Skip to main content
Top
Published in: Diagnostic Pathology 1/2013

Open Access 01-12-2013 | Research

Association of a polymorphism in PON-1 gene with steroid-induced osteonecrosis of femoral head in Chinese Han population

Authors: Zhiyao Wang, Yanqiong Zhang, Xiangying Kong, Shangzhu Li, Yimin Hu, Rongtian Wang, Yan Li, Chao Lu, Na Lin, Weiheng Chen

Published in: Diagnostic Pathology | Issue 1/2013

Login to get access

Abstract

Background

Treatment with steroids covers a wide spectrum of diseases in clinic. However, some users are suffering from serious side effects of steroid administration, while we enjoy the benefit it brings about. Osteonecrosis of the femoral head (ONFH) is a troublesome one among them. Recent studies have demonstrated that lipid metabolism disorder may play a vital role in pathogenesis of ONFH and mutation of the paraoxonase-1 (PON-1) gene may be involved in the occurrence of this disease. However, the relationship between polymorphisms of PON-1 and ONFH has not been thoroughly studied. The aim of this study was to determine whether PON-1 polymorphisms are associated with steroid-induced ONFH through a cohort study among Chinese Han population.

Methods

This trial applied a case–control scheme to compare the clinical data including PON-1 SNP among 94 patients and 106 control subjects to analyze the association between SNP and risk of steroid-induced ONFH. Time of Flight Mass Spectrometer is utilized for genotyping and the result was analyzed in multivariate analysis models.

Results

According to polymorphism test of rs662, its SNP was significantly associated with the risk of ONFH in overdominant analysis model [P value: 0.022; odds ratio (OR): 0.39]. However, genotype frequencies of rs662 of PON-1 gene between case and control group showed no differences (P > 0.05).

Conclusions

Our data suggest for the first time that SNP (rs662) of the PON-1 gene was associated with the risk of steroid-induced ONFH. In addition, PAI-1 SNPs may play an important role in pathogenesis of ONFH.

