Skip to main content
Top
Published in: European Spine Journal 12/2009

01-12-2009 | Original Article

Modic changes and interleukin 1 gene locus polymorphisms in occupational cohort of middle-aged men

Authors: Jaro Karppinen, Svetlana Solovieva, Katariina Luoma, Raili Raininko, Päivi Leino-Arjas, Hilkka Riihimäki

Published in: European Spine Journal | Issue 12/2009

Login to get access

Abstract

According to recent systematic reviews, Modic changes are associated with low-back pain. However, their pathophysiology remains largely unknown. A previous study of Northern Finnish males implicated that IL1A and MMP3 polymorphisms play a role in type II Modic changes. The purpose of the current study was to examine the association of IL1 cluster polymorphisms with Modic changes amongst middle-aged men in Southern Finland. The final study sample consisted of 108 men from three different occupations, who underwent magnetic resonance imaging (MRI) with a 0.1 T-scanner. Six single nucleotide polymorphisms (SNP) in the IL1 gene cluster (IL1A c.1-889C>T; IL1B c.3954C>T; IL1RN c.1812G>A; IL1RN c.1887G>C; IL1RN c.11100T>C; IL1RN c.1506G>A) were genotyped with the SNP-TRAP method or by allele-specific primer extension on modified microarray. In all, 45 subjects had Modic changes at one or more disc levels. The presence of the minor allele of IL1A (c.1-889C>T) was associated with these changes (any Modic change p = 0.031, type II changes p = 0.036). The carriers of the T-allele had a 2.5-fold risk of Modic change and the association was independent of the other IL1 gene cluster loci studied. In addition, a minor haplotype, with a frequency of 7.5% in the study population, including the minor alleles of IL1A c.1-889C>T, IL1RN c.1812G>A, and IL1RN c.1506G>A, was significantly associated with Modic changes. This observation is in accordance with the previous finding from a different geographical area, and thus confirms the importance of the IL1A gene in the pathophysiology of Modic changes.
Literature
1.
go back to reference Adams MA, Freeman BJ, Morrison HP et al (2000) Mechanical initiation of intervertebral disc degeneration. Spine 25:1625–1636CrossRefPubMed Adams MA, Freeman BJ, Morrison HP et al (2000) Mechanical initiation of intervertebral disc degeneration. Spine 25:1625–1636CrossRefPubMed
2.
go back to reference Albert HB, Manniche C (2007) Modic changes following lumbar disc herniation. Eur Spine J 16:977–982CrossRefPubMed Albert HB, Manniche C (2007) Modic changes following lumbar disc herniation. Eur Spine J 16:977–982CrossRefPubMed
3.
go back to reference Annunen S, Paassilta P, Lohiniva J et al (1999) An allele of COL9A2 associated with intervertebral disc disease. Science 285:409–412CrossRefPubMed Annunen S, Paassilta P, Lohiniva J et al (1999) An allele of COL9A2 associated with intervertebral disc disease. Science 285:409–412CrossRefPubMed
4.
go back to reference Boos N, Weissbach S, Rohrbach H et al (2002) Classification of age-related changes in lumbar intervertebral discs: 2002 Volvo Award in basic science. Spine 27:2631–2644CrossRefPubMed Boos N, Weissbach S, Rohrbach H et al (2002) Classification of age-related changes in lumbar intervertebral discs: 2002 Volvo Award in basic science. Spine 27:2631–2644CrossRefPubMed
5.
go back to reference Braithwaite I, White J, Saifuddin A, Renton P, Taylor BA (1998) Vertebral end-plate (Modic) changes on lumbar spine MRI: correlation with pain reproduction at lumbar discography. Eur Spine J 7:363–368CrossRefPubMed Braithwaite I, White J, Saifuddin A, Renton P, Taylor BA (1998) Vertebral end-plate (Modic) changes on lumbar spine MRI: correlation with pain reproduction at lumbar discography. Eur Spine J 7:363–368CrossRefPubMed
