Urano Tomohiko, Narusawa Ken'ichiro, Shiraki Masataka, Usui Takahiko, Sasaki Noriko, Hosoi Takayuki, Ouchi Yasuyoshi, Nakamura Toshitaka, Inoue Satoshi
Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
J Bone Miner Metab. 2007;25(4):253-8. doi: 10.1007/s00774-007-0757-9. Epub 2007 Jun 25.
The Wnt-beta-catenin signaling pathway that regulates bone density is also involved in cartilage development and homeostasis in vivo. Here, we assumed that genetic variation in Wnt-beta-catenin signaling genes can affect the pathogenesis of cartilage related diseases, such as osteoarthritis. Wnt-1-induced secreted protein 1 (WISP1) is a target of the Wnt pathway and directly regulated by beta-catenin. In the present study, we analyzed the association of a single nucleotide polymorphism (SNP) in the WISP1 3'-UTR region with the development of radiographically observable osteoarthritis of the spine. For this purpose, we evaluated the presence of osteophytes, endplate sclerosis, and narrowing of disc spaces in 304 postmenopausal Japanese women. We compared those who carried the G allele (GG or GA, n = 184) with those who did not (AA, n = 120). We found that the subjects without the G allele (AA) were significantly over-represented in the subjects having higher endplate sclerosis score (P = 0.0069; odds ratio, 2.91; 95% confidence interval, 1.34-6.30 by logistic regression analysis). On the other hand, the occurrence of disc narrowing and osteophyte formation did not significantly differ between those with and without at least one G allele. Thus, we suggest that a genetic variation in the WISP1 gene locus is associated with spinal osteoarthritis, in line with the involvement of the Wnt-beta-catenin-regulated gene in bone and cartilage metabolism.
调节骨密度的Wnt-β-连环蛋白信号通路也参与体内软骨发育和稳态。在此,我们假设Wnt-β-连环蛋白信号基因的遗传变异可影响软骨相关疾病如骨关节炎的发病机制。Wnt-1诱导分泌蛋白1(WISP1)是Wnt通路的一个靶点,受β-连环蛋白直接调控。在本研究中,我们分析了WISP1 3'-UTR区域的单核苷酸多态性(SNP)与脊柱影像学可见骨关节炎发生的相关性。为此,我们评估了304名绝经后日本女性的骨赘、终板硬化和椎间盘间隙变窄情况。我们将携带G等位基因(GG或GA,n = 184)的女性与未携带G等位基因(AA,n = 120)的女性进行比较。我们发现,在终板硬化评分较高的女性中,未携带G等位基因(AA)的女性显著过多(P = 0.0069;优势比,2.91;95%置信区间,通过逻辑回归分析为1.34 - 6.30)。另一方面,至少携带一个G等位基因的女性与未携带G等位基因的女性之间,椎间盘狭窄和骨赘形成的发生率没有显著差异。因此,我们认为WISP1基因位点的遗传变异与脊柱骨关节炎相关,这与Wnt-β-连环蛋白调控基因参与骨和软骨代谢一致。