Osteocalcin: role in the body, symptoms of deficiency and excess, norms in the blood test
The role of osteocalcin in the body
Osteocalcin is a non-collagenic bone protein synthesized by osteoblasts (cells responsible for bone formation). It plays an important role in:
- Bone mineralization -binds calcium and hydroxyapatites, helping to strengthen bone tissue.
- Regulation of bone metabolism is a marker of bone formation (its level reflects the activity of osteoblasts).
- Effects on carbohydrate and energy metabolism – osteocalcin is involved in the regulation of insulin secretion and tissue sensitivity to it.
- Maintaining muscle function -affects muscle strength and endurance.
Symptoms of osteocalcin deficiency
Direct osteocalcin deficiency is rare, but a decrease in it may indicate:
- Osteoporosis (especially in the elderly) – due to reduced bone formation.
- Vitamin K deficiency (essential for osteocalcin activation).
- Hypoparathyroidism (decreased function of the parathyroid glands).
- Long-term use of glucocorticoids (inhibit osteoblasts).
Symptoms:
- Brittle bones, frequent fractures.
- Muscle weakness.
- Delayed healing of bone injuries.
Symptoms of excess osteocalcin
Elevated levels are usually associated with increased bone metabolism:
- Paget’s disease (deforming osteitis).
- Hyperparathyroidism (excess of parathyroid hormone).
- Osteomalacia (softening of the bones).
- Bone metastases (in cancer).
Symptoms:
- Pain in bones and joints.
- Deformities of the skeleton.
- Increased risk of fractures.
Norms of osteocalcin in the blood
The level depends on age, gender, and method of analysis (reference values may vary from laboratory to laboratory):
| Group | Norm (ng / ml) |
|---|---|
| Children | 20–50 |
| Adult males | 12-40 (up to 50 years), higher in the elderly |
| Adult women | 8-32 (before menopause), increases after menopause |
| Pregnant women | Reduced (due to calcium redistribution) |
Important: Interpretation of the results should be carried out by the doctor taking into account other indicators (calcium, parathyroid hormone, vitamin D, etc.).