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RANKL/RANK/OPG 信号通路中的遗传变异与男性的骨转换和骨密度有关。

Genetic variation in the RANKL/RANK/OPG signaling pathway is associated with bone turnover and bone mineral density in men.

机构信息

Arthritis Research UK, Epidemiology Unit, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

出版信息

J Bone Miner Res. 2010 Aug;25(8):1830-8. doi: 10.1002/jbmr.78.

Abstract

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.

摘要

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。

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