Source:http://linkedlifedata.com/resource/pubmed/id/14997289
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2004-9-15
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pubmed:abstractText |
Interleukin 6 (IL-6) is a multifunctional cytokine and a potent stimulator of bone resorption and has been implicated in the pathogenesis of osteoporosis in postmenopausal women. The aim of this study was to investigate if a functional IL-6 promoter polymorphism (-174) was related to bone mass and fractures in a cohort consisting of 964 postmenopausal Caucasian women aged 75 years. Bone mineral density (BMD; g/cm2) of the femoral neck, lumbar spine and total body was measured using dual energy X-ray absorptiometry (DXA). Quantitative ultrasound (QUS) was also measured in the calcaneus and quantified as speed of sound (SOS; m/s), broadband ultrasound attenuation (BUA; dB/MHz), and stiffness index (SI). IL-6 genotypes was determined by restriction fragment length polymorphism (RFLP) using the restriction enzyme NlaIII. The frequencies of the different IL-6 genotypes were 27.5% (GG), 47.9% (GC), 24.6% (CC). The IL-6 polymorphism (presence of G) was independently related to a lower stiffness (beta=-0.07; P=0.03) and BUA (beta=-0.08; P=0.02), but not to BMD at any site measured by DXA. In the cohort, 420 subjects (44%) reported at least one fracture during their lifetime, and 349 (36%) reported at least one fracture after the age of 50. Using binary logistic regression, the IL-6 polymorphism (presence of G) was significantly related to an increased risk of a previous fracture during life (odds ratio 1.46, 95% CI 1.08-1.97) and to an increased risk of a fracture occurring after 50 years of age (odds ratio 1.37, 95% CI 1.004-1.88). The risk was further increased for fractures grouped as osteoporotic fractures (odds ratio 1.67, 95% CI 1.14-2.45), including forearm fractures (odds ratio 1.59, 95% CI 1.05-2.40). In conclusion, presence of G allele in the IL-6 promoter polymorphism at position -174 is independently related to previous fractures in postmenopausal women. This association may be related primarily to an altered bone quality identified by QUS and not a lower bone mass. This is also the first demonstration of association of IL-6 gene polymorphism to calcaneal QUS.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0937-941X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
820-6
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:14997289-Aged,
pubmed-meshheading:14997289-Alleles,
pubmed-meshheading:14997289-Bone Density,
pubmed-meshheading:14997289-Calcaneus,
pubmed-meshheading:14997289-Cohort Studies,
pubmed-meshheading:14997289-Female,
pubmed-meshheading:14997289-Fractures, Bone,
pubmed-meshheading:14997289-Genotype,
pubmed-meshheading:14997289-Humans,
pubmed-meshheading:14997289-Interleukin-6,
pubmed-meshheading:14997289-Osteoporosis, Postmenopausal,
pubmed-meshheading:14997289-Polymorphism, Restriction Fragment Length,
pubmed-meshheading:14997289-Promoter Regions, Genetic,
pubmed-meshheading:14997289-Risk Factors
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pubmed:year |
2004
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pubmed:articleTitle |
Interleukin-6 promoter polymorphism is associated with bone quality assessed by calcaneus ultrasound and previous fractures in a cohort of 75-year-old women.
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pubmed:affiliation |
Sports Medicine, Department of Surgical and Perioperative Sciences, Umeå University Hospital, 901 85, Umeå, Sweden. anna.nordstrom@idrott.umu.se
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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