Title: Large-scale analysis of association between LRP5 and LRP6 variants and osteoporosis
Authors: van Meurs, Joyce B. J ×
Trikalinos, Thomas A
Ralston, Stuart H
Balcells, Susana
Brandi, Maria Luisa
Brixen, Kim
Kiel, Douglas P
Langdahl, Bente L
Lips, Paul
Ljunggren, Osten
Lorenc, Roman
Obermayer-Pietsch, Barbara
Ohlsson, Claes
Pettersson, Ulrika
Reid, David M
Rousseau, Francois
Scollen, Serena
Van Hul, Wim
Agueda, Lidia
Akesson, Kristina
Benevolenskaya, Lidia I
Ferrari, Serge L
Hallmans, Goran
Hofman, Albert
Husted, Lise Bjerre
Kruk, Marcin
Kaptoge, Stephen
Karasik, David
Karlsson, Magnus K
Lorentzon, Mattias
Masi, Laura
McGuigan, Fiona E. A
Mellstrom, Dan
Mosekilde, Leif
Nogues, Xavier
Pols, Huibert A. P
Reeve, Jonathan
Renner, Wilfried
Rivadeneira, Fernando
van Schoor, Natasja M
Weber, Kurt
Ioannidis, John P. A
Uitterlinden, Andre G
European prospective osteoporosis study group EPOS #
Contributors: Boonen, Steven
Issue Date: Mar-2008
Series Title: JAMA: Journal of the American Medical Association vol:299 issue:11 pages:1277-1290
Abstract: CONTEXT: Mutations in the low-density lipoprotein receptor-related protein 5 (LRP5) gene cause rare syndromes characterized by altered bone mineral density (BMD). More common LRP5 variants may affect osteoporosis risk in the general population. OBJECTIVE: To generate large-scale evidence on whether 2 common variants of LRP5 (Val667Met, Ala1330Val) and 1 variant of LRP6 (Ile1062Val) are associated with BMD and fracture risk. DESIGN AND SETTING: Prospective, multicenter, collaborative study of individual-level data on 37,534 individuals from 18 participating teams in Europe and North America. Data were collected between September 2004 and January 2007; analysis of the collected data was performed between February and May 2007. Bone mineral density was assessed by dual-energy x-ray absorptiometry. Fractures were identified via questionnaire, medical records, or radiographic documentation; incident fracture data were available for some cohorts, ascertained via routine surveillance methods, including radiographic examination for vertebral fractures. MAIN OUTCOME MEASURES: Bone mineral density of the lumbar spine and femoral neck; prevalence of all fractures and vertebral fractures. RESULTS: The Met667 allele of LRP5 was associated with reduced lumbar spine BMD (n = 25,052 [number of participants with available data]; 20-mg/cm2 lower BMD per Met667 allele copy; P = 3.3 x 10(-8)), as was the Val1330 allele (n = 24,812; 14-mg/cm2 lower BMD per Val1330 copy; P = 2.6 x 10(-9)). Similar effects were observed for femoral neck BMD, with a decrease of 11 mg/cm2 (P = 3.8 x 10(-5)) and 8 mg/cm2 (P = 5.0 x 10(-6)) for the Met667 and Val1330 alleles, respectively (n = 25 193). Findings were consistent across studies for both LRP5 alleles. Both alleles were associated with vertebral fractures (odds ratio [OR], 1.26; 95% confidence interval [CI], 1.08-1.47 for Met667 [2001 fractures among 20 488 individuals] and OR, 1.12; 95% CI, 1.01-1.24 for Val1330 [1988 fractures among 20,096 individuals]). Risk of all fractures was also increased with Met667 (OR, 1.14; 95% CI, 1.05-1.24 per allele [7876 fractures among 31,435 individuals)]) and Val1330 (OR, 1.06; 95% CI, 1.01-1.12 per allele [7802 fractures among 31 199 individuals]). Effects were similar when adjustments were made for age, weight, height, menopausal status, and use of hormone therapy. Fracture risks were partly attenuated by adjustment for BMD. Haplotype analysis indicated that Met667 and Val1330 variants both independently affected BMD. The LRP6 Ile1062Val polymorphism was not associated with any osteoporosis phenotype. All aforementioned associations except that between Val1330 and all fractures and vertebral fractures remained significant after multiple-comparison adjustments. CONCLUSIONS: Common LRP5 variants are consistently associated with BMD and fracture risk across different white populations. The magnitude of the effect is modest. LRP5 may be the first gene to reach a genome-wide significance level (a conservative level of significance [herein, unadjusted P < 10(-7)] that accounts for the many possible comparisons in the human genome) for a phenotype related to osteoporosis.
ISSN: 0098-7484
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Gerontology and Geriatrics
× corresponding author
# (joint) last author

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