Department of Orthopedics, Zhengzhou Traditional Chinese Hospital of Orthopaedics, Zhengzhou, Henan 450000, China.
Department of Orthopedics, Zhengzhou Traditional Chinese Hospital of Orthopaedics, Zhengzhou, Henan 450000, China.
Gene. 2021 Dec 15;804:145902. doi: 10.1016/j.gene.2021.145902. Epub 2021 Aug 14.
Osteonecrosis of the femoral head (ONFH) is one of the common and complicated diseases in the orthopedic clinic. Previous studies indicate that genetic factors play a crucial role in the occurrence of ONFH. This case-control study aimed to investigate the associations of MIR137HG genetic polymorphisms with the alcohol-induced ONFH risk.
A total of 731 participants were recruited to detect the effect of MIR137HG SNPs on the alcohol-induced ONFH risk in a Chinese male population. Odds ratios (OR) and 95% confidence intervals (CI) were calculated to evaluate the associations. Multifactor dimensionality reduction (MDR) was used to analyze the SNP-SNP interaction with the alcohol-induced ONFH risk.
Our study showed that rs7549905 played a protective role in alcohol-induced ONFH risk (OR 0.57, p = 0.045). Stratified analysis indicated that rs9440302 was associated with an increased risk of patients aged >45 years (OR 2.00, p = 0.038), and rs7549905 showed a reduced risk in patients aged ≤ 45 years (OR 0.43, p = 0.023). In addition, we found that rs9440302 and rs7554283 exhibited a significantly increased susceptibility of III-IV grade alcohol-induced ONFH patients (OR 2.34, p = 0.003; OR 2.13, p = 0.011, respectively). We also observed that rs12138817 was related to an increased risk in patients with >21 months of course (OR 1.77, p = 0.043). Interestingly, rs17371457 showed a significant correlation with low-density lipoprotein-cholesterol (p = 0.040).
Our study suggests that MIR137HG genetic variants are associated with the alcohol-induced ONFH susceptibility in a Chinese male population, which may give scientific evidence for exploring molecular mechanisms of the alcohol-induced ONFH.
股骨头坏死(ONFH)是骨科临床常见且复杂的疾病之一。既往研究表明,遗传因素在 ONFH 的发生中起关键作用。本病例对照研究旨在探讨 MIR137HG 基因多态性与酒精性 ONFH 风险的关系。
本研究共纳入 731 名参与者,旨在检测中国男性人群中 MIR137HG SNP 对酒精性 ONFH 风险的影响。采用比值比(OR)和 95%置信区间(CI)评估关联。多因子降维(MDR)分析用于分析 SNP-SNP 与酒精性 ONFH 风险的相互作用。
我们的研究表明,rs7549905 对酒精性 ONFH 风险具有保护作用(OR 0.57,p=0.045)。分层分析表明,rs9440302 与年龄>45 岁的患者发病风险增加相关(OR 2.00,p=0.038),rs7549905 则与年龄≤45 岁的患者发病风险降低相关(OR 0.43,p=0.023)。此外,我们发现 rs9440302 和 rs7554283 显著增加 III-IV 级酒精性 ONFH 患者的易感性(OR 2.34,p=0.003;OR 2.13,p=0.011)。我们还观察到 rs12138817 与病程>21 个月的患者发病风险增加相关(OR 1.77,p=0.043)。有趣的是,rs17371457 与低密度脂蛋白胆固醇(LDL-C)显著相关(p=0.040)。
本研究提示 MIR137HG 基因变异与中国男性人群酒精性 ONFH 易感性相关,为探索酒精性 ONFH 的分子机制提供了科学依据。