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. 2019 Jun 1;8(6):784. doi: 10.3390/jcm8060784

Table 3.

Bone turnover markers were evaluated in five of the articles. Variable results were obtained for Serum Procollagen type I N-Terminal propeptide (P1NP) and for Serum collagen type I crosslinked C-telopeptide (CTX). P1NP increased in transwomen and transmen. CTX showed similar values before and after treatment.

Author and Year of Publication Sample Bone Turnover Markers
M to F F to M Serum Procollagen Type I N-Terminal Propeptide (P1NP) Formation (ng/mL) Serum Collagen type I Crosslinked C-Telopeptide (CTX) Resorption (ng/mL)
Before or Controls After or Tests Before or Controls After or Tests
Schlatterer K et al. 1998 [37] 10 10 M to F M to F Not evaluated Not evaluated Not evaluated
F to M F to M Not evaluated Not evaluated Not evaluated
Sosa M et al. 2003 [38] 53 - M to F Not evaluated Not evaluated Not evaluated Not evaluated
Ruetsche AG et al. 2005 [39] 24 15 M to F Not evaluated Not evaluated Not evaluated Not evaluated
F to M Not evaluated Not evaluated Not evaluated Not evaluated
Lapauw B et al. 2008 [40] 23 - M to F 32 [24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45] (46 controls) 49 [36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62] (23 patients) 0.36 ± 0.16 (46 controls) 0.24 ± 0.14 (23 patients)
T’Sjoen G et al. 2009 [41] 50 - M to F Lumbar spine 36.6 ± 22.6 Lumbar spine 45.2 ± 24.4 0.31 ± 0.20 0.32 ± 0.23
Van Caenegem, et al. 2012 [42] - 66 F to M Before Surgery 40 ± 12 50 ± 24 0.20 ± 0.10 0.36 ± 0.15
Wierckx K et al. 2012 [43] 50 50 M to F 102 ng/mL 106–125 (ng/mL) (2 patients, all the others were within normal ranges) <0.58 (ng/dL) 0.62–1.24 (ng/dL) (4 patients, all the others were within normal ranges)
F to M Normal range Normal range Normal range Normal range
Wiepjes C et al. 2018 [44] 711 543 M to F Not evaluated Not evaluated Not evaluated Not evaluated
F to M Not evaluated Not evaluated Not evaluated Not evaluated
Broulik PD et al. 2018 [45] - 35 F to M Not evaluated Not evaluated Control Female 400 ± 124 302 ± 190
Control Male 390 ± 140

PINP in M to F: Bone formation marker PINP increased from 32–49 ng/mL [40], and from 102–125 ng/mL [43]. PINP in F to M: Bone formation marker PINP increased from 40 ± 12–50 ± 24 ng/mL [42]. CTX in M to F: Bone resorption marker, decreased in one study from 0.36 ± 0.16–0.24 ± 0.14 ng/mL [40], and increased in another study from <0.58 ng/dL to 0.62–1.24 ng/dL [43]. CTX in F to M: Bone resorption marker CTX increased from 0.20 ± 0.10–0.36 ± 0.15 ng/mL [42], and was maintained within the normal range [41,43], and decreased from 400 ± 124–302 ± 190 ng/mL [45].