Evidence map›Paper›PMID 21124946›Full record

SynthesisPLoS genetics2010

Genome-wide association meta-analysis of cortical bone mineral density unravels allelic heterogeneity at the RANKL locus and potential pleiotropic effects on bone.

Lavinia Paternoster, Mattias Lorentzon, Liesbeth Vandenput, Magnus K Karlsson, Osten Ljunggren, Andreas Kindmark, Dan Mellstrom, John P Kemp, Caroline E Jarett, Jeff M P Holly and 9 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PLoS genetics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. P4 medicine and osteoporosis: a systematic review.Wiener klinische Wochenschrift · 2016
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Multidimensional Bone Density Phenotyping Reveals New Insights Into Genetic Regulation of the Pediatric Skeleton.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2018
    Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Longer or shorter spines: Reciprocal trait evolution in stickleback via triallelic regulatory changes inProceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  10. Review
  11. Factors influencing peak bone mass gain.Frontiers of medicine · 2021
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Association of Genetic Variants ofMediators of inflammation · 2019
    Article
  18. Clinical interventions in aging · 2018
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 7 institutions in 2 countries.

Lavinia PaternosterUniversity of Bristol, Bristol, UK. l.paternoster@bristol.ac.uk
Mattias Lorentzon
Liesbeth Vandenput
Magnus K Karlsson
Osten Ljunggren
Andreas Kindmark
Dan Mellstrom
John P Kemp
Caroline E Jarett
Jeff M P Holly
Adrian Sayers
Beate St Pourcain
Nicholas J Timpson
Panos Deloukas
George Davey Smith
Susan M Ring
David M Evans
Jon H Tobias
Claes Ohlsson
University of Bristol · GBUniversity of Gothenburg · SEMedical Research Council · GBNorth Bristol NHS Trust · GBUppsala University Hospital · SELund University · SEWellcome Sanger Institute · GB

Funding

Medical Research Council 74882Medical Research Council G0600705Medical Research Council G0800582Medical Research Council G9815508Wellcome TrustWellcome Trust 076467
6 · The paper itself

Abstract

Previous genome-wide association (GWA) studies have identified SNPs associated with areal bone mineral density (aBMD). However, this measure is influenced by several different skeletal parameters, such as periosteal expansion, cortical bone mineral density (BMD(C)) cortical thickness, trabecular number, and trabecular thickness, which may be under distinct biological and genetic control. We have carried out a GWA and replication study of BMD(C), as measured by peripheral quantitative computed tomography (pQCT), a more homogenous and valid measure of actual volumetric bone density. After initial GWA meta-analysis of two cohorts (ALSPAC n = 999, aged ∼15 years and GOOD n = 935, aged ∼19 years), we attempted to replicate the BMD(C) associations that had p<1×10(-5) in an independent sample of ALSPAC children (n = 2803) and in a cohort of elderly men (MrOS Sweden, n = 1052). The rs1021188 SNP (near RANKL) was associated with BMD(C) in all cohorts (overall p = 2×10(-14), n = 5739). Each minor allele was associated with a decrease in BMD(C) of ∼0.14SD. There was also evidence for an interaction between this variant and sex (p = 0.01), with a stronger effect in males than females (at age 15, males -6.77mg/cm(3) per C allele, p = 2×10(-6); females -2.79 mg/cm(3) per C allele, p = 0.004). Furthermore, in a preliminary analysis, the rs1021188 minor C allele was associated with higher circulating levels of sRANKL (p<0.005). We show this variant to be independent from the previously aBMD associated SNP (rs9594738) and possibly from a third variant in the same RANKL region, which demonstrates important allelic heterogeneity at this locus. Associations with skeletal parameters reflecting bone dimensions were either not found or were much less pronounced. This finding implicates RANKL as a locus containing variation associated with volumetric bone density and provides further insight into the mechanism by which the RANK/RANKL/OPG pathway may be involved in skeletal development.

Indexed as

AllelesGenome-Wide Association StudyAdolescentAdultAgedBone and BonesBone DensityCohort StudiesFemaleGenotypeHumansMalePolymorphism, Single NucleotideRANK LigandStatistics, NonparametricTomography, X-Ray ComputedRANK Ligand

Identifiers

PMID21124946
PMCPMC2987837
OpenAlexW2120703939

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.