We have recently shown that bone radio-grammetric dimensions are associated
with vitamin D receptor gene polymorphism. Since parathyroid hormone (PTH)
plays a central role in maintaining calcium homeostasis and in bone remode
ling, we investigated whether bone radio-grammetric dimensions are associat
ed with a PTH gene polymorphism in 91 healthy Caucasian women, who were pre
menopausal at entry into the study. These women had assessments of bone by
radiogrammetry every five years for a median period of 20 years (range 4-27
). DNA was extracted from white blood cells. A segment of the PTH gene with
a polymorphism at a BstBI restriction site was amplified by polymerase cha
in reaction. Diameter, cortical thickness and cross-sectional area at stand
ard sites of the metacarpals, radius and femur were measured with radiogram
metry. Higher metacarpal diameter and cross-sectional cortical. area, and a
slower decrease in radial cortical area with age, were associated with the
absence of the BstBI restriction site of the PTH gene. PTH gene polymorphi
sm accounts for about 7-9% of the total variances of bone dimensional varia
bles. These findings suggest that the dimensions of long bones are influenc
ed by allelic variations in the PTH gene or in genes nearby.