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A single genetic locus associated with pediatric fractures: A genome-wide association study on 3,230 patients
Roope Parviainen1, Sini Skarp2,3, Linda Korhonen1
1Department of Children and Adolescents, Oulu Childhood Fracture and Sports Injury Study, Research Unit for Pediatrics, Pediatric Neurology, Pediatric Surgery, Child Psychiatry, Dermatology, Clinical Genetics, Obstetrics and Gynecology, Otorhinolaryngology and Ophthalmology (PEDEGO), Oulu Medical Research Center (MRC), University of Oulu and Oulu University Hospital, FI-90029 Oulu, Finland.
Insights
This study identified genetic variations linked to childhood fractures using genome-wide association studies. A significant locus on chromosome 10 near PROSER2 genes suggests new targets for understanding pediatric fracture risk.
Area of Science:
- Genetics
- Pediatrics
- Orthopedics
Background:
- Understanding pediatric fracture risk factors, particularly genetic influences on immature bone, is limited.
- Previous research suggests heritable traits contribute to fractures, but specific genetic factors remain unclear.
Purpose of the Study:
- To identify genetic variations associated with bone fractures in early childhood.
- To investigate genetic influences on immature bone susceptibility to fractures.
Main Methods:
- Utilized the Northern Finland Birth Cohort (1986) with genotype data from 3,230 individuals.
- Conducted a genome-wide association study (GWAS) comparing 48 children with fractures to 3,182 controls.
- Employed linear regression with single-nucleotide polymorphisms (SNPs) adjusting for sex and population stratification.
Main Results:
- Identified one significant locus (rs112635931) on chromosome 10 associated with childhood fractures.
- Discovered six additional loci with suggested implications for fracture risk.
- The lead SNP rs112635931 is located near PROSER2-AS1 and PROSER2 genes.
Conclusions:
- PROSER2-AS1 and PROSER2 are suggested as novel candidate genes for pediatric fracture risk.
- The findings provide insights into the genetic basis of fractures in early childhood.
- Further research is warranted to elucidate the role of these genes in bone health.
Abstract:
The understanding of the biological and environmental risk factors of fractures in pediatrics is limited. Previous studies have reported that fractures involve heritable traits, but the genetic factors contributing to the risk of fractures remain elusive. Furthermore, genetic influences specific to immature bone have not been thoroughly studied. Therefore, the aim of the present study was to identify genetic variations that are associated with fractures in early childhood. The present study used a prospective Northern Finland Birth Cohort (year 1986; n=9,432). The study population was comprised of 3,230 cohort members with available genotype data. A total of 48 members of the cohort (1.5%) had in-hospital treated bone fractures during their first 6 years of life. Furthermore, individuals without fracture (n=3,182) were used as controls. A genome-wide association study (GWAS) was performed using a frequentist association test. In the GWAS analysis, a linear regression model was fitted to test for additive effects of single-nucleotide polymorphisms (SNPs; genotype dosage) adjusting for sex and performing population stratification using genotypic principal components. Using the GWAS analysis, the present study identified one locus with a significant association with fractures during childhood on chromosome 10 (rs112635931) and six loci with a suggested implication. The lead SNP rs112635931 was located near proline- and serine-rich 2 (PROSER2) antisense RNA 1 (PROSER2-AS1) and PROSER2, thus suggesting that these may be novel candidate genes associated with the risk of pediatric fractures.
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