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Genotypes and clinical aspects associated with bone mineral density in Argentine postmenopausal women

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Abstract

The aim of this study was to determine genotypes and clinical aspects associated with bone mineral density (BMD) in postmenopausal women from Córdoba, Argentina. Polymorphisms were assessed by RFLP-PCR technique using BsmI and FokI for vitamin D receptor gene (VDR) and XbaI and PvuII for estrogen receptor-α gene (ERα) as restrictases. Sixty-eight healthy, 54 osteopenic, and 64 osteoporotic postmenopausal women were recruited. Femoral neck and lumbar spine BMD were inversely correlated with age in the entire analyzed population. Height was lower in osteopenic and osteoporotic women as compared to healthy women (P < 0.05). Weight and body mass index (BMI) were the lowest in osteoporotic women (P < 0.01 versus healthy group). Serum procollagen type I Nterminal propeptide (PINP) was higher in osteoporotic women as compared to the other groups. Distribution of VDR and ERα genotypes was similar in the three groups. Genotype bb (VDR) was associated with low values of lumbar BMD in the healthy group (P < 0.05 versus genotype Bb), and with low values of femoral BMD (P < 0.05 versus genotype BB) in osteoporotic women. BB*Pp interaction was associated with the highest femoral neck BMD (P < 0.05), whereas the bb*xx interaction was associated with the lowest femoral neck BMD in the total population analyzed (P < 0.05). In conclusion, parameters such as age, height, weight, BMI, serum PINP, VDR genotypes, and interactions between VDR and ERá genotypes could be useful to predict a decrease in BMD in Argentine postmenopausal women.

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References

  1. Uitterlinden A, Weel A, Burger H, Fang Y, Van Duijn C, Hofman A, Van Leeuwen J, Pols H (2001) Interaction between the vitamin D receptor gene and collagen type I alpha I gene in susceptibility for fracture. J Bone Miner Res 16:379–385

    Article  PubMed  CAS  Google Scholar 

  2. Bonnick S, Shulman L (2006) Monitoring osteoporosis therapy: bone mineral density, bone turnover markers, or both? Am J Med 119:25S–31S

    Article  Google Scholar 

  3. Garnero P, Delmas P (2004) Contribution of bone mineral density and bone turnover markers to the estimation of risk of osteoporotic fracture in postmenopausal women. J Musculoskel Neuron Interact 4:50–63

    CAS  Google Scholar 

  4. Reid I (2002) Relationships among body mass, its components and bone. Bone (NY) 31:547–555

    CAS  Google Scholar 

  5. Korpelainen R, Korpelainen J, Heikkinen J, Vaananen K, Keinanen-Kiukaanniemi S (2006) Lifelong risk factors for osteoporosis and fractures in elderly women with low body mass index: a population-based study. Bone (NY) 39:385–391

    CAS  Google Scholar 

  6. Recker R, Deng H (2002) The role of genetics in osteoporosis. Endocrine 17:55–66

    Article  PubMed  CAS  Google Scholar 

  7. Morrison N, Qi J, Tokita A, Kelly P, Crofts L, Nguyen T, Sambrook P, Eisman J (1994) Prediction of bone density from vitamin D receptor alleles. Nature (Lond) 367:284–287

    Article  CAS  Google Scholar 

  8. Gong G, Stern H, Cheng S, Fong N, Mordeson J, Deng H, Recker R (1999) The association of bone mineral density with vitamin D receptor gene polymorphisms. Osteoporos Int 9:55–64

    Article  PubMed  CAS  Google Scholar 

  9. Thakkinstian A, D’Este C, Eisman J, Nguyen T Attia J (2004). Meta-analysis of molecular association studies: vitamin D receptor gene polymorphisms and BMD as a case study. J Bone Miner Res 19:419–428

    Article  PubMed  CAS  Google Scholar 

  10. Macdonald H, McGuigan F, Stewart A, Black A, Fraser W, Ralston S, Reid D (2006). Large-scale population-based study shows no evidence of association between common polymorphism of the VDR gene and BMD in British women. J Bone Miner Res 21:151–162

