Abstract

The serum concentrations of the carboxy-terminal propeptide of type I procollagen (PICP) were monitored in 52 serum samples from 13 patients receiving renal transplants and the values compared with bone alkaline phosphatase (BAP) concentrations and intact parathyrin levels. There was a significant correlation between BAP and PICP values in all 52 serum samples examined ( r = +0.770; P < 0.0001). Before transplantation BAP ( P < 0.0001), but not PICP ( P < 0.1), was correlated with intact parathyrin levels. BAP concentrations increased from 7.3 ± 1.2 μg/l (median ± S.E.M.) before transplantation to 13.3 ± 1.2 μg/l 3 months after transplantation ( P < 0.01). There was a concomitant rise in PICP levels from 95 ± 19 μg/l to 166 ± 27 μg/l ( P <0.05). No correlation was found between BAP or PICP levels on the one hand and intact parathyrin concentrations on the other at any time following renal transplantation ( P < 0.5). In conclusion, PICP may be a useful parameter for monitoring bone formation following renal transplantation.

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