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Zheng HF, Forgetta V, Hsu YH, Estrada K, Rosello-Diez A, Leo PJ, Dahia CL, Park-Min KH, Tobias JH, Kooperberg C, Kleinman A, Styrkarsdottir U, Liu CT, Uggla C, Evans DS, Nielson CM, Walter K, Pettersson-Kymmer U, McCarthy S, Eriksson J, Kwan T, Jhamai M, Trajanoska K, Memari Y, Min J, Huang J, Danecek P, Wilmot B, Li R, Chou WC, Mokry LE, Moayyeri A, Claussnitzer M, Cheng CH, Cheung W, Medina-Gómez C, Ge B, Chen SH, Choi K, Oei L, Fraser J, Kraaij R, Hibbs MA, Gregson CL, Paquette D, Hofman A, Wibom C, Tranah GJ, Marshall M, Gardiner BB, Cremin K, Auer P, Hsu L, Ring S, Tung JY, Thorleifsson G, Enneman AW, van Schoor NM, de Groot LCPGM, van der Velde N, Melin B, Kemp JP, Christiansen C, Sayers A, Zhou Y, Calderari S, van Rooij J, Carlson C, Peters U, Berlivet S, Dostie J, Uitterlinden AG, Williams SR, Farber C, Grinberg D, LaCroix AZ, Haessler J, Chasman DI, Giulianini F, Rose LM, Ridker PM, Eisman JA, Nguyen TV, Center JR, Nogues X, Garcia-Giralt N, Launer LL, Gudnason V, Mellström D, Vandenput L, Amin N, van Duijn CM, Karlsson MK, Ljunggren Ö, Svensson O, Hallmans G, Rousseau F, Giroux S, Bussière J, Arp PP, Koromani F, Prince RL, Lewis JR, Langdahl BL, Hermann AP, Jensen JEB, Kaptoge S, Khaw KT, Reeve J, Formosa MM, Xuereb-Anastasi A, Åkesson K, McGuigan FE, Garg G, Olmos JM, Zarrabeitia MT, Riancho JA, Ralston SH, Alonso N, Jiang X, Goltzman D, Pastinen T, Grundberg E, Gauguier D, Orwoll ES, Karasik D, Davey-Smith G, Smith AV, Siggeirsdottir K, Harris TB, Zillikens MC, van Meurs JBJ, Thorsteinsdottir U, Maurano MT, Timpson NJ, Soranzo N, Durbin R, Wilson SG, Ntzani EE, Brown MA, Stefansson K, Hinds DA, Spector T, Cupples LA, Ohlsson C, Greenwood CMT, Jackson RD, Rowe DW, Loomis CA, Evans DM, Ackert-Bicknell CL, Joyner AL, Duncan EL, Kiel DP, Rivadeneira F, Richards JB. Whole-genome sequencing identifies EN1 as a determinant of bone density and fracture. Nature 2015; 526:112-117. [PMID: 26367794 PMCID: PMC4755714 DOI: 10.1038/nature14878 10.1016/j.ajhg.2017.12.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2014] [Accepted: 06/30/2015] [Indexed: 04/02/2024]
Abstract
The extent to which low-frequency (minor allele frequency (MAF) between 1-5%) and rare (MAF ≤ 1%) variants contribute to complex traits and disease in the general population is mainly unknown. Bone mineral density (BMD) is highly heritable, a major predictor of osteoporotic fractures, and has been previously associated with common genetic variants, as well as rare, population-specific, coding variants. Here we identify novel non-coding genetic variants with large effects on BMD (ntotal = 53,236) and fracture (ntotal = 508,253) in individuals of European ancestry from the general population. Associations for BMD were derived from whole-genome sequencing (n = 2,882 from UK10K (ref. 10); a population-based genome sequencing consortium), whole-exome sequencing (n = 3,549), deep imputation of genotyped samples using a combined UK10K/1000 Genomes reference panel (n = 26,534), and de novo replication genotyping (n = 20,271). We identified a low-frequency non-coding variant near a novel locus, EN1, with an effect size fourfold larger than the mean of previously reported common variants for lumbar spine BMD (rs11692564(T), MAF = 1.6%, replication effect size = +0.20 s.d., Pmeta = 2 × 10(-14)), which was also associated with a decreased risk of fracture (odds ratio = 0.85; P = 2 × 10(-11); ncases = 98,742 and ncontrols = 409,511). Using an En1(cre/flox) mouse model, we observed that conditional loss of En1 results in low bone mass, probably as a consequence of high bone turnover. We also identified a novel low-frequency non-coding variant with large effects on BMD near WNT16 (rs148771817(T), MAF = 1.2%, replication effect size = +0.41 s.d., Pmeta = 1 × 10(-11)). In general, there was an excess of association signals arising from deleterious coding and conserved non-coding variants. These findings provide evidence that low-frequency non-coding variants have large effects on BMD and fracture, thereby providing rationale for whole-genome sequencing and improved imputation reference panels to study the genetic architecture of complex traits and disease in the general population.