Virtual slides

The virtual slide(s) for this article can be found here: http://​www.​diagnosticphatol​ogy.​diagnomx.​eu/​vs/​1501829501107336​.
Literature
1.
go back to reference Atsumi T, Kuroki Y: Role of impairment of blood supply of the femoral head in the pathogenesis of idiopathic osteonecrosis. Clin Orthop Relat Res. 1992, 277: 22-30.PubMed Atsumi T, Kuroki Y: Role of impairment of blood supply of the femoral head in the pathogenesis of idiopathic osteonecrosis. Clin Orthop Relat Res. 1992, 277: 22-30.PubMed
2.
go back to reference Assouline-Dayan Y, Chang C, Greenspan A, et al.: Pathogenesis and natural history of osteonecrosis. Semin Arthritis Rheum. 2002, 32 (2): 94-124.CrossRefPubMed Assouline-Dayan Y, Chang C, Greenspan A, et al.: Pathogenesis and natural history of osteonecrosis. Semin Arthritis Rheum. 2002, 32 (2): 94-124.CrossRefPubMed
3.
go back to reference Petcu EB, Ivanovski S, Wright RG, et al.: Bisphosphonate-related osteonecrosis of jaw (BRONJ): an anti-angiogenic side-effect?. Diagn Pathol. 2012, 7: 78-10.1186/1746-1596-7-78. doi: 10.1186/1746-1596-7-78PubMedCentralCrossRefPubMed Petcu EB, Ivanovski S, Wright RG, et al.: Bisphosphonate-related osteonecrosis of jaw (BRONJ): an anti-angiogenic side-effect?. Diagn Pathol. 2012, 7: 78-10.1186/1746-1596-7-78. doi: 10.1186/1746-1596-7-78PubMedCentralCrossRefPubMed
4.
go back to reference Iwakiri K, Oda Y, Kaneshiro Y, et al.: Effect of simvastatin on steroid-induced osteonecrosis evidenced by the serum lipid level and hepatic cytochrome P4503A in a rabbit model. J Orthop Sci. 2008, 13 (5): 463-468. 10.1007/s00776-008-1257-z. doi: 10.1007/s00776-008-1257-zCrossRefPubMed Iwakiri K, Oda Y, Kaneshiro Y, et al.: Effect of simvastatin on steroid-induced osteonecrosis evidenced by the serum lipid level and hepatic cytochrome P4503A in a rabbit model. J Orthop Sci. 2008, 13 (5): 463-468. 10.1007/s00776-008-1257-z. doi: 10.1007/s00776-008-1257-zCrossRefPubMed
5.
go back to reference Zhang Y, Wang S, Li D, et al.: A systems biology-based classifier for hepatocellular carcinoma diagnosis. PLoS One. 2011, 6 (7): e22426-10.1371/journal.pone.0022426. doi: 10.1371/journal.pone.0022426PubMedCentralCrossRefPubMed Zhang Y, Wang S, Li D, et al.: A systems biology-based classifier for hepatocellular carcinoma diagnosis. PLoS One. 2011, 6 (7): e22426-10.1371/journal.pone.0022426. doi: 10.1371/journal.pone.0022426PubMedCentralCrossRefPubMed
6.
go back to reference Fisher DE, Bickel WH: Corticosteroid-induced avascular necrosis: a clinical study of seventy-seven patients. J Bone Joint Surg Am. 1971, 53 (5): 859-873.PubMed Fisher DE, Bickel WH: Corticosteroid-induced avascular necrosis: a clinical study of seventy-seven patients. J Bone Joint Surg Am. 1971, 53 (5): 859-873.PubMed
7.
go back to reference Wang GJ, Dughman SS, Reger SI, et al.: The effect of core decompression on femoral head blood flow in steroid-induced avascular necrosis of the femoral head. J Bone Joint Surg Am. 1985, 67 (1): 121-124.PubMed Wang GJ, Dughman SS, Reger SI, et al.: The effect of core decompression on femoral head blood flow in steroid-induced avascular necrosis of the femoral head. J Bone Joint Surg Am. 1985, 67 (1): 121-124.PubMed
8.
go back to reference Jones JJ: Intravascular coagulation and osteonecrosis. Clin Orthop Relat Res. 1992, 277: 41-53.PubMed Jones JJ: Intravascular coagulation and osteonecrosis. Clin Orthop Relat Res. 1992, 277: 41-53.PubMed
9.
go back to reference Wang GJ, Sweet DE, Reger SI, et al.: Fat-cell changes as a mechanism of avascular necrosis of the femoral head in cortisone-treated rabbits. J Bone Joint Surg Am. 1977, 59 (6): 729-735.PubMed Wang GJ, Sweet DE, Reger SI, et al.: Fat-cell changes as a mechanism of avascular necrosis of the femoral head in cortisone-treated rabbits. J Bone Joint Surg Am. 1977, 59 (6): 729-735.PubMed
10.
go back to reference Xiao-yan W, Xiao-hong N, Wei-heng C, et al.: Effects of apolipoprotein A1 and B gene polymorphism on avascular necrosis of the femoral head in Chinese population. China journal of orthopaedics and traumatology. 2008, 21 (2): 99-102. doi: 10.3969/j.issn.1003-0034.2008.02.006 Xiao-yan W, Xiao-hong N, Wei-heng C, et al.: Effects of apolipoprotein A1 and B gene polymorphism on avascular necrosis of the femoral head in Chinese population. China journal of orthopaedics and traumatology. 2008, 21 (2): 99-102. doi: 10.3969/j.issn.1003-0034.2008.02.006
