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Blutwerte · Marker

P1NP

Procollagen Type I N-Terminal Propeptide · PINP

Knochen & MineralogieNüchtern erforderlichZeitabhängig
Einheit:
µg/L

P1NP quantifies the rate of new bone formation by measuring the N-terminal propeptide of type I procollagen released during collagen synthesis.

Reference Ranges

Age Group

Reference
1580µg/L
15
20
60
80
LowNormalHigh
Reference
Optimal
Unit · µg/L

Reference ranges may vary based on age, sex, and menopausal status. Fasting and morning samples are preferred due to circadian variation.

Overview

Übersicht

Procollagen Type I N-Terminal Propeptide (P1NP) is a biomarker of bone formation, reflecting the synthesis of type I collagen, the primary protein in bone. It is released into the bloodstream during the formation of new bone tissue. Clinically, P1NP is significant in the diagnosis and monitoring of osteoporosis, as it provides insight into bone turnover rates. Elevated levels of P1NP are associated with increased bone formation, which can be indicative of metabolic bone diseases or response to osteoporosis treatment. In the context of athletic performance and biohacking, P1NP can be used to assess bone health and the effects of interventions aimed at enhancing bone density and strength. However, researchers have noted that P1NP levels can be influenced by factors such as renal function, circadian rhythms, and recent food intake, necessitating standardized testing protocols. These confounders must be considered when interpreting results, as they can affect the accuracy of P1NP measurements.

Klinische Bedeutung

Elevated P1NP levels indicate increased bone formation, which may occur in conditions such as osteoporosis or during treatment with bone-forming agents. Reduced levels may suggest low bone turnover, potentially seen in conditions like osteomalacia or suppressed bone formation due to energy deficiency.

Dynamics

Trend Interpretation

Rising Values

Rising P1NP levels suggest increased bone formation, which may indicate effective osteoporosis treatment or other metabolic bone activity. Re-test in 3 months to confirm trends.

Falling Values

Falling P1NP levels may indicate reduced bone formation, potentially due to energy deficiency or effective anti-resorptive therapy.

Re-test Interval

3 months if outside optimal range

Etiology

Causes — High & Low

Cause

Elevated Levels

  • Osteoporosis treatment
  • Hyperparathyroidism
  • Paget's disease
  • Bone healing post-fracture
  • High-dose vitamin D supplementation
Cause

Low Levels

  • Hypoparathyroidism
  • Vitamin D deficiency
  • Chronic kidney disease
  • Relative energy deficiency in sport (REDs)
  • Prolonged corticosteroid use
Protocol

How to Optimize

Lever

Lifestyle

  • Regular weight-bearing exercise
  • Adequate sunlight exposure
  • Avoid smoking
  • Limit alcohol consumption
Lever

Nutrition

  • Calcium-rich foods
  • Vitamin D-rich foods
  • Protein-rich diet
  • Magnesium-rich foods
Lever

Supplementation

  • Vitamin D
  • Calcium
  • Collagen peptides

Note:

Consult a healthcare provider before starting new supplements, especially if you have underlying health conditions.

Testing Guidelines

🍽️Fasting Required
🕐Time-Sensitive

P1NP levels exhibit circadian variation; morning samples are recommended.

Testing Frequency

Every 6 months for osteoporosis monitoring, or as advised by a healthcare provider.

Interfering Factors

  • Recent intense exercise
  • Renal impairment
  • Food intake
  • Circadian rhythm

Related Peptides & Hormones

hormone

Open Research Questions

Current research suggests that the interaction of procollagen type I N propeptide (P1NP) with other fracture risk factors remains insufficiently studied, limiting its incorporation into fracture risk algorithms. Researchers have not yet established standardized reference ranges for P1NP across diverse populations, nor have they adequately addressed the confounding effects of renal function on its levels. Unanswered clinical questions include the optimal P1NP targets for treatment monitoring and its predictive value in various patient populations.

