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      Meta-Analysis of Genome-Wide Scans for Human Adult Stature Identifies Novel Loci and Associations with Measures of Skeletal Frame Size

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      1 , 2 , 3 , 4 , 2 , 5 , 2 , 6 , 1 , 3 , 1 , 1 , 4 , 7 , 1 , 3 , 1 , 3 , 1 , 1 , 1 , 1 , 5 , 3 , 4 , 3 , 4 , 2 , 8 , 3 , 9 , 1 , 2 , 2 , 1 , 7 , 9 , 1 , 10 , 11 , 5 , 2 , , 3 , 4 , , 1 , , *
      PLoS Genetics
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          Abstract

          Recent genome-wide (GW) scans have identified several independent loci affecting human stature, but their contribution through the different skeletal components of height is still poorly understood. We carried out a genome-wide scan in 12,611 participants, followed by replication in an additional 7,187 individuals, and identified 17 genomic regions with GW-significant association with height. Of these, two are entirely novel (rs11809207 in CATSPER4, combined P-value = 6.1×10 −8 and rs910316 in TMED10, P-value = 1.4×10 −7) and two had previously been described with weak statistical support (rs10472828 in NPR3, P-value = 3×10 −7 and rs849141 in JAZF1, P-value = 3.2×10 −11). One locus (rs1182188 at GNA12) identifies the first height eQTL. We also assessed the contribution of height loci to the upper- (trunk) and lower-body (hip axis and femur) skeletal components of height. We find evidence for several loci associated with trunk length (including rs6570507 in GPR126, P-value = 4×10 −5 and rs6817306 in LCORL, P-value = 4×10 −4), hip axis length (including rs6830062 at LCORL, P-value = 4.8×10 −4 and rs4911494 at UQCC, P-value = 1.9×10 −4), and femur length (including rs710841 at PRKG2, P-value = 2.4×10 −5 and rs10946808 at HIST1H1D, P-value = 6.4×10 −6). Finally, we used conditional analyses to explore a possible differential contribution of the height loci to these different skeletal size measurements. In addition to validating four novel loci controlling adult stature, our study represents the first effort to assess the contribution of genetic loci to three skeletal components of height. Further statistical tests in larger numbers of individuals will be required to verify if the height loci affect height preferentially through these subcomponents of height.

          Author Summary

          The first genetic association studies of adult height have confirmed a role of many common variants in influencing human height, but to date, the genetic basis of differences between different skeletal components of height have not been addressed. Here, we take advantage of recent technical and methodological advances to examine the role of common genetic variants on both height and skeletal components of height. By examining nearly 20,000 individuals from the UK and the Netherlands, we provide statistically significant evidence that 17 genomic regions are associated with height, including four novel regions. We also examine, for the first time, the association of these 17 regions with skeletal size measurements of spine, femur, and hip axis length, a measurement of hip geometry known to influence the risk of osteoporotic fractures. We find that some height loci are also associated with these skeletal components, although further statistical tests will be required to verify if these genetic variants act differentially on the individual skeletal measurements. The knowledge generated by this and other studies will not only inform the genetics of human quantitative variation, but will also lead to the potential discovery of many medically important polymorphisms.

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          Most cited references38

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          Many sequence variants affecting diversity of adult human height.

          Adult human height is one of the classical complex human traits. We searched for sequence variants that affect height by scanning the genomes of 25,174 Icelanders, 2,876 Dutch, 1,770 European Americans and 1,148 African Americans. We then combined these results with previously published results from the Diabetes Genetics Initiative on 3,024 Scandinavians and tested a selected subset of SNPs in 5,517 Danes. We identified 27 regions of the genome with one or more sequence variants showing significant association with height. The estimated effects per allele of these variants ranged between 0.3 and 0.6 cm and, taken together, they explain around 3.7% of the population variation in height. The genes neighboring the identified loci cluster in biological processes related to skeletal development and mitosis. Association to three previously reported loci are replicated in our analyses, and the strongest association was with SNPs in the ZBTB38 gene.
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            Bone mineral density, osteoporosis, and osteoporotic fractures: a genome-wide association study