    Article  PubMed  CAS  Google Scholar 

  11. Palomba S, Numis F, Mossetti G, Rendina D, Vuotto P, Russo T, Zullo F, Nappi C, Nunziata V (2003) Raloxifene administration in post-menopausal women with osteoporosis: effect of different BsmI vitamin D receptor genotypes. Hum Reprod 18:192–198

    Article  PubMed  CAS  Google Scholar 

  12. Palomba S, Orio F Jr, Russo T, Falbo A, Tolino A, Manguso F, Nunziata V, Mastrantonio P, Lombardi G, Zullo F (2005) BsmI vitamin D receptor genotypes influence the effi cacy of antiresorptive treatments in postmenopausal osteoporotic women. A 1-year multicenter, randomized and controlled trial. Osteoporos Int 16:943–952

    Article  PubMed  CAS  Google Scholar 

  13. Albagha O, Pettersson U, Stewart A, McGuigan F, MacDonald H, Reid D, Ralston S (2005) Association of estrogen receptor α gene polymorphisms with postmenopausal bone loss, bone mass, and quantitative ultrasound properties of bone. J Med Genet 42: 240–246

    Article  PubMed  CAS  Google Scholar 

  14. Shen H, Recker R, Deng H (2003). Molecular and genetic mechanisms of osteoporosis: implication for treatment. Curr Mol Med 3:737–757

    Article  PubMed  CAS  Google Scholar 

  15. Rapuri P, Gallagher J, Knezetic J, Haynatzka V (2006) Estrogen receptor alpha gene polymorphisms are associated with changes in bone remodeling markers and treatment response to estrogen. Maturitas 53:371–379

    Article  PubMed  CAS  Google Scholar 

  16. Ulla M, Pérez A, Elías V, Castro M, Pretel E, Binci M, Talamoni J, Costero B, Mammana M, Babini S, Díaz de Barboza G, Tolosa de Talamoni N (2007) Vitamin D receptor and estrogen receptor genotypes in pre-and perimenopausal women from Argentina. Medicina (B Aires) 67:32–38

    CAS  Google Scholar 

  17. Willing M, Sowers M, Aron D, Clark M, Burns T, Bunten C, Crutchfield M, D’Agostino D, Jannausch M (1998) Bone mineral density and its change in white women: estrogen and vitamin D receptor genotypes and their interaction. J Bone Miner Res 13:695–705

    Article  PubMed  CAS  Google Scholar 

  18. Cummings S, Bates D, Black D (2002) Clinical use of bone densitometry. JAMA 288:1889–1897

    Article  PubMed  Google Scholar 

  19. Tobias J, Hutchinson A, Hunt L, McCloskey E, Stone M, Martin J, Thompson P, Palferman T, Bhalla A (2007) Use of clinical risk factors to identify postmenopausal women with vertebral fractures. Osteoporos Int 18:35–43

    Article  PubMed  CAS  Google Scholar 

  20. Asomaning K, Bertone-Johnson E, Nasca P, Hooven F, Pekow P (2006) The association between body mass index and osteoporosis in patients referred for a bone mineral density examination. J Womens Health 15:1028–1034.

    Article  Google Scholar 

  21. Eastell R, Krege J, Chen P, Glass E, Reginster J (2006) Development of an algorithm for using PINP to monitor treatment of patients with teriparatide. Curr Med Res Opin 22:61–66

    Article  PubMed  CAS  Google Scholar 

  22. Hauache O, Lazaretti-Castro M, Andreoni S, Gimeno S, Brandao C, Ramalho A, Kasamatsu T, Kunii I, Hayashi L, Dib S, Vieira J (1998) Vitamin D receptor gene polymorphism: correlation with bone mineral density in a Brazilian population with insulin-dependent diabetes mellitus. Osteoporos Int 8:204–210

