Abstract
Summary
The purpose of this research was to examine if the IL1B gene polymorphism has impact on the risk of steroid-induced ONFH in Chinese population. We found that IL1B rs1143630 decreased the SANFH’s risk and IL1B rs2853550 increased the risk of steroid-induced ONFH. So, we guess that IL1B gene influences the genetic susceptibility of steroid-induced ONFH.
Introduction
Genetic polymorphisms in IL1B gene could be related in the pathogenesis of osteonecrosis. Discusses on the relationship between the IL1B gene and steroid-induced osteonecrosis of the femoral head (steroid-induced ONFH) is still less in Chinese Han population. So, in this research, we want to examine whether the IL1B gene polymorphism has impact on the risk of steroid-induced ONFH in Chinese population.
Methods
A total of 286 steroid-induced ONFH patients and 441 controls were recruited, and seven SNPs (rs2853550, rs1143643, rs3136558, rs1143630, rs1143627, rs16944, and rs1143623) in IL1B gene were selected; unconditional logistic regression analysis was used to research the influence on the risk of steroid-induced ONFH. Functional annotations of IL1B variants were performed by RegulomeDB and HaploReg.
Results
rs1143630 (A>C) in the IL1B gene decreased the risk of steroid-induced ONFH in the allele model (OR = 0.69, 95%CI 0.51–0.93, p = 0.014). Further genetic model analyses found that IL1B rs2853550 AG genotype increased the risk of steroid-induced ONFH compared with the people who are carriers of the IL1B rs2853550 GG genotype (OR = 1.69, 95%CI 1.16–2.46, p = 0.012). In the dominant model, IL1B rs1143630 GG-GT genotype decreased the risk of steroid-induced ONFH (OR = 0.62, 95%CI 0.44–0.87, p = 0.0051). And further haplotype analysis was performed, while the result was not significant. Using RegulomeDB and HaploReg, rs2853550 is likely to affect TF binding, any motif and DNase peak.
Conclusions
We guess that IL1B gene influences the genetic susceptibility of steroid-induced ONFH.
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Acknowledgements
We are grateful to all the patients and individuals in the study who made this work possible. We would also like to thank the clinicians and hospital staffs who contributed to data collection for this study.
Funding
This work was supported by the Shaanxi Science and Technology Development Plan Project (Grant Nos. 2013K12-17-03 and 2015SF025).
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Our present study strictly followed the principles of the Declaration of Helsinki of the World Medical Association and was approved by the Ethics Committee of Zhengzhou Traditional Chinese Medicine Traumatology Hospital and HongHui Affiliated Hospital of Xi’an Jiaotong University College of Medicine. Informed consent forms were signed by all participants.
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Yan Yu, Yiming Zhang, Jiamin Wu, Yao Sun, Zichao Xiong, Fanglin Niu, Lingyu Lei, Shuli Du, Peng Chen, and Zhi Yang declare that they have no conflict of interest.
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Yu, Y., Zhang, Y., Wu, J. et al. Genetic polymorphisms in IL1B predict susceptibility to steroid-induced osteonecrosis of the femoral head in Chinese Han population. Osteoporos Int 30, 871–877 (2019). https://doi.org/10.1007/s00198-019-04835-9
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DOI: https://doi.org/10.1007/s00198-019-04835-9