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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcell.2020.00798</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Identification and Analysis of Genes Underlying Bone Mineral Density by Integrating Microarray Data of Osteoporosis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Haihong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Feng</surname> <given-names>Jinghui</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Lin</surname> <given-names>Zhiguo</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Shuya</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1010976/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Yan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Dai</surname> <given-names>Siming</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Kong</surname> <given-names>Weisi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Wang</surname> <given-names>Yanli</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1020652/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhang</surname> <given-names>Zhiyi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Rheumatology and Immunology, The First Affiliated Hospital of Harbin Medical University</institution>, <addr-line>Harbin</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Gerontology, The First Affiliated Hospital of Harbin Medical University</institution>, <addr-line>Harbin</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Lei Deng, Central South University, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Hao Lin, University of Electronic Science and Technology of China, China; Liang Yu, Xidian University, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Zhiyi Zhang, <email>zhangzhiyi2014@163.com</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Molecular Medicine, a section of the journal Frontiers in Cell and Developmental Biology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>27</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="collection">
<year>2020</year>
</pub-date>
<volume>8</volume>
<elocation-id>798</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>07</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>07</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2020 Zhang, Feng, Lin, Wang, Wang, Dai, Kong, Wang and Zhang.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Zhang, Feng, Lin, Wang, Wang, Dai, Kong, Wang and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Osteoporosis is a kind of brittle bone disease, which is characterized by a reduction in bone mineral density (BMD). In recent years, a number of genes and pathophysiological mechanisms have been identified for osteoporosis. However, the genes associated with BMD remain to be explored. Toward this end, we integrated multiple osteoporosis microarray datasets to identify and systematically characterize BMD-related genes. By integrating the differentially expressed genes from three osteoporosis microarray datasets, 152 genes show differentially expressed between high and low BMD osteoporosis samples in at least two of the three datasets. Among them, 88 were up-regulated in high BMD samples and 64 were up-regulated in low BMD samples. The expression of ZFP36, JUNB and TMEM8A were increased at high BMD samples in all three datasets. Hub genes were further identified by co-expression network analysis. Functional enrichment analysis showed that the gene up-regulated in high BMD were enriched in immune-related functions, suggesting that the immune system plays an important role in osteoporosis. Our study explored BMD-related genes based on the integration of osteoporosis microarray data, providing guidance to other researchers from a new perspective.</p>
</abstract>
<kwd-group>
<kwd>bone mineral density</kwd>
<kwd>osteoporosis</kwd>
<kwd>microarray</kwd>
<kwd>co-expression</kwd>
<kwd>enrichment analysis</kwd>
</kwd-group>
<contract-sponsor id="cn001">Health and Family Planning Commission of Heilongjiang Province<named-content content-type="fundref-id">10.13039/501100008978</named-content></contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="34"/>
<page-count count="7"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1">
<title>Introduction</title>
<p>Osteoporosis, a common systemic bone disease, can lead to weak bones and increase the risk of fractures (<xref ref-type="bibr" rid="B15">Ensrud and Crandall, 2017</xref>; <xref ref-type="bibr" rid="B30">Wilson et al., 2017</xref>; <xref ref-type="bibr" rid="B19">Khosla et al., 2018</xref>). A third of women and a fifth of men over the age of 50 have broken bones due to osteoporosis (<xref ref-type="bibr" rid="B6">Brown, 2017</xref>). Osteoporosis is characterized by low bone mass, microstructure degeneration and reduced bone strength. Patients often have a reduction in bone mineral density (BMD) (<xref ref-type="bibr" rid="B12">Coughlan and Dockery, 2014</xref>; <xref ref-type="bibr" rid="B2">Black and Rosen, 2016</xref>). Bone homeostasis depends on osteoclast absorption and osteoblast formation. The imbalance of this tightly coupled process can lead to the development of osteoporosis (<xref ref-type="bibr" rid="B8">Chen et al., 2018b</xref>). This process involves changes in a variety of signaling pathways, including MAPK signaling pathway, NF-&#x03BA;B pathway, Notch signaling pathway, etc. (<xref ref-type="bibr" rid="B7">Chen et al., 2018a</xref>, <xref ref-type="bibr" rid="B9">2019</xref>; <xref ref-type="bibr" rid="B21">Lee and Long, 2018</xref>; <xref ref-type="bibr" rid="B29">Wang et al., 2019</xref>). Notch signaling pathway regulates the differentiation and function of osteoblasts and osteoclasts and participates in the process of bone reconstruction, activation of notch signaling pathway can inhibit glucose metabolism and osteoblast differentiation of bone marrow mesenchymal progenitor cells (<xref ref-type="bibr" rid="B21">Lee and Long, 2018</xref>).</p>
