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Association of ENPP1 gene polymorphisms with hand osteoarthritis in a Chuvasha population
Eun-Kyung Suk1, Ida Malkin, Stefan Dahm
1Gene Mapping Center, Max Delbrück Center for Molecular Medicine, Berlin, Germany. anitasuk@aol.com
Insights
Genetic variations in the ENPP1 gene are linked to osteoarthritis of the hand. This study found ENPP1 variability plays a significant role in the development of idiopathic osteoarthritis.
Area of Science:
- Genetics
- Rheumatology
- Molecular Biology
Background:
- Generalized arterial calcification of infancy is a rare Mendelian disorder linked to mutations in the ENPP1 gene.
- Periarticular calcification is a common symptom associated with this disorder.
- The role of ENPP1 in osteoarthritis pathogenesis was previously unclear.
Purpose of the Study:
- To investigate the association between genetic variations at the ENPP1 locus and the etiology of hand osteoarthritis.
- To determine if ENPP1 gene variations contribute to the development of idiopathic osteoarthritis.
Main Methods:
- A family-based association study was conducted with 126 nuclear families (574 individuals).
- Osteoarthritis extent was assessed using hand radiographs and principal component analysis of 28 joint scores.
- Genetic analysis involved short tandem repeat (STR) polymorphisms and single-nucleotide polymorphisms (SNPs) at the ENPP1 locus.
- Transmission disequilibrium tests (TDT) were employed to assess genetic associations.
Main Results:
- Genetic factors contributed approximately 25% to the overall trait variance of hand osteoarthritis in the studied population.
- Significant association signals were detected between ENPP1 locus markers and hand osteoarthritis.
- Specific alleles of an upstream microsatellite marker and several SNP haplotypes showed consistent association with the condition.
Conclusions:
- Genetic variability in the ENPP1 gene is a significant factor in the pathogenesis of idiopathic osteoarthritis.
- The findings highlight ENPP1 as a potential genetic target for understanding and potentially treating osteoarthritis.
- This study provides evidence for the role of ENPP1 in a common, complex disease beyond its known role in rare Mendelian disorders.
Abstract:
Periarticular calcification is a common attendant symptom of generalized arterial calcification of infancy, a rare Mendelian disorder caused by mutations of the gene coding for ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1). This prompted us to perform a family-based association study to test the hypothesis that genetic variation at the ENPP1 locus is involved in the etiology of osteoarthritis of the hand. The study population comprised 126 nuclear families with 574 adult individuals living in small villages in the Chuvasha and Bashkirostan autonomies of the Russian Federation. The extent of osteoarthritis was determined by analyzing plain hand radiographs. The outcome of a principal component analysis of osteoarthritis scores of a total of 28 joints of both hands was used as a primary phenotype in this study. Maximum likelihood estimates of the variance component analysis revealed a substantial contribution of genetic factors to the overall trait variance of about 25% in this homogeneous population. Three short tandem repeat (STR) polymorphisms--one intragenic and two flanking markers--and four single-nucleotide polymorphisms were tested. The markers tagged the ENPP1 locus at nearly equal intervals. We used three different transmission disequilibrium tests and obtained highly significant association signals. Alleles of the upstream microsatellite marker as well as several single-nucleotide polymorphism haplotypes consistently revealed the association. Thus, our data highlights variability of ENPP1 as an important genetic factor in the pathogenesis of idiopathic osteoarthritis.
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