EVALUATION OF RECEPTOR ACTIVATOR OF NUCLEAR FACTOR KAPPA B LİGAND
(RANKL) AND OSTEOPROTEGERIN (OPG) LEVELS IN PATIENTS DIAGNOSED WITH
BRONCHIECTASIS AND OSTEOPOROSIS
Abstract
Objective: Bronchiectasis is a condition characterized by irreversible
abnormal dilation and anatomic breakdown of the bronchial tree. In our
study we aimed to understand the causes of osteoporosis at molecular
levels and to investigatethe usefulness of RANKL and OPG levels as
markers in early diagnosis and follow-up of osteoporosis, RANKL
inhibitors in the treatment of osteoporosis. Materials and Methods: 30
noncystic fibrosis bronchiectasis patients were diagnosed as
osteoporosis with DEXA and applied to the Pediatrics Chest Diseases
Department of Meram Medical Faculty of Necmettin Erbakan University
between June 2015 and June 2016 were included in our study. BMD values
were determined by DEXA and QUS in the patient group and only QUS in the
control group. Results: In the patient group 56.6% (n: 17) were male,
43.4% (n: 13) were. There was no statistically significant difference
between RANKL, OPG, RANKL / OPG ratios, BALP, OST, NTX values between
the patient and control group (p> 0.05). The median serum
Ca level was 9.51 (IQC: 0.74) in the patient group and 9.75 (IQC: 0.47)
in the control group, there was a statistically significant difference
between them (p = 0.003). There was a strong positive correlation
between QUS z scores and DEXA z scores in the patient group (p = 0.008).
Conclusion: In conclusion, we could not pinpoint the role of RANK /
RANKL / OPG in the pathogenesis of osteoporosis in patients with
noncystic fibrosis bronchiectasis. However, we think it is appropriate
to conduct studies on a wider series in this topic.