PMID- 38478320 OWN - NLM STAT- Publisher LR - 20240313 IS - 1559-0291 (Electronic) IS - 0273-2289 (Linking) DP - 2024 Mar 13 TI - Causal Association of Telomere Length and Loss of Bone: a Directional Mendelian Randomization Study of Multi-Outcomes. LID - 10.1007/s12010-024-04899-2 [doi] AB - This study employed a genome-wide association study (GWAS) to investigate the relationship between telomere length and marginal bone loss (MBL), a marker of bone health and aging. Telomere length, a biological indicator of aging, was analyzed alongside several serum markers of bone loss. Following a screen for appropriate instrumental variables, telomere length was designated as the exposure variable. We conducted the main analysis using random-effects inverse variance weighting (IVW) and supplemented it with MR Egger, weighted median, simple mode, and weighted mode analyses, employing a total of five methods. Positive outcomes underwent scrutiny through heterogeneity analysis, horizontal multiplicity analysis, and leave-one-out plot. Subsequently, the effective gene locus was chosen for a reverse MR analysis, with positive results serving as the exposure variable. We found a causal relationship between telomere length and the expression of osteocalcin (OC), matrix metalloproteinase-3 (MMP-3), and matrix metalloproteinase-12 (MMP-12), key markers of bone metabolism. Our findings suggest that telomere wear and shortening may contribute to increased activity of OC, MMP-3, and MMP-12, thus affecting bone metabolism. However, reverse Mendelian randomization analysis did not indicate a significant impact of OC, MMP-3, and MMP-12 on telomere length, implying a unidirectional relationship. Overall, this meta-analysis underscores the association between telomere length and bone loss, highlighting the importance of timing and duration of telomere wear and shortening in influencing bone metabolism. CI - (c) 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Du, Xiaoxun AU - Du X AD - College of Integrative Chinese and Western Medicine, Tianjin University of Traditional Chinese Medicine, No.10, Poyang Lake Road, Jinghai District, Tianjin, 301617, China. FAU - Guo, Cunliang AU - Guo C AD - College of Integrative Chinese and Western Medicine, Tianjin University of Traditional Chinese Medicine, No.10, Poyang Lake Road, Jinghai District, Tianjin, 301617, China. FAU - Zhang, Chao AU - Zhang C AD - Second Clinical Medical School, Guangzhou University of Traditional Chinese Medicine, No.12, Airport Road, Baiyun District, Guangzhou, 510405, Guangdong Province, China. FAU - Xu, Baoshan AU - Xu B AUID- ORCID: 0000-0002-4407-8745 AD - Minimally Invasive Spine Surgery, Tianjin Hospital, No.406, Jiefang South Road, Hexi District, Tianjin, 300299, China. baoshanxu99@tmu.edu.cn. LA - eng GR - Nos.82072491/National Natural Science Foundation of China/ GR - Nos. 20JCYBJC00820/Natural Science Foundation of Tianjin City/ PT - Journal Article DEP - 20240313 PL - United States TA - Appl Biochem Biotechnol JT - Applied biochemistry and biotechnology JID - 8208561 SB - IM OTO - NOTNLM OT - Bone metabolism OT - Causality analysis OT - Mendelian randomization OT - Telomere length EDAT- 2024/03/13 18:46 MHDA- 2024/03/13 18:46 CRDT- 2024/03/13 12:25 PHST- 2024/03/04 00:00 [accepted] PHST- 2024/03/13 18:46 [medline] PHST- 2024/03/13 18:46 [pubmed] PHST- 2024/03/13 12:25 [entrez] AID - 10.1007/s12010-024-04899-2 [pii] AID - 10.1007/s12010-024-04899-2 [doi] PST - aheadofprint SO - Appl Biochem Biotechnol. 2024 Mar 13. doi: 10.1007/s12010-024-04899-2.