Wynne F, Drummond F J, Daly M, Brown M, Shanahan F, Molloy M G, Quane K A
Department of Rheumatology, National University of Ireland, Cork, Ireland.
Calcif Tissue Int. 2003 Jun;72(6):651-8. doi: 10.1007/s00223-002-2086-2.
Osteoporosis is a disease characterized by low bone mineral density (BMD) and poor bone quality. Peak bone density is achieved by the third decade of life, after which bone is maintained by a balanced cycle of bone resorption and synthesis. Age-related bone loss occurs as the bone resorption phase outweighs the bone synthesis phase of bone metabolism. Heritability accounts for up to 90% of the variability in BMD. Chromosomal loci including 1p36, 2p22-25, 11q12-13, parathyroid hormone receptor type 1 (PTHR1), interleukin-6 (IL-6), interleukin 1 alpha (IL-1alpha) and type II collagen A1/vitamin D receptor (COL11A1/VDR) have been linked or shown suggestive linkage with BMD in other populations. To determine whether these loci predispose to low BMD in the Irish population, we investigated 24 microsatellite markers at 7 chromosomal loci by linkage studies in 175 Irish families of probands with primary low BMD (T-score < or = -1.5). Nonparametric analysis was performed using the maximum likelihood variance estimation and traditional Haseman-Elston tests on the Mapmaker/Sibs program. Suggestive evidence of linkage was observed with lumbar spine BMD at 2p22-25 (maximum LOD score 2.76) and 11q12-13 (MLS 2.55). One region, 1p36, approached suggestive linkage with femoral neck BMD (MLS 2.17). In addition, seven markers achieved LOD scores >1.0, D2S149, D11S1313, D11S987, D11S1314 including those encompassing the PTHR1 (D3S3559, D3S1289) for lumbar spine BMD and D2S149 for femoral neck BMD. Our data suggest that genes within a these chromosomal regions are contributing to a predisposition to low BMD in the Irish population.
骨质疏松症是一种以低骨矿物质密度(BMD)和骨质量差为特征的疾病。骨密度峰值在生命的第三个十年达到,此后骨骼通过骨吸收和合成的平衡循环得以维持。随着骨代谢的骨吸收阶段超过骨合成阶段,与年龄相关的骨质流失就会发生。遗传因素在骨密度变异性中所占比例高达90%。包括1p36、2p22 - 25、11q12 - 13、甲状旁腺激素1型受体(PTHR1)、白细胞介素 - 6(IL - 6)、白细胞介素1α(IL - 1α)和II型胶原蛋白A1/维生素D受体(COL11A1/VDR)在内的染色体位点已在其他人群中与骨密度相关联或显示出提示性的连锁关系。为了确定这些位点是否使爱尔兰人群易患低骨密度,我们通过对175个先证者为原发性低骨密度(T值≤ - 1.5)的爱尔兰家庭进行连锁研究,调查了7个染色体位点上的24个微卫星标记。使用Mapmaker/Sibs程序上的最大似然方差估计和传统的Haseman - Elston检验进行非参数分析。在2p22 - 25(最大LOD分数2.76)和11q12 - 13(MLS 2.55)处观察到与腰椎骨密度存在提示性连锁证据。一个区域,1p36,接近与股骨颈骨密度的提示性连锁(MLS 2.17)。此外,七个标记达到了LOD分数>1.0,包括用于腰椎骨密度的D2S149、D11S1313、D11S987、D11S1314(包括那些包含PTHR1的标记(D3S3559、D3S1289))以及用于股骨颈骨密度的D2S149。我们的数据表明,这些染色体区域内的基因在爱尔兰人群中对低骨密度易感性有影响。