31 Research Publications

1,467

Total Citations

13

Human/RCT

15.2

Avg. Influence

2024

Latest

Sort
Filter
#01

Markers of bone turnover for the prediction of fracture risk and monitoring of osteoporosis treatment: a need for international reference standards.

ReviewInfluence64.0
1126
Researchers found that bone turnover markers (BTMs) like serum procollagen type I N propeptide (s-PINP) can predict fracture risk and monitor osteoporosis treatment. They noted that high BTM levels may indicate fracture risk independently of bone mineral density. The study highlighted the need for international reference standards for these markers.
View on PubMed
#02

Calcium and Bone Metabolism Indices.

ReviewInfluence5.0
128
Researchers found that bone turnover markers like P1NP can help predict fracture risk and monitor treatment responses in metabolic bone diseases. They emphasized the importance of standardizing sample collection protocols due to variability in BTM levels. The study aims to improve the clinical utility of BTMs in diagnosing bone metabolism disorders.
View on PubMed
#03

Biomarkers for Prostate Cancer Bone Metastasis Detection and Prediction.

ReviewInfluence4.0
31
Researchers reviewed the role of biomarkers, including PINP, in detecting bone metastasis in prostate cancer. They highlighted the limitations of traditional diagnostic methods and the potential of biomarkers to improve early detection and management of bone metastases.
View on PubMed
#04

Lower serum P1NP/βCTX ratio and hypoalbuminemia are independently associated with osteoporotic nonvertebral fractures in older adults.

Human
31
Researchers observed that a lower serum P1NP/βCTX ratio and hypoalbuminemia are independently associated with an increased prevalence of nonvertebral fractures in older adults. The study indicated that these markers could serve as useful prognostic tools for fracture risk stratification in the elderly population.
View on PubMed
#05

Serum Procollagen Type I N-Terminal Propeptide and Osteocalcin Levels in Korean Children and Adolescents.

HumanInfluence1.0
27
This study established reference levels for P1NP and osteocalcin in healthy Korean children and adolescents. Researchers found significant age and sex variations in P1NP levels, highlighting the need for age-specific reference data for pediatric populations.
View on PubMed
#06

Bone Turnover Markers in Children: From Laboratory Challenges to Clinical Interpretation.

ReviewInfluence2.0
24
Researchers found that bone turnover markers (BTMs) in children and adolescents differ from adults due to growth and remodeling processes. This study highlighted the limited clinical use of BTMs in pediatrics due to age- and gender-specific challenges. It also discussed the physiological and pathological modifications of BTMs in younger populations.
View on PubMed
#07

Broad application prospects of bone turnover markers in pediatrics.

Review
18
Researchers found that bone turnover markers (BTMs) are valuable for understanding bone development and metabolic disorders in children. They highlighted the challenges in using BTMs due to varying reference intervals based on age and sex. The study emphasizes the potential of BTMs in pediatric clinical practice.
View on PubMed
#08

Harmonization of commercial assays for PINP; the way forward.

Unknown
17
This study investigated the harmonization of commercial assays for measuring P1NP. Researchers found that two automated methods provided similar results, but significant bias existed with another assay. The study suggests that harmonization could improve the reliability of P1NP measurements in clinical practice.
View on PubMed
#09

Salivary nitrate prevents osteoporosis via regulating bone marrow mesenchymal stem cells proliferation and differentiation.

Animal
14
Researchers investigated the role of saliva nitrate in preventing osteoporosis through its effects on bone marrow stem cells. They found that nitrate administration increased P1NP levels in a mouse model of osteoporosis. The study suggested that nitrate could enhance bone health by promoting stem cell proliferation and differentiation.
View on PubMed
#10

The role of advanced glycation end products in fracture risk assessment in postmenopausal type 2 diabetic patients.

