Evidence map›Paper›PMID 19841454›Full record

SynthesisAnnals of internal medicine2009

Collaborative meta-analysis: associations of 150 candidate genes with osteoporosis and osteoporotic fracture.

J Brent Richards, Fotini K Kavvoura, Fernando Rivadeneira, Unnur Styrkársdóttir, Karol Estrada, Bjarni V Halldórsson, Yi-Hsiang Hsu, M Carola Zillikens, Scott G Wilson, Benjamin H Mullin and 25 more

Open access · greenAbstract readMeta-AnalysisMulticenter StudySystematic Review
In one paragraph

Synthesis in Annals of internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 11 pooled it
31.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 11 syntheses or guidelines pooled it, 278 citations in OpenAlex.

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  6. Association of MTHFR C667T polymorphism with bone mineral density and fracture risk: an updated meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012
    Pooled it
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  9. Associations of APOE gene polymorphisms with bone mineral density and fracture risk: a meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011
    Pooled it
  10. Polymorphisms in the 5' flank of COL1A1 gene and osteoporosis: meta-analysis of published studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2011
    Pooled it
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  13. The Influence of Clinical Factors and Genetic Variants ofInternational journal of molecular sciences · 2025
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60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 1 institution in 2 countries.

J Brent RichardsMcGill University, Montreal, Quebec, Canada.
Fotini K Kavvoura
Fernando Rivadeneira
Unnur Styrkársdóttir
Karol Estrada
Bjarni V Halldórsson
Yi-Hsiang Hsu
M Carola Zillikens
Scott G Wilson
Benjamin H Mullin
Najaf Amin
Yurii S Aulchenko
L Adrienne Cupples
Panagiotis Deloukas
Serkalem Demissie
Albert Hofman
Augustine Kong
David Karasik
Joyce B van Meurs
Ben A Oostra
Huibert A P Pols
Gunnar Sigurdsson
Unnur Thorsteinsdottir
Nicole Soranzo
Frances M K Williams
Yanhua Zhou
Stuart H Ralston
Gudmar Thorleifsson
Cornelia M van Duijn
Douglas P Kiel
Kari Stefansson
André G Uitterlinden
John P A Ioannidis
Tim D Spector
Genetic Factors for Osteoporosis Consortium
Netherlands Consortium for Healthy Ageing · NL

Funding

RISK FACTORS FOR VERTEBRAL FRACTURE AND BONE LOSSR01AR041398 · NIAMS · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI KIEL, DOUGLAS P. · 1991 to 2025
$16.1M
GENETICS OF BONE STRUCTURAL GEOMETRY: FRAMINGHAM COHORTSR01AR050066 · NIAMS · HEBREW REHABILITATION CENTER FOR AGED · PI KARASIK, DAVID · 2003 to 2006
$2.4M
SLEEP AND ENTRAINMENT OF SCN FUNCTIONR01HL064278 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI STROHL, KINGMAN PERKINS · 1999 to 2002
$871k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
Biotechnology and Biological Sciences Research Council G20234CIHRNHLBI NIH HHS N01 HC025195NHLBI NIH HHS N02-HL-64278NIAMS NIH HHS R01 AR041398NIAMS NIH HHS R01 AR050066NIA NIH HHS R01 AR/AG 41398Wellcome TrustWellcome Trust FP7/2007-2013
6 · The paper itself

Abstract

backgroundOsteoporosis is a highly heritable trait. Many candidate genes have been proposed as being involved in regulating bone mineral density (BMD). Few of these findings have been replicated in independent studies.

objectiveTo assess the relationship between BMD and fracture and all common single-nucleotide polymorphisms (SNPs) in previously proposed osteoporosis candidate genes.

designLarge-scale meta-analysis of genome-wide association data.

setting5 international, multicenter, population-based studies.

participantsData on BMD were obtained from 19 195 participants (14 277 women) from 5 populations of European origin. Data on fracture were obtained from a prospective cohort (n = 5974) from the Netherlands. MEASUREMENTS: Systematic literature review using the Human Genome Epidemiology Navigator identified autosomal genes previously evaluated for association with osteoporosis. We explored the common SNPs arising from the haplotype map of the human genome (HapMap) across all these genes. BMD at the femoral neck and lumbar spine was measured by dual-energy x-ray absorptiometry. Fractures were defined as clinically apparent, site-specific, validated nonvertebral and vertebral low-energy fractures.

results150 candidate genes were identified and 36 016 SNPs in these loci were assessed. SNPs from 9 gene loci (ESR1, LRP4, ITGA1, LRP5, SOST, SPP1, TNFRSF11A, TNFRSF11B, and TNFSF11) were associated with BMD at either site. For most genes, no SNP was statistically significant. For statistically significant SNPs (n = 241), effect sizes ranged from 0.04 to 0.18 SD per allele. SNPs from the LRP5, SOST, SPP1, and TNFRSF11A loci were significantly associated with fracture risk; odds ratios ranged from 1.13 to 1.43 per allele. These effects on fracture were partially independent of BMD at SPP1 and SOST. LIMITATION: Only common polymorphisms in linkage disequilibrium with SNPs in HapMap could be assessed, and previously reported associations for SNPs in some candidate genes could not be excluded.

conclusionIn this large-scale collaborative genome-wide meta-analysis, 9 of 150 candidate genes were associated with regulation of BMD, 4 of which also significantly affected risk for fracture. However, most candidate genes had no consistent association with BMD.

Indexed as

Polymorphism, Single NucleotideBone DensityFemaleFractures, BoneGenotypeHumansLinkage DisequilibriumMaleOsteoporosisProspective StudiesRisk Factors

Identifiers

PMID19841454
PMCPMC2842981
OpenAlexW2131295941

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.