<p>In recent years, some genes and pathophysiological mechanisms have been identified by microarray analysis for patients with osteoporosis (<xref ref-type="bibr" rid="B24">Liu et al., 2005</xref>; <xref ref-type="bibr" rid="B22">Lei et al., 2009</xref>; <xref ref-type="bibr" rid="B23">Li et al., 2016</xref>). The study based on peripheral blood monocyte cells (PBMCs) microarray data of osteoporosis patients revealed the pathophysiological mechanism of osteoporosis, which is characterized by increased recruitment of monocytes into bone and then differentiating into osteoclasts (<xref ref-type="bibr" rid="B24">Liu et al., 2005</xref>). <xref ref-type="bibr" rid="B33">Zhou et al. (2018b</xref>, <xref ref-type="bibr" rid="B34">2019)</xref> predicted osteoporosis related transcription factors (TF) and long non-coding RNA (lncRNA) via exon arrays. Another study explored osteoporosis-related pathways based on microarray data (<xref ref-type="bibr" rid="B32">Zhou et al., 2018a</xref>). The studies mentioned above were based on a limited set of data, and have certain limitations. In order to obtain more robust results, it is critical to integrate multiple datasets for obtaining new insights.</p>
<p>In this study, we collected three microarray datasets of osteoporosis. Differential expression analysis was conducted to identify differentially expressed genes (DEGs) between high and low BMD samples. Then DEGs were integrated to obtain uniformly expressed BMD-related genes. Analysis of gene co-expression networks revealed key genes of different BMD conditions. And enrichment analysis showed that they were enriched in immune-related functions and biological pathways, suggesting a potential role of the immune system in osteoporosis.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>GEO Datasets</title>
<p>Microarray datasets of high and low BMD osteoporosis samples were downloaded from Gene Expression Omnibus (GEO) database<sup><xref ref-type="fn" rid="footnote1">1</xref></sup>, including GSE2208, GSE56814 and GSE56815. A total of 172 samples were collected from the three datasets, of which 92 were high BMD samples and 80 were low BMD samples (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>The overview of three GEO datasets.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Dataset</td>
<td valign="top" align="center" colspan="2">Sample number<hr/></td>
<td valign="top" align="center">Gene number</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">High BMD</td>
<td valign="top" align="center">Low BMD</td>
<td/>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">GSE2208</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">6353</td>
</tr>
<tr>
<td valign="top" align="left">GSE56814</td>
<td valign="top" align="center">42</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">17321</td>
</tr>
<tr>
<td valign="top" align="left">GSE56815</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">13515</td>
</tr>
<tr>
<td valign="top" align="left">Total</td>
<td valign="top" align="center">92</td>
<td valign="top" align="center">80</td>
<td valign="top" align="center">19718</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<attrib><italic>The total number of gene does not include genes that appear multiple times.</italic></attrib>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S2.SS2">
<title>Identification of Differentially Expressed Genes (DEGs)</title>
<p>The up-regulated genes in high or low BMD samples of each dataset were identified using the R package named limma with a threshold of |log2FoldChange|&#x003E;0 and <italic>P</italic> &#x003C; 0.05. Genes up-regulated in at least two datasets were identified as uniformly expressed BMD-related genes and used for subsequent analysis.</p>
</sec>
<sec id="S2.SS3">
<title>The Construction of Gene Co-expression Network</title>
<p>We calculated the Pearson Correlation Coefficient (PCC) of integrated up-regulated genes in high or low BMD samples (PCC &#x003E; 0.4 and <italic>P</italic> &#x003C; 0.05). For co-expressed gene pairs that appeared in multiple datasets, the averaged PCC was calculated. Then Cytoscape (V.3.8.0) was used for network visualization, and hub genes were identified by cytoHubba plugin (<xref ref-type="bibr" rid="B26">Shannon et al., 2003</xref>; <xref ref-type="bibr" rid="B10">Chin et al., 2014</xref>).</p>
</sec>
<sec id="S2.SS4">
<title>Enrichment Analysis</title>
<p>We performed GO and KEGG enrichment analysis of genes included in co-expression network using R package &#x201C;clusterProfiler&#x201D; (<xref ref-type="bibr" rid="B31">Yu et al., 2012</xref>). The significance threshold is 0.05.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Differentially Expressed Genes Between High and Low BMD Osteoporosis Samples</title>
