Osteoporosis, bone & mineral

Shared genetic basis connects smoking behaviors and bone health: insights from a genome-wide cross-trait analysis

J Bone Miner ResPublished Genome-wide cross-trait analysis with Mendelian randomization

Authors' conclusion

Our study demonstrates a pronounced biological pleiotropy as well as a putative causal link between current smoking status and eBMD

Study context

Population
European-ancestry GWAS: smoking initiation (Nsmoker = 1,175,108, Nnonsmoker = 1,493,921), heaviness (cigarettes per day, N = 618,489), cessation (Ncurrent smoker = 304,244, Nformer smoker = 843,028), and estimated bone mineral density (eBMD)GWAS summary statistics · eBMD 426,824
Comparison
Smoking behaviours vs heel eBMD
Outcome
Shared genetic architecture of smoking and eBMD
Methodological detailsGWAS summary statistics, European ancestry, genetic correlation, cross-trait meta-analysis
  • GWAS summary statistics
  • European ancestry
  • Genetic correlation
  • Cross-trait meta-analysis

Pooled result

As reported in the abstract

Global genetic correlation, smoking cessation and eBMD (significant negative)

rg = −0.051

P = 0.01

Significant shared local signals for smoking and eBMD; 22q13.1 strongest regional genetic correlation

6

Pleiotropic loci in cross-trait meta-analysis

71

Further pooled results

MR: causal effect of smoking on eBMD

Beta (g/cm²) (95% CI)
Smoking initiationNo causal effect−0.003 (−0.033 to 0.027)
Smoking heavinessNo causal effect−0.017 (−0.072 to 0.038)
OutcomeBeta (g/cm²) (95% CI)
MR: causal effect of smoking on eBMDCurrent smoker vs Former smokers−0.100 (−0.181 to −0.018)
  • MR: causal effect of smoking on eBMD: putative causal effect; lower eBMD with genetic predisposition to current smoking

Original publication

Shared genetic basis connects smoking behaviors and bone health: insights from a genome-wide cross-trait analysis. J Bone Miner Res. Published 6 June 2024. doi:10.1093/jbmr/zjae082

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