LCT 13910 C/T polymorphism, serum calcium, and bone mineral density in postmenopausal women

Osteoporos Int. 2009 Apr;20(4):639-45. doi: 10.1007/s00198-008-0709-9. Epub 2008 Aug 13.

Abstract

Summary: LCT 13910 CC genotype is associated with lactose intolerance, a condition often resulting in reduced milk intake. Women with the CC genotype were found to have decreased serum calcium and reduced bone mineral density.

Introduction: The CC genotype of the 13910 C/T polymorphism of the LCT gene is linked to lactose intolerance and low calcium intake.

Methods: We studied 595 postmenopausal women, including 267 osteoporotic, 200 osteopenic, and 128 healthy subjects. Genotyping, osteodensitometry, and laboratory measurements were carried out.

Results: Frequency of aversion to milk consumption was 20% for CC genotype and 10% for TT + TC genotypes (p = 0.03). The albumin-adjusted serum calcium was 2.325 +/- 0.09 mmol/L for CC genotype and 2.360 +/- 0.16 mmol/L for TT + TC genotypes (p = 0.031). Bone mineral density (BMD; Z score) was lower in the CC than TT + TC genotypes, respectively, at the radius (0.105 +/- 1.42 vs 0.406 +/- 1.32; p = 0.038), at the total hip (-0.471 +/- 1.08 vs -0.170 +/- 1.09; p = 0.041), and at the Ward's triangle (-0.334 +/- 0.87 vs -0.123 +/- 0.82; p = 0.044).

Conclusion: LCT 13910 C/T polymorphism is associated with decreased serum calcium level and lower BMD in postmenopausal women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorptiometry, Photon / methods
  • Aged
  • Anthropometry
  • Bone Density / genetics*
  • Bone Diseases, Metabolic / blood
  • Bone Diseases, Metabolic / etiology*
  • Bone Diseases, Metabolic / physiopathology
  • Calcium / blood*
  • Female
  • Genotype
  • Humans
  • Lactase-Phlorizin Hydrolase / genetics*
  • Lactose Intolerance / blood
  • Lactose Intolerance / complications*
  • Lactose Intolerance / genetics
  • Lactose Intolerance / physiopathology
  • Middle Aged
  • Osteoporosis, Postmenopausal / blood
  • Osteoporosis, Postmenopausal / etiology
  • Osteoporosis, Postmenopausal / physiopathology
  • Polymorphism, Single Nucleotide

Substances

  • Lactase-Phlorizin Hydrolase
  • Calcium