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Insights into the genetics of osteoporosis from recent genome-wide association studies

Published online by Cambridge University Press:  26 August 2011

Hou-Feng Zheng
Affiliation:
Departments of Medicine, Human Genetics, Epidemiology and Biostatistics, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
Timothy D. Spector
Affiliation:
Department of Twin Research ad Genetic Epidemiology, King's College London, London, UK.
J. Brent Richards*
Affiliation:
Departments of Medicine, Human Genetics, Epidemiology and Biostatistics, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. Department of Twin Research ad Genetic Epidemiology, King's College London, London, UK.
*
*Corresponding author: J. Brent Richards, 3755 Côte Ste-Catherine Road, Montreal, Québec, CanadaH3T 1E2. E-mail:brent.richards@mcgill.ca

Abstract

Osteoporosis, which is characterised by reduced bone mineral density (BMD) and an increased risk of fragility fractures, is the result of a complex interaction between environmental factors and genetic variants that confer susceptibility. Heritability studies have shown that BMD and other osteoporosis-related traits such as ultrasound properties of bone, skeletal geometry and bone turnover have significant inheritable components. Although previous linkage and candidate gene studies have provided few replicated loci for osteoporosis, genome-wide association approaches have produced clear and reproducible findings. To date, 20 genome-wide association studies (GWASs) for osteoporosis and related traits have been conducted, identifying dozens of genes. Further meta-analyses of GWAS data and deep resequencing of rare variants will uncover more novel susceptibility loci and ultimately provide possible therapeutic targets for fracture prevention.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2011

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References

1Noauthorslist (1993) Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. American Journal of Medicine 94, 646-650CrossRefGoogle Scholar
2Burge, R. et al. (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005–2025. Journal of Bone and Mineral Research 22, 465-475CrossRefGoogle ScholarPubMed
3Organization, W.H. (2007) WHO scientific group on the assessment of osteoporosis at primary health care level. Summary Meeting Report (Brussels, Belgium, 2007)Google Scholar
4Chakravarti, A. and Little, P. (2003) Nature, nurture and human disease. Nature 421, 412-414CrossRefGoogle ScholarPubMed
5Sigurdsson, G. et al. (2008) Impact of genetics on low bone mass in adults. Journal of Bone and Mineral Research 23, 1584-1590CrossRefGoogle ScholarPubMed
6Torgerson, D.J. et al. (1996) Prediction of perimenopausal fractures by bone mineral density and other risk factors. Journal of Bone and Mineral Research 11, 293-297CrossRefGoogle ScholarPubMed
7Manolio, T.A. and Collins, F.S. (2007) Genes, environment, health, and disease: facing up to complexity. Human Heredity 63, 63-66CrossRefGoogle ScholarPubMed
8Hindorff, L.A. et al. (2009) Potential etiologic and functional implications of genome-wide association loci for human diseases and traits. Proceedings of the National Academy of Sciences of the United States of America 106, 9362-9367CrossRefGoogle ScholarPubMed
9Kaptoge, S. et al. (2008) Prediction of incident hip fracture risk by femur geometry variables measured by hip structural analysis in the study of osteoporotic fractures. Journal of Bone and Mineral Research 23, 1892-1904CrossRefGoogle ScholarPubMed
10Greenspan, S.L. et al. (2005) Effect of hormone replacement, alendronate, or combination therapy on hip structural geometry: a 3-year, double-blind, placebo-controlled clinical trial. Journal of Bone and Mineral Research 20, 1525-1532CrossRefGoogle ScholarPubMed
11Uusi-Rasi, K. et al. (2005) Effects of teriparatide [rhPTH (1–34)] treatment on structural geometry of the proximal femur in elderly osteoporotic women. Bone 36, 948-958CrossRefGoogle ScholarPubMed
12Ng, M.Y. et al. (2006) Effect of environmental factors and gender on the heritability of bone mineral density and bone size. Annals of Human Genetics 70, 428-438CrossRefGoogle ScholarPubMed
