Genetic variants modify the associations of concentrations of methylmalonic acid, vitamin B-12, vitamin B-6, and folate with bone mineral density.


Journal

The American journal of clinical nutrition
ISSN: 1938-3207
Titre abrégé: Am J Clin Nutr
Pays: United States
ID NLM: 0376027

Informations de publication

Date de publication:
02 08 2021
Historique:
received: 14 04 2020
accepted: 05 03 2021
pubmed: 9 5 2021
medline: 2 9 2021
entrez: 8 5 2021
Statut: ppublish

Résumé

Elevated plasma homocysteine has been found to be associated with an increased risk of osteoporosis, especially hip and vertebral fractures. The plasma concentration of homocysteine is dependent on the activities of several B vitamin-dependent enzymes, such as methylenetetrahydrofolate reductase (MTHFR), methionine synthase (MTR), methionine synthase reductase (MTRR), and cystathionine β-synthase (CBS). We investigated whether genetic variants in some of the genes involved in 1 carbon metabolism modify the association of B vitamin-related measures with bone mineral density (BMD) and strength. We measured several B vitamins and biomarkers in participants of the Framingham Offspring Study, and performed analyses of methylmalonic acid (MMA) continuously and <210 nmol/L; pyridoxal-5'-phosphate; vitamin B-12 continuously and ≥258 pmol/L; and folate. The outcomes of interest included areal and volumetric BMD, measured by DXA and quantitative computed tomography (QCT), respectively. We evaluated associations between the bone measures and interactions of single nucleotide polymorphism with a B vitamin or biomarker in Framingham participants (n = 4310 for DXA and n = 3127 for QCT). For analysis of DXA, we validated the association results in the B-PROOF cohort (n = 1072). Bonferroni-corrected locus-wide significant thresholds were defined to account for multiple testing. The interactions between rs2274976 and vitamin B-12 and rs34671784 and MMA <210 nmol/L were associated with lumbar spine BMD, and the interaction between rs6586281 and vitamin B-12 ≥258 pmol/L was associated with femoral neck BMD. For QCT-derived traits, 62 interactions between genetic variants and B vitamins and biomarkers were identified. Some genetic variants in the 1-carbon methylation pathway modify the association of B vitamin and biomarker concentrations with bone density and strength.  These interactions require further replication and functional validation for a mechanistic understanding of the role of the 1-carbon metabolism pathway on BMD and risks of fracture.

Sections du résumé

BACKGROUND
Elevated plasma homocysteine has been found to be associated with an increased risk of osteoporosis, especially hip and vertebral fractures. The plasma concentration of homocysteine is dependent on the activities of several B vitamin-dependent enzymes, such as methylenetetrahydrofolate reductase (MTHFR), methionine synthase (MTR), methionine synthase reductase (MTRR), and cystathionine β-synthase (CBS).
OBJECTIVES
We investigated whether genetic variants in some of the genes involved in 1 carbon metabolism modify the association of B vitamin-related measures with bone mineral density (BMD) and strength.
METHODS
We measured several B vitamins and biomarkers in participants of the Framingham Offspring Study, and performed analyses of methylmalonic acid (MMA) continuously and <210 nmol/L; pyridoxal-5'-phosphate; vitamin B-12 continuously and ≥258 pmol/L; and folate. The outcomes of interest included areal and volumetric BMD, measured by DXA and quantitative computed tomography (QCT), respectively. We evaluated associations between the bone measures and interactions of single nucleotide polymorphism with a B vitamin or biomarker in Framingham participants (n = 4310 for DXA and n = 3127 for QCT). For analysis of DXA, we validated the association results in the B-PROOF cohort (n = 1072). Bonferroni-corrected locus-wide significant thresholds were defined to account for multiple testing.
RESULTS
The interactions between rs2274976 and vitamin B-12 and rs34671784 and MMA <210 nmol/L were associated with lumbar spine BMD, and the interaction between rs6586281 and vitamin B-12 ≥258 pmol/L was associated with femoral neck BMD. For QCT-derived traits, 62 interactions between genetic variants and B vitamins and biomarkers were identified.
CONCLUSIONS
Some genetic variants in the 1-carbon methylation pathway modify the association of B vitamin and biomarker concentrations with bone density and strength.  These interactions require further replication and functional validation for a mechanistic understanding of the role of the 1-carbon metabolism pathway on BMD and risks of fracture.

Identifiants

pubmed: 33964857
pii: S0002-9165(22)00372-0
doi: 10.1093/ajcn/nqab093
pmc: PMC8326042
doi:

Substances chimiques

Vitamin B Complex 12001-76-2
Vitamin B 6 8059-24-3
Methylmalonic Acid 8LL8S712J7
Folic Acid 935E97BOY8
Vitamin B 12 P6YC3EG204

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

578-587

Subventions

Organisme : NHLBI NIH HHS
ID : HHSN268201500001C
Pays : United States
Organisme : NIAMS NIH HHS
ID : R01 AR072199
Pays : United States
Organisme : NIAMS NIH HHS
ID : R01 AR041398
Pays : United States
Organisme : NHLBI NIH HHS
ID : N01-HC-25195
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201500001I
Pays : United States
Organisme : NIAMS NIH HHS
ID : R01 AR041398)
Pays : United States

Informations de copyright

© The Author(s) 2021. Published by Oxford University Press on behalf of the American Society for Nutrition.

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Auteurs

Ching-Ti Liu (CT)

Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.

David Karasik (D)

The Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA.

Hanfei Xu (H)

Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.

Yanhua Zhou (Y)

Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.

Kerry Broe (K)

Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA.

L Adrienne Cupples (LA)

Department of Biostatistics, Boston University School of Public Health, Boston, MA, USA.

Lisette Cpgm de Groot (L)

Wageningen University, Division of Human Nutrition, Wageningen, The Netherlands.

Annelies Ham (A)

Erasmus MC Department of Internal Medicine Rotterdam, Rotterdam, The Netherlands.

Marian T Hannan (MT)

Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA.
Department of Medicine, Harvard Medical School, Boston, MA, USA.
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Yi-Hsiang Hsu (YH)

Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA.
Department of Medicine, Harvard Medical School, Boston, MA, USA.

Paul Jacques (P)

Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, USA.
Friedman School of Nutrition Science and Policy at Tufts University, USA.

Robert R McLean (RR)

Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA.
Corrona, LLC, Waltham, MA, USA.

Ligi Paul (L)

Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, USA.
Friedman School of Nutrition Science and Policy at Tufts University, USA.

Jacob Selhub (J)

Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, USA.
Friedman School of Nutrition Science and Policy at Tufts University, USA.

Katerina Trajanoska (K)

Erasmus MC Department of Internal Medicine Rotterdam, Rotterdam, The Netherlands.

Nathalie van der Velde (N)

Erasmus MC Department of Internal Medicine Rotterdam, Rotterdam, The Netherlands.
Amsterdam UMC, University of Amsterdam, Section of Geriatric Medicine, Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

Natasja van Schoor (N)

Amsterdam UMC, University of Amsterdam, Section of Geriatric Medicine, Department of Internal Medicine, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.

Douglas P Kiel (DP)

Hinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, USA.
Department of Medicine, Harvard Medical School, Boston, MA, USA.
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

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Classifications MeSH