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Fracture, bone mineral density, and the effects of calcitonin receptor gene in postmenopausal Koreans.

AbstractSUMMARY:
In a candidate gene association study, we found that the variations of calcitonin receptor (CALCR) gene were related to the risk of vertebral fracture and increased bone mineral density (BMD).
INTRODUCTION:
Calcitonins through calcitonin receptors inhibit osteoclast-mediated bone resorption and modulate calcium ion excretion by the kidney and also prevent vertebral bone loss in early menopause.
METHODS:
To identify genetically susceptible factors of osteoporosis, we discovered the variations in CALCR gene, genotyped in Korean postmenopausal women (n = 729), and examined the potential involvement of seven single-nucleotide polymorphism (SNPs) and their haplotypes in linkage disequilibrium block (BL_hts).
RESULTS:
The SNPs, +43147G > C (intron 7), +60644C > T (exon13, 3' untranslated region), and their haplotypes, BL2_ht1 and BL2_ht2, showed a significant association with risk of vertebral fracture (p = 0.048-0.004) and BL2_ht1 showed a highly significant protective effect. Moreover, the polymorphism +60644C > T showed a highly significant association with BMD at both lumbar spine and femoral neck. The subjects carrying CC and CT genotypes with the SNP, +60644C > T, had higher BMD values at the lumbar spine (p = 0.01-0.001) and femoral neck (p = 0.025-0.009).
CONCLUSION:
These results indicate that the CALCR gene may regulate bone metabolism, and +60644C > T in the CALCR gene may genetically modulate bone phenotype.
AuthorsH-J Lee, S-Y Kim, G S Kim, J-Y Hwang, Y-J Kim, B Jeong, T-H Kim, E K Park, S H Lee, H-L Kim, J-M Koh, J-Y Lee
JournalOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA (Osteoporos Int) Vol. 21 Issue 8 Pg. 1351-60 (Aug 2010) ISSN: 1433-2965 [Electronic] England
PMID19946674 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Receptors, Calcitonin
Topics
  • Absorptiometry, Photon
  • Adult
  • Aged
  • Bone Density (genetics)
  • Chromosome Mapping
  • Female
  • Femur Neck (physiopathology)
  • Genetic Association Studies (methods)
  • Genotype
  • Humans
  • Linkage Disequilibrium
  • Lumbar Vertebrae (physiopathology)
  • Middle Aged
  • Osteoporosis, Postmenopausal (genetics, physiopathology)
  • Osteoporotic Fractures (genetics, physiopathology)
  • Phenotype
  • Polymorphism, Single Nucleotide
  • Receptors, Calcitonin (genetics)
  • Spinal Fractures (genetics, physiopathology)

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