13Slemenda, C.W. et al. (1996) The genetics of proximal femur geometry, distribution of bone mass and bone mineral density. Osteoporosis International 6, 178-182CrossRefGoogle ScholarPubMed
14Smith, D.M. et al. (1973) Genetic factors in determining bone mass. Journal of Clinical Investigation 52, 2800-2808CrossRefGoogle ScholarPubMed
15Gueguen, R. et al. (1995) Segregation analysis and variance components analysis of bone mineral density in healthy families. Journal of Bone and Mineral Research 10, 2017-2022CrossRefGoogle ScholarPubMed
16Krall, E.A. and Dawson-Hughes, B. (1993) Heritable and life-style determinants of bone mineral density. Journal of Bone and Mineral Research 8, 1-9CrossRefGoogle ScholarPubMed
17Arden, N.K. et al. (1996) The heritability of bone mineral density, ultrasound of the calcaneus and hip axis length: a study of postmenopausal twins. Journal of Bone and Mineral Research 11, 530-534CrossRefGoogle ScholarPubMed
18Richards, J.B. et al. (2009) Collaborative meta-analysis: associations of 150 candidate genes with osteoporosis and osteoporotic fracture. Annals of Internal Medicine 151, 528-537CrossRefGoogle ScholarPubMed
19Peacock, M. et al. (2005) Sex-specific quantitative trait loci contribute to normal variation in bone structure at the proximal femur in men. Bone 37, 467-473CrossRefGoogle ScholarPubMed
20Wilson, S.G. et al. (2004) A genome-screen of a large twin cohort reveals linkage for quantitative ultrasound of the calcaneus to 2q33-37 and 4q12-21. Journal of Bone and Mineral Research 19, 270-277CrossRefGoogle ScholarPubMed
21Ioannidis, J.P. et al. (2007) Meta-analysis of genome-wide scans provides evidence for sex- and site-specific regulation of bone mass. Journal of Bone and Mineral Research 22, 173-183CrossRefGoogle ScholarPubMed
22Mullin, B.H. et al. (2008) Identification of a role for the ARHGEF3 gene in postmenopausal osteoporosis. American Journal of Human Genetics 82, 1262-1269CrossRefGoogle ScholarPubMed
23Yazdanpanah, N. et al. (2007) The -1997 G/T and Sp1 polymorphisms in the collagen type I alpha1 (COLIA1) gene in relation to changes in femoral neck bone mineral density and the risk of fracture in the elderly: the Rotterdam study. Calcified Tissue International 81, 18-25CrossRefGoogle ScholarPubMed
24Grant, S.F. et al. (1996) Reduced bone density and osteoporosis associated with a polymorphic Sp1 binding site in the collagen type I alpha 1 gene. Nature Genetics 14, 203-205CrossRefGoogle ScholarPubMed
25Riancho, J.A. et al. (2009) Association of the aromatase gene alleles with BMD: epidemiological and functional evidence. Journal of Bone and Mineral Research 24, 1709-1718CrossRefGoogle ScholarPubMed
26Fang, Y. et al. (2009) Vitamin D binding protein genotype and osteoporosis. Calcified Tissue International 85, 85-93CrossRefGoogle ScholarPubMed
27Wang, C.L. et al. (2007) Association of estrogen receptor alpha gene polymorphisms with bone mineral density in Chinese women: a meta-analysis. Osteoporosis International 18, 295-305CrossRefGoogle ScholarPubMed
28Lai, B.M. et al. (2008) Estrogen receptor alpha CA dinucleotide repeat polymorphism is associated with rate of bone loss in perimenopausal women and bone mineral density and risk of osteoporotic fractures in postmenopausal women. Osteoporosis International 19, 571-579CrossRefGoogle ScholarPubMed
29Sano, M. et al. (1995) Association of estrogen receptor dinucleotide repeat polymorphism with osteoporosis. Biochemical and Biophysical Research Communications 217, 378-383CrossRefGoogle ScholarPubMed
30Rivadeneira, F. et al. (2006) Estrogen receptor beta (ESR2) polymorphisms in interaction with estrogen receptor alpha (ESR1) and insulin-like growth factor I (IGF1) variants influence the risk of fracture in postmenopausal women. Journal of Bone and Mineral Research 21, 1443-1456CrossRefGoogle ScholarPubMed
31Wilson, S.G. et al. (2009) Common sequence variation in FLNB regulates bone structure in women in the general population and FLNB mRNA expression in osteoblasts in vitro. Journal of Bone and Mineral Research 24, 1989-1997CrossRefGoogle ScholarPubMed
