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A genetic factor associated with low final bone mineral density in children after a long-term glucocorticoids treatment

Treatment with glucocorticoids is associated with lower bone mineral density (BMD). We performed a genome-wide association study to analyze interactive effects between genotypes and cumulative dose of prednisone (PD) over 4.3 years of follow-up period on the final BMD Z -scores in 461 white children...

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Published in:The pharmacogenomics journal 2017-03, Vol.17 (2), p.180-185
Main Authors: Park, H-W, Tse, S, Yang, W, Kelly, H W, Kaste, S C, Pui, C-H, Relling, M V, Tantisira, K G
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description Treatment with glucocorticoids is associated with lower bone mineral density (BMD). We performed a genome-wide association study to analyze interactive effects between genotypes and cumulative dose of prednisone (PD) over 4.3 years of follow-up period on the final BMD Z -scores in 461 white children from the Childhood Asthma Management Program. No variants met the conventional criteria for genome-wide significance, and thus we looked for evidence of replication. The top 100-ranked single-nucleotide polymorphisms (SNPs) were then carried forward replication in 59 children with acute lymphoblastic leukemia (ALL) exposed to large fixed doses of PD as part of their chemotherapeutic regimen. Among them, rs6461639 (interaction P =1.88 × 10 −5 in the CAMP population) showed a significant association with the final BMD Z -scores in the ALL population ( P =0.016). The association of the ALL population was only present after correction for the anti-metabolite treatment arm (high vs low dose). We have identified a novel SNP, rs6461639, showing a significant effect on the final BMD Z -scores in two independent pediatric populations after long-term high-dose PD treatment.
doi_str_mv 10.1038/tpj.2015.92
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subjects 45/43
631/208/2489
692/499
Absorptiometry, Photon
Acute lymphoblastic leukemia
Age Factors
Anti-Asthmatic Agents - administration & dosage
Anti-Asthmatic Agents - adverse effects
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - adverse effects
Asthma
Asthma - drug therapy
Biomedical and Life Sciences
Biomedicine
Bone density
Bone Density - drug effects
Bone Density - genetics
Bone mineral density
Child
Children
Drug Administration Schedule
Female
Gene Expression
Genome-wide association studies
Genome-Wide Association Study
Genomes
Genotype
Glucocorticoids
Glucocorticoids - administration & dosage
Glucocorticoids - adverse effects
Human Genetics
Humans
Lymphatic leukemia
Male
Oncology
original-article
Pediatrics
Pharmacogenetics
Pharmacogenomic Variants
Pharmacotherapy
Phenotype
Polymorphism, Single Nucleotide
Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy
Prednisone
Prednisone - administration & dosage
Prednisone - adverse effects
Psychopharmacology
Replication
Risk Factors
Single-nucleotide polymorphism
Time Factors
Tomography, Spiral Computed
Treatment Outcome
United States
title A genetic factor associated with low final bone mineral density in children after a long-term glucocorticoids treatment
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