RT Journal Article SR Electronic T1 Identification of a novel locus on chromosome 2q13, which predisposes to clinical vertebral fractures independently of bone density JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP annrheumdis-2017-212469 DO 10.1136/annrheumdis-2017-212469 A1 Nerea Alonso A1 Karol Estrada A1 Omar M E Albagha A1 Lizbeth Herrera A1 Sjur Reppe A1 Ole K Olstad A1 Kaare M Gautvik A1 Niamh M Ryan A1 Kathryn L Evans A1 Carrie M Nielson A1 Yi-Hsiang Hsu A1 Douglas P Kiel A1 George Markozannes A1 Evangelia E Ntzani A1 Evangelos Evangelou A1 Bjarke Feenstra A1 Xueping Liu A1 Mads Melbye A1 Laura Masi A1 Maria Luisa Brandi A1 Philip Riches A1 Anna Daroszewska A1 José Manuel Olmos A1 Carmen Valero A1 Jesús Castillo A1 José A Riancho A1 Lise B Husted A1 Bente L Langdahl A1 Matthew A Brown A1 Emma L Duncan A1 Stephen Kaptoge A1 Kay-Tee Khaw A1 Ricardo Usategui-Martín A1 Javier Del Pino-Montes A1 Rogelio González-Sarmiento A1 Joshua R Lewis A1 Richard L Prince A1 Patrizia D’Amelio A1 Natalia García-Giralt A1 Xavier Nogués A1 Simona Mencej-Bedrac A1 Janja Marc A1 Orit Wolstein A1 John A Eisman A1 Ling Oei A1 Carolina Medina-Gómez A1 Katharina E Schraut A1 Pau Navarro A1 James F Wilson A1 Gail Davies A1 John Starr A1 Ian Deary A1 Toshiko Tanaka A1 Luigi Ferrucci A1 Fernando Gianfrancesco A1 Luigi Gennari A1 Gavin Lucas A1 Roberto Elosua A1 André G Uitterlinden A1 Fernando Rivadeneira A1 Stuart H Ralston YR 2017 UL http://ard.bmj.com/content/early/2017/11/23/annrheumdis-2017-212469.abstract AB Objectives To identify genetic determinants of susceptibility to clinical vertebral fractures, which is an important complication of osteoporosis.Methods Here we conduct a genome-wide association study in 1553 postmenopausal women with clinical vertebral fractures and 4340 controls, with a two-stage replication involving 1028 cases and 3762 controls. Potentially causal variants were identified using expression quantitative trait loci (eQTL) data from transiliac bone biopsies and bioinformatic studies.Results A locus tagged by rs10190845 was identified on chromosome 2q13, which was significantly associated with clinical vertebral fracture (P=1.04×10−9) with a large effect size (OR 1.74, 95% CI 1.06 to 2.6). Bioinformatic analysis of this locus identified several potentially functional SNPs that are associated with expression of the positional candidate genes TTL (tubulin tyrosine ligase) and SLC20A1 (solute carrier family 20 member 1). Three other suggestive loci were identified on chromosomes 1p31, 11q12 and 15q11. All these loci were novel and had not previously been associated with bone mineral density or clinical fractures.Conclusion We have identified a novel genetic variant that is associated with clinical vertebral fractures by mechanisms that are independent of BMD. Further studies are now in progress to validate this association and evaluate the underlying mechanism.