Evidence map›Paper›PMID 26572781›Full record

Trial reportJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research2016

Genetic Risk Scores Implicated in Adult Bone Fragility Associate With Pediatric Bone Density.

Jonathan A Mitchell, Alessandra Chesi, Okan Elci, Shana E McCormack, Sani M Roy, Heidi J Kalkwarf, Joan M Lappe, Vicente Gilsanz, Sharon E Oberfield, John A Shepherd and 3 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. A Meta-Analysis of the Transferability of Bone Mineral Density Genetic Loci Associations From European to African Ancestry Populations.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Pooled it
  2. The gSOS polygenic score is associated with bone density and fracture risk in childhood.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Article
  3. Article
  4. Enhanced fracture risk prediction: a novel multi-trait genetic approach integrating polygenic scores of fracture-related traits.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  5. Article
  6. The clinical utility of the BMD-related comprehensive genome-wide polygenic score in identifying individuals with a high risk of osteoporotic fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Article
  7. Single-cell RNA sequencing revealsFrontiers in endocrinology · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Assessing the clinical utility of genetic profiling in fracture risk prediction: a decision curve analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Article
  12. Review
  13. Article
  14. Genetic profiling of decreased bone mineral density in an independent sample of Caucasian women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    Article
  15. Article
  16. A Genomewide Association Study Identifies Two Sex-Specific Loci, at SPTB and IZUMO3, Influencing Pediatric Bone Mineral Density at Multiple Skeletal Sites.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2017
    Article
  17. Rare EN1 Variants and Pediatric Bone Mass.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Article
  18. Physical Activity Benefits the Skeleton of Children Genetically Predisposed to Lower Bone Density in Adulthood.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2016
    Article
  19. Review
  20. Review
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

13 authors at 7 institutions in 2 countries.

Jonathan A MitchellDivision of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Alessandra ChesiDivision of Human Genetics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Okan ElciBiostatistics and Data Management Core, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Shana E McCormackDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Sani M RoyDivision of Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Heidi J KalkwarfDivision of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Joan M LappeDivision of Endocrinology, Department of Medicine, Creighton University, Omaha, NE, USA.
Vicente GilsanzDepartment of Radiology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Sharon E OberfieldDivision of Pediatric Endocrinology, Diabetes, and Metabolism, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA.
John A ShepherdDepartment of Radiology, University of California San Francisco, San Francisco, CA, USA.
Andrea KellyDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Struan Fa GrantDepartment of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Babette S ZemelDivision of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USColumbia University Irving Medical Center · USCreighton University · USData Management (Italy) · ITUniversity of California, San Francisco · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., TSEVAT, JOEL · 2012 to 2014
$9.9M
Translational Research Training in Pediatric Diabetes & EndocrinologyT32DK063688 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI LORRAINE E LEVITT KATZ, ANDREA Bridget KELLY · 2002 to 2026
$5.4M
Training Grant in Pediatric Endocrinology, Diabetes and MetabolismT32DK065522 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHARON E. OBERFIELD · 2005 to 2026
$4.6M
Career Development Program in Pediatric Diabetes Research (K12) at CHOPK12DK094723 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI WILLI, STEVEN M · 2011 to 2020
$3.6M
Genome Wide Association Study of Bone Mineral Accretion During ChildhoodR01HD058886 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI GRANT, STRUAN F A, ZEMEL, BABETTE S · 2010 to 2013
$3.1M
Translational investigation of abnormal fat metabolism in mitochondrial diseaseK23DK102659 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MCCORMACK, SHANA ERIN · 2015 to 2017
$515k
BONE MINERAL DENSITY IN CHILDHOOD STUDY-CLINICAL CENTER-275013332-275013332N01HD013332 · NICHD · COLUMBIA UNIV. NEW YORK · PI HORLICK, MARY · 2002 to 2006
–
BONE MINERAL DENSITY IN CHILDHOOD STUDY--CLINICAL CENTER-275013330-275013330N01HD013330 · NICHD · CREIGHTON UNIVERSITY · PI LAPPE, JOAN · 2002 to 2006
–
BONE MINERAL DENSITY IN CHILDHOOD STUDY-CLINICAL CENTER-275013329-275013329N01HD013329 · NICHD · CHILDREN'S HOSP. MED CTR · PI KALKWARF, HEIDI J · 2002 to 2006
–
BONE MINERAL DENSITY IN CHILDHOOD STUDY--CLINICAL CENTER-275013331-275013331N01HD013331 · NICHD · CHILDREN'S HOSP. PHILADELPHIA · PI ZEMEL, BABETTE S · 2002 to 2006
–
BONE MINERAL DENSITY IN CHILDHOOD STUDY--CLINICAL CENTER-275013333-275013333N01HD013333 · NICHD · CHILDRENS HOSPITAL LOS ANGELES · PI GILSANZ, VICENTE · 2002 to 2006
–
NCATS NIH HHS 8 UL1 TR000077NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR001425NICHD NIH HHS N01-HD-1-3228NICHD NIH HHS N01-HD-1-3329NICHD NIH HHS N01-HD-1-3330NICHD NIH HHS N01-HD-1-3331NICHD NIH HHS N01-HD-1-3332NICHD NIH HHS N01-HD-1-3333NICHD NIH HHS R01 HD058886NIDDK NIH HHS K12 DK094723NIDDK NIH HHS K23 DK102659NIDDK NIH HHS T32 DK063688NIDDK NIH HHS T32 DK065522
6 · The paper itself

