Pediatric endocrinology

C-type natriuretic peptide and collagen X marker are aberrant in skeletal dysplasias

J Bone Miner ResPublished Cross-sectional study

Authors' conclusion

Although limited numbers of affected individuals within each group were studied employing a single sample at one time point, the results indicate aberrant responses both within biomarkers and when related to HV.

Study context

Population
Children with skeletal dysplasias, comprising 7 distinct forms7 forms of SD
Participants
73 children
Outcome
Association of plasma bioactive CNP, bio-inactive NTproCNP and collagen X marker (CXM) with age and with annualized height velocity
Methodological detailsSingle sample at one time point; limited numbers per disorder
  • Single sample at one time point; limited numbers per disorder

Main finding

As reported in the abstract

Association of CNP, NTproCNP and CXM with age and height velocity
  • Significant associations with age in several disorders
  • Association of NTproCNP and collagen X marker (CXM) with height velocity aberrant except in type II collagen disorders and MOPD II
  • In OI, CNP and NTproCNP reduced in proportion to severity of OI phenotype; reduction in CNP exceeded NTproCNP
  • In OI, biomarkers dissociated and unrelated to height velocity across a wide range of height velocity
  • Similar changes in multiple epiphyseal dysplasia, microcephalic osteodysplastic primordial dwarfism type II and Morquio A syndrome

Observational data: associations, not effects.

Original publication

C-type natriuretic peptide and collagen X marker are aberrant in skeletal dysplasias. J Bone Miner Res. Published 23 June 2025. doi:10.1093/jbmr/zjaf085

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