ALBERT

Description: Timely and accurate diagnosis of osteoporosis is essential for adequate therapy. Calcium isotope ratio (δ 44/42 Ca) determination has been suggested as a sensitive, non-invasive and radiation-free biomarker for the diagnosis of osteoporosis, reflecting bone calcium balance. The quantitative diagnostic is based on the calculation of the δ 44/42 Ca difference between blood, urine and bone. The underlying cellular processes, however, have not been studied systematically. We quantified calcium transport and δ 44/42 Ca fractionation during in-vitro bone formation and resorption by osteoblasts and osteoclasts and across renal proximal tubular epithelial cells (HK-2), endothelial cells (HUVEC) and enterocytes (Caco-2) in transwell systems, and determined transepithelial electrical resistance characteristics. δ 44/42 Ca fractionation was furthermore quantified with calcium binding to albumin and collagen. Calcified matrix formed by osteoblasts was isotopically lighter than culture medium by -0.27 ± 0.03‰ within 5 days, while a consistent effect of activated osteoclasts on δ 44/42 Ca could not be demonstrated. A transient increase in δ 44/42 Ca in the apical compartment by 0.26‰ occured across HK-2 cells, while δ 44/42 Ca fractionation was small across the HUVEC barrier, and absent with Caco-2 enterocytes, and with binding of calcium to albumin and collagen. In conclusion, δ 44/42 Ca fractionation follows similar universal principles as during inorganic mineral precipitation; osteoblast activity results in δ 44/42 Ca fractionation. δ 44/42 Ca fractionation also occurs across the proximal tubular cell barrier and needs to be considered for in-vivo bone mineralization modelling. In contrast, the effect of calcium transport across endothelial and enterocyte barriers on blood δ 44/42 Ca should be low and is absent with physiochemical binding of calcium to proteins.