Osteoporosis, bone & mineral

Elevated periostin level in serum of adults with osteogenesis imperfecta is associated with disease severity

J Clin Endocrinol MetabPublished Matched case-control study

Authors' conclusion

This study is the first to report the elevated circulating level of periostin in adults with OI and its association with disease severity.

Study context

Population
Adults with osteogenesis imperfecta and age-, sex-, and BMI-matched controls; serum periostin measured by ELISA
Participants
61 vs 61
Comparison
Adults with osteogenesis imperfecta (OI) vs matched controls
  • OIn = 61
  • Controlsn = 61reference
Outcome
Serum periostin level
Methodological detailsage-, sex-, and BMI-matched
  • Age-, sex-, and BMI-matched

Main finding

As reported in the abstract

Serum periostin

P = 0.017

Observational data: associations, not effects.

Further findings

Clinical variables associated with higher periostin among OI patients

Female sex
P = 0.01
Presence of scoliosis
P = 0.01
Sillence type III
P = 0.05

Correlation of periostin with height-wingspan discrepancy (OI)

Pearson r
r = 0.30, P = .023

Multivariable linear regression of periostin (OI)

Number of severe fractures (femur/pelvis/humerus/vertebral), independently associated with higher periostin
β = 25.6, P = .041
Smoking, negatively associated
β = −269.8, P = .012

Original publication

Elevated periostin level in serum of adults with osteogenesis imperfecta is associated with disease severity. J Clin Endocrinol Metab. Published 17 March 2026. doi:10.1210/clinem/dgag119

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