<p>To explore the key genes associated with BMD, we downloaded three osteoporosis microarray datasets from NCBI GEO database. In total, 19718 genes and 172 samples were involved. The number of high and low BMD samples in each dataset was comparable (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<p>We performed the analysis of differentially expressed genes between the two types of samples (<xref ref-type="fig" rid="F1">Figure 1</xref>). There were 12.59% (GSE2208), 3.30% (GSE56814), and 18.49% (GSE56815) genes identified as differentially expressed, respectively. In GSE56814, compared to the low BMD samples, there were more genes up-regulated in high BMD samples, while GSE56814 had more genes up-regulated in low BMD samples. In GSE2208, the two types of genes were almost the same in number (<xref ref-type="fig" rid="F1">Figure 1D</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Differential expression analysis. <bold>(A&#x2013;C)</bold> Volcano plot of DEGs in each dataset, red nodes represent upregulation in high BMD samples and blue nodes represent upregulation in low BMD samples. <bold>(D)</bold> Statistics of two types of DEGs.</p></caption>
<graphic xlink:href="fcell-08-00798-g001.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>Integration of BMD-Related Genes</title>
<p>We integrated the DEGs of three datasets to obtain robust different BMD-related genes. Based on the criterion that the same gene was up-regulated in at least two datasets, we identified 88 and 64 uniformly expressed genes with high and low BMD by UpSetR, respectively (<xref ref-type="fig" rid="F2">Figures 2A,B</xref> and <xref ref-type="supplementary-material" rid="TS1">Supplementary Tables 1</xref>, <xref ref-type="supplementary-material" rid="TS2">2</xref>; <xref ref-type="bibr" rid="B11">Conway et al., 2017</xref>). In all datasets, there were three genes, ZFP36, JUNB and TMEM8A shown up-regulated in high BMD (<xref ref-type="fig" rid="F2">Figure 2C</xref> and <xref ref-type="table" rid="T2">Table 2</xref>). JUNB is a member of c-Jun protein family, which interacts with c-Fos protein family to form transcription factor AP-1. AP-1 can activate osteoclast specific genes (<xref ref-type="bibr" rid="B28">Wagner and Eferl, 2005</xref>; <xref ref-type="bibr" rid="B1">Asagiri and Takayanagi, 2007</xref>; <xref ref-type="bibr" rid="B18">Hamamura et al., 2015</xref>). Only one gene, CACNA2D3, had elevated expression with low BMD in all datasets (<xref ref-type="fig" rid="F2">Figure 2C</xref> and <xref ref-type="table" rid="T2">Table 2</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Integration of BMD-related DEGs. <bold>(A)</bold> UpSetR plot of genes up-regulated in high BMD samples, the number of genes present in at least two datasets is marked (red). <bold>(B)</bold> UpSetR plot of genes up-regulated in low BMD samples, the number of genes present in at least two datasets is marked (red). <bold>(C)</bold> Boxplot of genes that expressed consistently across all three datasets.</p></caption>
<graphic xlink:href="fcell-08-00798-g002.tif"/>
</fig>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Genes expressed consistently across all three sets of data.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Gene</td>
<td valign="top" align="center" colspan="2">GSE2208</td>
<td valign="top" align="center" colspan="2">GSE56814</td>
<td valign="top" align="center" colspan="2">GSE56815</td>
</tr>
<tr>
<td/>
<td valign="top" align="left" colspan="7"><hr/></td>
</tr>
<tr>
<td/>
<td valign="top" align="center">log<sub>2</sub>FC</td>
<td valign="top" align="center">P</td>
<td valign="top" align="center">log<sub>2</sub>FC</td>
<td valign="top" align="center">P</td>
<td valign="top" align="center">log<sub>2</sub>FC</td>
<td valign="top" align="center">P</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">ZFP36</td>
<td valign="top" align="center">0.355</td>
<td valign="top" align="center">0.024</td>
<td valign="top" align="center">0.216</td>
<td valign="top" align="center">0.042</td>
<td valign="top" align="center">0.274</td>
<td valign="top" align="center">0.004</td>
</tr>
<tr>
<td valign="top" align="left">JUNB</td>
<td valign="top" align="center">0.512</td>
<td valign="top" align="center">0.009</td>
<td valign="top" align="center">0.249</td>
<td valign="top" align="center">0.049</td>
<td valign="top" align="center">0.305</td>
<td valign="top" align="center">0.006</td>
</tr>
<tr>
<td valign="top" align="left">TMEM8A</td>
<td valign="top" align="center">0.279</td>
<td valign="top" align="center">0.024</td>
<td valign="top" align="center">0.134</td>
<td valign="top" align="center">0.021</td>
<td valign="top" align="center">0.211</td>
<td valign="top" align="center">0.013</td>
</tr>
<tr>
<td valign="top" align="left">CACNA2D3</td>
<td valign="top" align="center">&#x2212;0.256</td>
<td valign="top" align="center">0.015</td>
<td valign="top" align="center">&#x2212;0.111</td>
<td valign="top" align="center">0.015</td>
<td valign="top" align="center">&#x2212;0.268</td>
<td valign="top" align="center">0.001</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="S3.SS3">
<title>Co-expression Network and Functional Analysis of BMD-Related Genes</title>
