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Original Studies |
General Internal Medicine Section, San Francisco Veterans Affairs Medical Center (W.S.B., L.-Y.L.); and Departments of Epidemiology and Biostatistics (W.S.B., L.-Y.L., S.R.C.) and Medicine (W.S.B., S.R.C.), University of California, San Francisco, California 94143
Address all correspondence and requests for reprints to: Dr. W. S. Browner, California Pacific Medical Research Institute, 2340 Clay Street, Room 114, San Francisco, California 94115. E-mail: warren{at}cooper cpmc.org.
Osteoprotegerin (OPG) and its ligand are cytokines that regulate osteoclastogenesis and that may be involved in the regulation of vascular calcification. We examined whether serum OPG levels were associated with stroke, mortality, and cardiovascular risk factors, including diabetes, as well as with bone mineral density and fractures in a sample of 490 participants in a prospective cohort of white women, at least 65 yr of age. We found that OPG levels, assayed blinded from serum obtained at baseline, were about 30% greater in women with diabetes (mean ± SD, 0.30 ± 0.17 ng/mL) than in those without diabetes (0.23 ± 0.10 ng/mL; P = 0.0001). OPG levels were associated with all-cause mortality [age-adjusted odds ratio, 1.4/SD (0.11 ng/mL) increase in serum OPG level; 95% confidence interval, 1.21.8] and cardiovascular mortality (odds ratio, 1.4; 95% confidence interval, 1.11.8); these effects were not confounded by diabetes. OPG levels were not associated with baseline bone mineral density or with subsequent strokes or fractures. The association of serum OPG levels with diabetes and with cardiovascular mortality raises the possibility that OPG may be a cause of or a marker for vascular calcification.
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T. M. Doherty, L. A. Fitzpatrick, D. Inoue, J.-H. Qiao, M. C. Fishbein, R. C. Detrano, P. K. Shah, and T. B. Rajavashisth Molecular, Endocrine, and Genetic Mechanisms of Arterial Calcification Endocr. Rev., August 1, 2004; 25(4): 629 - 672. [Abstract] [Full Text] [PDF] |
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M. Soufi, M. Schoppet, A. M. Sattler, M. Herzum, B. Maisch, L. C. Hofbauer, and J. R. Schaefer Osteoprotegerin Gene Polymorphisms in Men with Coronary Artery Disease J. Clin. Endocrinol. Metab., August 1, 2004; 89(8): 3764 - 3768. [Abstract] [Full Text] [PDF] |
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L. C. Hofbauer and M. Schoppet Clinical Implications of the Osteoprotegerin/RANKL/RANK System for Bone and Vascular Diseases JAMA, July 28, 2004; 292(4): 490 - 495. [Abstract] [Full Text] [PDF] |
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M. Abedin, Y. Tintut, and L. L. Demer Vascular Calcification: Mechanisms and Clinical Ramifications Arterioscler. Thromb. Vasc. Biol., July 1, 2004; 24(7): 1161 - 1170. [Abstract] [Full Text] [PDF] |
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G Livshits, I Pantsulaia, S Trofimov, and E Kobyliansky Genetic influences on the circulating cytokines involved in osteoclastogenesis J. Med. Genet., June 1, 2004; 41(6): e76 - e76. [Full Text] [PDF] |
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S. Kiechl, G. Schett, G. Wenning, K. Redlich, M. Oberhollenzer, A. Mayr, P. Santer, J. Smolen, W. Poewe, and J. Willeit Osteoprotegerin Is a Risk Factor for Progressive Atherosclerosis and Cardiovascular Disease Circulation, May 11, 2004; 109(18): 2175 - 2180. [Abstract] [Full Text] [PDF] |
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R. Vattikuti and D. A. Towler Osteogenic regulation of vascular calcification: an early perspective Am J Physiol Endocrinol Metab, May 1, 2004; 286(5): E686 - E696. [Abstract] [Full Text] [PDF] |
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B. Y.Y. Chan, K. A. Buckley, B. H. Durham, J. A. Gallagher, and W. D. Fraser Effect of Anticoagulants and Storage Temperature on the Stability of Receptor Activator for Nuclear Factor-{kappa}B Ligand and Osteoprotegerin in Plasma and Serum Clin. Chem., December 1, 2003; 49(12): 2083 - 2085. [Full Text] [PDF] |
