OSTEOPROTEGERIN(OPG) ELISA Kit |
| A Biomarker for Cardiovascular
Calcification, Osteoporosis, Atherosclerosis and Tumors. OPG is a reliable biomarker for silent myocardial ischemia |
Alternative name:
- Tumor necrosis factor receptor superfamily member 11B
- Osteoclastogenesis inhibitory factor
- TNFRSF11B
- Gene name TNFRSF11B
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Nuclear factor-kappa B ligand and osteoprotegerin levels in serum and gingival crevicular fluid in patients with bone metastases treated with zoledronic acid |
| Bone metastases are frequently observed in patients with certain types of cancer and are significant cause of morbidity. Zoledronic acid (ZA) is routinely prescribed for patients with bone metastases by affecting osteoclast function. We aimed to assess the effect of ZA over time in patients with bone metastases by analyzing novel bone turnover marker levels including receptor activator of nuclear factor-k B ligand (RANKL) and osteoprotegerin (OPG) in serum and gingival crevicular fluid (GCF). Also, associations between these bone turnover markers with hematological and biochemistry dysregulation were studied. The study enrolled patients with bone metastases including 32 patients diagnosed with solid tumors and 15 patients with multiple myeloma. In these patients, GCF and serum RANKL and OPG levels were measured and compared with measures of hematological and biochemical parameters before and after 3 months of ZA therapy. Mean subject age was 54 years old with a range of 28–80 years. Skeletal-related events were observed in 8.5 % of all patients. After the 3-month treatment of ZA therapy, no significant differences were found in serum and GCF levels of RANKL and OPG when compared with before treatment levels. GCF RANKL levels at baseline and following 3 months of ZA therapy were significantly higher in patients with solid tumors when compared patients diagnosed with multiple myeloma (p = 0.001; p < 0.001, respectively). GCF OPG levels after the entire course of ZA therapy were greater in patients with 5 or more bone metastases (p = 0.04). For patients with multiple myeloma, control GCF OPG was negatively correlated with control platelet and WBC counts (p = 0.018 and p = 0.027, respectively). A negative correlation was observed between control serum RANKL and control serum OPG levels in myeloma patients (p = 0.001). After 3 months of ZA therapy, no significant differences were observed in GCF and serum RANKL and OPG levels when compared with baseline. A negative correlation was observed between serum control RANKL and OPG levels in myeloma patients. OPG levels were greater in patients with 5 or more bone metastases. In patients diagnosed with multiple myeloma, GCF OPG levels were negatively associated with WBC and platelet counts. |
| Inanc M et al. Med Oncol. 2014 Mar;31(3):837. doi: 10.1007/s12032-013-0837-8. Epub 2014 Jan 22. |
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Osteoprotegerin, vascular calcification and atherosclerosis. |
- The association of bone pathologies with atherosclerosis has
stimulated the search for common mediators linking the skeletal and
the vascular system. Since its initial discovery as a key regulator
in bone metabolism, osteoprotegerin (OPG) has become the subject of
intense interest for its role in vascular disease and calcification.
Studies in vitro and in animal models suggest that OPG inhibits
vascular calcification. Paradoxically however, clinical studies
suggest that serum OPG levels increase in association with vascular
calcification, coronary artery disease, stroke and future
cardiovascular events. This has led to an extensive debate on the
potential of OPG as a biomarker of vascular disease. However the
exact significance and mechanisms by which this bone-regulatory
protein influences cardiovascular pathophysiology is still unclear.
The need for a more complete picture is being addressed in
increasing valuable research indicating OPG as not only a marker but
also a mediator of vascular pathology modulating osteogenic,
inflammatory and apoptotic responses. By integrating the results of
recent experimental research, animal models and clinical studies,
this review summarises the present understanding of the role of OPG
in vascular disease and calcification.
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| Van Campenhout A, Golledge J.
Atherosclerosis. 2009 Jun;204(2):321-9. Epub 2008 Oct 9. |
| Serum osteoprotegerin is a
predictor for incident cardiovascular disease and mortality in a
general population - The Tromsų Study |
| Background: Osteoprotegerin (OPG)
concentration in serum is associated with the presence and severity of
atherosclerosis. Objective: To investigate the association between
serum osteoprotegerin and risk of future myocardial infarction,
ischemic stroke and mortality in a general population.
Patients/methods: OPG was measured in serum collected from 6265
subjects recruited from a general population without prior myocardial
infarction and ischemic stroke (the Tromsų Study). Incident myocardial
infarction, ischemic stroke and mortality were registered during
follow-up. Cox regression models were used to estimate crude and
adjusted hazard ratios and 95% confidence intervals (HR; 95% CI).