            Summary Background Osteoporosis is diagnosed by the measurement of bone mineral density, which is a highly heritable and multifactorial trait. We aimed to identify genetic loci that are associated with bone mineral density. Methods In this genome-wide association study, we identified the most promising of 314 075 single nucleotide polymorphisms (SNPs) in 2094 women in a UK study. We then tested these SNPs for replication in 6463 people from three other cohorts in western Europe. We also investigated allelic expression in lymphoblast cell lines. We tested the association between the replicated SNPs and osteoporotic fractures with data from two studies. Findings We identified genome-wide evidence for an association between bone mineral density and two SNPs (p<5×10−8). The SNPs were rs4355801, on chromosome 8, near to the TNFRSF11B (osteoprotegerin) gene, and rs3736228, on chromosome 11 in the LRP5 (lipoprotein-receptor-related protein) gene. A non-synonymous SNP in the LRP5 gene was associated with decreased bone mineral density (rs3736228, p=6·3×10−12 for lumbar spine and p=1·9×10−4 for femoral neck) and an increased risk of both osteoporotic fractures (odds ratio [OR] 1·3, 95% CI 1·09–1·52, p=0·002) and osteoporosis (OR 1·3, 1·08–1·63, p=0·008). Three SNPs near the TNFRSF11B gene were associated with decreased bone mineral density (top SNP, rs4355801: p=7·6×10−10 for lumbar spine and p=3·3×10−8 for femoral neck) and increased risk of osteoporosis (OR 1·2, 95% CI 1·01–1·42, p=0·038). For carriers of the risk allele at rs4355801, expression of TNFRSF11B in lymphoblast cell lines was halved (p=3·0×10−6). 1883 (22%) of 8557 people were at least heterozygous for these risk alleles, and these alleles had a cumulative association with bone mineral density (trend p=2·3×10−17). The presence of both risk alleles increased the risk of osteoporotic fractures (OR 1·3, 1·08–1·63, p=0·006) and this effect was independent of bone mineral density. Interpretation Two gene variants of key biological proteins increase the risk of osteoporosis and osteoporotic fracture. The combined effect of these risk alleles on fractures is similar to that of most well-replicated environmental risk factors, and they are present in more than one in five white people, suggesting a potential role in screening. Funding Wellcome Trust, European Commission, NWO Investments, Arthritis Research Campaign, Chronic Disease Research Foundation, Canadian Institutes of Health Research, European Society for Clinical and Economic Aspects of Osteoporosis, Genome Canada, Genome Quebéc, Canada Research Chairs, National Health and Medical Research Council of Australia, and European Union.
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              A functional polymorphism in the 5' UTR of GDF5 is associated with susceptibility to osteoarthritis.

              Osteoarthritis (MIM 165720), characterized by degeneration of articular cartilage, is the most common form of human arthritis and a major concern for aging societies worldwide. Epidemiological and genetic studies have shown that osteoarthritis is a polygenic disease. Here, we report that the gene encoding growth differentiation factor 5 (GDF5) is associated with osteoarthritis in Asian populations. A SNP in the 5' UTR of GDF5 (+104T/C; rs143383) showed significant association (P = 1.8 x 10(-13)) with hip osteoarthritis in two independent Japanese populations. This association was replicated for knee osteoarthritis in Japanese (P = 0.0021) and Han Chinese (P = 0.00028) populations. This SNP, located in the GDF5 core promoter, exerts allelic differences on transcriptional activity in chondrogenic cells, with the susceptibility allele showing reduced activity. Our findings implicate GDF5 as a susceptibility gene for osteoarthritis and suggest that decreased GDF5 expression is involved in the pathogenesis of osteoarthritis.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Genet
                plos
                plosgen
                PLoS Genetics
                Public Library of Science (San Francisco, USA )
                1553-7390
                1553-7404
                April 2009
                April 2009
                3 April 2009
                : 5
                : 4
                : e1000445
                Affiliations
                [1 ]Human Genetics Department, Wellcome Trust Sanger Institute, Hinxton, Cambridge, United Kingdom
                [2 ]Department of Twin Research and Genetic Epidemiology, St. Thomas' Hospital Campus, King's College London, London, United Kingdom
                [3 ]Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
                [4 ]Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands
                [5 ]Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
                [6 ]Department of Medicine, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
                [7 ]Department of Haematology of Cambridge and NHS Blood and Transplant (NHSBT), Cambridge, United Kingdom
                [8 ]ALSPAC Laboratory, Department of Social Medicine, University of Bristol, Bristol, United Kingdom
                [9 ]Medical Research Council Epidemiology Unit, Institute of Metabolic Science, Addenbrooke's Hospital, Cambridge, United Kingdom
                [10 ]Department of Public Health and Primary Care, Strangeways Research Laboratory, University of Cambridge, Cambridge, United Kingdom
                [11 ]Division of Community Health Sciences, St. George's, University of London, London, United Kingdom
                Queensland Institute of Medical Research, Australia
                Author notes
                ¶ These authors also contributed equally to this work.

                Conceived and designed the experiments: NS TDS AGU PD. Performed the experiments: NS NH MI JS PA RG PMJ SP AC MJRG RR SE WLM JBvM RJFL. Analyzed the data: NS FR UCH IM JBR LS AN EW SE KE JBvM ETD MSS. Contributed reagents/materials/analysis tools: FR IM AH HAPP FMW RJFL KRA DJH WHO NJW IB DPS GL TDS AGU PD. Wrote the paper: NS FR JBR MSS TDS AGU PD.

                Article
                08-PLGE-RA-1239R3
                10.1371/journal.pgen.1000445
                2661236
                19343178
                eb714cb9-2f5d-4611-8ae5-efa1e7cd47b2
                Soranzo et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
                History
                : 19 September 2008
                : 4 March 2009
                Page count
                Pages: 13
                Categories
                Research Article
                Genetics and Genomics
                Genetics and Genomics/Complex Traits
                Rheumatology/Bone and Mineral Metabolism
                Rheumatology/Cartilage Biology and Osteoarthritis

                Genetics
                Genetics

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