A comparison of the acute effects of calcium and strontium ranelate on the serum marker of bone resorption.

Maresova KB, Franek T, Vondracek T, Stepan JJ. Clin Chem Lab Med. 2011 Nov 14;50(2):333–5. doi: 10.1515/CCLM.2011.781. IF: 2.150

Department of Medical Chemistry and Clinical Biochemistry
 
Abstract
BACKGROUND: To investigate the mechanism by which strontium ranelate (SrR) inhibits the bone resorption, this study compared the effects of SrR and calcium on parathyroid hormone (PTH) and the biochemical marker of bone resorption (serum type 1 collagen cross-linked C-telopeptide, βCTX). METHODS: In 10 healthy young subjects, after overnight fasting, 1000 mg of elemental calcium and 2000 mg of SrR containing 600 mg Sr2? were administered consecutively with a 1 week washout period. During the control period no drug was given. Fasting blood samples were drawn at baseline and throughout the next 5-h period. RESULTS: After the ingestion of either calcium or SrR, there was a significant increase in serum calcium and strontium concentrations, and a decrease in serum βCTX and intact PTH concentrations as compared to the baseline values (p<0.05). In the fasting subjects, no significant differences in the variable were found as compared to the baseline values. CONCLUSIONS: The decrease in PTH and the marker of bone resorption observed after the SrR administration is comparable to the decrease observed after the calcium administration in young adults.
 
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Created: 13. 12. 2012 / Modified: 7. 1. 2019 / prof. MUDr. Radek Špíšek, Ph.D.