    Article  PubMed  CAS  Google Scholar 

  23. Borjas-Fajardo L, Zambrano M, Fernandez E, Pineda L, Machin A, de Romero P, Zabala W, Sanchez M, Chacin J, Delgado W (2003) Analysis of BsmI polymorphism of the vitamin D receptor (VDR) gene in Venezuelan female patients living in the state of Zulia with osteoporosis. Invest Clin 44:275–282

    PubMed  Google Scholar 

  24. Lisker R, Lopez M, Jasqui S, Ponce De Leon Rosales S, Correa-Rotter R, Sanchez S, Mutchinick O (2003) Association of vitamin D receptor polymorphisms with osteoporosis in Mexican postmenopausal women. Hum Biol 75:399–403

    Article  PubMed  Google Scholar 

  25. Quesada J, Casado A, Díaz C, Barrios L, Cuenca-Acevedo R, Dorado G (2004). Allele-frequency determination of BsmI and FokI polymorphisms of the VDR gene by quantitative real-time PCR (QRT-PCR) in pooled genomic DNA samples. J Steroid Biochem Mol Biol 89–90:209–214

    Article  PubMed  Google Scholar 

  26. Gennari L, Becherini L, Mansani R, Masi L, Falchetti A, Morelli A, Colli E, Gonnelli S, Cepollaro C, Brandi ML (1999) Fok I polymorphism at translation initiation site of the vitamin D receptor gene predicts bone mineral density and vertebral fractures in postmenopausal Italian women. J Bone Miner Res 14:1379–1386

    Article  PubMed  CAS  Google Scholar 

  27. Chen H, Chen W, Hsu C, Tsai F, Tsai C (2002) Relation of vitamin D receptor Fok I start codon polymorphism to bone mineral density and occurrence of osteoporosis in postmenopausal women in Taiwan. Acta Obstet Gynecol Scand 81:93–98

    Article  PubMed  CAS  Google Scholar 

  28. Zajícková K, Zofková I, Bahbouh R, Krepelová A (2002) Vitamin D receptor gene polymorphisms, bone mineral density and bone turnover: Fok I genotype is related to postmenopausal bone mass. Physiol Rev 51:501–509

    Google Scholar 

  29. Bagger Y, Jorgensen H, Heegaard A, Bayer L, Hansen L, Hassager C (2000) No major effect of estrogen receptor gene polymorphisms on bone mineral density or bone loss in postmenopausal Danish women. Bone (NY) 26:111–116

    CAS  Google Scholar 

  30. Morosano M, Masoni A, Sanchez A (2005) Incidence of hip fractures in the city of Rosario, Argentina. Osteoporos Int 16:1339–1344

    Article  PubMed  Google Scholar 

  31. Bagur A, Rubin Z, García G, Mautalen C (1991) Epidemiología de las fracturas de fémur proximal en La Plata, Argentina. Medicina (B Aires) 51:343–347

    CAS  Google Scholar 

  32. Mosquera M, Maurel D, Pavón S, Arregui A, Moreno C, Vazquez J (1998) Incidencia y factores de riesgo de la fractura de fémur proximal por osteoporosis. PanAm J Public Health 3:211–218

    CAS  Google Scholar 

  33. Tofteng C, Jenesen J, Abrahamsen B, Odum L, Brot C (2002) Two polymorphisms in the vitamin D receptor gene-association with bone mass and 5-year change in bone mass with or without hormone-replacement therapy in postmenopausal women: the Danish Osteoporosis Prevention Study. J Bone Miner Res 17: 1535–1544

    Article  PubMed  CAS  Google Scholar 

  34. Blanchet C, Guiguère Y, Prud’homme D, Dumont M, Rousseau F, Dodin S (2002). Association of physical activity and bone: influence of vitamin D receptor genotype. Med Sci Sports Exerc 34:24–31

    PubMed  CAS  Google Scholar 

  35. Grundberg E, Brändström H, Ribom E, Ljunggren O, Kindmark A, Mallmin H (2003) A poly adenosine repeat in the human vitamin D receptor gene is associated with bone mineral density in young Swedish women. Calcif Tissue Int 73:455–462

