Clinical Pharmacogenetics and Osteoporosis

Genetic and environmental factors play important roles for the development of osteoporosis and other diseases, but also for how individuals respond to drug treatment. Starting with the question why the incidence of osteoporosis is so very high in Sweden, we are investigating genetic - and environmental risk factors for this disease. In our pharmacogentic research programs, we look for genetic differences between individual that can explain variable responses to pharmaceutical drug treatments, with the goal to enable personalized drug dosage.
Description of our research
Our research group has two separate research focuses – one group focuses on osteoporosis and another focuses on clinical pharmacogenetics.
Each year some 14 000 Swedes suffer from hip fracture, the most serious consequence of osteoporosis. Through epidemiological studies we have shown that a high intake of Vitamin A correlates with an increased risk of osteoporosis. We are now trying to identify additional risk factors, and are studying the molecular mechanisms responsible for the bone toxicity of Vitamin A.
Finding the right medication and optimal dose involves a balance to maximise the positive effects and minimise the negative consequences of treatment – the adverse effects. Sometimes genetic factors play a crucial role in why some people experience severe adverse effects. The goal of our research is to tailor treatment to the patient through precision medicine.
Group members
Publications
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2026
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Part of British Journal of Clinical Pharmacology, p. 3246-3256, 2026
- DOI for Risk of venous thromboembolism after SARS-CoV-2 vaccination - evidence from genome-wide association study and population-based observational study
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Part of Pharmaceutics, 2026
- DOI for Patient Median-Based Quality Control in Lamotrigine Therapeutic Drug Monitoring: A 15-Year Retrospective Study
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Part of Pharmaceutics, p. 787-787, 2026
- DOI for Long-Term Stability of Cyclosporine Blood Concentrations Assessed by Patient-Based Percentiles over 20 Years
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Part of Biomedicines, p. 94-94, 2026
- DOI for Decreasing Tacrolimus Concentrations in Routine Therapeutic Drug Monitoring Data Indicate Adherence to Updated Therapeutic Goals
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Part of MAYO CLINIC PROCEEDINGS: INNOVATIONS QUALITY & OUTCOMES, 2026
- DOI for Long-Term Change in Vitamin D Status and its Association With Change in Total Hip Bone Mineral Density in Older Women: A Population-Based Cohort Study
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Part of Liver international, 2026
- DOI for HLA-B*44 Alleles and HLA-DQA1*03:01 as Genetic Risk Factors for Drug-Induced Liver Injury due to Fluoroquinolones
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Part of Journal of Internal Medicine, p. 99-100, 2026
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Part of Journal of Internal Medicine, p. 726-740, 2026
- DOI for Poor long-term cardiovascular risk factor management after acute coronary syndrome: An observational cohort study
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The 8th European Society of Pharmacogenomics and Personalized Therapy (ESPT) congress
Part of Pharmacogenomics (London), p. 5-8, 2026
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Part of European Journal of Clinical Pharmacology, p. 1373-1373, 2025
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Genome-wide association study of direct oral anticoagulants and their relation to bleeding
Part of European Journal of Clinical Pharmacology, p. 771-783, 2025
- DOI for Genome-wide association study of direct oral anticoagulants and their relation to bleeding
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Evaluating IL1RA-Autoantibodies Across SARS-CoV-2-Related Diseases
Part of Scandinavian Journal of Immunology, 2025
- DOI for Evaluating IL1RA-Autoantibodies Across SARS-CoV-2-Related Diseases
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Genome-wide association study of myocarditis and pericarditis following COVID-19 vaccination
Part of npj Vaccines, 2025
- DOI for Genome-wide association study of myocarditis and pericarditis following COVID-19 vaccination
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Part of Critical reviews in oncology/hematology, 2025
- DOI for Pharmacogenomics in pediatric oncology patients with solid tumors related to chemotherapy-induced toxicity: A systematic review
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Precision Omics Initiative Sweden (PROMISE) will integrate research with healthcare
Part of Nature Medicine, p. 1730-1732, 2025
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Part of Basic & Clinical Pharmacology & Toxicology, 2025
- DOI for New Monitoring Recommendations for Digoxin During the Last Decade Are Associated With Decreased Serum Digoxin Concentrations in Patient Samples
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Part of Communications Medicine, 2025
- DOI for Developmental low-dose bisphenol A exposure leads to extensive transcriptome female masculinization and male feminization later in life
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Part of EBioMedicine, 2025
- DOI for Cardio-metabolic-related plasma proteins reveal biological links between cardiovascular diseases and fragility fractures: a cohort and Mendelian randomisation investigation
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Part of Clinical drug investigation, p. 665-675, 2025
- DOI for Spontaneous Reports of Adverse Reactions with Fatal Outcomes After COVID-19 Vaccination During the National Vaccination Campaign in Sweden
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Identification of risk factors for adverse drug reactions in a pharmacovigilance database
Part of Pharmacoepidemiology and Drug Safety, 2024
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Meta-analysis of ACE inhibitor-induced angioedema identifies novel risk locus
Part of Journal of Allergy and Clinical Immunology, p. 1073-1082, 2024
- DOI for Meta-analysis of ACE inhibitor-induced angioedema identifies novel risk locus
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Part of BMC Medicine, 2024
- DOI for Non-fermented and fermented milk intake in relation to risk of ischemic heart disease and to circulating cardiometabolic proteins in swedish women and men: Two prospective longitudinal cohort studies with 100,775 participants
- Download full text (pdf) of Non-fermented and fermented milk intake in relation to risk of ischemic heart disease and to circulating cardiometabolic proteins in swedish women and men: Two prospective longitudinal cohort studies with 100,775 participants
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Part of Genes, Chromosomes and Cancer, 2024
