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Genome-wide meta-analysis identifies 56 bone mineral density loci and reveals 14 loci associated with risk of fracture.

TitleGenome-wide meta-analysis identifies 56 bone mineral density loci and reveals 14 loci associated with risk of fracture.
Publication TypeJournal Article
Year of Publication2012
AuthorsEstrada, K, Styrkarsdottir, U, Evangelou, E, Hsu, Y-H, Duncan, EL, Ntzani, EE, Oei, L, Albagha, OME, Amin, N, Kemp, JP, Koller, DL, Li, G, Liu, C-T, Minster, RL, Moayyeri, A, Vandenput, L, Willner, D, Xiao, S-M, Yerges-Armstrong, LM, Zheng, H-F, Alonso, N, Eriksson, J, Kammerer, CM, Kaptoge, SK, Leo, PJ, Thorleifsson, G, Wilson, SG, Wilson, JF, Aalto, V, Alen, M, Aragaki, AK, Aspelund, T, Center, JR, Dailiana, Z, Duggan, DJ, Garcia, M, García-Giralt, N, Giroux, S, Hallmans, G, Hocking, LJ, Husted, LBjerre, Jameson, KA, Khusainova, R, Kim, GSu, Kooperberg, C, Koromila, T, Kruk, M, Laaksonen, M, LaCroix, AZ, Lee, SHun, Leung, PC, Lewis, JR, Masi, L, Mencej-Bedrac, S, Nguyen, TV, Nogues, X, Patel, MS, Prezelj, J, Rose, LM, Scollen, S, Siggeirsdottir, K, Smith, AV, Svensson, O, Trompet, S, Trummer, O, van Schoor, NM, Woo, J, Zhu, K, Balcells, S, Brandi, MLuisa, Buckley, BM, Cheng, S, Christiansen, C, Cooper, C, Dedoussis, G, Ford, I, Frost, M, Goltzman, D, González-Macías, J, Kähönen, M, Karlsson, M, Khusnutdinova, E, Koh, J-M, Kollia, P, Langdahl, BLomholt, Leslie, WD, Lips, P, Ljunggren, O, Lorenc, RS, Marc, J, Mellström, D, Obermayer-Pietsch, B, Olmos, JM, Pettersson-Kymmer, U, Reid, DM, Riancho, JA, Ridker, PM, Rousseau, F, P Slagboom, E, Tang, NLS, Urreizti, R, Van Hul, W, Viikari, J, Zarrabeitia, MT, Aulchenko, YS, Castano-Betancourt, M, Grundberg, E, Herrera, L, Ingvarsson, T, Johannsdottir, H, Kwan, T, Li, R, Luben, R, Medina-Gómez, C, Palsson, STh, Reppe, S, Rotter, JI, Sigurdsson, G, van Meurs, JBJ, Verlaan, D, Williams, FMK, Wood, AR, Zhou, Y, Gautvik, KM, Pastinen, T, Raychaudhuri, S, Cauley, JA, Chasman, DI, Clark, GR, Cummings, SR, Danoy, P, Dennison, EM, Eastell, R, Eisman, JA, Gudnason, V, Hofman, A, Jackson, RD, Jones, G, J Jukema, W, Khaw, K-T, Lehtimäki, T, Liu, Y, Lorentzon, M, McCloskey, E, Mitchell, BD, Nandakumar, K, Nicholson, GC, Oostra, BA, Peacock, M, Pols, HAP, Prince, RL, Raitakari, O, Reid, IR, Robbins, J, Sambrook, PN, Sham, PChung, Shuldiner, AR, Tylavsky, FA, van Duijn, CM, Wareham, NJ, Cupples, AL, Econs, MJ, Evans, DM, Harris, TB, Kung, AWai Chee, Psaty, BM, Reeve, J, Spector, TD, Streeten, EA, Zillikens, CM, Thorsteinsdottir, U, Ohlsson, C, Karasik, D, J Richards, B, Brown, MA, Stefansson, K, Uitterlinden, AG, Ralston, SH, Ioannidis, JPA, Kiel, DP, Rivadeneira, F
JournalNat Genet
Volume44
Issue5
Pagination491-501
Date Published2012 Apr 15
ISSN1546-1718
KeywordsBone Density, Computational Biology, European Continental Ancestry Group, Extracellular Matrix Proteins, Female, Femur Neck, Fractures, Bone, Gene Expression Profiling, Genetic Predisposition to Disease, Genome-Wide Association Study, Genotype, Glycoproteins, Humans, Intercellular Signaling Peptides and Proteins, Low Density Lipoprotein Receptor-Related Protein-5, Lumbar Vertebrae, Male, Mitochondrial Membrane Transport Proteins, Osteoporosis, Phosphoproteins, Polymorphism, Single Nucleotide, Quantitative Trait Loci, Risk Factors, Spectrin
Abstract<p>Bone mineral density (BMD) is the most widely used predictor of fracture risk. We performed the largest meta-analysis to date on lumbar spine and femoral neck BMD, including 17 genome-wide association studies and 32,961 individuals of European and east Asian ancestry. We tested the top BMD-associated markers for replication in 50,933 independent subjects and for association with risk of low-trauma fracture in 31,016 individuals with a history of fracture (cases) and 102,444 controls. We identified 56 loci (32 new) associated with BMD at genome-wide significance (P < 5 × 10(-8)). Several of these factors cluster within the RANK-RANKL-OPG, mesenchymal stem cell differentiation, endochondral ossification and Wnt signaling pathways. However, we also discovered loci that were localized to genes not known to have a role in bone biology. Fourteen BMD-associated loci were also associated with fracture risk (P < 5 × 10(-4), Bonferroni corrected), of which six reached P < 5 × 10(-8), including at 18p11.21 (FAM210A), 7q21.3 (SLC25A13), 11q13.2 (LRP5), 4q22.1 (MEPE), 2p16.2 (SPTBN1) and 10q21.1 (DKK1). These findings shed light on the genetic architecture and pathophysiological mechanisms underlying BMD variation and fracture susceptibility.</p>
DOI10.1038/ng.2249
Alternate JournalNat. Genet.
PubMed ID22504420
PubMed Central IDPMC3338864
Grant ListM01-RR00425 / RR / NCRR NIH HHS / United States
CZB/4/710 / / Chief Scientist Office / United Kingdom
P01 AG018397-10 / AG / NIA NIH HHS / United States
N01 HC-55222, / HC / NHLBI NIH HHS / United States
T32 AG000262-12 / AG / NIA NIH HHS / United States
P01 AG-18397 / AG / NIA NIH HHS / United States
254627 / / Medical Research Council / United Kingdom
/ / British Heart Foundation / United Kingdom
R01 HL075366 / HL / NHLBI NIH HHS / United States
R01 AR046838 / AR / NIAMS NIH HHS / United States
N01AG12100 / AG / NIA NIH HHS / United States
R01 AG015928-02 / AG / NIA NIH HHS / United States
15389 / / Arthritis Research UK / United Kingdom
P30 DK072488-03 / DK / NIDDK NIH HHS / United States
G0600705 / / Medical Research Council / United Kingdom
R01 HL087652-03 / HL / NHLBI NIH HHS / United States
17539 / / Arthritis Research UK / United Kingdom
R01 AG018728-05 / AG / NIA NIH HHS / United States
R01 AG015928 / AG / NIA NIH HHS / United States
N01 AG062101 / AG / NIA NIH HHS / United States
G9800062 / / Medical Research Council / United Kingdom
U01 HL080295 / HL / NHLBI NIH HHS / United States
HL 043851 / HL / NHLBI NIH HHS / United States
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ePub date: 
12/04