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KMID : 1207720140060040379
Clinics in Orthopedic Surgery
2014 Volume.6 No. 4 p.379 ~ p.384
Association of COL2A1 Gene Polymorphism with Degenerative Lumbar Scoliosis
Hwang Dae-Woo

Kim Ki-Tack
Lee Sang-Hoon
Kim Jung-Youn
Kim Dong-Hwan
Abstract
Background: Degenerative lumbar scoliosis (DLS) progresses with aging after 50-60 years, and the genetic association of DLS remains largely unclear. In this study, the genetic association between collagen type II alpha 1 (COL2A1) gene and DLS was investigated.

Methods: COL2A1 gene polymorphism was investigated in DLS subjects compared to healthy controls to investigate the possibility of its association with COL2A1 gene. Based on a single nucleotide polymorphism (SNP) database, SNP (rs2276454) in COL2A1 were selected and genotyped using direct sequencing in 51 patients with DLS and 235 healthy controls. The SNP effects were analyzed using three models of codominant, dominant, and recessive. Logistic regression models were calculated for odds ratios (ORs) with 95% confidence intervals (CIs) and corresponding p-values, controlling age and gender as co-variables.

Results: SNP (rs2276454) in COL2A1 was significantly associated with the degenerative lumbar scoliosis in the codominant (OR, 1.90; 95% CI, 1.17 to 3.10; p = 0.008) and dominant models (OR, 3.58; 95% CI, 1.59 to 9.29; p = 0.001).

Conclusions: The results suggest that COL2A1 is associated with the risk of DLS in Korean population.
KEYWORD
Degenerative lumbar scoliosis, Single nucleotide polymorphism, COL2A1, Korean
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