6.
go back to reference Brinckmann P (1986) Injury of the annulus fibrosus and disc protrusions. An in vitro investigation on human lumbar discs. Spine 11:149–153CrossRefPubMed Brinckmann P (1986) Injury of the annulus fibrosus and disc protrusions. An in vitro investigation on human lumbar discs. Spine 11:149–153CrossRefPubMed
7.
go back to reference Cheung KMC, Song Y-Q, Chen Y et al (2006) Association of the Taq I allele in vitamin D receptor with degenerative disc disease and disc bulge in Chinese. Spine 31:1143–1148CrossRefPubMed Cheung KMC, Song Y-Q, Chen Y et al (2006) Association of the Taq I allele in vitamin D receptor with degenerative disc disease and disc bulge in Chinese. Spine 31:1143–1148CrossRefPubMed
8.
go back to reference Dominici R, Cattaneo M, Malferrari G et al (2002) Cloning and functional analysis of the allelic polymorphism in the transcription regulatory region of interleukin-1 alpha. Immunogenetics 54:82–86CrossRefPubMed Dominici R, Cattaneo M, Malferrari G et al (2002) Cloning and functional analysis of the allelic polymorphism in the transcription regulatory region of interleukin-1 alpha. Immunogenetics 54:82–86CrossRefPubMed
9.
go back to reference Hulkkonen J, Laippala P, Hurme M (2000) A rare allele combination of the interleukin-1 gene complex is associated with high interleukin-1 beta plasma levels in healthy individuals. Eur Cytokine Netw 11:251–255PubMed Hulkkonen J, Laippala P, Hurme M (2000) A rare allele combination of the interleukin-1 gene complex is associated with high interleukin-1 beta plasma levels in healthy individuals. Eur Cytokine Netw 11:251–255PubMed
10.
go back to reference Jensen TS, Karppinen J, Sorensen JS et al (2008) Vertebral endplate signal changes (Modic change): a systematic literature review of prevalence and association with non-specific low back pain. Eur Spine J 17:1407–1422CrossRefPubMed Jensen TS, Karppinen J, Sorensen JS et al (2008) Vertebral endplate signal changes (Modic change): a systematic literature review of prevalence and association with non-specific low back pain. Eur Spine J 17:1407–1422CrossRefPubMed
11.
go back to reference Jim JJT, Noponen-Hietala N, Cheung K et al (2005) The Trp2 allele of collagen IX is an age-dependent risk factor for the development and severity of intervertebral disc degeneration. Spine 30:2735–2742CrossRefPubMed Jim JJT, Noponen-Hietala N, Cheung K et al (2005) The Trp2 allele of collagen IX is an age-dependent risk factor for the development and severity of intervertebral disc degeneration. Spine 30:2735–2742CrossRefPubMed
12.
go back to reference Jones G, White C, Sambrook P, Eisman J (1998) Allelic variation in the vitamin D receptor, lifestyle factors and lumbar spinal degenerative disease. Ann Rheum Dis 57:94–99CrossRefPubMed Jones G, White C, Sambrook P, Eisman J (1998) Allelic variation in the vitamin D receptor, lifestyle factors and lumbar spinal degenerative disease. Ann Rheum Dis 57:94–99CrossRefPubMed
13.
go back to reference Karppinen J, Daavittila I, Solovieva S et al (2008) Genetic factors are associated with Modic changes in endplates of lumbar vertebral bodies. Spine 33:1236–1241CrossRefPubMed Karppinen J, Daavittila I, Solovieva S et al (2008) Genetic factors are associated with Modic changes in endplates of lumbar vertebral bodies. Spine 33:1236–1241CrossRefPubMed
