Abstract

Bone mineral density (BMD) is a strong predictor of osteoporotic fracture. It is also one of the most heritable disease-associated quantitative traits. As a result, there has been considerable effort focused on dissecting its genetic basis. Here, we performed a genome-wide association study (GWAS) in a panel of inbred strains to identify associations influencing BMD. This analysis identified a significant (P = 3.1 x 10−12) BMD locus on Chromosome 3@52.5 Mbp that replicated in two separate inbred strain panels and overlapped a BMD quantitative trait locus (QTL) previously identified in a F2 intercross. The association mapped to a 300 Kbp region containing four genes; Gm2447, Gm20750, Cog6, and Lhfp. Further analysis found that Lipoma HMGIC Fusion Partner (Lhfp) was highly expressed in bone and osteoblasts. Furthermore, its expression was regulated by a local expression QTL (eQTL), which overlapped the BMD association. A co-expression network analysis revealed that Lhfp was strongly connected to genes involved in osteoblast differentiation. To directly evaluate its role in bone, Lhfp deficient mice (Lhfp-/-) were created using CRISPR/Cas9. Consistent with genetic and network predictions, bone marrow stromal cells (BMSCs) from Lhfp-/- mice displayed increased osteogenic differentiation. Lhfp-/- mice also had elevated BMD due to increased cortical bone mass. Lastly, we identified SNPs in human LHFP that were associated (P = 1.2 x 10−5) with heel BMD. In conclusion, we used GWAS and systems genetics to identify Lhfp as a regulator of osteoblast activity and bone mass.

Highlights

  • It is currently estimated that half of all Americans over the age of 50 already have or are at high risk of developing osteoporosis [1]

  • Osteoporosis is a common, chronic disease characterized by low bone mineral density (BMD) that puts millions of Americans at high risk of fracture

  • Lipoma HMGIC Fusion Partner (Lhfp) is a genetic determinant of Bone mineral density (BMD)

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Summary

Introduction

It is currently estimated that half of all Americans over the age of 50 already have or are at high risk of developing osteoporosis [1]. Bone mineral density (BMD) is used clinically to diagnose osteoporosis and beyond age, it is the single strongest predictor of the risk of fracture [2]. BMD is one of the most heritable disease-associated quantitative traits with studies demonstrating that up to 80% of the variance in peak bone mass is heritable [3,4,5,6]. Consistent with its high heritability, genome-wide association studies (GWASs) in humans have identified hundreds of loci for BMD [7,8,9]. There remains much to be discovered regarding the genetics of bone mass and genetic mapping efforts using mouse models is a complementary approach to identify novel regulators of bone mass [11,12,13]

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