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Genetic Association in the Pathophysiology of Degenerative Cervical Disc Disease: Defining Roles
Shivam Maheshwari1, Vishal Kumar2, Sarvdeep Singh Dhatt3
1Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Asian Journal of Neurosurgery
|December 4, 2025
Summary
Genetic factors may influence Degenerative Cervical Myelopathy (DCM). A study found a potential link between ADAMTS5 gene variations and DCM, but not COL11A1, suggesting avenues for future research.
Area of Science:
- Genetics
- Neurology
- Biochemistry
Background:
- Degenerative Cervical Myelopathy (DCM) is increasingly recognized, imposing a significant healthcare burden.
- The exact causes of DCM are not fully understood, prompting investigation into genetic risk factors.
- Identifying genetic predispositions is crucial for developing effective preventive and therapeutic strategies for DCM.
Purpose of the Study:
- To investigate the potential association between specific genetic variations and the risk of developing DCM.
- To evaluate the role of single-nucleotide polymorphisms (SNPs) in the COL11A1 and ADAMTS5 genes in the pathophysiology of DCM.
Main Methods:
- A cohort study was conducted with 60 participants (27 with DCM, 33 without).
- Allelic frequencies of COL11A1 (SNP rs1337185) and ADAMTS5 (SNP rs162509) were analyzed and compared between groups.
- Statistical analysis, including odds ratios and confidence intervals, was used to assess genetic associations.
Main Results:
- A significant association was observed between DCM and SNP rs162509 of the ADAMTS5 gene (OR 2.5375, p=0.177).
- No conclusive association was found between DCM and SNP rs1337185 of the COL11A1 gene (OR 0.93, p=0.91).
Conclusions:
- Preliminary findings suggest a probable role for ADAMTS5 gene variations in DCM pathogenesis.
- The study highlights the potential involvement of genes regulating matrix synthesis and degradation in DCM.
- Further research is necessary to validate these genetic associations and elucidate their precise contribution to DCM.
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