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Polyalanine Repeat Polymorphism in RUNX2 Is Associated with Site-Specific Fracture in Post-Menopausal Females

Title: Polyalanine Repeat Polymorphism in RUNX2 Is Associated with Site-Specific Fracture in Post-Menopausal Females
Authors: Morrison, NA; Stephens, AS; Osato, M; Pasco, JA; Fozzard, N; Stein, GS; Polly, P; Griffiths, LR; Nicholson, GC
Contributors: Grant, SFA
Publisher Information: PUBLIC LIBRARY SCIENCE
Publication Year: 2013
Collection: The University of Melbourne: Digital Repository
Description: Runt related transcription factor 2 (RUNX2) is a key regulator of osteoblast differentiation. Several variations within the RUNX2 gene have been found to be associated with significant changes in BMD, which is a major risk factor for fracture. In this study we report that an 18 bp deletion within the polyalanine tract (17A>11A) of RUNX2 is significantly associated with fracture. Carriers of the 11A allele were found to be nearly twice as likely to have sustained fracture. Within the fracture category, there was a significant tendency of 11A carriers to present with fractures of distal radius and bones of intramembranous origin compared to bones of endochondral origin (p = 0.0001). In a population of random subjects, the 11A allele was associated with decreased levels of serum collagen cross links (CTx, p = 0.01), suggesting decreased bone turnover. The transactivation function of the 11A allele showed a minor quantitative decrease. Interestingly, we found no effect of the 11A allele on BMD at multiple skeletal sites. These findings suggest that the 11A allele is a biologically relevant polymorphism that influences serum CTx and confers enhanced fracture risk in a site-selective manner related to intramembranous bone ossification.
Document Type: article in journal/newspaper
Language: English
ISSN: 1932-6203
Relation: https://hdl.handle.net/11343/263289
Availability: https://hdl.handle.net/11343/263289
Rights: https://creativecommons.org/licenses/by/4.0 ; CC BY
Accession Number: edsbas.4114BBC5
Database: BASE