The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal Osteoporosis

Bisphosphonates are currently the most preferred class of drugs used for the treatment of metabolic bone disease such as osteoporosis and Paget’s disease. Although their exact mechanism has not been identified, the compounds containing amino group (amino bisphosphonates) were shown to decrease osteo...

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Main Authors: Canan Tıkız, Fatma Taneli, Çiğdem Tüzün
Format: Article
Language:English
Published: Galenos Publishing House 2005-03-01
Series:Türk Osteoporoz Dergisi
Subjects:
Online Access:http://www.turkosteoporozdergisi.org/article_4225/The-Effect-Of-Bisphosphonate-Treatment-On-Blood-Lipid-Parameters-Inpatients-With-Postmenopausal-Osteoporosis
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author Canan Tıkız
Fatma Taneli
Çiğdem Tüzün
author_facet Canan Tıkız
Fatma Taneli
Çiğdem Tüzün
author_sort Canan Tıkız
collection DOAJ
description Bisphosphonates are currently the most preferred class of drugs used for the treatment of metabolic bone disease such as osteoporosis and Paget’s disease. Although their exact mechanism has not been identified, the compounds containing amino group (amino bisphosphonates) were shown to decrease osteoclast activation by inhibiting mevalonate pathway. Because mevalonate pathway is essential in production of cholesterol, these compounds could also interfere with cholesterol synthesis. In the present study, the effects of aminobisphosphonates on lipid parameters in subjects who were diagnosed as osteoporosis were investigated. For this reason, 50 postmenopausal osteoporotic subjects were included in the study and 25 of them (mean age:54±9 years) received alendronate sodium (70mg/week) and the remaining 25 subjects (mean age:55±8 years) were given risedronate sodium (35mg/week). Blood samples were analyzed at baseline and at the end of sixth months. Total cholesterol, high density cholesterol (HDL-chol), low density cholesterol (LDL-chol), triglyceride, apolipoprotein A (Apo-A), apolipoprotein B (Apo-B) and lipoprotein (a) (Lip a) were investigated as lipid parameters. Total alkaline phophatase (TAP), bone-specific alkaline phophatase (BAP), osteocalcine (OCL) and urine deoxyprydolin (DPD) levels were assessed as bone remodeling markers. After six month treatment period, while significant changes were observed in bone remodeling parameters (p<0.05), no significant changes were found in all measured lipid parameters (p>0.05). Our results suggest that moderate-term oral aminobisfosphonate treatment has no significant effect on blood lipid parameters.
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spelling doaj-art-93cfb4f0d1fa4f50abb5ad2d24e1aece2025-08-20T03:37:20ZengGalenos Publishing HouseTürk Osteoporoz Dergisi2147-26532005-03-011111217The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal OsteoporosisCanan Tıkız0Fatma Taneli1Çiğdem Tüzün2Celal Bayar Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim DalıCelal Bayar Üniversitesi Tıp Fakültesi Biokimya Anabilim DalıCelal Bayar Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim DalıBisphosphonates are currently the most preferred class of drugs used for the treatment of metabolic bone disease such as osteoporosis and Paget’s disease. Although their exact mechanism has not been identified, the compounds containing amino group (amino bisphosphonates) were shown to decrease osteoclast activation by inhibiting mevalonate pathway. Because mevalonate pathway is essential in production of cholesterol, these compounds could also interfere with cholesterol synthesis. In the present study, the effects of aminobisphosphonates on lipid parameters in subjects who were diagnosed as osteoporosis were investigated. For this reason, 50 postmenopausal osteoporotic subjects were included in the study and 25 of them (mean age:54±9 years) received alendronate sodium (70mg/week) and the remaining 25 subjects (mean age:55±8 years) were given risedronate sodium (35mg/week). Blood samples were analyzed at baseline and at the end of sixth months. Total cholesterol, high density cholesterol (HDL-chol), low density cholesterol (LDL-chol), triglyceride, apolipoprotein A (Apo-A), apolipoprotein B (Apo-B) and lipoprotein (a) (Lip a) were investigated as lipid parameters. Total alkaline phophatase (TAP), bone-specific alkaline phophatase (BAP), osteocalcine (OCL) and urine deoxyprydolin (DPD) levels were assessed as bone remodeling markers. After six month treatment period, while significant changes were observed in bone remodeling parameters (p<0.05), no significant changes were found in all measured lipid parameters (p>0.05). Our results suggest that moderate-term oral aminobisfosphonate treatment has no significant effect on blood lipid parameters.http://www.turkosteoporozdergisi.org/article_4225/The-Effect-Of-Bisphosphonate-Treatment-On-Blood-Lipid-Parameters-Inpatients-With-Postmenopausal-OsteoporosisAminobisphosphonatescholesterollipid parameterslipoproteins
spellingShingle Canan Tıkız
Fatma Taneli
Çiğdem Tüzün
The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal Osteoporosis
Türk Osteoporoz Dergisi
Aminobisphosphonates
cholesterol
lipid parameters
lipoproteins
title The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal Osteoporosis
title_full The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal Osteoporosis
title_fullStr The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal Osteoporosis
title_full_unstemmed The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal Osteoporosis
title_short The Effect of Bisphosphonate Treatment on Blood Lipid Parameters in Patients with Postmenopausal Osteoporosis
title_sort effect of bisphosphonate treatment on blood lipid parameters in patients with postmenopausal osteoporosis
topic Aminobisphosphonates
cholesterol
lipid parameters
lipoproteins
url http://www.turkosteoporozdergisi.org/article_4225/The-Effect-Of-Bisphosphonate-Treatment-On-Blood-Lipid-Parameters-Inpatients-With-Postmenopausal-Osteoporosis
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