Table 3.
Results of Bone Histomorphometry
| Controls | Proband 1 | Proband 2 | OI Type Ia | OI Type VIIb | |
|---|---|---|---|---|---|
| n | 10 | 32 | 4 | ||
| Age at biopsy, y | 7.0–10.9 | 9 | 10 | 7.9 ± 2.9 | 3.6 ± 0.7 |
| Structural parameters | |||||
| Cortical width, mm | 0.97 ± 0.37 | 0.25 | 0.42c | 0.52 ± 0.20 | 0.38 ± 0.13 |
| Bone volume per tissue volume, % | 22.4 ± 4.2 | 8.14 | NA | 11.0 ± 5.2 | 12.3 ± 1.5 |
| Trabecular thickness, μm | 129 ± 17 | 58.2 | 65.08 | 105 ± 25 | 101 ± 15 |
| Trabecular number, 1/mm | 1.73 ± 0.17 | 1.39 | NA | 1.03 ± 0.39 | 1.24 ± 0.17 |
| Bone surface/bone volume, mm2/mm3 | 16.8 ± 2.5 | 34.36 | 30.73 | 19.8 ± 4.7 | 20.2 ± 2.7 |
| Bone formation parameters | |||||
| Osteoid thickness, μm | 5.9 ± 1 | 5.3 | 4.6 | 5.5 ± 1.7 | 5.3 ± 0.8 |
| Osteoid volume per bone volume, % | 2.64 ± 1.04 | 7.7 | 6.3 | 5.2 ± 2.6 | 5.5 ± 1.0 |
| Osteoid surface per bone surface, % | 29.1 ± 12.9 | 54.0 | 51.9 | 48 ± 14 | 53 ± 4 |
| Osteoblast surface per bone surface, % | 8.2 ± 4.4 | 8.9 | 22.8 | 19.4 ± 9.5 | 24.1 ± 2.3 |
| Osteoblast surface per osteoid surface, % | 28.8 ± 15.1 | 11.7 | 44.1 | 39 ± 14 | 45 ± 3 |
| Mineral apposition rate, μm/d | 0.95 ± 0.07 | 0.7 | 0.73 ± 0.18 | 0.71 ± 0.12 | |
| Mineralizing surface per bone surface, % | 14.9 ± 4.5 | 28.8 | 23.1 ± 9.7 | 26 ± 5 | |
| Bone formation rate per bone surface, mm3/mm2/y | 51.8 ± 6.1 | 77.3 | 77 ± 34 | 135 ± 45 | |
| Adjusted apposition rate, μm/d | 0.47 ± 0.18 | 0.4 | 0.35 ± 0.14 | 0.37 ± 0.12 | |
| Mineralization lag time, d | 14.1 ± 4.3 | 11.2 | 16.5 [12.5–19.8] | 15 ± 4 | |
| Bone resorption parameters | |||||
| No. of osteoclasts per bone surface/mm | 0.36 ± 0.16 | 0.1 | 0.1 | 0.47 ± 0.29 | Not defined |
| Osteoclast surface per bone surface, % | 1.29 ± 0.62 | 0.4 | 0.4 | 1.37 [1.05–1.70] | 2.3 ± 0.6 |
| Eroded surface per bone surface, % | 17. 0 ± 6.0 | 12.9 | 21.9 | 15.6 [13.7–21.8] | 22.6 ± 6 |
Abbreviation: NA, not available. Control data are expressed as mean ± SD for healthy children from Glorieux et al (22).
Reference data from 19 children with OI type I (29) selected from a larger cohort published by Rauch et al (23).
OI type VII data from Ward et al (24).
Cortical width is calculated as mean width from two cortices. In the bone biopsy sample from proband 2, only one cortex was available.