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Interleukin-6 promoter polymorphism is associated with bone quality assessed by calcaneus ultrasound and previous fractures in a cohort of 75-year-old women
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Sports Medicine.
Department of Orthopaedics, Malmö University Hospital, Sweden.
Department of Medical Sciences, Uppsala University, Sweden .
Department of Medical Sciences, Uppsala University, Sweden .
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2004 (English)In: Osteoporosis International, ISSN 0937-941X, E-ISSN 1433-2965, ISSN 0937-941X, Vol. 15, no 10, 820-826 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Springer-Verlag New York, 2004. Vol. 15, no 10, 820-826 p.
Keyword [en]
Aged, Alleles, Bone Density/*genetics, Calcaneus/*ultrasonography, Cohort Studies, Female, Fractures; Bone/*genetics, Genotype, Humans, Interleukin-6/*genetics, Osteoporosis; Postmenopausal/genetics/physiopathology, Polymorphism; Restriction Fragment Length, Promoter Regions (Genetics)/*genetics, Risk Factors
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Other Medical Sciences
URN: urn:nbn:se:umu:diva-16901DOI: 10.1007/s00198-004-1610-9PubMedID: 14997289OAI: diva2:156574
Available from: 2008-01-17 Created: 2008-01-17 Last updated: 2013-11-22Bibliographically approved

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Nordström, AnnaLerner, UlfNordström, Peter
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