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Affiliation(s)
- Hou-Feng Zheng
- Departments of Medicine, Human Genetics, Epidemiology and Biostatistics, McGill University, Montréal H3A 1A2, Canada
- Department of Medicine, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montréal H3T 1E2, Canada
| | - Vincenzo Forgetta
- Departments of Medicine, Human Genetics, Epidemiology and Biostatistics, McGill University, Montréal H3A 1A2, Canada
- Department of Medicine, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montréal H3T 1E2, Canada
| | - Yi-Hsiang Hsu
- Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts 02131, USA
- Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
- Broad Institute of MIT and Harvard, Boston, Massachusetts 02115, USA
| | - Karol Estrada
- Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
- Broad Institute of MIT and Harvard, Boston, Massachusetts 02115, USA
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
| | - Alberto Rosello-Diez
- Developmental Biology Program, Sloan Kettering Institute, New York, New York 10065, USA
| | - Paul J Leo
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
| | - Chitra L Dahia
- Department of Cell and Developmental Biology, Weill Cornell Medical College, New York, New York 10065, USA
- Tissue Engineering, Regeneration and Repair Program, Hospital for Special Surgery, New York 10021, USA
| | - Kyung Hyun Park-Min
- Rheumatology Divison, Hospital for Special Surgery New York, New York 10021, USA
| | - Jonathan H Tobias
- School of Clinical Science, University of Bristol, Bristol BS10 5NB, UK
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol BS8 2BN, UK
| | | | - Aaron Kleinman
- Department of Research, 23andMe, Mountain View, California 94041, USA
| | | | - Ching-Ti Liu
- Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts 02118, USA
| | - Charlotta Uggla
- Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg S-413 45, Sweden
| | - Daniel S Evans
- California Pacific Medical Center Research Institute, San Francisco, California 94158, USA
| | - Carrie M Nielson
- Department of Public Health and Preventive Medicine, Oregon Health &Science University, Portland, Oregon 97239, USA
- Bone &Mineral Unit, Oregon Health &Science University, Portland, Oregon 97239, USA
| | - Klaudia Walter
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge CB10 1SA, UK
| | - Ulrika Pettersson-Kymmer
- Departments of Pharmacology and Clinical Neurosciences, Umeå University, Umeå S-901 87, Sweden
- Department of Public Health and Clinical Medicine, Umeå University, Umeå SE-901 87, Sweden
| | - Shane McCarthy
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge CB10 1SA, UK
| | - Joel Eriksson
- Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg S-413 45, Sweden
- Centre for Bone and Arthritis Research, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg S-413 45, Sweden
| | - Tony Kwan
- McGill University and Genome Quebec Innovation Centre, Montréal H3A 0G1, Canada
| | - Mila Jhamai
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
| | - Katerina Trajanoska
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
| | - Yasin Memari
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge CB10 1SA, UK
| | - Josine Min
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol BS8 2BN, UK
| | - Jie Huang
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge CB10 1SA, UK
| | - Petr Danecek
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge CB10 1SA, UK
| | - Beth Wilmot
- Oregon Clinical and Translational Research Institute, Oregon Health &Science University, Portland, Oregon 97239, USA
- Department of Medical and Clinical Informatics, Oregon Health &Science University, Portland, Oregon 97239, USA
| | - Rui Li
- Departments of Medicine, Human Genetics, Epidemiology and Biostatistics, McGill University, Montréal H3A 1A2, Canada
- Department of Medicine, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montréal H3T 1E2, Canada
| | - Wen-Chi Chou
- Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts 02131, USA
- Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
| | - Lauren E Mokry
- Department of Medicine, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montréal H3T 1E2, Canada
| | - Alireza Moayyeri
- Farr Institute of Health Informatics Research, University College London, London NW1 2DA, UK