14.
go back to reference Kjaer P, Leboeuf-Yde C, Korsholm L, Sorensen JS, Bendix T (2005) Magnetic resonance imaging and low back pain in adults: a diagnostic imaging study of 40-year-old men and women. Spine 30:1173–1180CrossRefPubMed Kjaer P, Leboeuf-Yde C, Korsholm L, Sorensen JS, Bendix T (2005) Magnetic resonance imaging and low back pain in adults: a diagnostic imaging study of 40-year-old men and women. Spine 30:1173–1180CrossRefPubMed
15.
go back to reference Kjaer P, Korsholm L, Bendix T, Sorensen JS, Leboeuf-Yde C (2006) Modic changes and their associations with clinical findings. Eur Spine J 15:1312–1319CrossRefPubMed Kjaer P, Korsholm L, Bendix T, Sorensen JS, Leboeuf-Yde C (2006) Modic changes and their associations with clinical findings. Eur Spine J 15:1312–1319CrossRefPubMed
16.
go back to reference Kuisma M, Karppinen J, Niinimäki J et al (2006) A three-year follow-up of lumbar spine endplate (Modic) changes. Spine 31:1714–1718CrossRefPubMed Kuisma M, Karppinen J, Niinimäki J et al (2006) A three-year follow-up of lumbar spine endplate (Modic) changes. Spine 31:1714–1718CrossRefPubMed
17.
go back to reference Kuisma M, Karppinen J, Niinimäki J et al (2007) Modic changes in endplates of lumbar vertebral bodies: prevalence and association with low-back and sciatic pain among middle-aged male workers. Spine 32:1116–1122CrossRefPubMed Kuisma M, Karppinen J, Niinimäki J et al (2007) Modic changes in endplates of lumbar vertebral bodies: prevalence and association with low-back and sciatic pain among middle-aged male workers. Spine 32:1116–1122CrossRefPubMed
18.
go back to reference Lau DC, Dhillon B, Yan H et al (2005) Adipokines: molecular links between obesity and atherosclerosis. Am J Physiol Heart Circ Physiol 288:H2031–H2041CrossRefPubMed Lau DC, Dhillon B, Yan H et al (2005) Adipokines: molecular links between obesity and atherosclerosis. Am J Physiol Heart Circ Physiol 288:H2031–H2041CrossRefPubMed
19.
go back to reference Le Maitre CL, Freemont AJ, Hoyland JA (2005) The role of interleukin-1 in the pathogenesis of human intervertebral disc degeneration. Arthritis Res Ther 7:R732–R745CrossRefPubMed Le Maitre CL, Freemont AJ, Hoyland JA (2005) The role of interleukin-1 in the pathogenesis of human intervertebral disc degeneration. Arthritis Res Ther 7:R732–R745CrossRefPubMed
20.
go back to reference Le Maitre CL, Hoyland JA, Freemont AJ (2007) Interleukin-1 receptor antagonist delivered directly and by gene therapy inhibits matrix degradation in the intact degenerate human intervertebral disc: an in situ zymographic and gene therapy study. Arthritis Res Ther 9:R83CrossRefPubMed Le Maitre CL, Hoyland JA, Freemont AJ (2007) Interleukin-1 receptor antagonist delivered directly and by gene therapy inhibits matrix degradation in the intact degenerate human intervertebral disc: an in situ zymographic and gene therapy study. Arthritis Res Ther 9:R83CrossRefPubMed
21.
go back to reference Luoma K, Riihimäki H, Raininko R et al (1998) Lumbar disc degeneration in relation to occupation. Scand J Work Environ Health 24:358–366PubMed Luoma K, Riihimäki H, Raininko R et al (1998) Lumbar disc degeneration in relation to occupation. Scand J Work Environ Health 24:358–366PubMed
22.
go back to reference Luoma K, Vehmas T, Grönblad M, Kerttula L, Kääpä E (2008) MRI follow-up of subchondral signal abnormalities in a selected group of chronic low back pain patients. Eur Spine J 17:1300–1308CrossRefPubMed Luoma K, Vehmas T, Grönblad M, Kerttula L, Kääpä E (2008) MRI follow-up of subchondral signal abnormalities in a selected group of chronic low back pain patients. Eur Spine J 17:1300–1308CrossRefPubMed
