The Journal of Bone and Joint Surgery, Vol 76, Issue 8 1186-1192, Copyright © 1994 by Journal of Bone and Joint Surgery, Inc
Levels of platelet calmodulin for the prediction of progression and severity of adolescent idiopathic scoliosis
K Kindsfater, T Lowe, D Lawellin, D Weinstein and J Akmakjian
Kempe Research Center, Children's Hospital, Denver, Colorado 80218.
Calmodulin is a calcium-binding receptor protein that regulates the
contractile protein systems of skeletal muscle and platelets. The levels of
platelet calmodulin were measured in twenty-seven adolescents to determine
whether there was a relationship between these levels and the progression
or the severity of idiopathic scoliosis. The study included seventeen
patients who had idiopathic scoliosis of varying severity and patterns and
a control group consisting of ten age and sex-matched subjects: eight
patients who were being managed for non-scoliosis-related problems and two
normal volunteers. Platelets were isolated from the venous blood of all
adolescents. The platelets were homogenized and centrifuged, and the
calmodulin-containing supernatant was isolated. The level of calmodulin was
then measured with use of a radioimmunoassay that employs competitive
binding between native, unlabeled calmodulin and 125I-labeled calmodulin.
The results showed that the level of platelet calmodulin in the patients
who had a progressive curve (more than 10 degrees of progression in the
previous twelve months) (3.83 nanograms per microgram of protein) was
significantly higher than the level in the patients who had a stable curve
(less than 5 degrees of progression in the previous twelve months) (0.60
nanogram per microgram of protein) (p < 0.01); the levels in the stable
group and the control group (0.69 nanogram per microgram of protein) were
similar. The level of platelet calmodulin appeared to be an independent and
possibly more acute predictor of progression of the curve than the Risser
sign alone.(ABSTRACT TRUNCATED AT 250 WORDS)