The analysis of DKK1 polymorphisms in relation to skeletal phenotypes and bone response to alendronate treatment in Chinese postmenopausal women

Pharmacogenomics. 2016 Feb;17(3):209-17. doi: 10.2217/pgs.15.167. Epub 2016 Jan 18.

Abstract

Aim: To investigate the correlation between DKK1 polymorphisms with bone phenotypes and response to alendronate treatment.

Materials & methods: Five tag single nucleotide polymorphisms of DKK1 were analyzed in 639 Chinese postmenopausal women with osteoporosis or osteopenia. Bone mineral density (BMD), β-CTX and ALP were measured before and after alendronate treatment.

Results: Genotypes at rs1896367, rs1528877 and rs2241529 correlated to baseline BMD (p < 0.05). rs1528877 and rs2241529 polymorphisms correlated to baseline β-CTX levels (p < 0.05). rs2241529 polymorphisms of DKK1 had a small influence on the skeletal response to alendronate treatment (p < 0.05).

Conclusion: DKK1 polymorphisms may correlate to baseline BMD and serum β-CTX levels, but present a weak effect on the response to alendronate.

Keywords: DKK1 gene polymorphisms; alendronate; bone mineral density; osteoporosis; response to treatment.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alanine Transaminase / blood
  • Alendronate / therapeutic use*
  • Alkaline Phosphatase / blood
  • Asian People
  • Biomarkers / blood
  • Bone Density / drug effects*
  • Bone Density Conservation Agents / therapeutic use*
  • Bone Diseases, Metabolic / drug therapy
  • Bone Diseases, Metabolic / genetics
  • Bone Diseases, Metabolic / physiopathology
  • Bone Remodeling / drug effects*
  • Collagen Type I / blood
  • Creatinine / blood
  • Genetic Association Studies
  • Humans
  • Intercellular Signaling Peptides and Proteins / genetics*
  • Osteoporosis, Postmenopausal / drug therapy
  • Osteoporosis, Postmenopausal / genetics
  • Osteoporosis, Postmenopausal / physiopathology
  • Peptides / blood
  • Polymorphism, Single Nucleotide
  • Prospective Studies

Substances

  • Biomarkers
  • Bone Density Conservation Agents
  • Collagen Type I
  • DKK1 protein, human
  • Intercellular Signaling Peptides and Proteins
  • Peptides
  • collagen type I trimeric cross-linked peptide
  • Creatinine
  • Alanine Transaminase
  • Alkaline Phosphatase
  • Alendronate