Correlation between serum levels of RANKL with osteoporosis in patients with beta thalassemia major

authors:

avatar Fatemeh Jafari , avatar Azita Azarkeivan , avatar Davod Bashash , avatar Ali Akbar Khadem Maboodi , avatar mohsen hamidpour ORCID , *


how to cite: Jafari F, Azarkeivan A, Bashash D, Khadem Maboodi A A, hamidpour M. Correlation between serum levels of RANKL with osteoporosis in patients with beta thalassemia major. koomesh. 2019;21(1):e153051. 

Abstract

Introduction: Osteoporosis is a major problem in patients with B-thalassemia major. Osteoclasts hyperactivity, which increases serum levels of receptor activator of nuclear factor kappa-Β ligand (RANKL), plays an important role in the pathogenesis of osteoporosis in these patients. The aim of this study was to study the relationship between serum levels of RANKL and osteoporosis in patients with beta thalassemia major. Materials and Methods: 52 patients with beta thalassemia major and 22 people with thalassemia minor without any osteoporosis symptoms as controls were entered the study.  Six ml of peripheral blood was obtained for hematologic and serum RANKL measurements. Results: The mean of bone mineral density in patients were 0.57 ± 0.3 and 0.69 ± 0.11 in femur and vertebra, respectively.  There were significant differences between hematologic parameters of patients and controls. The mean of patient’s serum RANKL level was 198.4pg/mL and in controls was 112.25pg/mL. There was a correlation between decrease of femur BMD (p

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