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Network of Networks, Cambridge UK 6 Octobre 2005. GENOMOS “Genetic Markers for Osteoporosis” RSC: Ioannidis, Ralston, Uitterlinden EU FP5 sponsored 3 mio euro QLK6-CT-2002-02629 Jan 2003 - Jan 2007. Osteoporosis is a genetic disease. Classical genetic studies :
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Network of Networks, Cambridge UK 6 Octobre 2005 GENOMOS “Genetic Markers for Osteoporosis” RSC: Ioannidis, Ralston, Uitterlinden EU FP5 sponsored 3 mio euro QLK6-CT-2002-02629 Jan 2003 - Jan 2007
Osteoporosis is a genetic disease • Classical genetic studies: • - FAMILIAL CLUSTERING: no Mendelian segregation patterns • - TWIN STUDIES: DNA similarity ~ bone similarity • Human Genome Project: 15-20 million DNA polymorphisms • -DNA = Blue-print of life • - There is no “wild-type”: Each human has a unique genome • >> Genome variation causes bone variation
Dissection of a Complex Disease/Trait : identify “risk” alleles of susceptibility genes Resolution Effectiveness Type of approach “Top-down”/hypothesis free * Whole-Genome-Linkage analysis - Pedigrees - Sib-pairs - Human, mouse * Whole-Genome-Association analysis - 100K – 1000K SNP analysis in cases/controls “Bottom-up”/up-front hypothesis * Association analyses of candidate gene polymorphisms (based on biology) - 5-20 million bp +/? 5-50 thousand bp +/- 1 bp >>All approaches converge to testing (candidate) gene polymorphisms !
IGFI, IGFBP3 GR, 11B-HSD Cortisol IGF/GH TSHR, DIO1, DIO2, DIO3, MCT8 Thyroid Hormone ERα, ERβ, Aromatase, LH, LHR, GnRH VDR,DBP Vitamin D Estrogen Genetic determinants of osteoporosis ? TGFb/BMP/Wnt-signalling homocysteine Matrix molecules MTHFR, MS, MTRR, CBS, THYMS TGFb, LRP5/6, BMP2, FRZB, SOST Collagen Ia1, osteocalcin, AHSG, LOX
Candidate gene association analysis “in practice”: Many controversial & ir-reproducible results because of: • Small sample size • Ill-defined choice of polymorphisms • Lack of standardized genotyping • Lack of standardized phenotype data • Publication bias • >> How to improve? • Combine study populations across Europe: meta-analysis • Rationalise choice of polymorphisms (functionality, haplotypes) • Standardize genotyping methods: e.g., reference plate • Standardize phenotypes across populations: meta-analysis • Run prospective meta-analyses
GENOMOS (per january 2003) a large-scale multicentre study for prospective meta-analyses of osteoporosis candidate gene variants “Genetic Markers for Osteoporosis” EU FP5 sponsored 3 mio euro Jan 2003 – Jan 2007 “Maiden” publication: ESR1, JAMA Nov 3, 2004: Ioannidis et al. Aberdeen 2 Aarhus Total number of subjects: 18.917 14.622 women 4.295 men 4.952 fractures 1.072 vertebral fx 3 Cambridge 5 6 Rotterdam 1 Oxford 7 Antwerp 4 Firenze 9 Barcelona 8 Ioannina = Participant + Epidemiological Cohort 9 = Participant 7
STRUCTURE OF “GENOMOS” WORKPLAN WP 1 GENOTYPING WP 2 FAMILY DATA WP 3 HAPLOTYPING WP 4 MONOGENIC GENES WP 5 DNA POOLING DATA GENERATION GENOTYPE DATA OF POPULATIONS META-ANALYSES DATA ANALYSIS WP 7: GENE ENVIRONMENT INTERACTIONS: Gene-nutrient interaction WP6: ASSOCIATION WITH FRACTURE, BMD, BONE LOSS WP 8: GENE ENVIRONMENT INTERACTIONS: Response-to-Treatment DELIVERABLES OSTEOPOROSIS SUSCEPTIBILITY- ALLELES DIETARY MODIFICATION TREATMENT MODIFICATION DISSEMINATION, COMMERCIALISATION
STRUCTURE OF “GENOMOS” MANAGEMENT European Commission Scientific Officer: Dr Christian Wimmer COORDINATOR participant 1 (Uitterlinden) ADVISORY BOARD Briggs (ESDN) Kaufman (NEMO) Levi (GENOSPORA) Ralston (ANABONOS) RESEARCH STEERING COMMITTEE participant 1 (Uitterlinden) participant 2 (Ralston) participant 8 (Ioannidis) WP 1 GENOTYPING POPULATIONS coordinator participant 1 (Uitterlinden) WP 8 RESPONSE TO HRT-TREATMENT INTERACTION coordinator participant 3 (Langdahl) WP 7 GENE-NUTRIENT INTERACTION (Ca++) coordinator participant 5 (Reeve) WP 2 GENOTYPING FAMILIES coordinator participant 6 (Carey) WP 3 HAPLOTYPING coordinator participant 1 (Uitterlinden) WP 5 DNA POOLING coordinator participant 2 (Ralston) WP 6 META-ANALYSES coordinator participant 8 (Ioannidis) WP 4 MONOGENIC GENES coordinator participant 7 (van Hul)
Candidate gene association analyses in GENOMOS • Genotype polymorphisms with prior evidence: • “fixed” polymorphisms • Then genotype other polymorphisms with some evidence: • “free” polymorphisms
“GENOMOS” (per may 2005) a large-scale, multi-centre study for prospective meta-analyses of osteoporosis candidate gene variants “Genetic Markers for Osteoporosis” EU FP5 sponsored: 3 mio euro Jan 2003 – Jan 2007 Total number of subjects: 26,264 18,405 women 7,859 men 6,498 fractures 2,380 vertebral fx Genes analysed: - ESR1 (JAMA Nov 3, 2004: Ioannidis et al.) - COLIA1 (manuscript subm) - VDR (manuscript subm) - TGFb (ongoing) - LRP5&6 (ongoing) Aberdeen 16 2 14 Aarhus 13 15 3 Cambridge 5 Amsterdam 12 Warsaw 1 Rotterdam* 10 7 Antwerp Graz 11 4 Firenze 9 Barcelona 8 = Participant + Epidemiological Cohort Ioannina 9 = Participant 7 *coordinating centre