    Article  PubMed  CAS  Google Scholar 

  36. Taguchi A, Kobavashi J, Suei Y, Ohtsuka M, Nakamoto T, Tanimoto K, Sanada M, Tsuda M, Ohama K (2003) Association of estrogen and vitamin D receptor gene polymorphisms with tooth loss and oral bone loss in Japanese postmenopausal women. Menopause 10:250–257

    Article  PubMed  Google Scholar 

  37. Lazzaretti-Castro M, Duarte de Oliveira M, Russo E, Vieira J (1997) Vitamin D receptor alleles and bone mineral density in a normal premenopausal Brazilian female population. Braz J Med Biol Res 30:929–932

    Article  Google Scholar 

  38. Viitanen A, Karkkainen M, Laitinen K, Lamberg-Allardt C, Kainulainen K, Rasanen L, Viikari J, Valimaki M, Kontula K (1996) Common polymorphism of the vitamin D receptor gene is associated with variation of peak bone mass in young Finns. Calcif Tissue Int 59:231–234

    Article  PubMed  CAS  Google Scholar 

  39. Hansen T, Abrahamsen B, Henriksen F, Hermann A, Jensen L, Horder M, Gram J (1998). Vitamin D receptor alleles do not predict bone mineral density or bone loss in Danish perimenopausal women. Bone (NY) 22:571–575

    CAS  Google Scholar 

  40. Bandrés E, Pombo I, González-Huarriz M, Rebollo A, López G, García-Foncillas J (2005) Association between bone mineral density and polymorphisms of the VDR, ERalpha, COL1A1 and CTR genes in Spanish postmenopausal women. J Endocrinol Invest 28:312–321

    PubMed  Google Scholar 

  41. Vandevyver C, Vanhoof J, Declerck K, Stinissen P, Vandervorst C, Michiels L, Cassiman J, Boonen S, Raus J, Geusens P (1999) Lack of association between estrogen receptor genotypes and bone mineral density, fracture history, or muscle strength in elderly women. J Bone Miner Res 14:1576–1582

    Article  PubMed  CAS  Google Scholar 

  42. Gennari L, Becherini L, Masi L, Mansani R, Gonnelli S, Cepollaro C, Martini S, Montagnani A, Lentini G, Becorpi A, Brandi ML (1998) Vitamin D and estrogen receptor allelic variants in Italian postmenopausal women: evidence of multiple gene contribution to bone mineral density. J Clin Endocrinol Metab 83:939–944

    Article  PubMed  CAS  Google Scholar 

  43. Deng H, Li J, Johnson M, Gong G, Davis K, Recker R (1998) Change of bone mass in postmenopausal Caucasian women with and without hormone replacement therapy is associated with vitamin D receptor and estrogen receptor genotypes. Hum Genet 103:576–585

    Article  PubMed  CAS  Google Scholar 

  44. Cusack S, Molgaard C, Michaelsen K, Jakobsen J, Lamberg-Allardt C, Cashman K (2006) Vitamin D and estrogen receptor-α genotype and indices of bone mass and bone turnover in Danish girls. J Bone Miner Metab 24:329–336

    Article  PubMed  CAS  Google Scholar 

  45. Colin E, Uitterlinden G, Meurs J, Bergink A, van de Klift M, Fang Y, Arp P, Hofman A, van Leeuwen J, Pols H (2003) Interaction between vitamin D receptor genotype and estrogen receptor-α genotype influences vertebral fracture risk. J Clin Endocrinol Metab 88:3777–3784

    Article  PubMed  CAS  Google Scholar 

  46. Ralston S (2003) Genetic determinants of susceptibility to osteoporosis. Curr Opin Pharmacol 3:286–290

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Nori Tolosa de Talamoni.

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Pérez, A., Ulla, M., García, B. et al. Genotypes and clinical aspects associated with bone mineral density in Argentine postmenopausal women. J Bone Miner Metab 26, 358–365 (2008). https://doi.org/10.1007/s00774-007-0840-2

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  • DOI: https://doi.org/10.1007/s00774-007-0840-2

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