Salivary bone turnover markers in healthy pre- and postmenopausal women: daily and seasonal rhythm

Clin Oral Investig. 2012 Apr;16(2):651-7. doi: 10.1007/s00784-011-0538-7. Epub 2011 Mar 24.

Abstract

No studies had investigated circadian and circannual rhythms of bone biomarkers in whole saliva. We evaluated the salivary daily and seasonal rhythm of carboxy-terminal telopeptide of type I collagen (CTX) and bone alkaline phosphatase (b-ALP). Forty clinical and oral healthy ambulatory pre- and postmenopausal women from two southern Argentine cities: Comodoro Rivadavia (latitude 45º S) and Ushuaia (latitude 54º S) were included in the study. CTX levels were evaluated in serum, urine, and saliva, and b-ALP levels were measured in serum and saliva. In both groups of women, salivary CTX showed a maximum percentage of change early in the morning (80%) and a minimum in the late afternoon (45%), similarly to the pattern observed in urinary samples. No daily rhythm was observed in serum or salivary b-ALP. 25-Hydroxyvitamin D levels decreased in winter vs. summer (p < 0.01) without differences between the two studied groups. Conversely, parathormone reached higher levels in winter (p < 0.05) which induced a slight non-significant increment in salivary CTX and b-ALP levels. The results showed that, as in serum and urinary samples, salivary CTX exhibits daily and a slight seasonal rhythmicity. Whole non-stimulated saliva is a useful tool to detect several oral and systemic diseases because it has important advantages compared to serum and urinary samples. Then, it may also be a promising sample to test changes in bone metabolism contributing to diagnose and to monitor the therapy of several metabolic bone diseases.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alkaline Phosphatase / analysis*
  • Alkaline Phosphatase / blood
  • Biomarkers / analysis
  • Biomarkers / blood
  • Biomarkers / urine
  • Bone Remodeling / physiology
  • Calcium / blood
  • Circadian Rhythm*
  • Collagen Type I / analysis*
  • Collagen Type I / blood
  • Collagen Type I / urine
  • Female
  • Humans
  • Middle Aged
  • Parathyroid Hormone / blood
  • Peptides / analysis*
  • Peptides / blood
  • Peptides / urine
  • Phosphorus / blood
  • Postmenopause / blood
  • Postmenopause / metabolism*
  • Postmenopause / urine
  • Premenopause / blood
  • Premenopause / metabolism*
  • Premenopause / urine
  • Salivary Proteins and Peptides / analysis*
  • Seasons
  • Vitamin D / analogs & derivatives
  • Vitamin D / blood

Substances

  • Biomarkers
  • Collagen Type I
  • Parathyroid Hormone
  • Peptides
  • Salivary Proteins and Peptides
  • collagen type I trimeric cross-linked peptide
  • Vitamin D
  • Phosphorus
  • 25-hydroxyvitamin D
  • Alkaline Phosphatase
  • Calcium