- DOI for Precision Diagnostics in Myeloid Malignancies: Development and Validation of a National Capture‐Based Gene Panel
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Part of European Heart Journal, p. 4204-4215, 2024
- DOI for Intensive early and sustained lowering of non-high-density lipoprotein cholesterol after myocardial infarction and prognosis: the SWEDEHEART registry
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Autoantibodies to protein S may explain rare cases of coagulopathy following COVID-19 vaccination
Part of Scientific Reports, 2024
- DOI for Autoantibodies to protein S may explain rare cases of coagulopathy following COVID-19 vaccination
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No link between type I interferon autoantibody positivity and adverse reactions to COVID-19 vaccines
Part of npj Vaccines, 2024
- DOI for No link between type I interferon autoantibody positivity and adverse reactions to COVID-19 vaccines
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Pulmonary embolism after SARS-CoV-2 vaccination
Part of Vaccine: X, 2024
- DOI for Pulmonary embolism after SARS-CoV-2 vaccination
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Part of Journal of Bone and Mineral Research, p. 1315-1326, 2024
- DOI for Gene-based association analysis of a large patient cohort provides insights into genetics of atypical femur fractures
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Genomic Analysis of Adverse Drug Reactions
2024
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Whole genome case-control study of central nervous system toxicity due to antimicrobial drugs
Part of PLOS ONE, 2024
- DOI for Whole genome case-control study of central nervous system toxicity due to antimicrobial drugs
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Identification of risk factors for adverse drug reactions in a pharmacovigilance database
Part of Pharmacoepidemiology and Drug Safety, p. 1431-1438, 2023
- DOI for Identification of risk factors for adverse drug reactions in a pharmacovigilance database
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Part of British Journal of Clinical Pharmacology, p. 1575-1587, 2023
- DOI for Risk factors for and preventability of drug‐related hospital revisits in older patients: A post‐hoc analysis of a randomized clinical trial
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Vitamin D and bone metabolism in Graves’ disease: a prospective study
Part of Journal of Endocrinological Investigation, p. 425-433, 2023
- DOI for Vitamin D and bone metabolism in Graves’ disease: a prospective study
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Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy
Part of Nature Communications, 2023
- DOI for Narcolepsy risk loci outline role of T cell autoimmunity and infectious triggers in narcolepsy
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Part of Journal of Internal Medicine, p. 616-627, 2023
- DOI for Elevated low-density lipoprotein cholesterol: An inverse marker of morbidity and mortality in patients with myocardial infarction
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Part of Frontiers in Genetics, 2022
- DOI for Genetic determinants of apixaban plasma levels and their relationship to bleeding and thromboembolic events
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Part of British Journal of Clinical Pharmacology, p. 4985-4996, 2022
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Part of Pharmacogenomics (London), p. 813-820, 2022
- DOI for Genome-wide association study of liver enzyme elevation in an extended cohort of rheumatoid arthritis patients starting low-dose methotrexate
- Download full text (pdf) of Genome-wide association study of liver enzyme elevation in an extended cohort of rheumatoid arthritis patients starting low-dose methotrexate
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Part of Clinical Pharmacology and Therapeutics, p. 1007-1021, 2022
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Implementing precision medicine in a regionally organized healthcare system in Sweden.
Part of Nature Medicine, p. 1980-1982, 2022
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Mast cell chymase has a negative impact on human osteoblasts
Part of Matrix Biology, p. 1-19, 2022
- DOI for Mast cell chymase has a negative impact on human osteoblasts
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Part of Frontiers in Genetics, 2022
- DOI for Molecular Genetic Screening in Patients With ACE Inhibitor/Angiotensin Receptor Blocker-Induced Angioedema to Explore the Role of Hereditary Angioedema Genes
- Download full text (pdf) of Molecular Genetic Screening in Patients With ACE Inhibitor/Angiotensin Receptor Blocker-Induced Angioedema to Explore the Role of Hereditary Angioedema Genes
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Part of Tietz Textbook of Laboratory Medicine, 7th Edition, Elsevier, 2022
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Part of BMC Medicine, 2022
- DOI for The impact and causal directions for the associations between diagnosis of ADHD, socioeconomic status, and intelligence by use of a bi-directional two-sample Mendelian randomization design
- Download full text (pdf) of The impact and causal directions for the associations between diagnosis of ADHD, socioeconomic status, and intelligence by use of a bi-directional two-sample Mendelian randomization design
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Part of Respiratory Medicine, 2022
- DOI for Changes in critical inhaler technique errors in inhaled COPD treatment: A one-year follow-up study in Sweden
- Download full text (pdf) of Changes in critical inhaler technique errors in inhaled COPD treatment: A one-year follow-up study in Sweden
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HLA variants associated with azathioprine-induced pancreatitis in patients with Crohn's disease
Part of Clinical and Translational Science, p. 1249-1256, 2022
- DOI for HLA variants associated with azathioprine-induced pancreatitis in patients with Crohn's disease
- Download full text (pdf) of HLA variants associated with azathioprine-induced pancreatitis in patients with Crohn's disease
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Melphalan flufenamide inhibits osteoclastogenesis by suppressing proliferation of monocytes
Part of Bone Reports, 2021
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Part of Läkartidningen, 2021
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Technological readiness and implementation of genomic-driven precision medicine for complex diseases
Part of Journal of Internal Medicine, p. 602-620, 2021
- DOI for Technological readiness and implementation of genomic-driven precision medicine for complex diseases
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Our research focuses
Clinical Pharmacogenetics
We are trying to find answers to why different people react so differently to the same medicine.

Osteoporosis
We are trying to find answers to why the prevalence of osteoporosis fractures in Sweden and Norway is the highest in the world.
