Variation at the ANP32A gene is associated with risk of hip osteoarthritis in women
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Ana M Valdes1, Rik J Lories, Joyce B van Meurs
1Kings College London, London, UK. ana.valdes@kcl.ac.uk
Objective:
The ANP32A gene encodes a tumor suppressor molecule that plays a regulatory role in apoptosis and interferes with canonical Wnt signaling in vitro. We undertook this study to test whether genetic variation at ANP32A was associated with osteoarthritis (OA) in women.
Methods:
Single-nucleotide polymorphisms (SNPs) in the ANP32A gene were genotyped in 438 control women, 425 women with total knee replacements (TKRs), and 537 women with total hip replacements (THRs) from the Nottingham case-control study as well as in 820 women from the population-based Chingford Study cohort for whom hip and knee radiographs were available. The most highly associated SNP was further tested in women from the Rotterdam Study (131 with THRs, 633 with knee OA, and 1,567 controls) and the TwinsUK Study cohort (67 with THRs, 43 with TKRs, and 358 controls), for a total of 2,170 patients with OA and 2,849 controls.
Results:
The ANP32A transcript was abundantly expressed in normal and OA articular cartilage. Three SNPs in the ANP32A gene were significantly associated in Nottingham patients with hip OA, but not knee OA. One of these (rs7164503) was associated with hip and knee OA in the Chingford Study cohort and with THR in the TwinsUK Study cohort, but the association was not statistically significant in the Rotterdam Study. When we combined hip data from all 4 cohorts, we found that the minor allele of rs7164503 was associated with a significantly lower risk of hip OA (Mantel-Haenszel odds ratio 0.67 [95% confidence interval 0.53-0.84], P < 3.8 x 10(-4)) and that a similar trend was observed for knee OA (Mantel-Haenszel odds ratio 0.87 [95% confidence interval 0.73-1.01], P < 0.055).
Conclusion:
Our results provide evidence suggesting that ANP32A is involved in the pathogenesis of OA of the hip.
Insights
Genetic variations in the ANP32A gene are linked to a reduced risk of osteoarthritis (OA), particularly hip OA. This suggests ANP32A plays a role in OA development.
Area of Science:
- Genetics and Molecular Biology
- Rheumatology
- Osteoarthritis Research
Background:
- The ANP32A gene encodes a tumor suppressor involved in apoptosis and Wnt signaling.
- Osteoarthritis (OA) is a prevalent degenerative joint disease with complex genetic underpinnings.
Purpose of the Study:
- To investigate the association between genetic variations in the ANP32A gene and the risk of developing osteoarthritis (OA) in women.
- To determine if specific single-nucleotide polymorphisms (SNPs) in ANP32A correlate with hip or knee OA.
Main Methods:
- Genotyping of ANP32A SNPs in a large case-control study including women with total knee replacements (TKRs) and total hip replacements (THRs).
- Validation of associated SNPs in independent cohorts (Chingford, Rotterdam, and TwinsUK Studies) with clinical and radiographic OA data.
- Meta-analysis of hip OA data across multiple cohorts to assess the overall association.
Main Results:
- ANP32A transcript expression was high in normal and OA articular cartilage.
- Three ANP32A SNPs showed significant association with hip OA in the Nottingham cohort.
- The minor allele of rs7164503 was significantly associated with a reduced risk of hip OA (OR 0.67, P < 3.8 x 10(-4)) and showed a trend for knee OA.
Conclusions:
- The study provides evidence for ANP32A's involvement in the pathogenesis of hip osteoarthritis.
- Genetic variations in ANP32A may influence susceptibility to OA, particularly of the hip.
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