Investigation of risk factors for glucocorticoid induced (GI) osteoporosis, which is one of the most frequent and serious complications of long term systemic glucocorticoid (SGC) therapy for bronchial asthma, is a topical issue of preventative medicine. In the present work, allele specific hybridization on a bio chip was used to determine the allele and genotype frequencies of eight candidate genes for GI osteoporosis in 137 patients with bronchial asthma receiving long term SGC therapy. The MTHFR polymorphism 677C>T showed a significant association with the proximal femur mineral density (Z score) in patients treated with SGC (nonparametric Kruskal-Wallis ANOVA, p = 0.0013). On the other hand, carriers of the null genotype by the GSTM1 insertion-deletion polymorphism had lower bone mineral density Z scores than carriers of at least one functional GSTM1 allele (Mann-Whitney U test with the Bonferroni correction, p = 0.034). Anal ysis of gene-gene interactions showed that the MTHFR 677C/C/GSTM1 null genotype combination was associated with significantly lower bone mineral density Z scores than other genotype variants (KruskalWallis ANOVA, p = 0.0012). Thus, the MTHFR and GSTM1 alleles can modulate the risk of GI osteoporosis in patients with bronchial asthma, which is very important for the identification of patients at a high risk of osteoporosis among individuals receiving SGC, as well as inhaled glucocorticoids.