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High‐Density Association Study of 383 Candidate Genes for Volumetric BMD at the Femoral Neck and Lumbar Spine Among Older Men
Authors:Laura M Yerges  Lambertus Klei  Jane A Cauley  Kathryn Roeder  Candace M Kammerer  Susan P Moffett  Kristine E Ensrud  Cara S Nestlerode  Lynn M Marshall  Andrew R Hoffman  Cora Lewis  Thomas F Lang  Elizabeth Barrett‐Connor  Robert E Ferrell  Eric S Orwoll  Joseph M Zmuda
Affiliation:1. Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA;2. Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA;3. Department of Statistics, Carnegie Mellow University, Pittsburgh, Pennsylvania, USA;4. Department of Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA;5. Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA;6. Department of Medicine, Oregon Health & Science University, Portland, Oregon, USA;7. Veterans Affairs, Palo Alto Health Care System and Stanford University, Palo Alto, California, USA;8. University of Alabama at Birmingham, Birmingham, Alabama, USA;9. Department of Radiology, University of California, San Francisco, California, USA;10. Department of Family and Preventive Medicine, University of California San Diego, La Jolla, California, USA
Abstract:
Genetics is a well‐established but poorly understood determinant of BMD. Whereas some genetic variants may influence BMD throughout the body, others may be skeletal site specific. We initially screened for associations between 4608 tagging and potentially functional single nucleotide polymorphisms (SNPs) in 383 candidate genes and femoral neck and lumbar spine volumetric BMD (vBMD) measured from QCT scans among 862 community‐dwelling white men ≥65 yr of age in the Osteoporotic Fractures in Men Study (MrOS). The most promising SNP associations (p < 0.01) were validated by genotyping an additional 1156 white men from MrOS. This analysis identified 8 SNPs in 6 genes (APC, DMP1, FGFR2, FLT1, HOXA, and PTN) that were associated with femoral neck vBMD and 13 SNPs in 7 genes (APC, BMPR1B, FOXC2, HOXA, IGFBP2, NFATC1, and SOST) that were associated with lumbar spine vBMD in both genotyping samples (p < 0.05). Although most associations were specific to one skeletal site, SNPs in the APC and HOXA gene regions were associated with both femoral neck and lumbar spine BMD. This analysis identifies several novel and robust genetic associations for volumetric BMD, and these findings in combination with other data suggest the presence of genetic loci for volumetric BMD that are at least to some extent skeletal‐site specific.
Keywords:osteoporosis  genetics  BMD  men  QCT
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