Association between ADAMTS-4 gene polymorphism and lumbar disc degeneration in Chinese Han population

Sen Liu1,2, Nan Wu1,2, Jiaqi Liu1

  • 1Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, No.1 Shuaifuyuan, Beijing 100730, P.R. China.

Insights

Genetic variations in ADAMTS-4 are linked to lumbar disc degeneration (LDD). A specific SNP, rs4233367, in the ADAMTS-4 gene may reduce LDD risk in the Chinese Han population.

Area of Science:

  • Genetics
  • Orthopedics
  • Biochemistry

Background:

  • Low back pain (LBP) is a prevalent condition often stemming from lumbar disc degeneration (LDD).
  • ADAMTS-4 (a disintegrin and metalloprotease with thrombospondin motifs-4), also known as aggrecanse-1, is crucial in the extracellular matrix degradation observed in LDD.

Purpose of the Study:

  • To investigate the association between genetic polymorphisms in and around the ADAMTS-4 gene and LDD.
  • To identify specific single nucleotide polymorphisms (SNPs) that may influence LDD susceptibility.

Main Methods:

  • Genotyping of five SNPs in and around the ADAMTS-4 gene using the Sequenom MassARRAY system.
  • Recruitment of 482 sporadic LDD cases and 496 healthy controls from the Chinese Han population.
  • Performing allelic, genotypic, and haplotypic association analyses.

Main Results:

  • The SNP rs4233367 (c.1877 C>T), located in the exon of ADAMTS-4, showed a significant association with LDD.
  • Carriers of the T allele had a reduced risk of LDD (OR = 0.69), with the TT genotype presenting approximately one-fifth the risk of the CC genotype.
  • No significant differences were observed for other tested SNPs between LDD cases and controls.

Conclusions:

  • The SNP rs4233367 within the ADAMTS-4 gene exon is potentially associated with lumbar disc degeneration.
  • This finding suggests a genetic component to LDD and highlights ADAMTS-4 as a gene of interest for further research into the condition.