- Department of Twin Research and Genetic Epidemiology, King's College London, London SE1 7EH, UK
| | - Melina Claussnitzer
- Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts 02131, USA
- Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
- Broad Institute of MIT and Harvard, Boston, Massachusetts 02115, USA
- Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02115, USA
| | - Chia-Ho Cheng
- Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts 02131, USA
| | - Warren Cheung
- McGill University and Genome Quebec Innovation Centre, Montréal H3A 0G1, Canada
- Department of Human Genetics, McGill University, Montréal H3A 1B1, Canada
| | - Carolina Medina-Gómez
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Leiden 2300RC, The Netherlands
| | - Bing Ge
- McGill University and Genome Quebec Innovation Centre, Montréal H3A 0G1, Canada
| | - Shu-Huang Chen
- McGill University and Genome Quebec Innovation Centre, Montréal H3A 0G1, Canada
| | - Kwangbom Choi
- Center for Musculoskeletal Research, University of Rochester, Rochester, New York 14642, USA
| | - Ling Oei
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Leiden 2300RC, The Netherlands
| | - James Fraser
- Department of Biochemistry and Goodman Cancer Research Center, McGill University, Montréal H3G 1Y6, Canada
| | - Robert Kraaij
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Leiden 2300RC, The Netherlands
| | - Matthew A Hibbs
- Center for Musculoskeletal Research, University of Rochester, Rochester, New York 14642, USA
- Department of Computer Science, Trinity University, San Antonio, Texas 78212, USA
| | - Celia L Gregson
- Musculoskeletal Research Unit, University of Bristol, Bristol BS10 5NB, UK
| | - Denis Paquette
- Department of Biochemistry and Goodman Cancer Research Center, McGill University, Montréal H3G 1Y6, Canada
| | - Albert Hofman
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Leiden 2300RC, The Netherlands
| | - Carl Wibom
- Department of Radiation Sciences, Umeå University, Umeå S-901 87, Sweden
| | - Gregory J Tranah
- Department of Public Health and Preventive Medicine, Oregon Health &Science University, Portland, Oregon 97239, USA
- Bone &Mineral Unit, Oregon Health &Science University, Portland, Oregon 97239, USA
| | - Mhairi Marshall
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
| | - Brooke B Gardiner
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
| | - Katie Cremin
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
| | - Paul Auer
- School of Public Health, University of Wisconsin, Milwaukee, Wisconsin 53726, USA
| | - Li Hsu
- Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
| | - Sue Ring
- School of Social and Community Medicine, University of Bristol, Bristol BS8 2BN, UK
| | - Joyce Y Tung
- Department of Research, 23andMe, Mountain View, California 94041, USA
| | | | - Anke W Enneman
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
| | - Natasja M van Schoor
- Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam 1007 MB, The Netherlands
| | | | - Nathalie van der Velde
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Internal Medicine, Section Geriatrics, Academic Medical Center, Amsterdam 1105, The Netherlands
| | - Beatrice Melin
- Department of Radiation Sciences, Umeå University, Umeå S-901 87, Sweden
| | - John P Kemp
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol BS8 2BN, UK
| | | | - Adrian Sayers
- Musculoskeletal Research Unit, University of Bristol, Bristol BS10 5NB, UK
| | - Yanhua Zhou
- Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts 02118, USA
| | - Sophie Calderari
- Cordeliers Research Centre, INSERM UMRS 1138, Paris 75006, France
- Institute of Cardiometabolism and Nutrition, University Pierre &Marie Curie, Paris 75013, France
| | - Jeroen van Rooij
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Leiden 2300RC, The Netherlands
| | - Chris Carlson
- Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
| | - Ulrike Peters
- Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
| | - Soizik Berlivet
- Department of Biochemistry and Goodman Cancer Research Center, McGill University, Montréal H3G 1Y6, Canada
| | - Josée Dostie
- Department of Biochemistry and Goodman Cancer Research Center, McGill University, Montréal H3G 1Y6, Canada
| | - Andre G Uitterlinden
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Leiden 2300RC, The Netherlands
