Genetic risk factors for osteoporosis, a prevalent disease associated with aging, have been examined in many genomeâwide association studies (GWASs). A major challenge is to prioritize transcriptionâregulatory GWASâderived variants that are likely to be functional. Given the critical role of epigenetics in gene regulation, we have used an unusual epigeneticsâbased and transcriptionâbased approach to identify some of the credible regulatory singleânucleotide polymorphisms (SNPs) relevant to osteoporosis from 38 reported bone mineral density (BMD) GWASs. Using Roadmap databases, we prioritized SNPs based upon their overlap with strong enhancer or promoter chromatin preferentially in osteoblasts relative to 12 heterologous cell culture types. We also required that these SNPs overlap open chromatin (Deoxyribonuclease I [DNaseI]âhypersensitive sites) and DNA sequences predicted to bind to osteoblastârelevant transcription factors in an alleleâspecific manner. From >50,000 GWASâderived SNPs, we identified 14 novel and credible regulatory SNPs (Tierâ1 SNPs) for osteoporosis risk. Their associated genes, BICC1, LGR4, DAAM2, NPR3, or HMGA2, are involved in osteoblastogenesis or bone homeostasis and regulate cell signaling or enhancer function. Four of these genes are preferentially expressed in osteoblasts. BICC1, LGR4, and DAAM2 play important roles in canonical Wnt signaling, a pathway critical for bone formation and repair. The transcription factors predicted to bind to the Tierâ1 SNPâcontaining DNA sequences also have boneârelated functions. We present evidence that some of the Tierâ1 SNPs exert their effects on BMD risk indirectly through littleâstudied long noncoding RNA (lncRNA) genes, which may, in turn, control the nearby boneârelated proteinâencoding gene. Our study illustrates a method to identify novel BMDârelated causal regulatory SNPs for future study and to prioritize candidate regulatory GWASâderived SNPs, in general. Š 2021 The Authors. JBMR Plus published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research.