<p>Through the similarity of gene expression, the possible interaction between gene products can be analyzed, so as to understand the interaction between genes and find out the core genes. Therefore, we performed a co-expression analysis of integrated up-regulated genes in high and low BMD samples, respectively. We obtained 58 co-expressed gene pairs of high BMD. The top5 hub genes were identified by cytoHubba, a plug-in of Cytoscape, including KDM2A, APH1A, DNPEP, NFKBIB, and TMEM8A. KDM2A was co-expressed with the largest number of genes (<xref ref-type="fig" rid="F3">Figure 3A</xref>). KDM2A can regulate Mesenchymal stem cells (MSCs) osteo/dentinogenic differentiation and cell proliferation (<xref ref-type="bibr" rid="B14">Dong et al., 2013</xref>; <xref ref-type="bibr" rid="B17">Gao et al., 2013</xref>). Co-expression network of genes that were up-regulated in high BMD samples contained 48 gene nodes. We did functional enrichment analysis on them. In addition to osteoporosis-related functions and pathways, Notch signaling pathway and osteoclast differentiation, enrichment analysis results showed that they were mainly enriched in immune-related functions and pathways (<xref ref-type="fig" rid="F3">Figure 3B</xref>; <xref ref-type="bibr" rid="B4">Boyle et al., 2003</xref>; <xref ref-type="bibr" rid="B21">Lee and Long, 2018</xref>). Studies have shown that the immune system plays an important role in osteoporosis (<xref ref-type="bibr" rid="B16">Faienza et al., 2013</xref>). For example, postmenopausal osteoporosis patients had higher T-cell activity and increased TNF&#x03B1; and RANKL production, which can promote osteoclast differentiation (<xref ref-type="bibr" rid="B13">D&#x2019;Amelio et al., 2008</xref>; <xref ref-type="bibr" rid="B25">Mirza et al., 2010</xref>; <xref ref-type="bibr" rid="B20">Kim et al., 2012</xref>). In addition, other studies have shown that B lymphocytes were closely related to bone metabolism (<xref ref-type="bibr" rid="B27">Takayanagi et al., 2005</xref>; <xref ref-type="bibr" rid="B3">Boyce and Xing, 2008</xref>; <xref ref-type="bibr" rid="B5">Breuil et al., 2010</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Co-expression network and function enrichment analysis of genes that are consistently expressed in high BMD samples. <bold>(A)</bold> The gene co-expression network. Node size represents how many other genes interact with it. Node color indicates in which data sets it is up-regulated in high BMD samples. The darker the edge color, the greater the correlation coefficient. <bold>(B)</bold> GO and KEGG results of genes in network.</p></caption>
<graphic xlink:href="fcell-08-00798-g003.tif"/>
</fig>
<p>In the co-expression network of genes that were up-regulated in low BMD samples, there were 44 gene pairs, involving 38 genes (<xref ref-type="fig" rid="F4">Figure 4A</xref>). The top5 hub genes were CCT7, DGUOK, MPHOSPH10, RARS, and DMTF1. The results of enrichment analysis showed that low BMD-related genes were mainly enriched in basic biological processes and pathways, including ribosome biogenesis, rRNA processing and translation elongation (<xref ref-type="fig" rid="F4">Figure 4B</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Co-expression network and function enrichment analysis of genes that are consistently expressed in low BMD samples. <bold>(A)</bold> The gene co-expression network. Node size represents how many other genes interact with it. Node color indicates in which datasets it is up-regulated in low BMD samples. The darker the edge color, the greater the correlation coefficient. <bold>(B)</bold> GO and KEGG results of genes in network.</p></caption>
<graphic xlink:href="fcell-08-00798-g004.tif"/>
</fig>
</sec>
</sec>
<sec id="S4">
<title>Discussion</title>
<p>In this study, we identified and analyzed BMD-related genes through three osteoporosis microarray datasets. Differential expression analysis identified DEGs between high and low BMD in each dataset. By integration, we screened out 152 uniformly differentially expressed genes. Gene co-expression network analysis further identified key top 5 hub genes. Co-expression genes that had elevated expression in high BMD were enriched in functions of immune systems, suggesting its important potential role in osteoporosis. In addition, they were also enriched in osteoclast differentiation pathway, indicating that high BMD is developing toward low BMD.</p>
<p>In conclusion, we used bioinformatic methods to systematically characterize genes underlying BMD levels based on osteoporosis microarray data. We analyzed osteoporosis from a new perspective and provided new guidance for its diagnosis and treatment.</p>
</sec>
<sec id="S5">
<title>Data Availability Statement</title>
<p>All datasets presented in this study are included in the article/<xref ref-type="supplementary-material" rid="TS1">Supplementary Material</xref>.</p>
</sec>
<sec id="S6">
<title>Author Contributions</title>
<p>ZZ designed the study. HZ, JF, ZL, SW, and YW analyzed the data. SD, WK, and YLW wrote the manuscript. All authors read and approved the manuscript.</p>
</sec>
<sec id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<sec id="S7" sec-type="supplementary material"><title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcell.2020.00798/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcell.2020.00798/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Table_1.XLSX" id="TS1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>TABLE S1</label>
<caption><p>The uniformly up-regulated DEGs in high BMD samples.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Table_2.XLSX" id="TS2" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>TABLE S2</label>
<caption><p>The uniformly up-regulated DEGs in low BMD samples.</p></caption>
