B one tissue is one of the hardest tissues in the body. It has 3 important functions: mechanical, protective, and metabolic. The mechanical functions of the skeletal muscles are to provide body movement based on attachment to the bones. Contraction allows body movement. The protective function of the bones is the armor provided to internal organs, such as those in the cranium and thorax. Finally, there is the process of hematopoiesis in the bone marrow. The metabolic function of bone provides for the storage of ions, such as calcium, phosphorus, sodium, and magnesium, and the maintenance of hemostasis of these minerals [1][2][3]. This paper is a discussion of new and novel bone markers and preanalytical factors that affect analytical methods.
Bone tissue structureBone is a mineralized connective tissue composed of an organic and inorganic structure. The inorganic structure, or mineral structure, of bone is primarily hydroxyapatite Ca10 (PO4) 6 (OH) 2 crystals, as well as magnesium, carbonate, and fluoride. The majority of calcium in the body is in the bones (about 99%). Hydroxyapatite crystals provide resistance to bone [4,5]. The collagen fibrils are the element that provides strength, while hydroxyapatite crystals contribute hardness. The organic matrix forms about half of the dry weight of the bone. Collagen is the major protein of the organic matrix; non-collagen molecular (glycosaminoglycans and glycoproteins, etc.) constitute about 10% of the organic matrix. Although 80% to 90% of collagen is type 1 collagen, other collagen types (type 3, 5, 11, 13 collagen) also make up the matrix structure [2,6,7]. Non-collagen proteins, such as proteoglycans (chondroitin sulfate and proteoglycan), glycoproteins (alkaline phosphatase and osteonectin), glycoproteins containing arginine-glycine-asparagine, (osteopontin and bone sialoprotein), osteoprotogerin, and carboxylated (Gla) proteins (osteocalcin and matrix Gla protein), are also present [8,9].Objectives: Bone has a dynamic metabolism that includes modeling and remodeling activities. There is continuous communication between 3 types of bone cells; osteoblasts, osteoclasts, and osteocytes. Local stress factors, cytokines, and hormones play an important role in these relationships. The most important structural component of bone is type 1 collagen. During the formation and degradation of collagen, some compounds are secreted into the bloodstream, and in cases of diseases involving the bone, the quantity of these compounds increases both in blood concentration and urinary excretion. Some bone markers are secreted into the circulation during bone formation, and some are released into the circulation through bone resolution. Bone markers reflect changes in bone metabolism due to primary or secondary causes, rather than a specific bone disease. Some factors affecting the results should be considered during the evaluation of changes. These factors include preanalytical effects, such as age, gender, diurnal rhythm, and analytical problems. This review is a summary of the cur...