Types I and III procollagen extension peptides in serum respond to fracture in humans

49 Citations (Scopus)

Abstract

Markers of types I and III collagen turnover were measured in serial blood samples in 16 patients with a Colles' fracture. The collagen markers were the carboxy-terminal extension peptide of type I procollagen (PICP) and the amino-terminal extension peptide of type III procollagen (PIIINP). Significant increases were found of PIIINP within 1 week and of PICP within 2 weeks. This sequential appearance of PIIINP and PICP was found to be in agreement with the appearance of types III and I collagen during early fracture healing as demonstrated in previous animal experimental studies. PICP had levelled off after 9 months, whereas PIIINP remained elevated. Osteocalcin, a serum marker of osteoblast activity, increased within 1 week and levelled off after 9 months. Correlations between the change in osteocalcin and those in PICP and PIIINP, respectively, were weak. These new biochemical markers may prove relevant as non-invasive markers of normal and pathological fracture healing in humans.

Original languageEnglish
JournalArchives of Orthopaedic and Trauma Surgery
Volume111
Issue number5
Pages (from-to)265-7
Number of pages3
ISSN0936-8051
Publication statusPublished - 1992

Keywords

  • Adult
  • Aged
  • Aged, 80 and over
  • Colles' Fracture
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteocalcin
  • Peptide Fragments
  • Procollagen
  • Journal Article
  • Research Support, Non-U.S. Gov't

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