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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Genome-wide association study for rotator cuff tears identifies two significant single-nucleotide polymorphisms
Robert Z Tashjian1, Erin K Granger2, James M Farnham3
1George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT, USA; Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, UT, USA.
Genetic factors may influence rotator cuff tearing. This genome-wide association study identified two significant single-nucleotide polymorphisms (SNPs) in SAP30BP and SASH1, potentially aiding in risk identification for rotator cuff disease.
Area of Science:
- Genetics
- Orthopedics
- Molecular Biology
Background:
- The exact cause of rotator cuff disease remains unclear, but genetic predisposition is suspected.
- Limited research exists on specific genes linked to rotator cuff tears.
- This study aimed to identify genetic variants associated with rotator cuff tearing.
Purpose of the Study:
- To conduct a genome-wide association study (GWAS) to identify genes associated with rotator cuff tearing.
- To analyze a dataset of rotator cuff tear cases and population controls.
Main Methods:
- Utilized a GWAS approach with 311 full-thickness rotator cuff tear cases and 2641 controls.
- Genotyping was performed using the Illumina 5M single-nucleotide polymorphism (SNP) platform.
- Statistical analysis identified significant SNPs using GEMMA software and Bonferroni correction.
Main Results:
- Two significantly associated SNPs were identified: rs820218 in SAP30BP (chromosome 17q25) and rs12527089 in SASH1 (chromosome 6q24).
- The association with SAP30BP had a P-value of 3.8E-9, and with SASH1 had a P-value of 1.9E-7.
Conclusions:
- This GWAS is the first to use a dense SNP set to identify genetic factors in rotator cuff tearing.
- SAP30BP and SASH1 genes, implicated in apoptosis, are significantly associated with rotator cuff tears.
- Identifying these genetic variants may help predict individuals at risk for developing rotator cuff disease.
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