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Association between androgen receptor gene alteration and osteoporosis in Chinese Han elderly men
Xin Huang1,2,3, Zhengdong Zhang1,3, Liangxuan Zou1,2,3
1Collaborative Innovation Center of Sichuan for Elderly Care and Health, Chengdu Medical College, Sichuan, China.
Insights
Androgen receptor LL genotype and high total cholesterol are potential risk factors for osteoporosis in Chinese Han men. This study provides insights for identifying individuals susceptible to osteoporosis.
Area of Science:
- Endocrinology
- Bone Metabolism
- Genetics
Background:
- Osteoporosis is a significant public health concern, particularly in aging populations.
- The role of metabolic factors and genetic variations in osteoporosis pathogenesis requires further elucidation.
- Understanding these factors can aid in developing targeted screening strategies.
Purpose of the Study:
- To investigate the association between blood glucose, blood lipids, and androgen receptor gene (CAG)n polymorphism with osteoporosis in Chinese Han men.
- To identify potential risk factors for osteoporosis in this demographic.
- To provide a theoretical basis for osteoporosis screening.
Main Methods:
- A case-control study involving 80 Chinese Han men (40 with osteoporosis, 40 controls).
- Bone mineral density was measured using dual-energy X-ray absorptiometry.
- Androgen receptor gene (CAG)n polymorphism was analyzed using the STR method; blood glucose, blood lipids, and other biochemical markers were assessed.
Main Results:
- Significant differences were observed in average blood glucose, total cholesterol, triglyceride, high-density lipoprotein, low-density lipoprotein, and androgen receptor gene (CAG)n genotype frequency between osteoporosis and control groups (P < 0.05).
- Multivariate logistic regression identified total cholesterol and androgen receptor gene (CAG)n genotype frequency as significant factors (P < 0.05).
- No significant differences were found in age, calcium, phosphorus, alkaline phosphatase, and glycosylated hemoglobin.
Conclusions:
- The LL genotype of the androgen receptor gene and elevated total cholesterol levels are identified as potential risk factors for osteoporosis in older Chinese Han men.
- These findings contribute to understanding the multifactorial nature of osteoporosis.
- The study highlights the importance of considering genetic predisposition and lipid profiles in osteoporosis risk assessment.
Objective:
To explore the role of blood glucose, blood lipids, and androgen receptor gene (CAG)n genotype in the pathogenesis of osteoporosis in Chinese Han men and to provide theoretical value for screening people susceptible to osteoporosis.
Methods:
Patients who visited the First Affiliated Hospital of Chengdu Medical College from February 2021 to October 2021 were selected as research subjects to measure bone density by double-energy X-ray, osteoporosis patients as osteoporosis group (40 patients), and non-osteoporosis patients as the control group (40 patients). The STR method detected the repeat times of the androgen receptor gene (CAG)n in the two groups. The repeat times ≤22 were the SS genotype, and >22 were the LL genotype. Meanwhile, the patient's age, body mass index (BMI), blood glucose, blood lipids, calcium, phosphorus, and alkaline phosphatase examined on day one after admission were collected, and the statistical analysis was performed using SPSS 26.0.
Results:
The results of the univariate analysis showed that there was no significant difference in age, calcium, phosphorus, alkaline phosphatase, and glycosylated hemoglobin between the two groups (P > 0.05). There were significant differences in average blood glucose, total cholesterol, triglyceride, high-density lipoprotein, low-density lipoprotein, and genotype frequency (P < 0.05). The multivariate logistic regression analysis results showed significant differences in total cholesterol and genotype frequency between the two groups (P < 0.05).
Conclusion:
Androgen receptor LL genotype and elevated total cholesterol may be the risk factors for osteoporosis in older men of Han nationality.
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