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Early Increase of Bone Resorption in Patients with Liver Cirrhosis Secondary to Viral Hepatitis
Abstract
Bone loss is an established complication of cholestatic liver cirrhosis, while little is known about bone mass and metabolism in noncholestatic liver cirrhosis. The aim of the present study is, therefore, to evaluate bone mass and mineral metabolism in patients with liver cirrhosis secondary to viral hepatitis. Bone mineral density measurement at lumbar and femoral levels and the evaluation of bone and mineral metabolism and gonadal function were performed in 31 patients with liver cirrhosis and 37 healthy volunteers. Lumbar and femoral bone mineral density values were significantly lower in patients than in healthy volunteers. Prevalence and severity of bone loss increased according to the severity of liver disease. All serum indices of bone and mineral metabolism and of gonadal function showed a similar behavior, but a significant increase of bone resorption was present in all Child-Pugh classes. In particular, class A patients showed normal mean bone mineral density values but increased serum levels of the telopeptide of type I collagen. Liver cirrhosis predisposes to bone loss regardless of the presence of cholestasis. The severity of metabolic osteopathy worsens as liver function does. The underlying mechanism is represented by an increased bone resorption.
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Viral hepatitis is associated with an activated immune response and the release of mostly resorption-activating cytokines.
“viral hepatitis is associated with an activated immune response and the release of mostly resorption-activating cytokines (Table 2) [4,5,6,7,8,45,54,55,56].”
From Bone diseases in patients with chronic liver disease (2019) · cites this paper as [55]
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- Hussaini SH, Roman F, Oldroyd B, Stewart SP, Bramley P, Simpson M, Smith MA, Losowsky MS: Does bone mineral density change after orthotopic liver transplantation? Gastroenterology 108:A1088, 1995
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Metadata
- Authors
- Corazza, G. R., Trevisani, F., Di Stefano, M., De Notariis, S., Veneto, G., Cecchetti, L., Minguzzi, L., Gasbarrini, G., & Bernardi, M.
- Affiliations
- University of Pavia (IT)
- Venue
- Digestive Diseases and Sciences
- Published
- 2000-07
- Volume
- 45
- Issue
- 7
- Pages
- 1392-1399
- ISSN
- 0163-2116 (ISSN-L)
- 1573-2568
- OpenAlex
- W18136986
- Cited by
- 53
- References
- 49
- Citations by year
- 2025: 3 · 2023: 3 · 2021: 1 · 2020: 5 · 2019: 3 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 4 · 2012: 5
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Digestive Diseases and Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Hepatology › Liver Disease and Transplantation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- liver cirrhosis, viral hepatitis, bone resorption, bone loss, bone mineral density, metabolic bone disease, mineral metabolism, gonadal function, Child-Pugh score
- MeSH terms
- Adult, Aged, Bone Resorption, Collagen, Female, Femur, Hepatitis, Viral, Human, Humans, Liver Cirrhosis, Lumbosacral Region, Male, Middle Aged, Peptides, Reference Values, Spine, Bone Density, Collagen Type I
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