</supplementary-material>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Asagiri</surname> <given-names>M.</given-names></name> <name><surname>Takayanagi</surname> <given-names>H.</given-names></name></person-group> (<year>2007</year>). <article-title>The molecular understanding of osteoclast differentiation.</article-title> <source><italic>Bone</italic></source> <volume>40</volume> <fpage>251</fpage>&#x2013;<lpage>264</lpage>. <pub-id pub-id-type="doi">10.1016/j.bone.2006.09.023</pub-id> <pub-id pub-id-type="pmid">17098490</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Black</surname> <given-names>D. M.</given-names></name> <name><surname>Rosen</surname> <given-names>C. J.</given-names></name></person-group> (<year>2016</year>). <article-title>Clinical practice. postmenopausal osteoporosis.</article-title> <source><italic>N. Engl. J. Med.</italic></source> <volume>374</volume> <fpage>254</fpage>&#x2013;<lpage>262</lpage>.</citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Boyce</surname> <given-names>B. F.</given-names></name> <name><surname>Xing</surname> <given-names>L.</given-names></name></person-group> (<year>2008</year>). <article-title>Bruton and tec: new links in osteoimmunology.</article-title> <source><italic>Cell Metab</italic></source> <volume>7</volume> <fpage>283</fpage>&#x2013;<lpage>285</lpage>. <pub-id pub-id-type="doi">10.1016/j.cmet.2008.03.013</pub-id> <pub-id pub-id-type="pmid">18396132</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Boyle</surname> <given-names>W. J.</given-names></name> <name><surname>Simonet</surname> <given-names>W. S.</given-names></name> <name><surname>Lacey</surname> <given-names>D. L.</given-names></name></person-group> (<year>2003</year>). <article-title>Osteoclast differentiation and activation.</article-title> <source><italic>Nature</italic></source> <volume>423</volume> <fpage>337</fpage>&#x2013;<lpage>342</lpage>. <pub-id pub-id-type="doi">10.1038/nature01658</pub-id> <pub-id pub-id-type="pmid">12748652</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Breuil</surname> <given-names>V.</given-names></name> <name><surname>Ticchioni</surname> <given-names>M.</given-names></name> <name><surname>Testa</surname> <given-names>J.</given-names></name> <name><surname>Roux</surname> <given-names>C. H.</given-names></name> <name><surname>Ferrari</surname> <given-names>P.</given-names></name> <name><surname>Breittmayer</surname> <given-names>J. P.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>Immune changes in post-menopausal osteoporosis: the Immunos study.</article-title> <source><italic>Osteoporos. Int.</italic></source> <volume>21</volume> <fpage>805</fpage>&#x2013;<lpage>814</lpage>. <pub-id pub-id-type="doi">10.1007/s00198-009-1018-7</pub-id> <pub-id pub-id-type="pmid">19876583</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brown</surname> <given-names>C.</given-names></name></person-group> (<year>2017</year>). <article-title>Osteoporosis: staying strong.</article-title> <source><italic>Nature</italic></source> <volume>550</volume> <fpage>S15</fpage>&#x2013;<lpage>S17</lpage>.</citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>E.</given-names></name> <name><surname>Liu</surname> <given-names>G.</given-names></name> <name><surname>Zhou</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>W.</given-names></name> <name><surname>Wang</surname> <given-names>C.</given-names></name> <name><surname>Hu</surname> <given-names>D.</given-names></name><etal/></person-group> (<year>2018a</year>). <article-title>Concentration-dependent, dual roles of IL-10 in the osteogenesis of human BMSCs via P38/MAPK and NF-kappaB signaling pathways.</article-title> <source><italic>FASEB J.</italic></source> <volume>32</volume> <fpage>4917</fpage>&#x2013;<lpage>4929</lpage>. <pub-id pub-id-type="doi">10.1096/fj.201701256rrr</pub-id> <pub-id pub-id-type="pmid">29630408</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>X.</given-names></name> <name><surname>Wang</surname> <given-names>Z.</given-names></name> <name><surname>Duan</surname> <given-names>N.</given-names></name> <name><surname>Zhu</surname> <given-names>G.</given-names></name> <name><surname>Schwarz</surname> <given-names>E. M.</given-names></name> <name><surname>Xie</surname> <given-names>C.</given-names></name></person-group> (<year>2018b</year>). <article-title>Osteoblast-osteoclast interactions.</article-title> <source><italic>Connect. Tissue Res.</italic></source> <volume>59</volume> <fpage>99</fpage>&#x2013;<lpage>107</lpage>. <pub-id pub-id-type="doi">10.1080/03008207.2017.1290085</pub-id> <pub-id pub-id-type="pmid">28324674</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname> <given-names>K.</given-names></name> <name><surname>Qiu</surname> <given-names>P.</given-names></name> <name><surname>Yuan</surname> <given-names>Y.</given-names></name> <name><surname>Zheng</surname> <given-names>L.</given-names></name> <name><surname>He</surname> <given-names>J.</given-names></name> <name><surname>Wang</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2019</year>). <article-title>Pseurotin a inhibits osteoclastogenesis and prevents ovariectomized-induced bone loss by suppressing reactive oxygen species.</article-title> <source><italic>Theranostics</italic></source> <volume>9</volume> <fpage>1634</fpage>&#x2013;<lpage>1650</lpage>. <pub-id pub-id-type="doi">10.7150/thno.30206</pub-id> <pub-id pub-id-type="pmid">31037128</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chin</surname> <given-names>C. H.</given-names></name> <name><surname>Chen</surname> <given-names>S. H.</given-names></name> <name><surname>Wu</surname> <given-names>H. H.</given-names></name> <name><surname>Ho</surname> <given-names>C. W.</given-names></name> <name><surname>Ko</surname> <given-names>M. T.</given-names></name> <name><surname>Lin</surname> <given-names>C. Y.</given-names></name></person-group> (<year>2014</year>). <article-title>cytoHubba: identifying hub objects and sub-networks from complex interactome.