Abstract

Using adult identified bone mineral density (BMD) loci, we calculated genetic risk scores (GRS) to determine if they were associated with changes in BMD during childhood. Longitudinal data from the Bone Mineral Density in Childhood Study were analyzed (N = 798, 54% female, all European ancestry). Participants had up to 6 annual dual energy X-ray scans, from which areal BMD (aBMD) Z-scores for the spine, total hip, and femoral neck were estimated, as well as total body less head bone mineral content (TBLH-BMC) Z-scores. Sixty-three single-nucleotide polymorphisms (SNPs) were genotyped, and the percentage of BMD-lowering alleles carried was calculated (overall adult GRS). Subtype GRS that include SNPs associated with fracture risk, pediatric BMD, WNT signaling, RANK-RANKL-OPG, and mesenchymal stem cell differentiation were also calculated. Linear mixed effects models were used to test associations between each GRS and bone Z-scores, and if any association differed by sex and/or chronological age. The overall adult, fracture, and WNT signaling GRS were associated with lower Z-scores (eg, spine aBMD Z-score: βadult  = -0.04, p = 3.4 × 10(-7) ; βfracture = -0.02, p = 8.9 × 10(-6) ; βWNT  = -0.01, p = 3.9 × 10(-4) ). The overall adult GRS was more strongly associated with lower Z-scores in females (p-interaction ≤ 0.05 for all sites). The fracture GRS was more strongly associated with lower Z-scores with increasing age (p-interaction ≤ 0.05 for all sites). The WNT GRS associations remained consistent for both sexes and all ages (p-interaction > 0.05 for all sites). The RANK-RANKL-OPG GRS was more strongly associated in females with increasing age (p-interaction < 0.05 for all sites). The mesenchymal stem cell GRS was associated with lower total hip and femoral neck Z-scores, in both boys and girls, across all ages. No associations were observed between the pediatric GRS and bone Z-scores. In conclusion, adult identified BMD loci associated with BMD and BMC in the pediatric setting, especially in females and in loci involved in fracture risk and WNT signaling.

Indexed as

AllelesFractures, BoneAdolescentAdultBone DensityCell DifferentiationChildFemaleFollow-Up StudiesHumansMaleMesenchymal Stem CellsOsteoprotegerinRANK LigandReceptor Activator of Nuclear Factor-kappa BRisk AssessmentOsteoprotegerinRANK LigandReceptor Activator of Nuclear Factor-kappa BTNFRSF11A protein, humanTNFRSF11B protein, humanTNFSF11 protein, humanCHILDHOODDXAGENERAL POPULATION STUDIESGENETIC RESEARCHPUBERTY

Identifiers

PMID26572781
PMCPMC4826827
OpenAlexW2180601760

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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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.