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. 2019 May 31;11(5):e4791. doi: 10.7759/cureus.4791

Table 2. Comparison of serum levels of biomarkers of bone metabolism in patients with PDB according to disease activity and current treatment (defined as use of oral bisphosphonates in the last six months or zoledronic acid in the last 12 months).

RANKL - receptor activator of nuclear factor kappa-Β ligand, DKK-1 - Dickkopf-related protein-1, sFRP-1 - soluble frizzled-related protein 1, PDB - Paget’s disease of bone, OPG - osteoprotegerin, BAP - bone-specific alkaline phosphatase

  Disease activity Current treatment
  Active  (n = 39) Inactive  (n = 18) p value Yes (n = 18 ) No (n = 39) p value
RANKL (pg/ml) 110.27 (214.40) 158.83 (481.29) p = 0.598 69.66 (196.66) 151.43 (361.79) p = 0.374
Osteoprotegerin (pg/ml)   278.60 (328.49) 168.88 (184.55) p = 0.275 250.42 (202.24) 249.27 (327.98) p = 0.989
DKK-1 (pg/ml) 916.98 (921.26) 2113,.7 (2493.30) p = 0.011 964.74 (739.30) 1429.54 (1922.34) p = 0.328
sFRP-1 (pg/ml) 27.23 (40.07) 18.06 (10.56) p = 0.346 23.95 (11.94) 24.51 (40.23) p = 0.955
Sclerostine (pg/ml)   12.25 (6.80) 9.80 (6.48) p = 0.214 13.29 (6.88) 10.47 (6.51) p = 0.096
Osteopontin (pg/ml) 6724,19 (6366,32) 2312,92 (2183,22) p = 0,006 5922,56 (1395,96) 5347,27(5768,54) p = 0,976
RANKL/Opg 3.42 (7.06) 8.12 (22.78) p = 0,.48 2.23 (7.52) 6,.1( 16,10) p  = 0,348  
BAP (U/l) 59.56 (76.20) 19.77 (7.76) p = 0.032 28.59 (18.38) 55.38 (77.23) p = 0.154