2004
DOI: 10.1001/jama.292.17.2105
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Differential Genetic Effects of <EMPH TYPE="ITAL">ESR1</EMPH> Gene Polymorphisms on Osteoporosis Outcomes

Abstract: STEOPOROSIS IS A COMMONdisease characterized by reduced bone mass and an increased risk of fracture, which affects up to 30% of women and 12% of men at some point during life. Bone mineral density (BMD) is an important clinical predictor of fracture risk, and most of the variance in BMD is genetically determined. 1,2 Many other predictors of fragility fracture are also under genetic control, however, including ultrasound properties of bone, biochemical markers of bone turnover, and skeletal geometry. A wide va… Show more

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Cited by 265 publications
(165 citation statements)
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“…Although our results indicated significant total association between the Px(TA) 21 haplotype and the (TA) 21 allele with hip BMD, the insignificant results of within-family association and linkage analyses do not support any real association between the (TA) n locus and BMD in our sample. Our results are in accordance with the conclusion of a recent meta-analysis demonstrating that none of the three polymorphisms or haplotypes had any statistically significant effect on BMD, but that XbaI polymorphism determines fracture risk by mechanisms independent of BMD (Ioannidis et al 2004).…”
Section: Discussionsupporting
confidence: 92%
“…Although our results indicated significant total association between the Px(TA) 21 haplotype and the (TA) 21 allele with hip BMD, the insignificant results of within-family association and linkage analyses do not support any real association between the (TA) n locus and BMD in our sample. Our results are in accordance with the conclusion of a recent meta-analysis demonstrating that none of the three polymorphisms or haplotypes had any statistically significant effect on BMD, but that XbaI polymorphism determines fracture risk by mechanisms independent of BMD (Ioannidis et al 2004).…”
Section: Discussionsupporting
confidence: 92%
“…Therefore, unsurprisingly, recent genome-wide association studies (GWAS) for adult height identified, among other bone-related genes, GDF5, a cartilage-derived morphogenetic protein (Soranzo et al 2009;Sanna et al 2008;Weedon et al 2008). Earlier, it was suggested that ESR1 polymorphisms influence the age-related decrease in stature (Ioannidis et al 2004). …”
Section: Biomarkers Of Agingmentioning
confidence: 99%
“…Safarinejad et al reported that compared to those of TT genotype, carriers of XbaI TC genotype had significantly higher SHBG levels and significant differences in total and free T and E2 levels between the genotypes were also found (Safarinejad et al, 2010). From a meta-analysis conducted by Ioannidis et al have found that for women who were homozygous for the absence of an XbaI recognition site, the adjusted odds of all fractures were reduced by 19% (OR = 0.81, 95% CI = 0.71-0.93) and vertebral fractures by 35% (OR = 0.65, 95% CI = 0.49-0.87) (Ioannidis et al, 2004). Wedren et al found that allele C was associated with a significant reduced risk for endometrial cancer risk (Wedren et al, 2008), but another study conducted by Ashton et al found that allele C was a risk factor for endometrial cancer risk, which may be due to the population diversity (Ashton et al, 2009).…”
Section: Discussionmentioning
confidence: 92%