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Updated: Feb 27, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Genetic sharing with coronary artery disease identifies potential novel loci for bone mineral density
Cheng Peng1, Jie Shen2, Xu Lin2
1Department of Endocrinology and Metabolism, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China; Department of Geriatrics, National Key Clinical Specialty, Guangzhou First People's Hospital, Guangzhou Medical University, 510180, China.
Insights
This study reveals shared genetic factors between bone mineral density (BMD) and coronary artery disease (CAD) using a novel method. It identified new genetic variants influencing BMD, offering insights into osteoporosis and heart disease connections.
Area of Science:
- Genetics
- Metabolic Diseases
- Osteoporosis Research
Background:
- Bone mineral density (BMD) is a complex heritable trait with significant missing heritability.
- Growing evidence suggests a link between BMD variation and coronary artery disease (CAD), potentially due to pleiotropy (shared genetic basis).
- Leveraging pleiotropy may enhance the power to detect genetic variants associated with BMD.
Purpose of the Study:
- To jointly analyze genome-wide association study (GWAS) data for lumbar spine (LS) BMD and CAD using a conditional false discovery rate (cFDR) method.
- To identify pleiotropic genetic variants shared between LS BMD and CAD.
- To discover novel genetic variants associated with LS BMD and explore their functional significance.
Main Methods:
- Utilized a conditional false discovery rate (cFDR) method to jointly analyze summary statistics from large-scale GWAS of LS BMD and CAD.
- Identified pleiotropic single nucleotide polymorphisms (SNPs) and SNPs associated with LS BMD.
- Performed gene expression assays, functional enrichment analysis (GO terms, KEGG pathways), and protein-protein interaction analysis.
Main Results:
- Detected strong pleiotropic enrichment and identified 7 pleiotropic SNPs between LS BMD and CAD.
- Discovered 41 SNPs associated with LS BMD (cFDR<0.05), including 21 potentially novel variants.
- Partially validated 4 genes linked to 9 cFDR-significant SNPs via gene expression assays; these genes were enriched in bone metabolism pathways and showed strong protein interactions.
Conclusions:
- The cFDR method proved reliable and efficient for detecting trait-associated genetic variants.
- The study provides novel insights into the genetic variability of BMD and the shared genetic basis of osteoporosis and CAD.
- Findings highlight the potential for leveraging pleiotropy to understand complex traits and related diseases.
Abstract:
Bone mineral density (BMD) is a complex trait with high missing heritability. Numerous evidences have shown that BMD variation has a relationship with coronary artery disease (CAD). This relationship may come from a common genetic basis called pleiotropy. By leveraging the pleiotropy with CAD, we may be able to improve the detection power of genetic variants associated with BMD. Using a recently developed conditional false discovery rate (cFDR) method, we jointly analyzed summary statistics from two large independent genome wide association studies (GWAS) of lumbar spine (LS) BMD and CAD. Strong pleiotropic enrichment and 7 pleiotropic SNPs were found for the two traits. We identified 41 SNPs for LS BMD (cFDR<0.05), of which 20 were replications of previous GWASs and 21 were potential novel SNPs that were not reported before. Four genes encompassed by 9 cFDR-significant SNPs were partially validated in the gene expression assay. Further functional enrichment analysis showed that genes corresponding to the cFDR-significant LS BMD SNPs were enriched in GO terms and KEGG pathways that played crucial roles in bone metabolism (adjP<0.05). In protein-protein interaction analysis, strong interactions were found between the proteins produced by the corresponding genes. Our study demonstrated the reliability and high-efficiency of the cFDR method on the detection of trait-associated genetic variants, the present findings shed novel insights into the genetic variability of BMD as well as the shared genetic basis underlying osteoporosis and CAD.
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