32Yamada, Y., Ando, F. and Shimokata, H. (2006) Association of polymorphisms in forkhead box C2 and perilipin genes with bone mineral density in community-dwelling Japanese individuals. International Journal of Molecular Medicine 18, 119-127Google ScholarPubMed
33Yerges, L.M. et al. (2009) High-density association study of 383 candidate genes for volumetric BMD at the femoral neck and lumbar spine among older men. Journal of Bone and Mineral Research 24, 2039-2049CrossRefGoogle ScholarPubMed
34Lee, H.J. et al. (2007) Polymorphisms and haplotypes of integrinalpha1 (ITGA1) are associated with bone mineral density and fracture risk in postmenopausal Koreans. Bone 41, 979-986CrossRefGoogle ScholarPubMed
35Urano, T. et al. (2004) Association of a single-nucleotide polymorphism in low-density lipoprotein receptor-related protein 5 gene with bone mineral density. Journal of Bone and Mineral Metabolism 22, 341-345CrossRefGoogle ScholarPubMed
36Riancho, J.A., Valero, C. and Zarrabeitia, M.T. (2006) MTHFR polymorphism and bone mineral density: meta-analysis of published studies. Calcified Tissue International 79, 289-293CrossRefGoogle ScholarPubMed
37Tenne, M. et al. (2008) Genetic variation in the PTH pathway and bone phenotypes in elderly women: evaluation of PTH, PTHLH, PTHR1 and PTHR2 genes. Bone 42, 719-727CrossRefGoogle ScholarPubMed
38Guo, Y. et al. (2010) IL21R and PTH may underlie variation of femoral neck bone mineral density as revealed by a genome-wide association study. Journal of Bone and Mineral Research 25, 1042-1048CrossRefGoogle ScholarPubMed
39Mullin, B.H. et al. (2009) Further genetic evidence suggesting a role for the RhoGTPase-RhoGEF pathway in osteoporosis. Bone 45, 387-391CrossRefGoogle ScholarPubMed
40Sims, A.M. et al. (2008) Genetic analyses in a sample of individuals with high or low BMD shows association with multiple Wnt pathway genes. Journal of Bone and Mineral Research 23, 499-506CrossRefGoogle ScholarPubMed
41Uitterlinden, A.G. et al. (2004) Polymorphisms in the sclerosteosis/van Buchem disease gene (SOST) region are associated with bone-mineral density in elderly whites. American Journal of Human Genetics 75, 1032-1045CrossRefGoogle ScholarPubMed
42Balemans, W. et al. (2002) Lack of association between the SOST gene and bone mineral density in perimenopausal women: analysis of five polymorphisms. Bone 31, 515-519CrossRefGoogle ScholarPubMed
43Hsu, Y.H. et al. (2006) Variation in genes involved in the RANKL/RANK/OPG bone remodeling pathway are associated with bone mineral density at different skeletal sites in men. Human Genetics 118, 568-577CrossRefGoogle ScholarPubMed
44Choi, J.Y. et al. (2005) Genetic polymorphisms of OPG, RANK, and ESR1 and bone mineral density in Korean postmenopausal women. Calcified Tissue International 77, 152-159CrossRefGoogle ScholarPubMed
45Langdahl, B.L. et al. (2002) Polymorphisms in the osteoprotegerin gene are associated with osteoporotic fractures. Journal of Bone and Mineral Research 17, 1245-1255CrossRefGoogle ScholarPubMed
46Grundberg, E. et al. (2007) Vitamin D receptor 3′ haplotypes are unequally expressed in primary human bone cells and associated with increased fracture risk: the MrOS Study in Sweden and Hong Kong. Journal of Bone and Mineral Research 22, 832-840CrossRefGoogle ScholarPubMed
47Moffett, S.P. et al. (2007) Association of the VDR translation start site polymorphism and fracture risk in older women. Journal of Bone and Mineral Research 22, 730-736CrossRefGoogle ScholarPubMed
48Morrison, N.A. et al. (1992) Contribution of trans-acting factor alleles to normal physiological variability: vitamin D receptor gene polymorphism and circulating osteocalcin. Proceedings of the National Academy of Sciences of the United States of America 89, 6665-6669CrossRefGoogle ScholarPubMed
49Zmuda, J.M. et al. (2009) Association analysis of WNT10B with bone mass and structure among individuals of African ancestry. Journal of Bone and Mineral Research 24, 437-447CrossRefGoogle ScholarPubMed
50Hardy, J. and Singleton, A. (2009) Genomewide association studies and human disease. New England Journal of Medicine 360, 1759-1768CrossRefGoogle ScholarPubMed
51Manolio, T.A. et al. (2009) Finding the missing heritability of complex diseases. Nature 461, 747-753CrossRefGoogle ScholarPubMed
