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COL5a1、COL11a1 和 COL11a2 基因变异与青年运动员肩袖肌腱病的关系。

Association Between COL5a1, COL11a1, and COL11a2 Gene Variations and Rotator Cuff Tendinopathy in Young Athletes.

机构信息

Department of Physiotherapy, University of Valencia, Valencia, Spain.

La Trobe Sport and Exercise Medicine Research Centre, Faculty of Health Science, La Trobe University, Victoria, Australia.

出版信息

Clin J Sport Med. 2023 Sep 1;33(5):e152-e156. doi: 10.1097/JSM.0000000000000937. Epub 2021 May 7.

DOI:10.1097/JSM.0000000000000937
PMID:34009784
Abstract

OBJECTIVE

Tendinopathy is a prevalent condition in young athletes and in older nonathletic people. Recent tendinopathy research has shown a growing interest in the role played by genetic factors, basically genes involved in collagen synthesis and regulation, in view of collagen disorganization typically present in tendon pathologies.

DESIGN

A case-control, genotype-phenotype association study.

SETTING

La Ribera Hospital, Valencia, Spain.

PARTICIPANTS

A group of 137 young athletes (49 with rotator cuff tendon pathology and 88 healthy counterparts) who played upper-limb-loading sports were clinically and ultrasound (US) assessed for rotator cuff tendinopathy were included.

INTERVENTION

Genetic analysis was performed to determine whether there was a relationship between rotator cuff pathology and the genotype.

MAIN OUTCOME MEASURES

We hypothesized that the following single nucleotide polymorphisms: COL5a1 rs12722, COL11a1 rs3753841, COL11a1 rs1676486, and COL11a2 rs1799907 would be associated with rotator cuff tendinopathy.

RESULTS

A direct relationship between CC genotype and bilateral US pathological images was statistically significant (χ 2 = 0.0051) and confirmed by the Fisher test, with a correlation coefficient of 0.345 and a Cramer's v of 0.26.

CONCLUSION

A significant association was found between COL5a1 rs12722 genotype and rotator cuff pathology, with the CC genotype conferring increased risk of tendon abnormalities and being associated with rotator cuff pathology.

摘要

目的

腱病是年轻运动员和非运动员中常见的疾病。最近的腱病研究表明,人们越来越关注遗传因素在其中所起的作用,这些遗传因素主要涉及胶原蛋白的合成和调节,因为在腱病病理中通常存在胶原蛋白的紊乱。

设计

病例对照、基因型-表型关联研究。

地点

西班牙瓦伦西亚拉·里贝拉医院。

参与者

一组 137 名年轻运动员(49 名患有肩袖肌腱病,88 名健康对照者)参与了上肢负荷运动,他们接受了肩袖肌腱病的临床和超声(US)评估。

干预

进行基因分析以确定肩袖病理与基因型之间是否存在关系。

主要观察指标

我们假设以下单核苷酸多态性:COL5a1 rs12722、COL11a1 rs3753841、COL11a1 rs1676486 和 COL11a2 rs1799907 与肩袖肌腱病有关。

结果

CC 基因型与双侧 US 病理图像之间存在直接关系,具有统计学意义(χ 2 = 0.0051),并通过 Fisher 检验得到证实,相关系数为 0.345,Cramer's v 为 0.26。

结论

COL5a1 rs12722 基因型与肩袖病理之间存在显著关联,CC 基因型增加了肌腱异常的风险,并与肩袖病理相关。

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