Abstract
A decrease in the prevalence of Paget’s disease of the bone during recent decades has been reported for different research groups. In addition to this change in prevalence, some authors have suggested a reduction in the severity of the disease. This secular change has been documented by a reduction in the extension of skeletal involvement and the finding of lower levels of ALP at diagnosis. The reasons for the change in prevalence and severity are poorly understood. Genetic factors which confer susceptibility for Paget’s disease, as SQSTM1 gene mutations, and their role on the severity of the disease have been suggested as possible explanation. Other factors, as the demographical or sociological changes in the susceptible populations, have been postulated as alternative hypothesis.
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Abbreviations
- ALP:
-
Alkaline phosphatase
- CSF1:
-
Colony stimulating factor 1
- NUP205:
-
Nucleoporin 205-KD
- OPTN:
-
Optineurin
- PINP:
-
Procollagen type I N-terminal propeptide
- PML:
-
Promyelocytic leukemia
- RIN3:
-
Ras and Rab interactor 3
- SQSTM1:
-
Sequestosome 1 human protein
- TM7SF4:
-
Transmembrane 7 superfamily, member 4
- TNFRS:
-
Tumor necrosis factor receptor superfamily
- UK:
-
United Kingdom
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Corral-Gudino, L. (2017). Use of Alkaline Phosphatase (ALP) Activity and Disease Severity to Determine Secular Changes in Bone Disease as Applied to Paget’s Disease of the Bone. In: Patel, V., Preedy, V. (eds) Biomarkers in Bone Disease. Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7693-7_2
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