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Vol 46(2012) N 1 p. 94-101;
O.A. Gra1,2, M.V. Moskalenko3, N.A. Filimonova1, I.A. Baranova4, A.S. Glotov5, S.A. Surzhikov1, E.P. Koroleva6, I.V. Goldenkova-Pavlova2, T.V. Nasedkina1*

Association of Polymorphisms of Xenobiotic-Metabolizing Genes with Glucocorticoid-Induced Osteoporosis in Patients with Bronchial Asthma

1Engelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, 119991 Russia
2Vavilov Institute of General Genetics, Russian Academy of Sciences, Moscow, 119991 Russia
3Russian Research Institute of Hematology and Blood Transfusion, Federal Medical-Biological Agency of Russia, St. Petersburg, 191024 Russia
4Russian State Medical University, Moscow, 117437 Russia
5Ott Institute of Obstetrics and Gynecology, Russian Academy of Medical Sciences, St. Petersburg, 199034 Russia
6A.N. Bach Institute of Biochemistry Russian Academy of Sciences, Moscow, 119071 Russia

*nased@eimb.ru
Received - 2011-02-09; Accepted - 2011-06-20

Investigation of risk factors for glucocorticoid-induced (GI) osteoporosis, which is one of the most frequent and serious complications of long-term systemic glucocorticoid (SGC) therapy for bronchial asthma, is a topical issue of preventative medicine. In the present work, allele-specific hybridization on a biochip was used to determine the allele and genotype frequencies of eight candidate genes for GI osteoporosis in 137 patients with bronchial asthma receiving long-term SGC therapy. The MTHFR polymorphism 677C>T showed a significant association with the proximal femur mineral density (Z-score) in patients treated with SGC (non-parametric Kruskal-Wallis ANOVA, p = 0.0013). On the other hand, carriers of the null genotype by the GSTM1 insertion-deletion polymorphism had lower bone mineral density Z-scores than carriers of at least one functional GSTM1 allele (Mann-Whitney U-test with the Bonferroni correction, p = 0.034). Analysis of gene-gene interactions showed that the MTHFR 677C/C/GSTM1 null genotype combination was associated with significantly lower bone mineral density Z-scores than other genotype variants (Kruskal-Wallis ANOVA, p = 0.0012). Thus, the MTHFR and GSTM1 alleles can modulate the risk of GI osteoporosis in patients with bronchial asthma, which is very important for the identification of patients at a high risk of osteoporosis among indi- viduals receiving SGC, as well as inhaled glucocorticoids.

bronchial asthma, osteoporosis, polymorphism, xenobiotic-metabolizing genes, predisposition, biochip



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