PMID- 30754196 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1744-8417 (Electronic) IS - 1744-6651 (Linking) VI - 3 IP - 3 DP - 2008 May TI - Is hyperhomocysteinemia a risk factor for osteoporosis? PG - 309-313 LID - 10.1586/17446651.3.3.309 [doi] AB - Hyperhomocysteinemia (HHCY) has been accepted as a risk factor not only for cardiovascular diseases (CVDs) but also for osteoporosis. Furthermore, clinical data suggest that HHCY also increases fracture risk, but have no or only minor effects on bone mineral density (BMD). Measurement of biochemical bone turnover markers indicates a shift of bone metabolism toward bone resorption. Animal studies confirm these observations showing a reduced bone quality and stimulation of bone resorption in hyperhomocysteinemic animals. In addition, homocysteine (HCY) has been found to accumulate in bone tissue by collagen binding. These results indicate a causal involvement of HHCY in osteoporosis. The first experimental studies revealed that several pathomechanisms might be involved. Cell culture studies demonstrate that high HCY and low vitamin B levels stimulate osteoclasts but not osteoblasts, indicating again a shift of bone metabolism toward bone resorption. In addition, HHCY seems to have adverse affects on extracellular bone matrix by disturbing collagen crosslinking. Well-performed large cell culture studies confirm the results obtained with exogenous HCY administration. In conclusion, existing data suggest that HHCY (and possibly vitamin B deficiencies) adversely affects bone quality by a stimulation of bone resorption and disturbance of collagen crosslinking. FAU - Herrmann, Wolfgang AU - Herrmann W AD - a Department of Clinical Chemistry and Laboratory Medicine, University Hospital of Saarland, D-66421 Homburg, Saar, Germany. kchwher@uniklinikum-saarland.de. FAU - Herrmann, Markus AU - Herrmann M AD - b ANZAC Research Institute, University of Sydney, 12/81 Bertram Street, 2137 Mortlake NSW, Australia. markusherr@aol.com. LA - eng PT - Journal Article PL - England TA - Expert Rev Endocrinol Metab JT - Expert review of endocrinology & metabolism JID - 101278293 OTO - NOTNLM OT - B vitamins OT - folate OT - homocysteine OT - intervention trial OT - osteoporosis OT - risk reduction OT - vitamin B OT - vitamin treatment EDAT- 2008/05/01 00:00 MHDA- 2008/05/01 00:01 CRDT- 2019/02/14 06:00 PHST- 2019/02/14 06:00 [entrez] PHST- 2008/05/01 00:00 [pubmed] PHST- 2008/05/01 00:01 [medline] AID - 10.1586/17446651.3.3.309 [doi] PST - ppublish SO - Expert Rev Endocrinol Metab. 2008 May;3(3):309-313. doi: 10.1586/17446651.3.3.309.