Genetic association of angiogenesis- and hypoxia-related gene polymorphisms with osteonecrosis of the femoral head

Jung Min Hong, Tae Ho Kim, Hyun Ju Kim, Eui Kyun Park, Eun Kyoung Yang, Shin Yoon Kim

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52 Scopus citations

Abstract

Multiple factors have been implicated in the development of osteonecrosis of the femoral head (ONFH). In particular, non-traumatic ONFH is directly or indirectly related to injury of the vascular supply to the femoral head. Thus, hypoxia in the femoral head caused by impaired blood flow may be an important risk factor for ONFH. In this study, we investigated whether genetic variations of angiogenesis- and hypoxia-related genes contribute to an increased risk for the development of ONFH. Candidate genes were selected based on known hypoxia and angiogenesis pathways. An association study was performed using an Affymetrix Targeted Genotyping 3K Chip array with 460 ONFH patients and 300 control subjects. We showed that single nucleotide polymorphisms (SNPs) in the genes TF' VEGFC, IGFBP3, and ACE were associated with an increased risk of ONFH. On the other hand, SNPs in the KDR and NRP1 genes were associated with protection against ONFH. The most important finding was that one SNP (rs2453839) in the IGFBP3 gene was significantly associated with a higher risk of ONFH (P = 0.0061, OR 7.74). In subgroup analysis, most candidate gene variations that were associated with ONFH occurred in the idiopathic subgroup. Among other SNPs, ACE SNPs were associated with steroid-induced ONFH (P =0.0018-0.0037, OR > 3). Collectively, our findings suggest that genetic variations in angio-genesis- and hypoxia-related genes may help to identify susceptibility factors for the development of ONFH in the Korean population.

Original languageEnglish
Pages (from-to)376-385
Number of pages10
JournalExperimental and Molecular Medicine
Volume42
Issue number5
DOIs
StatePublished - 31 May 2010

Keywords

  • Anoxia
  • Asian continental ancestry group
  • Femur head
  • Neovascularization
  • Osteonecrosis
  • Physiologic
  • Polymorphism
  • Single nucleotide

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