Arthritis Research UK, Epidemiology Unit, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
J Bone Miner Res. 2010 Aug;25(8):1830-8. doi: 10.1002/jbmr.78.
The aim of this study was to determine if single-nucleotide polymorphisms (SNPs) in RANKL, RANK, and OPG influence bone turnover and bone mineral density (BMD) in men. Pairwise tag SNPs (r(2) > or = 0.8) were selected for RANKL, RANK, and OPG and their 10-kb flanking regions. Selected tag SNPs plus five SNPs near RANKL and OPG, associated with BMD in published genome-wide association studies (GWAS), were genotyped in 2653 men aged 40 to 79 years of age recruited for participation in a population-based study of male aging, the European Male Ageing Study (EMAS). N-terminal propeptide of type I procollagen (PINP) and C-terminal cross-linked telopeptide of type I collagen (CTX-I) serum levels were measured in all men. BMD at the calcaneus was estimated by quantitative ultrasound (QUS) in all men. Lumbar spine and total-hip areal BMD (BMD(a)) was measured by dual-energy X-ray absorptiometry (DXA) in a subsample of 620 men. Multiple OPG, RANK, and RANKL SNPs were associated with bone turnover markers. We also identified a number of SNPs associated with BMD, including rs2073618 in OPG and rs9594759 near RANKL. The minor allele of rs2073618 (C) was associated with higher levels of both PINP (beta = 1.83, p = .004) and CTX-I (beta = 17.59, p = 4.74 x 10(-4)), and lower lumbar spine BMD(a) (beta = -0.02, p = .026). The minor allele of rs9594759 (C) was associated with lower PINP (beta = -1.84, p = .003) and CTX-I (beta = -27.02, p = 6.06 x 10(-8)) and higher ultrasound BMD at the calcaneus (beta = 0.01, p = .037). Our findings suggest that genetic variation in the RANKL/RANK/OPG signaling pathway influences bone turnover and BMD in European men.
本研究旨在确定核因子-κB 受体活化因子配体(RANKL)、核因子-κB 受体活化因子(RANK)和骨保护素(OPG)的单核苷酸多态性(SNPs)是否会影响男性的骨转换和骨密度(BMD)。选择 RANKL、RANK 和 OPG 及其 10kb 侧翼区域的成对标签 SNPs(r(2)≥0.8)。在招募参加男性衰老的基于人群的研究——欧洲男性衰老研究(EMAS)的 2653 名年龄在 40 至 79 岁的男性中,对与已发表的全基因组关联研究(GWAS)中 BMD 相关的选定标签 SNPs 加上 RANKL 和 OPG 附近的五个 SNPs 进行了基因分型。所有男性均测量了 I 型前胶原 N 端前肽(PINP)和 I 型胶原 C 端交联肽(CTX-I)的血清水平。所有男性均通过定量超声(QUS)估计跟骨的骨密度。在 620 名男性的亚样本中,通过双能 X 射线吸收法(DXA)测量腰椎和全髋部面积骨密度(BMD(a))。多个 OPG、RANK 和 RANKL SNPs 与骨转换标志物相关。我们还发现了一些与 BMD 相关的 SNPs,包括 OPG 中的 rs2073618 和 RANKL 附近的 rs9594759。rs2073618 (C)的次要等位基因与 PINP(β=1.83,p=0.004)和 CTX-I(β=17.59,p=4.74×10(-4))水平升高以及腰椎 BMD(a)降低有关(β=-0.02,p=0.026)。rs9594759(C)的次要等位基因与 PINP(β=-1.84,p=0.003)和 CTX-I(β=-27.02,p=6.06×10(-8))水平降低和跟骨超声骨密度升高有关(β=0.01,p=0.037)。我们的研究结果表明,RANKL/RANK/OPG 信号通路中的遗传变异会影响欧洲男性的骨转换和 BMD。