</article-title> <source><italic>BMC Syst. Biol.</italic></source> <volume>8</volume>(<issue>Suppl. 4</issue>):<fpage>S11</fpage>. <pub-id pub-id-type="doi">10.1186/1752-0509-8-S4-S11</pub-id> <pub-id pub-id-type="pmid">25521941</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Conway</surname> <given-names>J. R.</given-names></name> <name><surname>Lex</surname> <given-names>A.</given-names></name> <name><surname>Gehlenborg</surname> <given-names>N.</given-names></name></person-group> (<year>2017</year>). <article-title>UpSetR: an R package for the visualization of intersecting sets and their properties.</article-title> <source><italic>Bioinformatics</italic></source> <volume>33</volume> <fpage>2938</fpage>&#x2013;<lpage>2940</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btx364</pub-id> <pub-id pub-id-type="pmid">28645171</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Coughlan</surname> <given-names>T.</given-names></name> <name><surname>Dockery</surname> <given-names>F.</given-names></name></person-group> (<year>2014</year>). <article-title>Osteoporosis and fracture risk in older people.</article-title> <source><italic>Clin. Med. (Lond)</italic></source> <volume>14</volume> <fpage>187</fpage>&#x2013;<lpage>191</lpage>. <pub-id pub-id-type="doi">10.7861/clinmedicine.14-2-187</pub-id> <pub-id pub-id-type="pmid">24715132</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>D&#x2019;Amelio</surname> <given-names>P.</given-names></name> <name><surname>Grimaldi</surname> <given-names>A.</given-names></name> <name><surname>Di Bella</surname> <given-names>S.</given-names></name> <name><surname>Brianza</surname> <given-names>S. Z. M.</given-names></name> <name><surname>Cristofaro</surname> <given-names>M. A.</given-names></name> <name><surname>Tamone</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>Estrogen deficiency increases osteoclastogenesis up-regulating T cells activity: a key mechanism in osteoporosis.</article-title> <source><italic>Bone</italic></source> <volume>43</volume> <fpage>92</fpage>&#x2013;<lpage>100</lpage>. <pub-id pub-id-type="doi">10.1016/j.bone.2008.02.017</pub-id> <pub-id pub-id-type="pmid">18407820</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dong</surname> <given-names>R.</given-names></name> <name><surname>Yao</surname> <given-names>R.</given-names></name> <name><surname>Du</surname> <given-names>J.</given-names></name> <name><surname>Wang</surname> <given-names>S.</given-names></name> <name><surname>Fan</surname> <given-names>Z.</given-names></name></person-group> (<year>2013</year>). <article-title>Depletion of histone demethylase KDM2A enhanced the adipogenic and chondrogenic differentiation potentials of stem cells from apical papilla.</article-title> <source><italic>Exp. Cell Res.</italic></source> <volume>319</volume> <fpage>2874</fpage>&#x2013;<lpage>2882</lpage>. <pub-id pub-id-type="doi">10.1016/j.yexcr.2013.07.008</pub-id> <pub-id pub-id-type="pmid">23872478</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ensrud</surname> <given-names>K. E.</given-names></name> <name><surname>Crandall</surname> <given-names>C. J.</given-names></name></person-group> (<year>2017</year>). <article-title>Osteoporosis.</article-title> <source><italic>Ann. Intern. Med.</italic></source> <volume>167</volume> <fpage>ITC17</fpage>&#x2013;<lpage>ITC32</lpage>.</citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Faienza</surname> <given-names>M. F.</given-names></name> <name><surname>Ventura</surname> <given-names>A.</given-names></name> <name><surname>Marzano</surname> <given-names>F.</given-names></name> <name><surname>Cavallo</surname> <given-names>L.</given-names></name></person-group> (<year>2013</year>). <article-title>Postmenopausal osteoporosis: the role of immune system cells.</article-title> <source><italic>Clin. Dev. Immunol.</italic></source> <volume>2013</volume>:<issue>575936</issue>.</citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gao</surname> <given-names>R.</given-names></name> <name><surname>Dong</surname> <given-names>R.</given-names></name> <name><surname>Du</surname> <given-names>J.</given-names></name> <name><surname>Ma</surname> <given-names>P.</given-names></name> <name><surname>Wang</surname> <given-names>S.</given-names></name> <name><surname>Fan</surname> <given-names>Z.</given-names></name></person-group> (<year>2013</year>). <article-title>Depletion of histone demethylase KDM2A inhibited cell proliferation of stem cells from apical papilla by de-repression of p15INK4B and p27Kip1.</article-title> <source><italic>Mol. Cell. Biochem.</italic></source> <volume>379</volume> <fpage>115</fpage>&#x2013;<lpage>122</lpage>. <pub-id pub-id-type="doi">10.1007/s11010-013-1633-7</pub-id> <pub-id pub-id-type="pmid">23559091</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hamamura</surname> <given-names>K.</given-names></name> <name><surname>Chen</surname> <given-names>A.</given-names></name> <name><surname>Tanjung</surname> <given-names>N.</given-names></name> <name><surname>Takigawa</surname> <given-names>S.</given-names></name> <name><surname>Sudo</surname> <given-names>A.</given-names></name> <name><surname>Yokota</surname> <given-names>H.</given-names></name></person-group> (<year>2015</year>). <article-title>In vitro and in silico analysis of an inhibitory mechanism of osteoclastogenesis by salubrinal and guanabenz.</article-title> <source><italic>Cell Signal</italic></source> <volume>27</volume> <fpage>353</fpage>&#x2013;<lpage>362</lpage>. <pub-id pub-id-type="doi">10.1016/j.cellsig.2014.11.020</pub-id> <pub-id pub-id-type="pmid">25435425</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Khosla</surname> <given-names>S.