Results: There were 575 myocardial infarctions, 284 ischemic strokes,
and 824 deaths (146 deaths of ischemic heart disease, 78 deaths of
stroke, and 600 deaths of other causes) in the cohort during a median
of 10.6 years of follow-up. Serum OPG (per SD (1.13 ng/ml) increase in
OPG) was associated with increased risk of myocardial infarction
(1.20; 1.11-1.31), ischemic stroke (1.32; 1.18-1.47), total mortality
(1.34; 1.26-1.42), death of ischemic heart disease (1.35; 1.18-1.54),
death of stroke (1.44; 1.19-1.75) and death of non-vascular causes
(1.31; 1.22-1.41) after adjustment for age, sex, current smoking,
systolic blood pressure, body mass index, high density lipoprotein
cholesterol, total cholesterol, creatinine, high sensitivity CRP and
diabetes mellitus or HbA1c>6.1%. No association was detected between
OPG and incident hemorrhagic stroke (1.02; 0.73-1.43). Conclusion:
Serum OPG was associated with future risk of myocardial infarction,
ischemic stroke, total mortality, mortality of ischemic heart disease,
stroke and of non-vascular causes independent of traditional
cardiovascular risk factors. |
| Vik A, et al. J Thromb Haemost. 2011
Feb 1. doi: 10.1111/j.1538-7836.2011.04222.x. [Epub ahead of print] |
| Elevated serum
osteoprotegerin levels measured early after acute ST-elevation
myocardial infarction predict final infarct size |
| Background Increased serum
osteoprotegerin has been shown to be associated with increased
mortality and heart failure development in patients with acute
coronary syndromes. The aim of the present study was to elucidate a
possible association between serum osteoprotegerin measured acutely in
patients with ST-elevation myocardial infarction (STEMI) and final
infarct size. Methods Serum osteoprotegerin was measured in fasting
blood samples from 199 patients with acute STEMI, sampled at a median
time of 16 h after primary percutaneous coronary intervention
(PCI). After 3 months, final infarct size (in percentage of
left ventricular mass; LVM) was assessed by single-photon emission CT.
The outcome variable final infarct size was dichotomised using the
75th percentile as the cutoff value (large infarct size ≥29.0%). A
multivariable analysis was performed adjusting for multiple clinical
and biochemical covariates. Results Median (IQR) osteoprotegerin
concentration was 1.4 (1.0, 2.1) ng ml(-1) and patients with
high osteoprotegerin level (> median) at baseline had larger infarct
size at 3 months compared with patients with low
osteoprotegerin levels (< median) (25 (8, 40) vs 6 (0, 19)% of LVM,
respectively, p<0.0001). A high osteoprotegerin level was also
associated with an approximately sevenfold increase in the odds of
developing a large myocardial infarct (OR 7.0; 3.2, 15.5, p<0.001).
After adjustment for potential confounders including peak troponin T,
the adjusted OR was 5.2 (2.0, 13.1) p<0.001. Conclusion High levels of
circulating osteoprotegerin measured the first morning after a
PCI-treated acute STEMI were strongly associated with final infarct
size. |
| Andersen GO,
et al. Heart. 2011 Jan 26. [Epub ahead of print] |
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| Serum osteoprotegerin and
tumor necrosis factor related apoptosis inducing-ligand (TRAIL) are
elevated in type 2 diabetic patients with albuminuria and serum
osteoprotegerin is independently associated with the severity of
diabetic nephropathy |
| Osteoprotegerin (OPG) and tumor
necrosis factor-related apoptosis-inducing ligand (TRAIL) have
recently been reported to be associated with diabetic nephropathy in
an in vitro study. However, the literature regarding serum OPG and
TRAIL in type 2 diabetes mellitus patients is scarce. To investigate
the role of OPG/TRAIL in diabetic nephropathy, we measured the serum
concentrations of OPG and TRAIL in type 2 diabetes mellitus patients
with different stages of nephropathy by enzyme-linked immunosorbent
assay. One hundred seventy-nine subjects with type 2 diabetes mellitus
were studied and stratified according to urinary microalbumin and
serum creatinine measurements. The serum concentrations of OPG and
TRAIL were significantly elevated in patients with microalbuminuria
(OPG, 2154.2 ± 922.1 pg/mL; TRAIL, 80.2 ± 24.1 pg/mL) and
macroalbuminuria (OPG, 2251.5 ± 925.7 pg/mL; TRAIL, 88.1 ± 23.8 pg/mL)
as compared with patients with normoalbuminuria (OPG, 1690.1 ± 627.2
pg/mL; TRAIL, 70.7 ± 23.3 pg/mL). Serum OPG and TRAIL levels were
increased in parallel and were significantly associated with each
other. Using multivariate stepwise regression analysis, serum OPG was
found to be an independent factor associated with the severity of
diabetic nephropathy. Our results suggested that serum OPG may be a
marker for the severity of diabetic nephropathy. Further studies are
necessary to investigate the role of elevated serum OPG in the
pathogenesis of diabetic nephropathy. |
| Chang YH, et al. Metabolism. 2011 Jan
18. [Epub ahead of print] |
| |
| Van Campenhout A, Golledge J.