| | - Stephen R Williams
- Departments of Medicine (Cardiovascular Medicine), Centre for Public Health Genomics, University of Virginia, Charlottesville, Virginia 22908, USA
| | - Charles Farber
- Departments of Medicine (Cardiovascular Medicine), Centre for Public Health Genomics, University of Virginia, Charlottesville, Virginia 22908, USA
| | - Daniel Grinberg
- Department of Genetics, University of Barcelona, Barcelona 08028, Spain
- U-720, Centre for Biomedical Network Research on Rare Diseases (CIBERER), Barcelona 28029, Spain
- Department of Human Molecular Genetics, The Institute of Biomedicine of the University of Barcelona (IBUB), Barcelona 08028, Spain
| | - Andrea Z LaCroix
- Women's Health Center of Excellence Family Medicine and Public Health, University of California - San Diego, San Diego, California 92093, USA
| | - Jeff Haessler
- Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA
| | - Daniel I Chasman
- Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
- Division of Preventive Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02215, USA
| | - Franco Giulianini
- Division of Preventive Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02215, USA
| | - Lynda M Rose
- Division of Preventive Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02215, USA
| | - Paul M Ridker
- Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
- Division of Preventive Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02215, USA
| | - John A Eisman
- Osteoporosis &Bone Biology Program, Garvan Institute of Medical Research, Sydney 2010, Australia
- School of Medicine Sydney, University of Notre Dame Australia, Sydney 6959, Australia
- St. Vincent's Hospital &Clinical School, NSW University, Sydney 2010, Australia
| | - Tuan V Nguyen
- Osteoporosis &Bone Biology Program, Garvan Institute of Medical Research, Sydney 2010, Australia
- St. Vincent's Hospital &Clinical School, NSW University, Sydney 2010, Australia
| | - Jacqueline R Center
- Osteoporosis &Bone Biology Program, Garvan Institute of Medical Research, Sydney 2010, Australia
- St. Vincent's Hospital &Clinical School, NSW University, Sydney 2010, Australia
| | - Xavier Nogues
- Musculoskeletal Research Group, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona 08003, Spain
- Cooperative Research Network on Aging and Fragility (RETICEF), Institute of Health Carlos III, 28029, Spain
- Department of Internal Medicine, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona 08193, Spain
| | - Natalia Garcia-Giralt
- Musculoskeletal Research Group, Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona 08003, Spain
- Cooperative Research Network on Aging and Fragility (RETICEF), Institute of Health Carlos III, 28029, Spain
| | - Lenore L Launer
- Neuroepidemiology Section, National Institute on Aging, National Institutes of Health, Bethesda, Maryland 20892, USA
| | - Vilmunder Gudnason
- Icelandic Heart Association, Kopavogur IS-201, Iceland
- Faculty of Medicine, University of Iceland, Reykjavik IS-101, Iceland
| | - Dan Mellström
- Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg S-413 45, Sweden
| | - Liesbeth Vandenput
- Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg S-413 45, Sweden
| | - Najaf Amin
- Genetic epidemiology unit, Department of Epidemiology, Erasmus MC, Rotterdam 3000CA, The Netherlands
| | - Cornelia M van Duijn
- Genetic epidemiology unit, Department of Epidemiology, Erasmus MC, Rotterdam 3000CA, The Netherlands
| | - Magnus K Karlsson
- Department of Orthopaedics, Skåne University Hospital Malmö 205 02, Sweden
| | - Östen Ljunggren
- Department of Medical Sciences, University of Uppsala, Uppsala 751 85, Sweden
| | - Olle Svensson
- Department of Surgical and Perioperative Sciences, Umeå Unviersity, Umeå 901 85, Sweden
| | - Göran Hallmans
- Department of Public Health and Clinical Medicine, Umeå University, Umeå SE-901 87, Sweden
| | - François Rousseau
- Department of Molecular Biology, Medical Biochemistry and Pathology, Université Laval, Québec City G1V 0A6, Canada
- Axe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec, Québec City G1V 4G2, Canada
| | - Sylvie Giroux
- Axe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec, Québec City G1V 4G2, Canada
| | - Johanne Bussière
- Axe Santé des Populations et Pratiques Optimales en Santé, Centre de recherche du CHU de Québec, Québec City G1V 4G2, Canada
