Cancer & Immunology Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Int J Rheum Dis. 2021 May;24(5):694-700. doi: 10.1111/1756-185X.14097. Epub 2021 Apr 16.
Osteoarthritis (OA) is the most common chronic joint disorder, resulting from the breakdown of joint cartilage. It occurs in the knees, hands, and hips, leading to pain, stiffness, inflammation, and swelling.
In this study, 100 hand and knee OA patients, meeting the American College of Rheumatology criteria were included in the case group, and 100 healthy individuals were allocated to the control group. Blood samples were collected from the participants. After DNA extraction, genotyping was carried out for GDF5 rs143383 C/T polymorphism by allele-specific polymerase chain reaction (ASPCR) and for D-repeat alleles of asporin (ASPN) by conventional PCR assay.
The results showed that the frequency of the D14 allele of ASPN was significantly higher than other alleles in the case group (P = .0001). Also, the frequency of the D14 allele among women was significantly higher than in men (P = .004). Moreover, the frequency of the TT allele in GDF5 rs143383 C/T polymorphism was significantly higher than the CC and CT alleles in the case group, compared with the control group (P = .001). A significant difference was found between the TT allele and other alleles in female and male patients compared with the control group (P = .02).
The D14 allele of the ASPN gene and TT allele of the GDF5 gene (rs143383 + 104T/C) are associated with hand and knee OA in the Kurdish population, indicating that these alleles could be risk factors for OA, at least in our populations.
骨关节炎(OA)是最常见的慢性关节疾病,由关节软骨的破坏引起。它发生在膝盖、手和臀部,导致疼痛、僵硬、炎症和肿胀。
本研究纳入了 100 例手部和膝部 OA 患者(符合美国风湿病学会标准)作为病例组,100 例健康个体作为对照组。采集参与者的血液样本。提取 DNA 后,通过等位基因特异性聚合酶链反应(ASPCR)对 GDF5 rs143383 C/T 多态性进行基因分型,通过常规 PCR 检测对 asporin(ASPN)的 D-重复等位基因进行基因分型。
结果显示,病例组 ASPN 的 D14 等位基因频率明显高于其他等位基因(P =.0001)。此外,女性中 D14 等位基因的频率明显高于男性(P =.004)。此外,与对照组相比,病例组 GDF5 rs143383 C/T 多态性 TT 等位基因的频率明显高于 CC 和 CT 等位基因(P =.001)。与对照组相比,病例组女性和男性患者的 TT 等位基因与其他等位基因之间存在显著差异(P =.02)。
ASPN 基因的 D14 等位基因和 GDF5 基因(rs143383+104T/C)的 TT 等位基因与库尔德人群的手部和膝部 OA 相关,表明这些等位基因可能是 OA 的风险因素,至少在我们的人群中是这样。