Atherosclerosis. 2009 Jun;204(2):321-9. Epub 2008 Oct 9. |
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| Schematic diagram of
potential OCL differentiation in the plaque. Soluble RANKL
(sRANKL) and OPG are secreted in the atherosclerotic plaque and in the
blood stream mainly by smooth muscle cells (SMCs) and endothelial
cells (ECs). sRANKL promotes OCL precursor (mainly
monocytes/macrophages (M), dendritic cells, and SMCs) differentiation
into OCL cells (as indicated by dotted arrows). OPG neutralizes the
action of RANKL. The balance between these two soluble molecules
regulates the bone resorption in calcified plaques, which is
correlated to plaque rupture. Montecucco F, Steffens S, Mach F. Clin
Dev Immunol. 2007;2007:75805. |
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| Theoretical mechanisms by which
cancer cells might promote bone resorption by regulation of OPG and/or
RANKL. An annotated description is provided in Section III.G.
Tumor-mediated increases in RANKL or decreases in OPG would tend to
favor bone resorption. Ann E. Kearns, Sundeep Khosla and Paul J. Kostenuik. Endocrine Reviews 2008;29 (2): 155-192 |
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| Free RANKL (ie, not bound by
osteoprotegerin [OPG]) binds to the transmembrane RANK receptor, which
upregulates intracellular signal transducers which are involved in
cytoskeletal organization, cell motility, growth and survival, and
some also bind NF κB. After ubiquitination, signal
transducers are released from NF κB and degraded by
proteasomes. NF κB can than migrate to the nucleus, were it
upregulates transcriptional regulators that start osteoclastogenic
gene transcription. Clin Interv Aging. 2009;4:241-50. Epub 2009 Jun 9. |
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Characterization of structural domains of human
osteoclastogenesis inhibitory factor
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Osteoclastogenesis inhibitory factor (OCIF) is a heparin-binding
secretory glycoprotein that belongs to the tumor necrosis factor
receptor (TNFR) family. OCIF is present both as a approximately 60-kDa
monomer and a disulfide-linked homodimer. We attempted to characterize
the seven structural domains of OCIF by determining the capabilities
of various OCIF mutants to inhibit osteoclastogenesis, to interact
with heparin, and to form dimers. We also examined a potential of
domains 5 and 6, death domain homologous regions (DDHs), for inducing
cell death by expressing OCIF/Fas fusion proteins. Our results show
that: (i) the N-terminal portion of OCIF containing domains 1-4, which
have structural similarity to the extracellular domains of the TNFR
family proteins, is sufficient to inhibit osteoclastogenesis; (ii) a
heparin-binding site is located in domain 7, and affinity for heparin
does not correlate with the inhibitory activity; (iii) Cys-400 in
domain 7 is the residue responsible for dimer formation; and (iv) the
C-terminal portion containing domains 5 and 6, DDHs, has a high
potential for mediating a cytotoxic signal when it is expressed in
cells as an OCIF/Fas fusion protein in which the transmembrane region
of Fas is inserted in front of DDHs. |
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Yamaguchi K,
et al. J Biol Chem. 1998 Feb 27;273(9):5117-23. |
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Code No.: 00762-01-100
Size: 100 ug
Price: $360.00 USD
Protein ID:O00300
Gene ID: 4982
MW:20 KD
Tag: His Tag on N-Terminus
Expressed: E. Coli
Purity: 95%
Data Sheet: PDF
Yamaguchi K, et al. J Biol Chem. 1998 Feb 27;273(9):5117-23. |
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Code No.: A00762-01-100
Size: 100 ug
Price: $220.00 USD
Host: Rabbit
Antigen: human OPG Rec.
Ab Type: Polyclonal IgG
Purification: Protein A
Applications: E, IHC,
Working Dilution: 2 ug/ml)
Data Sheet: PDF |
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Code No.: SK00762-01
Size: 96 T
Price: $360.00 USD
Standard Range:62.5-4000 pg/ml
Sensitivity:31 pg/ml
Sample Type: serum, plasma
Dilution factor: 5
Sample requres: 100uL per well ,
IntraCV: 6-8%
InterCV: 10-12%
Protocol: PDF |
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Code No.: SK00762-03
Size: 96 T
Price: $360.00 USD
Standard Range:62.5-4000 pg/ml
Sensitivity:31 pg/ml
Sample Type: serum, plasma
Dilution factor: 5
Sample requres: 100uL per well ,
IntraCV: 6-8%
InterCV: 10-12%
Protocol: PDF |
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