Glucosylgalactosylhydroxylysine is a bone formation and bone resorption marker that is related to boneturnover processes during growth and development as well as metabolic bone diseases.
Osteocalcin (1-49) is a non-collagenous peptide that is secreted by osteoblasts and odontoblasts and comprises 1-2% of the total protein in bone. Secretion of osteocalcin (1-49) is stimulated by 1,25-dihydroxy vitamin D and plasma levels increase in diseases that induce dysregulated boneturnover such as osteoporosis, Paget's disease, and primary hyperparathyroidism. Osteocalcin (1-49) is positively correlated with insulin sensitivity and negatively correlated with high blood glucose levels in women. In vitro, osteocalcin induces chemotaxis of MDA-MB-231 breast cancer cells, human peripheral blood monocytes, and rat osteosarcoma cells with osteoblast-like characteristics. It is also expressed by vascular smooth muscle cells (VSMCs) displaying an osteoblast-like phenotype and has been positively associated with calcification of aortic tissue and heart valves in humans.
Zoledronate disodium is an inhibitor of osteoclastogenesis and macrophage recruitment, decreasing boneturnover and stabilizing the bone matrix, exhibiting diverse anti-tumor effects in osteosarcoma.