</given-names></name> <name><surname>Farr</surname> <given-names>J. N.</given-names></name> <name><surname>Kirkland</surname> <given-names>J. L.</given-names></name></person-group> (<year>2018</year>). <article-title>Inhibiting cellular senescence: a new therapeutic paradigm for age-related osteoporosis.</article-title> <source><italic>J. Clin. Endocrinol. Metab.</italic></source> <volume>103</volume> <fpage>1282</fpage>&#x2013;<lpage>1290</lpage>. <pub-id pub-id-type="doi">10.1210/jc.2017-02694</pub-id> <pub-id pub-id-type="pmid">29425296</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>B. J.</given-names></name> <name><surname>Bae</surname> <given-names>S. J.</given-names></name> <name><surname>Lee</surname> <given-names>S. Y.</given-names></name> <name><surname>Lee</surname> <given-names>Y. S.</given-names></name> <name><surname>Baek</surname> <given-names>J. E.</given-names></name> <name><surname>Park</surname> <given-names>S. Y.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>TNF-alpha mediates the stimulation of sclerostin expression in an estrogen-deficient condition.</article-title> <source><italic>Biochem. Biophys. Res. Commun.</italic></source> <volume>424</volume> <fpage>170</fpage>&#x2013;<lpage>175</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2012.06.100</pub-id> <pub-id pub-id-type="pmid">22735261</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>S. Y.</given-names></name> <name><surname>Long</surname> <given-names>F.</given-names></name></person-group> (<year>2018</year>). <article-title>Notch signaling suppresses glucose metabolism in mesenchymal progenitors to restrict osteoblast differentiation.</article-title> <source><italic>J. Clin. Invest.</italic></source> <volume>128</volume> <fpage>5573</fpage>&#x2013;<lpage>5586</lpage>. <pub-id pub-id-type="doi">10.1172/jci96221</pub-id> <pub-id pub-id-type="pmid">30284985</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lei</surname> <given-names>S. F.</given-names></name> <name><surname>Wu</surname> <given-names>S.</given-names></name> <name><surname>Li</surname> <given-names>L. M.</given-names></name> <name><surname>Deng</surname> <given-names>F. Y.</given-names></name> <name><surname>Xiao</surname> <given-names>S. M.</given-names></name> <name><surname>Jiang</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>An in vivo genome wide gene expression study of circulating monocytes suggested GBP1, STAT1 and CXCL10 as novel risk genes for the differentiation of peak bone mass.</article-title> <source><italic>Bone</italic></source> <volume>44</volume> <fpage>1010</fpage>&#x2013;<lpage>1014</lpage>. <pub-id pub-id-type="doi">10.1016/j.bone.2008.05.016</pub-id> <pub-id pub-id-type="pmid">19223260</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>J. J.</given-names></name> <name><surname>Wang</surname> <given-names>B. Q.</given-names></name> <name><surname>Fei</surname> <given-names>Q.</given-names></name> <name><surname>Yang</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>D.</given-names></name></person-group> (<year>2016</year>). <article-title>Identification of candidate genes in osteoporosis by integrated microarray analysis.</article-title> <source><italic>Bone Joint Res.</italic></source> <volume>5</volume> <fpage>594</fpage>&#x2013;<lpage>601</lpage>. <pub-id pub-id-type="doi">10.1302/2046-3758.512.bjr-2016-0073.r1</pub-id> <pub-id pub-id-type="pmid">27908864</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>Y. Z.</given-names></name> <name><surname>Dvornyk</surname> <given-names>V.</given-names></name> <name><surname>Lu</surname> <given-names>Y.</given-names></name> <name><surname>Shen</surname> <given-names>H.</given-names></name> <name><surname>Lappe</surname> <given-names>J. M.</given-names></name> <name><surname>Recker</surname> <given-names>R. R.</given-names></name><etal/></person-group> (<year>2005</year>). <article-title>A novel pathophysiological mechanism for osteoporosis suggested by an in vivo gene expression study of circulating monocytes.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>280</volume> <fpage>29011</fpage>&#x2013;<lpage>29016</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.m501164200</pub-id> <pub-id pub-id-type="pmid">15965235</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mirza</surname> <given-names>F. S.</given-names></name> <name><surname>Padhi</surname> <given-names>I. D.</given-names></name> <name><surname>Raisz</surname> <given-names>L. G.</given-names></name> <name><surname>Lorenzo</surname> <given-names>J. A.</given-names></name></person-group> (<year>2010</year>). <article-title>Serum sclerostin levels negatively correlate with parathyroid hormone levels and free estrogen index in postmenopausal women.</article-title> <source><italic>J. Clin. Endocrinol. Metab.</italic></source> <volume>95</volume> <fpage>1991</fpage>&#x2013;<lpage>1997</lpage>. <pub-id pub-id-type="doi">10.1210/jc.2009-2283</pub-id> <pub-id pub-id-type="pmid">20156921</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Shannon</surname> <given-names>P.</given-names></name> <name><surname>Markiel</surname> <given-names>A.</given-names></name> <name><surname>Ozier</surname> <given-names>O.</given-names></name> <name><surname>Baliga</surname> <given-names>N. S.</given-names></name> <name><surname>Wang</surname> <given-names>J. T.</given-names></name> <name><surname>Ramage</surname> <given-names>D.