CX3CR1 polymorphisms associated with an increased risk of developmental dysplasia of the hip in human
Lianyong Li1, Xi Wang2,3, Qun Zhao1
1Department of Pediatric Orthopedics, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, 110004, China.
Insights
Genetic variants in CX3CR1, specifically rs3732378 and rs3732379, are associated with an increased risk of developmental dysplasia of the hip. This study identifies CX3CR1 as a candidate gene for hip dislocation pathogenesis.
Area of Science:
- Genetics
- Orthopedics
- Molecular Biology
Background:
- Developmental dysplasia of the hip (DDH) is a leading cause of childhood disability and early osteoarthritis.
- Previous research suggested a CX3CR1 gene variant's role in DDH within a family.
- Population-based genetic evidence for CX3CR1's involvement in DDH was lacking.
Purpose of the Study:
- To investigate the association between CX3CR1 gene polymorphisms and developmental dysplasia of the hip in a population.
- To identify specific single nucleotide polymorphisms (SNPs) within CX3CR1 that may confer risk for hip dislocation.
Main Methods:
- A case-control association study was conducted.
- Genotyping of two CX3CR1 SNPs, rs3732378 and rs3732379, was performed in 689 hip dislocation patients and 689 controls.
- Statistical analysis, including odds ratios and confidence intervals, was used to assess risk.
Main Results:
- Significant differences in genotype distributions were observed for both rs3732378 (p=0.003) and rs3732379 (p=0.017).
- The minor allele of rs3732378 increased hip dislocation risk by 2.25-fold (OR=2.25).
- The SNP rs3732379 was associated with an 1.84-fold increased risk (OR=1.84).
Conclusions:
- The CX3CR1 gene is implicated in the pathogenesis of developmental dysplasia of the hip.
- SNPs rs3732378 and rs3732379 are identified as susceptibility loci for hip dislocation.
- These findings provide population-based genetic evidence supporting CX3CR1's role in DDH.
Abstract:
Developmental dysplasia of the hip, also termed congenital hip dislocation, is one of the major causes of children disability and early onset osteoarthritis. Previous study has identified a variant of CX3CR1 underlying this disorder in a large family. However, genetic evidence from population was still lacking. Here, we performed a case-control association study by genotyping two SNPs of CX3CR1, rs3732378, and rs3732379, in 689 unrelated hip dislocation patients and 689 normal controls. Genotyping results showed significant difference in genotype distributions of both two polymorphisms (p = 0.003 for rs3732378 and p = 0.017 for rs3732379). The minor allele frequency of rs3732378 was higher in cases (4.79%) than in controls (2.47%), predisposing carriers to hip dislocation with a 2.25-fold risk (OR = 2.25, 95%CI 1.42-3.56) after adjustment for gender. Another SNP, rs3732379, was also significantly associated with an increased risk of hip dislocation (adjusted OR = 1.84, 95%CI 1.19-2.84). Through the population study, we demonstrated that CX3CR1 was candidate for the pathogenesis of the disorder, and identified rs3732378 and rs3732379 as susceptibility loci instead of disease-causing mutations. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:377-380, 2017.
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