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Bone mineral density loci specific to the skull portray potential pleiotropic effects on craniosynostosis

  • Carolina Medina-Gomez
  • , Benjamin H. Mullin
  • , Alessandra Chesi
  • , Vid Prijatelj
  • , John P. Kemp
  • , Chen Shochat-Carvalho
  • , Katerina Trajanoska
  • , Carol Wang
  • , Raimo Joro
  • , Tavia E. Evans
  • , Katharina E. Schraut
  • , Ruifang Li-Gao
  • , Tarunveer S. Ahluwalia
  • , M. Carola Zillikens
  • , Kun Zhu
  • , Dennis O. Mook-Kanamori
  • , Daniel S. Evans
  • , Maria Nethander
  • , Maria J. Knol
  • , Gudmar Thorleifsson
  • Ivana Prokic, Babette Zemel, Linda Broer, Fiona E. McGuigan, Natasja M. van Schoor, Sjur Reppe, Mikolaj A. Pawlak, Stuart H. Ralston, Nathalie van der Velde, Mattias Lorentzon, Kari Stefansson, Hieab H.H. Adams, Scott G. Wilson, M. Arfan Ikram, John P. Walsh, Timo A. Lakka, Kaare M. Gautvik, James F. Wilson, Eric S. Orwoll, Cornelia M. van Duijn, Klaus Bønnelykke, Andre G. Uitterlinden, Unnur Styrkársdóttir, Kristina E. Akesson, Timothy D. Spector, Jonathan H. Tobias, Claes Ohlsson, Janine F. Felix, Hans Bisgaard, Struan F.A. Grant, J. Brent Richards, David M. Evans, Bram van der Eerden, Jeroen van de Peppel, Cheryl Ackert-Bicknell, David Karasik, Erika Kague, Fernando Rivadeneira*
*Corresponding author for this work
  • Sir Charles Gairdner Hospital
  • University of Western Australia
  • Children's Hospital of Philadelphia
  • University of Queensland
  • Bristol Medical School
  • Bar-Ilan University
  • University of Eastern Finland
  • University of Edinburgh
  • Leiden University Medical Centre
  • Copenhagen University Hospital (Nordvest)
  • Steno Diabetes Center Copenhagen
  • University of Copenhagen
  • California Pacific Medical Center
  • The Sahlgrenska Academy at the University of Gothenburg
  • deCODE Genetics
  • UPenn School of Medicine
  • Lund University (Malmö)
  • Amsterdam UMC
  • Oslo University Hospital
  • Lovisenberg Diaconal Hospital
  • Australian Catholic University
  • King's College London
  • Medical Research Council Human Genetics Unit
  • Oregon Health and Science University
  • Skåne University Hospital
  • Sahlgrenska University Hospital
  • McGill University
  • University of Colorado Anschutz Medical Campus
  • Hebrew SeniorLife
  • University of Bristol

Research output: Contribution to journal › Article › Academic › peer-review

15 Citations (Scopus)
102 Downloads (Pure)

Abstract

Skull bone mineral density (SK-BMD) provides a suitable trait for the discovery of key genes in bone biology, particularly to intramembranous ossification, not captured at other skeletal sites. We perform a genome-wide association meta-analysis (n ~ 43,800) of SK-BMD, identifying 59 loci, collectively explaining 12.5% of the trait variance. Association signals cluster within gene-sets involved in skeletal development and osteoporosis. Among the four novel loci (ZIC1, PRKAR1A, AZIN1/ATP6V1C1, GLRX3), there are factors implicated in intramembranous ossification and as we show, inherent to craniosynostosis processes. Functional follow-up in zebrafish confirms the importance of ZIC1 on cranial suture patterning. Likewise, we observe abnormal cranial bone initiation that culminates in ectopic sutures and reduced BMD in mosaic atp6v1c1 knockouts. Mosaic prkar1a knockouts present asymmetric bone growth and, conversely, elevated BMD. In light of this evidence linking SK-BMD loci to craniofacial abnormalities, our study provides new insight into the pathophysiology, diagnosis and treatment of skeletal diseases.

Original languageEnglish
Article number691
JournalCommunications Biology
Volume6
Issue number1
DOIs
Publication statusPublished - 4 Jul 2023

Bibliographical note

Publisher Copyright: © 2023, The Author(s).

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