52Kruglyak, L. (2008) The road to genome-wide association studies. Nature Reviews. Genetics 9, 314-318CrossRefGoogle ScholarPubMed
53Kiel, D.P. et al. (2007) Genome-wide association with bone mass and geometry in the Framingham Heart Study. BMC Medical Genetics 8(Suppl 1), S14CrossRefGoogle ScholarPubMed
54Richards, J.B. et al. (2008) Bone mineral density, osteoporosis, and osteoporotic fractures: a genome-wide association study. Lancet 371, 1505-1512CrossRefGoogle ScholarPubMed
55Styrkarsdottir, U. et al. (2008) Multiple genetic loci for bone mineral density and fractures. New England Journal of Medicine 358, 2355-2365CrossRefGoogle ScholarPubMed
56Zhao, L.J. et al. (2010) Genome-wide association study for femoral neck bone geometry. Journal of Bone and Mineral Research 25, 320-329CrossRefGoogle ScholarPubMed
57Paternoster, L. et al. (2010) Genome-wide association meta-analysis of cortical bone mineral density unravels allelic heterogeneity at the RANKL locus and potential pleiotropic effects on bone. PLoS Genetics 6, e1001217CrossRefGoogle ScholarPubMed
58Kung, A.W. et al. (2010) Association of JAG1 with bone mineral density and osteoporotic fractures: a genome-wide association study and follow-up replication studies. American Journal of Human Genetics 86, 229-239CrossRefGoogle ScholarPubMed
59Koller, D.L. et al. (2010) Genome-wide association study of bone mineral density in premenopausal European-American women and replication in African-American women. Journal of Clinical Endocrinology and Metabolism 95, 1802-1809CrossRefGoogle ScholarPubMed
60Karasik, D. et al. (2010) Genome-wide pleiotropy of osteoporosis-related phenotypes: the Framingham Study. Journal of Bone and Mineral Research 25, 1555-1563CrossRefGoogle ScholarPubMed
61Hsu, Y.H. et al. (2010) An integration of genome-wide association study and gene expression profiling to prioritize the discovery of novel susceptibility Loci for osteoporosis-related traits. PLoS Genetics 6, e1000977CrossRefGoogle ScholarPubMed
62Guo, Y. et al. (2010) Genome-wide association study identifies ALDH7A1 as a novel susceptibility gene for osteoporosis. PLoS Genetics 6, e1000806CrossRefGoogle ScholarPubMed
63Xiong, D.H. et al. (2009) Genome-wide association and follow-up replication studies identified ADAMTS18 and TGFBR3 as bone mass candidate genes in different ethnic groups. American Journal of Human Genetics 84, 388-398CrossRefGoogle ScholarPubMed
64Timpson, N.J. et al. (2009) Common variants in the region around Osterix are associated with bone mineral density and growth in childhood. Human Molecular Genetics 18, 1510-1517CrossRefGoogle ScholarPubMed
65Styrkarsdottir, U. et al. (2009) New sequence variants associated with bone mineral density. Nature Genetics 41, 15-17CrossRefGoogle ScholarPubMed
66Rivadeneira, F. et al. (2009) Twenty bone-mineral-density loci identified by large-scale meta-analysis of genome-wide association studies. Nature Genetics 41, 1199-1206Google ScholarPubMed
67Liu, Y.Z. et al. (2009) Powerful bivariate genome-wide association analyses suggest the SOX6 gene influencing both obesity and osteoporosis phenotypes in males. PLoS One 4, e6827CrossRefGoogle ScholarPubMed
68Cho, Y.S. et al. (2009) A large-scale genome-wide association study of Asian populations uncovers genetic factors influencing eight quantitative traits. Nature Genetics 41, 527-534CrossRefGoogle ScholarPubMed
69Nobta, M. et al. (2005) Critical regulation of bone morphogenetic protein-induced osteoblastic differentiation by Delta1/Jagged1-activated Notch1 signaling. Journal of Biological Chemistry 280, 15842-15848CrossRefGoogle ScholarPubMed
70Weber, J.M. et al. (2006) Parathyroid hormone stimulates expression of the Notch ligand Jagged1 in osteoblastic cells. Bone 39, 485-493CrossRefGoogle ScholarPubMed
71Jungel, A. et al. (2004) Expression of interleukin-21 receptor, but not interleukin-21, in synovial fibroblasts and synovial macrophages of patients with rheumatoid arthritis. Arthritis and Rheumatism 50, 1468-1476CrossRefGoogle Scholar
72Giuliani, N. et al. (1999) Ethanol and acetaldehyde inhibit the formation of early osteoblast progenitors in murine and human bone marrow cultures. Alcoholism, Clinical and Experimental Research 23, 381-385CrossRefGoogle ScholarPubMed