| | - Pascal P Arp
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
| | - Fjorda Koromani
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
| | - Richard L Prince
- Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands 6009, Australia
- Department of Medicine, University of Western Australia, Perth 6009, Australia
| | - Joshua R Lewis
- Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands 6009, Australia
- Department of Medicine, University of Western Australia, Perth 6009, Australia
| | - Bente L Langdahl
- Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus C 8000, Denmark
| | - A Pernille Hermann
- Department of Endocrinology, Odense University Hospital, Odense C 5000, Denmark
| | - Jens-Erik B Jensen
- Department of Endocrinology, Hvidovre University Hospital, Hvidovre 2650, Denmark
| | - Stephen Kaptoge
- Farr Institute of Health Informatics Research, University College London, London NW1 2DA, UK
| | - Kay-Tee Khaw
- Clinical Gerontology Unit, University of Cambridge, Cambridge CB2 2QQ, UK
| | - Jonathan Reeve
- Medicine and Public Health and Primary Care, University of Cambridge, Cambridge CB1 8RN, UK
- Institute of Musculoskeletal Sciences, The Botnar Research Centre, University of Oxford, Oxford OX3 7LD, UK
| | - Melissa M Formosa
- Department of Applied Biomedical Science, Faculty of Health Sciences, University of Malta, Msida MSD 2080, Malta
| | - Angela Xuereb-Anastasi
- Department of Applied Biomedical Science, Faculty of Health Sciences, University of Malta, Msida MSD 2080, Malta
| | - Kristina Åkesson
- Department of Orthopaedics, Skåne University Hospital Malmö 205 02, Sweden
- Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences Malmö, Lund University, 205 02, Sweden
| | - Fiona E McGuigan
- Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences Malmö, Lund University, 205 02, Sweden
| | - Gaurav Garg
- Clinical and Molecular Osteoporosis Research Unit, Department of Clinical Sciences Malmö, Lund University, 205 02, Sweden
| | - Jose M Olmos
- Department of Medicine and Psychiatry, University of Cantabria, Santander 39011, Spain
- Department of Internal Medicine, Hospital U.M. Valdecilla- IDIVAL, Santander 39008, Spain
| | - Maria T Zarrabeitia
- Department of Legal Medicine, University of Cantabria, Santander 39011, Spain
| | - Jose A Riancho
- Department of Medicine and Psychiatry, University of Cantabria, Santander 39011, Spain
- Department of Internal Medicine, Hospital U.M. Valdecilla- IDIVAL, Santander 39008, Spain
| | - Stuart H Ralston
- Centre for Genomic and Experimental Medicine, Institute of Genetics and Molecular Medicine, Western General Hospital, University of Edinburgh, Edinburgh EH4 2XU, UK
| | - Nerea Alonso
- Centre for Genomic and Experimental Medicine, Institute of Genetics and Molecular Medicine, Western General Hospital, University of Edinburgh, Edinburgh EH4 2XU, UK
| | - Xi Jiang
- Department of Reconstructive Sciences, College of Dental Medicine, University of Connecticut Health Center, Farmington, Connecticut 06030, USA
| | - David Goltzman
- Department of Medicine and Physiology, McGill University, Montréal H4A 3J1, Canada
| | - Tomi Pastinen
- McGill University and Genome Quebec Innovation Centre, Montréal H3A 0G1, Canada
- Department of Human Genetics, McGill University, Montréal H3A 1B1, Canada
| | - Elin Grundberg
- McGill University and Genome Quebec Innovation Centre, Montréal H3A 0G1, Canada
- Department of Human Genetics, McGill University, Montréal H3A 1B1, Canada
| | - Dominique Gauguier
- Cordeliers Research Centre, INSERM UMRS 1138, Paris 75006, France
- Institute of Cardiometabolism and Nutrition, University Pierre &Marie Curie, Paris 75013, France
| | - Eric S Orwoll
- Bone &Mineral Unit, Oregon Health &Science University, Portland, Oregon 97239, USA
- Department of Medicine, Oregon Health &Science University, Portland, Oregon 97239, USA
| | - David Karasik
- Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts 02131, USA
- Faculty of Medicine in the Galilee, Bar-Ilan University, Safed 13010, Israel
| | - George Davey-Smith
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol BS8 2BN, UK
| | - Albert V Smith
- Icelandic Heart Association, Kopavogur IS-201, Iceland
- Faculty of Medicine, University of Iceland, Reykjavik IS-101, Iceland
| | | | - Tamara B Harris
