What is the significance of C-terminal telopeptide (Ctx-I)?

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Last updated: March 14, 2025View editorial policy

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From the Research

C-terminal telopeptide (Ctx-I) is a significant biomarker for bone resorption and cardiovascular risk, particularly in patients with Friedreich's ataxia, as it is elevated in these patients and correlates with disease duration and cardiac involvement 1. The significance of Ctx-I lies in its ability to predict bone resorption and cardiovascular risk, making it a valuable tool in the diagnosis and management of various diseases.

  • Key points to consider when interpreting Ctx-I levels include:
    • Elevated Ctx-I levels are associated with increased bone resorption and cardiovascular risk
    • Ctx-I levels are inversely correlated with age, suggesting that younger patients may have higher levels of bone resorption
    • Disease duration and TT3 levels are independent predictors of Ctx-I, highlighting the importance of considering these factors when interpreting Ctx-I results
  • The clinical implications of Ctx-I measurement are significant, as it can help identify patients at high risk of cardiovascular events and inform treatment decisions.
    • For example, patients with elevated Ctx-I levels may benefit from closer monitoring and aggressive management of cardiovascular risk factors
    • Ctx-I measurement can also be used to monitor the effectiveness of treatments aimed at reducing bone resorption and cardiovascular risk
  • While other studies have investigated the use of Ctx-I as a biomarker for various diseases, including osteoarthritis and cerebrotendinous xanthomatosis, the most recent and highest quality study suggests that Ctx-I is a valuable tool in the diagnosis and management of Friedreich's ataxia 1.
    • This study provides strong evidence for the significance of Ctx-I in predicting cardiovascular risk and bone resorption in patients with Friedreich's ataxia, and highlights the importance of considering Ctx-I levels in the diagnosis and management of this disease.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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