Human
11
This study analyzed the relationship between advanced glycation end products (AGEs) and fracture risk in postmenopausal type 2 diabetic patients. Researchers found that higher AGEs levels were associated with increased fracture risk, while lower P1NP levels correlated with osteoporosis. The findings suggest that AGEs may play a role in bone metabolism disorders.
View on PubMed

Clinical Trials (10)

10

Total Trials

514

Total Enrolled

Effect of Bee Venom on Chronic Kidney Disease-Mineral Bone Disorders in Hemodialysis Patients: a Randomized Controlled Trial

NCT06901102Phase 1/2NOT_YET_RECRUITING
Sponsor

Mansoura University

Enrollment

60

Started

2025

Primary outcome

Improvement in Bone-Specific Biomarkers (BALP, P1NP, TRAP-5b)

Chronic Kidney DiseaseBee VenomHemodialysis

SHORT-term Effects of GLucagon-like Peptide One on BonE

NCT06722560COMPLETED
Sponsor

Odense University Hospital

Enrollment

12

Started

2025

Primary outcome

Change in serum bone formation marker P1NP

To Investigate the Physiological Effect of GLP-1 on the SkeletonHealthy Volunteer

A Study of Romosozumab in Women With Multiple Myeloma and Osteoporosis

NCT05775094Phase 1ACTIVE_NOT_RECRUITING
Sponsor

Memorial Sloan Kettering Cancer Center

Enrollment

10

Started

2023

Primary outcome

Percent change in bone formation marker, P1NP

OsteoporosisMultiple Myeloma

The Effect of Aerobic Exercise on Bone Turnover Markers in Postmenopausal Patients

NCT06866561COMPLETED
Sponsor

Bursa Yuksek Ihtisas Training and Research Hospital

Enrollment

45

Started

2022

Primary outcome

The serum levef of Procollagen type 1 N-terminal propeptide (P1NP) (ng/ml)

Postmenopausal Osteopenia

Skeletal Effects of Chronic Night Shift

NCT05091021COMPLETED
Sponsor

University of Colorado, Denver

Enrollment

59

Started

2021

Primary outcome

Difference in change of propeptide of type 1 procollagen (P1NP) over 1 year

OsteoporosisCircadian Rhythm Sleep Disorder, Shift Work Type

The Effect of Semaglutide on Bone Turnover in Patients With Increased Risk of Bone Fracture

NCT04702516Phase 1/2UNKNOWN
Sponsor

Morten Frost

Enrollment

64

Started

2021

Primary outcome

Procollagen type 1 N-terminal propeptide (P1NP)

Osteopenia

Roflumilast on Markers of Bone Metabolism and Endothelial Function in COPD

NCT01745848Phase 4COMPLETED
Sponsor

University of Pittsburgh

Enrollment

26

Started

2013

Primary outcome

Change From Baseline of Systemic Markers of Bone Metabolism (C-terminal Peptide of Type 1 Collagen (CTx) and Amino-terminal Propeptide of Type-1 Procollagen (P1NP))

Chronic Obstructive Pulmonary Disease

Vibration in Boys With a History of Fracture

NCT04241432COMPLETED
Sponsor

Sheffield Children's NHS Foundation Trust

Enrollment

20

Started

2012

Primary outcome

Serum bone turnover marker concentrations: P1NP and CTX (ng/ml)

Fracture

Effects of Hesperidin on Bone Biomarkers in Postmenopausal Women

NCT00545116Phase 2COMPLETED
Sponsor

Société des Produits Nestlé (SPN)

Enrollment

144

Started

2007

Primary outcome

Percentage change from baseline for bone formation (serum P1NP & osteocalcin) and bone resorption (urinary NTX & serum CTX) markers

OsteopeniaOsteoporosis

Magnesium Supplementation to Prevent Bone Loss

NCT00346658Phase 1COMPLETED
Sponsor

University of Tennessee

Enrollment

74

Started

2002

Primary outcome

Biomarkers bone turnover (P1NP and CTX)

Osteoporosis

Publication Trend

Research publications about P1NP over time

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1
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1
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'25

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