11.
go back to reference Primo-Parmo SL, Sorenson RC, Teiber J, et al.: The human serum paraoxonase/arylesterase gene (PON1) is one member of a multigene family. Genomics. 1996, 33 (3): 498-507. 10.1006/geno.1996.0225.CrossRefPubMed Primo-Parmo SL, Sorenson RC, Teiber J, et al.: The human serum paraoxonase/arylesterase gene (PON1) is one member of a multigene family. Genomics. 1996, 33 (3): 498-507. 10.1006/geno.1996.0225.CrossRefPubMed
12.
go back to reference Mackness B, Durrington PN, Mackness MI: The paraoxonase gene family and coronary heart disease. Curr Opin Lipidol. 2002, 13 (4): 357-362. 10.1097/00041433-200208000-00002.CrossRefPubMed Mackness B, Durrington PN, Mackness MI: The paraoxonase gene family and coronary heart disease. Curr Opin Lipidol. 2002, 13 (4): 357-362. 10.1097/00041433-200208000-00002.CrossRefPubMed
13.
go back to reference Nassar BA, Darvesh S, Bevin LD, et al.: Relation between butyrylcholinesterase K variant, paraoxonase 1 (PON1) Q and R and apolipoprotein E epsilon 4 genes in early-onset coronary artery disease. Clin Biochem. 2002, 35 (3): 205-209. 10.1016/S0009-9120(02)00296-5.CrossRefPubMed Nassar BA, Darvesh S, Bevin LD, et al.: Relation between butyrylcholinesterase K variant, paraoxonase 1 (PON1) Q and R and apolipoprotein E epsilon 4 genes in early-onset coronary artery disease. Clin Biochem. 2002, 35 (3): 205-209. 10.1016/S0009-9120(02)00296-5.CrossRefPubMed
14.
go back to reference Draganov DI, La Du BN: Pharmacogenetics of paraoxonases: a brief review. Naunyn Schmiedebergs Arch Pharmacol. 2004, 369 (1): 78-88. 10.1007/s00210-003-0833-1. doi:10.1007/s00210-003-0833-1CrossRefPubMed Draganov DI, La Du BN: Pharmacogenetics of paraoxonases: a brief review. Naunyn Schmiedebergs Arch Pharmacol. 2004, 369 (1): 78-88. 10.1007/s00210-003-0833-1. doi:10.1007/s00210-003-0833-1CrossRefPubMed
15.
go back to reference Humbert R, Adler DA, Disteche CM, et al.: The molecular basis of the human serum paraoxonase activity polymorphism. Nat Genet. 1993, 3 (1): 73-76. 10.1038/ng0193-73. doi: 10.1038/ng0193-73CrossRefPubMed Humbert R, Adler DA, Disteche CM, et al.: The molecular basis of the human serum paraoxonase activity polymorphism. Nat Genet. 1993, 3 (1): 73-76. 10.1038/ng0193-73. doi: 10.1038/ng0193-73CrossRefPubMed
16.
go back to reference Obata T, Ito T, Yonemura A, et al.: R192Q paraoxonase gene variant is associated with a change in HDL-cholesterol level during dietary caloric restriction in nondiabetic healthy males. J Atheroscler Thromb. 2003, 10 (1): 57-62. 10.5551/jat.10.57.CrossRefPubMed Obata T, Ito T, Yonemura A, et al.: R192Q paraoxonase gene variant is associated with a change in HDL-cholesterol level during dietary caloric restriction in nondiabetic healthy males. J Atheroscler Thromb. 2003, 10 (1): 57-62. 10.5551/jat.10.57.CrossRefPubMed
17.
go back to reference Voetsch B, Benke KS, Damasceno BP, et al.: Paraoxonase 192 Gln Arg polymorphism: an independent risk factor for nonfatal arterial ischemic stroke among young adults. Stroke. 2002, 33 (6): 1459-1464. 10.1161/01.STR.0000016928.60995.BD.CrossRefPubMed Voetsch B, Benke KS, Damasceno BP, et al.: Paraoxonase 192 Gln Arg polymorphism: an independent risk factor for nonfatal arterial ischemic stroke among young adults. Stroke. 2002, 33 (6): 1459-1464. 10.1161/01.STR.0000016928.60995.BD.CrossRefPubMed
18.
go back to reference Hadjigeorgiou GM, Malizos K, Dardiotis E, et al.: Paraoxonase 1 gene polymorphisms in patients with osteonecrosis of the femoral head with and without cerebral white matter lesions. J Orthop Res. 2007, 25 (8): 1087-1093. 10.1002/jor.20393. doi: 10.1002/jor.20393CrossRefPubMed Hadjigeorgiou GM, Malizos K, Dardiotis E, et al.: Paraoxonase 1 gene polymorphisms in patients with osteonecrosis of the femoral head with and without cerebral white matter lesions. J Orthop Res. 2007, 25 (8): 1087-1093. 10.1002/jor.20393. doi: 10.1002/jor.20393CrossRefPubMed
19.
