Unravelling Osteoporosis: Key Genes and Potential Therapies

Huichao Fu1, Yunjiao Wu2, Hongfei Lv1

  • 1Department of Orthopedic Surgery, Second Affiliated Hospital, Harbin Medical University, Harbin, Heilongjiang, China.

Insights

This study identifies FMO4, PSMA4, and VEGFA as key genes linked to osteoporosis risk. These findings offer potential new therapeutic targets for metabolic bone disease treatment.

Area of Science:

  • Genetics and Molecular Biology
  • Immunology
  • Pharmacology

Background:

  • Osteoporosis is a prevalent metabolic bone disease causing decreased bone mass and increased fracture risk, particularly in aging women.
  • Existing osteoporosis treatments have limitations and side effects, necessitating the identification of novel therapeutic targets.

Purpose of the Study:

  • To identify druggable genes associated with osteoporosis using Mendelian randomization (MR) and GWAS data.
  • To explore the molecular mechanisms, immune relevance, and signalling pathways of identified osteoporosis-associated genes.
  • To suggest potential therapeutic compounds for osteoporosis based on identified gene targets.

Main Methods:

  • Mendelian randomization (MR) analysis on GWAS data from the FinnGen consortium.
  • Transcriptomic profiling, single-cell RNA sequencing (scRNA-seq), and immune infiltration analysis.
  • Gene set enrichment analysis (GSEA) and gene set variation analysis (GSVA) to investigate signalling pathways.

Main Results:

  • Three genes—FMO4, PSMA4, and VEGFA—were significantly associated with osteoporosis risk.
  • FMO4 demonstrated a protective association, enriched in vascular and immune cells.
  • PSMA4 was upregulated in macrophages and T cells, potentially affecting bone remodelling via immune-related protein degradation.
  • VEGFA expression positively correlated with osteoporosis risk, possibly through ER-β-mediated signalling promoting osteoblast apoptosis.
  • Identified genes are involved in calcium signalling, Wnt/β-catenin, PI3K/Akt, and Hedgehog signalling pathways.
  • Immune analysis revealed strong associations with dendritic cells and macrophages.
  • Identified 52 candidate compounds for VEGFA and 8 for PSMA4.

Conclusions:

  • FMO4, PSMA4, and VEGFA are key genes implicated in osteoporosis pathogenesis.
  • These genes are linked to critical signalling pathways and immune cell interactions relevant to bone metabolism.
  • The study provides a foundation for developing novel osteoporosis therapeutics targeting these genes and associated pathways.

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