</given-names></name><etal/></person-group> (<year>2003</year>). <article-title>Cytoscape: a software environment for integrated models of biomolecular interaction networks.</article-title> <source><italic>Genome Res.</italic></source> <volume>13</volume> <fpage>2498</fpage>&#x2013;<lpage>2504</lpage>. <pub-id pub-id-type="doi">10.1101/gr.1239303</pub-id> <pub-id pub-id-type="pmid">14597658</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Takayanagi</surname> <given-names>H.</given-names></name> <name><surname>Sato</surname> <given-names>K.</given-names></name> <name><surname>Takaoka</surname> <given-names>A.</given-names></name> <name><surname>Taniguchi</surname> <given-names>T.</given-names></name></person-group> (<year>2005</year>). <article-title>Interplay between interferon and other cytokine systems in bone metabolism.</article-title> <source><italic>Immunol. Rev.</italic></source> <volume>208</volume> <fpage>181</fpage>&#x2013;<lpage>193</lpage>. <pub-id pub-id-type="doi">10.1111/j.0105-2896.2005.00337.x</pub-id> <pub-id pub-id-type="pmid">16313349</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wagner</surname> <given-names>E. F.</given-names></name> <name><surname>Eferl</surname> <given-names>R.</given-names></name></person-group> (<year>2005</year>). <article-title>Fos/AP-1 proteins in bone and the immune system.</article-title> <source><italic>Immunol. Rev.</italic></source> <volume>208</volume> <fpage>126</fpage>&#x2013;<lpage>140</lpage>.</citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>F.</given-names></name> <name><surname>Zhang</surname> <given-names>C.</given-names></name> <name><surname>Ge</surname> <given-names>W.</given-names></name> <name><surname>Zhang</surname> <given-names>G.</given-names></name></person-group> (<year>2019</year>). <article-title>Up-regulated CST5 inhibits bone resorption and activation of osteoclasts in rat models of osteoporosis via suppression of the NF-kappaB pathway.</article-title> <source><italic>J. Cell Mol. Med.</italic></source> <volume>23</volume> <fpage>6744</fpage>&#x2013;<lpage>6754</lpage>.</citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wilson</surname> <given-names>L. M.</given-names></name> <name><surname>Rebholz</surname> <given-names>C. M.</given-names></name> <name><surname>Jirru</surname> <given-names>E.</given-names></name> <name><surname>Liu</surname> <given-names>M. C.</given-names></name> <name><surname>Zhang</surname> <given-names>A.</given-names></name> <name><surname>Gayleard</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Benefits and harms of osteoporosis medications in patients with chronic kidney disease: a systematic review and meta-analysis.</article-title> <source><italic>Ann. Intern. Med.</italic></source> <volume>166</volume> <fpage>649</fpage>&#x2013;<lpage>658</lpage>.</citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname> <given-names>G.</given-names></name> <name><surname>Wang</surname> <given-names>L. G.</given-names></name> <name><surname>Han</surname> <given-names>Y.</given-names></name> <name><surname>He</surname> <given-names>Q. Y.</given-names></name></person-group> (<year>2012</year>). <article-title>clusterProfiler: an R package for comparing biological themes among gene clusters.</article-title> <source><italic>OMICS</italic></source> <volume>16</volume> <fpage>284</fpage>&#x2013;<lpage>287</lpage>.</citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname> <given-names>Y.</given-names></name> <name><surname>Gao</surname> <given-names>Y.</given-names></name> <name><surname>Xu</surname> <given-names>C.</given-names></name> <name><surname>Shen</surname> <given-names>H.</given-names></name> <name><surname>Tian</surname> <given-names>Q.</given-names></name> <name><surname>Deng</surname> <given-names>H. W.</given-names></name></person-group> (<year>2018a</year>). <article-title>A novel approach for correction of crosstalk effects in pathway analysis and its application in osteoporosis research.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>8</volume>:<issue>668</issue>.</citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname> <given-names>Y.</given-names></name> <name><surname>Zhu</surname> <given-names>W.</given-names></name> <name><surname>Zhang</surname> <given-names>L.</given-names></name> <name><surname>Zeng</surname> <given-names>Y.</given-names></name> <name><surname>Xu</surname> <given-names>C.</given-names></name> <name><surname>Tian</surname> <given-names>Q.</given-names></name><etal/></person-group> (<year>2018b</year>). <article-title>Transcriptomic data identified key transcription factors for osteoporosis in caucasian women.</article-title> <source><italic>Calcif. Tissue Int.</italic></source> <volume>103</volume> <fpage>581</fpage>&#x2013;<lpage>588</lpage>.</citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname> <given-names>Y.</given-names></name> <name><surname>Xu</surname> <given-names>C.</given-names></name> <name><surname>Zhu</surname> <given-names>W.</given-names></name> <name><surname>He</surname> <given-names>H.</given-names></name> <name><surname>Zhang</surname> <given-names>L.</given-names></name> <name><surname>Tang</surname> <given-names>B.</given-names></name><etal/></person-group> (<year>2019</year>). <article-title>Long noncoding RNA analyses for osteoporosis risk in caucasian women.</article-title> <source><italic>Calcif. Tissue Int.</italic></source> <volume>105</volume> <fpage>183</fpage>&#x2013;<lpage>192</lpage>.</citation></ref>
</ref-list>
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