- Laboratory of Epidemiology, National Institute on Aging, National Institutes of Health, Bethesda, Maryland 20892, USA
| | - M Carola Zillikens
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
| | - Joyce B J van Meurs
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
| | - Unnur Thorsteinsdottir
- Department of Population Genomics, deCODE Genetics, Reykjavik IS-101, Iceland
- Faculty of Medicine, University of Iceland, Reykjavik IS-101, Iceland
| | - Matthew T Maurano
- Department of Genome Sciences, University of Washington, Seattle, Washington 98195, USA
| | - Nicholas J Timpson
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol BS8 2BN, UK
| | - Nicole Soranzo
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge CB10 1SA, UK
| | - Richard Durbin
- Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Cambridge CB10 1SA, UK
| | - Scott G Wilson
- Department of Twin Research and Genetic Epidemiology, King's College London, London SE1 7EH, UK
- Department of Endocrinology and Diabetes, Sir Charles Gairdner Hospital, Nedlands 6009, Australia
- School of Medicine and Pharmacology, University of Western Australia, Crawley 6009, Australia
| | - Evangelia E Ntzani
- Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina 45110, Greece
- Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island 02903, USA
| | - Matthew A Brown
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
| | - Kari Stefansson
- Faculty of Medicine, University of Iceland, Reykjavik IS-101, Iceland
- deCODE Genetics, Reykjavik IS-101, Iceland
| | - David A Hinds
- Department of Research, 23andMe, Mountain View, California 94041, USA
| | - Tim Spector
- Department of Twin Research and Genetic Epidemiology, King's College London, London SE1 7EH, UK
| | - L Adrienne Cupples
- Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts 02118, USA
- Framingham Heart Study, Framingham, Massachusetts 01702, USA
| | - Claes Ohlsson
- Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg S-413 45, Sweden
| | - Celia M T Greenwood
- Department of Medicine, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montréal H3T 1E2, Canada
- Department of Human Genetics, McGill University, Montréal H3A 1B1, Canada
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal H3A 1A2, Canada
- Department of Oncology, Gerald Bronfman Centre, McGill University, Montréal H2W 1S6, Canada
| | - Rebecca D Jackson
- Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, The Ohio State University, Columbus, Ohio 43210, USA
| | - David W Rowe
- Department of Reconstructive Sciences, College of Dental Medicine, University of Connecticut Health Center, Farmington, Connecticut 06030, USA
| | - Cynthia A Loomis
- The Ronald O. Perelman Department of Dermatology and Department of Cell Biology, New York University School of Medicine, New York, New York 10016, USA
| | - David M Evans
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
- MRC Integrative Epidemiology Unit, University of Bristol, Bristol BS8 2BN, UK
| | | | - Alexandra L Joyner
- Developmental Biology Program, Sloan Kettering Institute, New York, New York 10065, USA
| | - Emma L Duncan
- The University of Queensland Diamantina Institute, Translational Research Institute, Princess Alexandra Hospital, Brisbane 4102, Australia
- Department of Diabetes and Endocrinology, Royal Brisbane and Women's Hospital, Brisbane 4029, Australia
| | - Douglas P Kiel
- Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts 02131, USA
- Department of Medicine, Harvard Medical School, Boston, Massachusetts 02115, USA
- Broad Institute of MIT and Harvard, Boston, Massachusetts 02115, USA
- Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02115, USA
| | - Fernando Rivadeneira
- Department of Internal Medicine, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Department of Epidemiology, Erasmus Medical Center, Rotterdam 3015GE, The Netherlands
- Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Leiden 2300RC, The Netherlands
| | - J Brent Richards
- Departments of Medicine, Human Genetics, Epidemiology and Biostatistics, McGill University, Montréal H3A 1A2, Canada
- Department of Medicine, Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montréal H3T 1E2, Canada
- Department of Twin Research and Genetic Epidemiology, King's College London, London SE1 7EH, UK
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