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K.-i. Hirose, H. Tomiyama, R. Okazaki, T. Arai, Y. Koji, G. Zaydun, S. Hori, and A. Yamashina Increased Pulse Wave Velocity Associated with Reduced Calcaneal Quantitative Osteo-sono Index: Possible Relationship Between Atherosclerosis and Osteopenia J. Clin. Endocrinol. Metab., June 1, 2003; 88(6): 2573 - 2578. [Abstract] [Full Text] [PDF] |
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M. E. Mussolino, J. H. Madans, and R.F. Gillum Bone Mineral Density and Stroke Stroke, May 1, 2003; 34(5): e20 - 22. [Abstract] [Full Text] |
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M. Schoppet, J. R. Schaefer, L. C. Hofbauer, S. Jono, K. Mori, Y. Nishizawa, A. Shioi, T. Miki, Y. Ikari, and K. Hara Low Serum Levels of Soluble RANK Ligand Are Associated With the Presence of Coronary Artery Disease in Men * Response Circulation, March 25, 2003; 107(11): e76 - 76. [Full Text] [PDF] |
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T. Ueland, K. Brixen, L. Mosekilde, L. Mosekilde, A. Flyvbjerg, and J. Bollerslev Age-Related Changes in Cortical Bone Content of Insulin-Like Growth Factor Binding Protein (IGFBP)-3, IGFBP-5, Osteoprotegerin, and Calcium in Postmenopausal Osteoporosis: A Cross-Sectional Study J. Clin. Endocrinol. Metab., March 1, 2003; 88(3): 1014 - 1018. [Abstract] [Full Text] [PDF] |
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M. Schoppet, A. M. Sattler, J. R. Schaefer, M. Herzum, B. Maisch, and L. C. Hofbauer Increased Osteoprotegerin Serum Levels in Men with Coronary Artery Disease J. Clin. Endocrinol. Metab., March 1, 2003; 88(3): 1024 - 1028. [Abstract] [Full Text] [PDF] |
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L. C. Hofbauer, M. Schoppet, M. P. Whyte, M. N. Podgornik, and S. Mumm Osteoprotegerin Deficiency and Juvenile Paget's Disease N. Engl. J. Med., November 14, 2002; 347(20): 1622 - 1623. [Full Text] [PDF] |
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A. Rogers, G. Saleh, R. A. Hannon, D. Greenfield, and R. Eastell Circulating Estradiol and Osteoprotegerin as Determinants of Bone Turnover and Bone Density in Postmenopausal Women J. Clin. Endocrinol. Metab., October 1, 2002; 87(10): 4470 - 4475. [Abstract] [Full Text] [PDF] |
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S. Jono, Y. Ikari, A. Shioi, K. Mori, T. Miki, K. Hara, and Y. Nishizawa Serum Osteoprotegerin Levels Are Associated With the Presence and Severity of Coronary Artery Disease Circulation, September 3, 2002; 106(10): 1192 - 1194. [Abstract] [Full Text] [PDF] |
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M. Schoppet, K. T. Preissner, and L. C. Hofbauer RANK Ligand and Osteoprotegerin: Paracrine Regulators of Bone Metabolism and Vascular Function Arterioscler. Thromb. Vasc. Biol., April 1, 2002; 22(4): 549 - 553. [Abstract] [Full Text] [PDF] |
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M. Schoppet, K. T. Preissner, and L. C. Hofbauer RANK Ligand and Osteoprotegerin: Paracrine Regulators of Bone Metabolism and Vascular Function Arterioscler. Thromb. Vasc. Biol., April 1, 2002; 22(4): 549 - 553. [Abstract] [Full Text] [PDF] |
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J. Pfeilschifter, R. Koditz, M. Pfohl, and H. Schatz Changes in Proinflammatory Cytokine Activity after Menopause Endocr. Rev., February 1, 2002; 23(1): 90 - 119. [Abstract] [Full Text] [PDF] |
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K. Jung, M. Lein, K. von Hosslin, B. Brux, D. Schnorr, S. A. Loening, and P. Sinha Osteoprotegerin in Serum as a Novel Marker of Bone Metastatic Spread in Prostate Cancer Clin. Chem., November 1, 2001; 47(11): 2061 - 2063. [Full Text] [PDF] |
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P. Szulc, L. C. Hofbauer, A. E. Heufelder, S. Roth, and P. D. Delmas Osteoprotegerin Serum Levels in Men: Correlation with Age, Estrogen, and Testosterone Status J. Clin. Endocrinol. Metab., July 1, 2001; 86(7): 3162 - 3165. [Abstract] [Full Text] [PDF] |
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