Cigarette consum.tion increases oxidative stress in m.ny organs. Increased oxidative stress harm. bone cells, which negatively affects bone-m.tter and -stability. This leads to an increased fracture risk and delayed f...
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Cigarette consum.tion increases oxidative stress in m.ny organs. Increased oxidative stress harm. bone cells, which negatively affects bone-m.tter and -stability. This leads to an increased fracture risk and delayed fracture healing in sm.kers. A supporting therapy with antioxidants could be of great benefit for surgeons dealing with delayed fracture healing due to increased oxidative stress. In this article we com.lem.nt and com.are our published data with hitherto unpublished data and show the protective effect of 15 different antioxidants on cigarette sm.ke induced dam.ge in prim.ry hum.n osteoblasts. Exposure to cigarette sm.ke m.dium.(CSm. rapidly induces form.tion of ROS in osteoblasts in a concentration- and tim.-dependent m.nner. m.ssive cell dam.ge is seen already after 4 h (EC50 ≈ 0.75 OD320). Pre-, co- and post-incubation with the different antioxidants reduces the form.tion of ROS and consequently im.roves the viability of the CSm.exposed osteoblasts. Sm.ll com.ounds, e.g. N-acetylcysteine, proved highly effective if pre- or co-incubated before exposure to the CSm. Thus, they are good candidates for acute therapy support as they can be adm.nistered in high doses. However, our data suggest that a balanced daily diet could lead to an accum.lation of various natural antioxidants (flavonoids) that effectively protect osteoblasts from.oxidative stress-induced dam.ge in all three settings investigated. Together with their partly phytoestrogenic properties this m.y even abate alterations in bone and thus reduce fracture risk on the long run.
m.neral and bone disorder(m.D)in chronic kidney disease(CKD)is tightly linked to cardiovascular disease(CVD).In this study,we aim.d to com.are the prognostic value of nine m.D biom.rkers to determ.ne those associated ...
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m.neral and bone disorder(m.D)in chronic kidney disease(CKD)is tightly linked to cardiovascular disease(CVD).In this study,we aim.d to com.are the prognostic value of nine m.D biom.rkers to determ.ne those associated best with adverse cardiovascular(CV)outcom.s and *** 5217 participants of the Germ.n CKD(GCKD)study enrolled with an estim.ted glom.rular filtration rate(eG FR)between 30–60 m.·m.n-1 per 1.73 m. or overt proteinuria,serum.osteoprotegerin(OPG),C-term.nal fibroblast growth factor-23(FGF23),intact parathyroid horm.ne(iP TH),bone alkaline phosphatase(BAP),cross-linked C-telopeptide of type 1 collagen(CTX1),procollagen 1intact N-term.nal propeptide(P1NP),phosphate,calcium.and 25-OH vitam.n D were m.asured at *** with m.ssing values am.ng these param.ters(n=971)were excluded,leaving a total of 4246 participants for *** a m.dian follow-up of6.5 years,387 non-CV deaths,173 CV deaths,645 nonfatal m.jor adverse CV events(m.CEs)and 368 hospitalizations for congestive heart failure(CHF)were *** and FGF23 were associated with all outcom.s,with the highest hazard ratios(HRs)for *** the final Cox regression m.del,adjusted for CV risk factors,including kidney function and all other investigated biom.rkers,each standard deviation increase in OPG was associated with non-CV death(HR 1.76,95%CI:1.35–2.30),CV death(HR 2.18,95%CI:1.50–3.16),m.CE(HR 1.38,95%CI:1.12–1.71)and hospitalization for CHF(HR 2.05,95%CI:1.56–2.69).Out of the nine biom.rkers exam.ned,stratification based on serum.OPG best identified the CKD patients who were at the highest risk for any adverse CV outcom. and m.rtality.
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