73Yamaguchi, J. et al. (2006) ALDH2 polymorphisms and bone mineral density in an elderly Japanese population. Osteoporosis International 17, 908-913CrossRefGoogle Scholar
74Baek, W.Y. et al. (2009) Positive regulation of adult bone formation by osteoblast-specific transcription factor osterix. Journal of Bone and Mineral Research 24, 1055-1065CrossRefGoogle ScholarPubMed
75Gu, X. et al. (2001) Tel-2 is a novel transcriptional repressor related to the Ets factor Tel/ETV-6. Journal of Biological Chemistry 276, 9421-9436CrossRefGoogle Scholar
76Kirkbride, K.C. et al. (2008) Bone morphogenetic proteins signal through the transforming growth factor-beta type III receptor. Journal of Biological Chemistry 283, 7628-7637CrossRefGoogle ScholarPubMed
77Styrkarsdottir, U. et al. (2003) Linkage of osteoporosis to chromosome 20p12 and association to BMP2. PLoS Biology 1, E69CrossRefGoogle ScholarPubMed
78Stenvers, K.L. et al. (2003) Heart and liver defects and reduced transforming growth factor beta2 sensitivity in transforming growth factor beta type III receptor-deficient embryos. Molecular and Cellular Biology 23, 4371-4385CrossRefGoogle ScholarPubMed
79Devoto, M. et al. (2001) Variance component linkage analysis indicates a QTL for femoral neck bone mineral density on chromosome 1p36. Human Molecular Genetics 10, 2447-2452CrossRefGoogle ScholarPubMed
80Devoto, M. et al. (1998) First-stage autosomal genome screen in extended pedigrees suggests genes predisposing to low bone mineral density on chromosomes 1p, 2p and 4q. European Journal of Human Genetics 6, 151-157CrossRefGoogle ScholarPubMed
81Smits, P. et al. (2001) The transcription factors L-Sox5 and Sox6 are essential for cartilage formation. Developmental Cell 1, 277-290CrossRefGoogle ScholarPubMed
82Cho, S.W. et al. (2008) Differential effects of secreted frizzled-related proteins (sFRPs) on osteoblastic differentiation of mouse mesenchymal cells and apoptosis of osteoblasts. Biochemical and Biophysical Research Communications 367, 399-405CrossRefGoogle ScholarPubMed
83Nakanishi, R. et al. (2006) Secreted frizzled-related protein 4 is a negative regulator of peak BMD in SAMP6 mice. Journal of Bone and Mineral Research 21, 1713-1721CrossRefGoogle ScholarPubMed
84Nakanishi, R. et al. (2008) Osteoblast-targeted expression of Sfrp4 in mice results in low bone mass. Journal of Bone and Mineral Research 23, 271-277CrossRefGoogle ScholarPubMed
85Xiong, D.H. et al. (2006) Genome-wide scan identified QTLs underlying femoral neck cross-sectional geometry that are novel studied risk factors of osteoporosis. Journal of Bone and Mineral Research 21, 424-437CrossRefGoogle ScholarPubMed
86Liu, Y.Z. et al. (2008) Identification of PLCL1 gene for hip bone size variation in females in a genome-wide association study. PLoS One 3, e3160CrossRefGoogle ScholarPubMed
87Bodmer, W. and Bonilla, C. (2008) Common and rare variants in multifactorial susceptibility to common diseases. Nature Genetics 40, 695-701CrossRefGoogle ScholarPubMed
88Hughes, A.E. et al. (2000) Mutations in TNFRSF11A, affecting the signal peptide of RANK, cause familial expansile osteolysis. Nature Genetics 24, 45-48CrossRefGoogle ScholarPubMed
89McClung, M.R. et al. (2006) Denosumab in postmenopausal women with low bone mineral density. New England Journal of Medicine 354, 821-831CrossRefGoogle ScholarPubMed
90Cummings, S.R. et al. (2009) Denosumab for prevention of fractures in postmenopausal women with osteoporosis. New England Journal of Medicine 361, 756-765CrossRefGoogle ScholarPubMed
91Cirulli, E.T. and Goldstein, D.B. (2010) Uncovering the roles of rare variants in common disease through whole-genome sequencing. Nature Reviews. Genetics 11, 415-425CrossRefGoogle ScholarPubMed
92Duncan, E.L. et al. (2011) Genome-wide association study using extreme truncate selection identifies novel genes affecting bone mineral density and fracture risk. PLoS Genet 7, e1001372CrossRefGoogle ScholarPubMed
93Kou, I. et al. (2011) Common variants in a novel gene, FONG on chromosome 2q33.1 confer risk of osteoporosis in Japanese. PLoS One 6, e19641CrossRefGoogle Scholar