PMID- 31354894 OWN - NLM STAT- MEDLINE DCOM- 20191227 LR - 20211204 IS - 1875-8630 (Electronic) IS - 0278-0240 (Print) IS - 0278-0240 (Linking) VI - 2019 DP - 2019 TI - Assessment of the Concentration of Bone Metabolism Markers: Sclerostin and FGF-23 in Children with Idiopathic Nephrotic Syndrome Treated with Glucocorticosteroids. PG - 9698367 LID - 10.1155/2019/9698367 [doi] LID - 9698367 AB - Recurring nature of idiopathic nephrotic syndrome (INS) and steroid dependence imply a long-term treatment with glucocorticosteroids (GCSs), which increases the risk of bone metabolism disorders. The search for new markers of that process is essential. The aims of this study were to assess the concentrations of sclerostin (Scl) and fibroblast growth factor-23 (FGF-23) in the plasma of children with INS and compare Scl and FGF-23 to existing markers of bone metabolism, mainly parathyroid hormone (PTH). The study involved 70 children, 50 with INS and 20 healthy children. Patients with INS were divided into 4 groups depending on the number of relapses and applied therapy. Significantly higher concentrations of FGF-23 and Scl were found in all patient groups with INS compared to the control group, and increase in the concentrations of examined parameters depending on the number of NS relapses was showed. In patients from the group with numerous relapses, higher concentrations of FGF-23 and Scl in the relapse phase than those in the remission phase were found. We observed positive correlation in these proteins with parathyroid hormone. Positive correlation of FGF-23 and Scl in the examined group was noted. Children having relapsing INS treated with steroids have higher levels of Scl and FGF-23 that can indicate the bone metabolism disorders. The significance of these observations requires further research. FAU - Pukajlo-Marczyk, Agnieszka AU - Pukajlo-Marczyk A AUID- ORCID: 0000-0001-8750-7389 AD - Department of Pediatric Nephrology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland. FAU - Jakubowska, Anna AU - Jakubowska A AUID- ORCID: 0000-0002-7732-3487 AD - Department of Pediatric Nephrology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland. FAU - Bargenda-Lange, Agnieszka AU - Bargenda-Lange A AUID- ORCID: 0000-0003-3048-4547 AD - Department of Pediatric Nephrology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland. FAU - Kilis-Pstrusinska, Katarzyna AU - Kilis-Pstrusinska K AUID- ORCID: 0000-0001-7352-6992 AD - Department of Pediatric Nephrology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland. FAU - Zwolinska, Danuta AU - Zwolinska D AUID- ORCID: 0000-0002-6714-3992 AD - Department of Pediatric Nephrology, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, Poland. LA - eng PT - Journal Article DEP - 20190701 PL - United States TA - Dis Markers JT - Disease markers JID - 8604127 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Adrenal Cortex Hormones) RN - 0 (Biomarkers) RN - 0 (Bone Morphogenetic Proteins) RN - 0 (FGF23 protein, human) RN - 0 (Genetic Markers) RN - 0 (SOST protein, human) RN - 62031-54-3 (Fibroblast Growth Factors) RN - 7Q7P4S7RRE (Fibroblast Growth Factor-23) SB - IM MH - Adaptor Proteins, Signal Transducing MH - Adrenal Cortex Hormones/*adverse effects/therapeutic use MH - Biomarkers/blood MH - Bone Diseases, Metabolic/*blood/etiology MH - Bone Morphogenetic Proteins/*blood MH - Child MH - Female MH - Fibroblast Growth Factor-23 MH - Fibroblast Growth Factors/*blood MH - Genetic Markers MH - Humans MH - Male MH - Nephrotic Syndrome/complications/*drug therapy PMC - PMC6636590 EDAT- 2019/07/30 06:00 MHDA- 2019/12/28 06:00 PMCR- 2019/07/01 CRDT- 2019/07/30 06:00 PHST- 2018/09/25 00:00 [received] PHST- 2019/01/18 00:00 [revised] PHST- 2019/03/18 00:00 [accepted] PHST- 2019/07/30 06:00 [entrez] PHST- 2019/07/30 06:00 [pubmed] PHST- 2019/12/28 06:00 [medline] PHST- 2019/07/01 00:00 [pmc-release] AID - 10.1155/2019/9698367 [doi] PST - epublish SO - Dis Markers. 2019 Jul 1;2019:9698367. doi: 10.1155/2019/9698367. eCollection 2019.