVE; n = 7), resistive exercise only (RE; n = 8), or no exercise (control n = 9) during 60 days of bed rest (2nd Berlin BedRest Study). We measured serum levels of BAP, CTX-I, iPTH, calcium, sclerostin, and dickkopf-1 at 16 time-points during and up to 1 year after bed rest. In inactive control, after an initial increase in both BAP and CTX-I, sclerostin increased. BAP then returned to baseline levels, and CTX-I continued to increase. In RVE and RE, BAP increased more than control in bed rest (p ≤ 0.029). Increases of CTX-I in RE and RVE did not differ significantly to inactive control. RE may have attenuated increases in sclerostin and dickkopf-1, but this was not statistically significant. In RVE there was no evidence for any impact on sclerostin and dickkopf-1 changes. Long-term recovery of bone was also measured and 6–24 months after bed rest, and proximal femur bone mineral content was still greater in RVE than control (p = 0.01). The results, while showing that exercise against bone loss in experimental bed rest results in greater bone formation, could not provide evidence that exercise impeded the rise in serum sclerostin and dickkopf-1 levels.
Databáze: OpenAIRE