go back to reference Oinuma K, Harada Y, Nawata Y, et al.: Osteonecrosis in patients with systemic lupus erythematosus develops very early after starting high dose corticosteroid treatment. Ann Rheum Dis. 2001, 60 (12): 1145-1148. 10.1136/ard.60.12.1145. doi:10.1136/ard.60.12.1145PubMedCentralCrossRefPubMed Oinuma K, Harada Y, Nawata Y, et al.: Osteonecrosis in patients with systemic lupus erythematosus develops very early after starting high dose corticosteroid treatment. Ann Rheum Dis. 2001, 60 (12): 1145-1148. 10.1136/ard.60.12.1145. doi:10.1136/ard.60.12.1145PubMedCentralCrossRefPubMed
20.
go back to reference Koo KH, Kim R, Kim YS, et al.: Risk period for developing osteonecrosis of the femoral head in patients on steroid treatment. Clin Rheumatol. 2002, 21 (4): 299-303. 10.1007/s100670200078. doi:10.1007/s100670200078CrossRefPubMed Koo KH, Kim R, Kim YS, et al.: Risk period for developing osteonecrosis of the femoral head in patients on steroid treatment. Clin Rheumatol. 2002, 21 (4): 299-303. 10.1007/s100670200078. doi:10.1007/s100670200078CrossRefPubMed
21.
go back to reference Mont MA, Jones LC, Hungerford DS: Nontraumatic osteonecrosis of the femoral head: ten years later. J Bone Join t Surg(Am). 2006, 88 (5): 1117-1132. doi: 10.2106/JBJS.E.01041CrossRef Mont MA, Jones LC, Hungerford DS: Nontraumatic osteonecrosis of the femoral head: ten years later. J Bone Join t Surg(Am). 2006, 88 (5): 1117-1132. doi: 10.2106/JBJS.E.01041CrossRef
22.
go back to reference Lawlor DA, Day IN, Gaunt TR, et al.: The association of the PON1 Q192R polymorphism with coronary heart disease: findings from the British Women’s Heart and Health cohort study and a meta-analysis. BMC Genet. 2004, 5: 17-doi: 10.1186/1471-2156-5-17PubMedCentralCrossRefPubMed Lawlor DA, Day IN, Gaunt TR, et al.: The association of the PON1 Q192R polymorphism with coronary heart disease: findings from the British Women’s Heart and Health cohort study and a meta-analysis. BMC Genet. 2004, 5: 17-doi: 10.1186/1471-2156-5-17PubMedCentralCrossRefPubMed
23.
go back to reference Wheeler JG, Keavney BD, Watkins H, et al.: Four paraoxonase gene polymorphisms in 11212 cases of coronary heart disease and 12786 controls: meta-analysis of 43 studies. Lancet. 2004, 363 (9410): 689-695. 10.1016/S0140-6736(04)15642-0. doi: 10.1016/S0140-6736(04)15642-0CrossRefPubMed Wheeler JG, Keavney BD, Watkins H, et al.: Four paraoxonase gene polymorphisms in 11212 cases of coronary heart disease and 12786 controls: meta-analysis of 43 studies. Lancet. 2004, 363 (9410): 689-695. 10.1016/S0140-6736(04)15642-0. doi: 10.1016/S0140-6736(04)15642-0CrossRefPubMed
24.
go back to reference Likidlilid A, Akrawinthawong K, Poldee S, et al.: Paraoxonase 1 polymorphisms as the risk factor of coronary heart disease in a Thai population. Acta Cardiol. 2010, 65 (6): 681-691.PubMed Likidlilid A, Akrawinthawong K, Poldee S, et al.: Paraoxonase 1 polymorphisms as the risk factor of coronary heart disease in a Thai population. Acta Cardiol. 2010, 65 (6): 681-691.PubMed
25.
go back to reference Liu H, Xia P, Liu M, et al.: PON gene polymorphisms and ischaemic stroke: a systematic review and meta analysis. Int J Stroke. 2013, 8 (2): 111-123. 10.1111/j.1747-4949.2012.00813.x. doi: 10.1111/j.1747-4949.2012.00813.xCrossRefPubMed Liu H, Xia P, Liu M, et al.: PON gene polymorphisms and ischaemic stroke: a systematic review and meta analysis. Int J Stroke. 2013, 8 (2): 111-123. 10.1111/j.1747-4949.2012.00813.x. doi: 10.1111/j.1747-4949.2012.00813.xCrossRefPubMed
26.
go back to reference Lazaros L, Markoula S, Kyritsis A, et al.: Paraoxonase gene polymorphisms and stroke severity. Eur J Neurol. 2010, 17 (5): 757-759. 10.1111/j.1468-1331.2009.02860.x. doi: 10.1111/j.1468-1331.2009.02860.xCrossRefPubMed Lazaros L, Markoula S, Kyritsis A, et al.: Paraoxonase gene polymorphisms and stroke severity. Eur J Neurol. 2010, 17 (5): 757-759. 10.1111/j.1468-1331.2009.02860.x. doi: 10.1111/j.1468-1331.2009.02860.xCrossRefPubMed
Metadata
Title
Association of a polymorphism in PON-1 gene with steroid-induced osteonecrosis of femoral head in Chinese Han population
Authors
Zhiyao Wang
Yanqiong Zhang
Xiangying Kong
Shangzhu Li
Yimin Hu
Rongtian Wang
Yan Li
Chao Lu
Na Lin
Weiheng Chen
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2013
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/1746-1596-8-186

Other articles of this Issue 1/2013

Diagnostic Pathology 1/2013 Go to the issue