Abstract
Earlier menarche correlates with shorter adult height1 and higher childhood body fat2. We conducted a genome-wide association study of age at menarche (AAM) on 15,297 Icelandic women. Combined analysis with replication sets from Iceland, Denmark and the Netherlands (N = 10,040) yielded a significant association between rs314280[T] on 6q21, near the LIN28B gene, and AAM (effect = 1.2 months later per allele; P = 1.8 × 10−14). A second SNP within the same linkage disequilibrium (LD) block, rs314277, splits rs314280[T] into two haplotypes with different effects (0.9 months and 1.9 months per allele). These variants have been associated with greater adult height3,4. The association with adult height did not account for the association with AAM or vice versa. Other variants, previously associated with height3,4,5, did not associate significantly with AAM. Given the link between body fat and AAM, we also assessed 11 variants recently associated with higher body mass index (BMI)6,7,8,9,10,11 and 5 of those associated with earlier AAM.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Onland-Moret, N.C. et al. Age at menarche in relation to adult height: the EPIC study. Am. J. Epidemiol. 162, 623–632 (2005).
Kaplowitz, P.B. Link between body fat and the timing of puberty. Pediatrics 121 Suppl 3, S208–S217 (2008).
Gudbjartsson, D.F. et al. Many sequence variants affecting diversity of adult human height. Nat. Genet. 40, 609–615 (2008).
Lettre, G. et al. Identification of ten loci associated with height highlights new biological pathways in human growth. Nat. Genet. 40, 584–591 (2008).
Weedon, M.N. et al. Genome-wide association analysis identifies 20 loci that influence adult height. Nat. Genet. 40, 575–583 (2008).
Frayling, T.M. et al. A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity. Science 316, 889–894 (2007).
Dina, C. et al. Variation in FTO contributes to childhood obesity and severe adult obesity. Nat. Genet. 39, 724–726 (2007).
Hinney, A. et al. Genome wide association (GWA) study for early onset extreme obesity supports the role of fat mass and obesity associated gene (FTO) variants. PLoS ONE 2, e1361 (2007).
Loos, R.J. et al. Common variants near MC4R are associated with fat mass, weight and risk of obesity. Nat. Genet. 40, 768–775 (2008).
Thorleifsson, G. et al. Genome-wide association yields new sequence variants at seven loci that associate with measures of obesity. Nat. Genet. 41, 18–24 (2009).
Willer, C.J. et al. Six new loci associated with body mass index highlight a neuronal influence on body weight regulation. Nat. Genet. 41, 25–34 (2009).
Clavel-Chapelon, F. Differential effects of reproductive factors on the risk of pre- and postmenopausal breast cancer. Results from a large cohort of French women. Br. J. Cancer 86, 723–727 (2002).
Jordan, S.J., Webb, P.M. & Green, A.C. Height, age at menarche, and risk of epithelial ovarian cancer. Cancer Epidemiol. Biomarkers Prev. 14, 2045–2048 (2005).
Purdie, D.M. & Green, A.C. Epidemiology of endometrial cancer. Best Pract. Res. Clin. Obstet. Gynaecol. 15, 341–354 (2001).
Eastell, R. Role of oestrogen in the regulation of bone turnover at the menarche. J. Endocrinol. 185, 223–234 (2005).
Herman-Giddens, M.E. et al. Secondary sexual characteristics and menses in young girls seen in office practice: a study from the Pediatric Research in Office Settings network. Pediatrics 99, 505–512 (1997).
Morabia, A. & Costanza, M.C. International variability in ages at menarche, first livebirth, and menopause. World Health Organization collaborative study of neoplasia and steroid contraceptives. Am. J. Epidemiol. 148, 1195–1205 (1998).
Thomas, F., Renaud, F., Benefice, E., de Meeus, T. & Guegan, J.F. International variability of ages at menarche and menopause: patterns and main determinants. Hum. Biol. 73, 271–290 (2001).
Tanner, J.M. Trend towards earlier menarche in London, Olso, Copenhagen, the Netherlands and Hungary. Nature 243, 95–96 (1973).
Euling, S.Y. et al. Examination of US puberty-timing data from 1940 to 1994 for secular trends: panel findings. Pediatrics 121 (Suppl. 3), S172–S191 (2008).
Tryggvadottir, L., Tulinius, H. & Larusdottir, M. A decline and a halt in mean age at menarche in Iceland. Ann. Hum. Biol. 21, 179–186 (1994).
van den Berg, S.M. & Boomsma, D.I. The familial clustering of age at menarche in extended twin families. Behav. Genet. 37, 661–667 (2007).
Towne, B. et al. Heritability of age at menarche in girls from the Fels Longitudinal Study. Am. J. Phys. Anthropol. 128, 210–219 (2005).
Anderson, C.A., Duffy, D.L., Martin, N.G. & Visscher, P.M. Estimation of variance components for age at menarche in twin families. Behav. Genet. 37, 668–677 (2007).
Devlin, B., Bacanu, S.A. & Roeder, K. Genomic Control to the extreme. Nat. Genet. 36, 1129–1130; author reply 1131 (2004).
Guo, Y. et al. Identification and characterization of lin-28 homolog B (LIN28B) in human hepatocellular carcinoma. Gene 384, 51–61 (2006).
Emilsson, V. et al. Genetics of gene expression and its effect on disease. Nature 452, 423–428 (2008).
The International HapMap Consortium. A haplotype map of the human genome. Nature 437, 1299–1320 (2005).
Lakshman, R. et al. Association between age at menarche and risk of diabetes in adults: results from the EPIC-Norfolk cohort study. Diabetologia 51, 781–786 (2008).
Olsen, J. et al. The Danish National Birth Cohort–its background, structure and aim. Scand. J. Public Health 29, 300–307 (2001).
Acknowledgements
The Danish National Research Foundation has established the Danish Epidemiology Science Centre, which initiated and created the Danish National Birth Cohort. The cohort was established with the support of a major grant from this foundation. Additional support for the Danish National Birth Cohort has been obtained from the Danish Pharmacists' Fund, the Egmont Foundation the March of Dimes Birth Defects Foundation, the Augustinus Foundation and the Health Fund of the Danish Health Insurance Societies.
Author information
Authors and Affiliations
Contributions
P.S., D.F.G., T.R., H.H. and K.S. wrote the first draft of the paper. P.S., D.F.G., G.T. and A.K. analyzed the data. T.R., E.J.O., G.H.O., T.J., U.S., V.S., A.K., S.N.S., J.G. and L.T. collected the Icelandic data. A.J. peformed expression measurements. M.J., G.H. and U.T. carried out the genotyping. P.A., B.F., H.A.B., M.M. and C.C. collected the Danish data. K.K.A., A.L.M.V., N.R. and L.A.K. collected the Dutch data. P.S., D.F.G., T.R., J.G., L.A.K., M.M., C.C., L.T., U.T. and K.S. planned and supervised the work.
Corresponding authors
Ethics declarations
Competing interests
Some of the authors employed by deCODE genetics own stock or stock options in the company.
Supplementary information
Supplementary Text and Figures
Supplementary Figures 1 and 2, Supplementary Tables 1–5, Supplementary Methods and Supplementary Note (PDF 307 kb)
Rights and permissions
About this article
Cite this article
Sulem, P., Gudbjartsson, D., Rafnar, T. et al. Genome-wide association study identifies sequence variants on 6q21 associated with age at menarche. Nat Genet 41, 734–738 (2009). https://doi.org/10.1038/ng.383
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/ng.383