23.
go back to reference Luoma K, Vehmas T, Grönblad M, Kerttula L, Kääpä E (2009) Relationship of Modic type 1 changes with disc degeneration. A prospective study. Skeletal Radiol 38:237–244CrossRefPubMed Luoma K, Vehmas T, Grönblad M, Kerttula L, Kääpä E (2009) Relationship of Modic type 1 changes with disc degeneration. A prospective study. Skeletal Radiol 38:237–244CrossRefPubMed
24.
go back to reference Maeda S, Kokobun S (2000) Changes with age in proteoglycan synthesis in cells cultured in vitro from the inner and outer rabbit annulus fibrosus. Responses to interleukin-1 and interleukin-1 receptor antagonist protein. Spine 25:166–169CrossRefPubMed Maeda S, Kokobun S (2000) Changes with age in proteoglycan synthesis in cells cultured in vitro from the inner and outer rabbit annulus fibrosus. Responses to interleukin-1 and interleukin-1 receptor antagonist protein. Spine 25:166–169CrossRefPubMed
25.
go back to reference Malinin T, Brown MD (2007) Changes in vertebral bodies adjacent to acutely narrowed intervertebral discs: observations in baboons. Spine 32:E603–E607CrossRefPubMed Malinin T, Brown MD (2007) Changes in vertebral bodies adjacent to acutely narrowed intervertebral discs: observations in baboons. Spine 32:E603–E607CrossRefPubMed
26.
go back to reference McInnes IB, Schett G (2007) Cytokines in the pathogenesis of rheumatoid arthritis. Nat Rev Immunol 7:429–442CrossRefPubMed McInnes IB, Schett G (2007) Cytokines in the pathogenesis of rheumatoid arthritis. Nat Rev Immunol 7:429–442CrossRefPubMed
27.
go back to reference Modic MT, Steinberg PM, Ross JS et al (1988) Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology 166:193–199PubMed Modic MT, Steinberg PM, Ross JS et al (1988) Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology 166:193–199PubMed
29.
go back to reference Noponen-Hietala N, Virtanen I, Karttunen R et al (2005) Genetic variations in IL6 associate with intervertebral disc disease characterized by sciatica. Pain 114:186–194CrossRefPubMed Noponen-Hietala N, Virtanen I, Karttunen R et al (2005) Genetic variations in IL6 associate with intervertebral disc disease characterized by sciatica. Pain 114:186–194CrossRefPubMed
30.
go back to reference Ohtori S, Inoue G, Ito T et al (2006) Tumor necrosis factor-immunoreactive cells and PGP 9.5-immunoreactive nerve fibers in vertebral endplates of patients with discogenic low back pain and Modic Type 1 or Type 2 changes on MRI. Spine 31:1026–1031CrossRefPubMed Ohtori S, Inoue G, Ito T et al (2006) Tumor necrosis factor-immunoreactive cells and PGP 9.5-immunoreactive nerve fibers in vertebral endplates of patients with discogenic low back pain and Modic Type 1 or Type 2 changes on MRI. Spine 31:1026–1031CrossRefPubMed
31.
go back to reference Paassilta P, Lohiniva J, Göring HHH et al (2001) Identification of a novel common genetic risk factor for lumbar disc disease. JAMA 285:1843–1849CrossRefPubMed Paassilta P, Lohiniva J, Göring HHH et al (2001) Identification of a novel common genetic risk factor for lumbar disc disease. JAMA 285:1843–1849CrossRefPubMed
32.
go back to reference Pastinen T, Raitio M, Lindroos K et al (2000) A system for specific, high-throughput genotyping by allele-specific primer extension on microarrays. Genome Res 10:1031–1042CrossRefPubMed Pastinen T, Raitio M, Lindroos K et al (2000) A system for specific, high-throughput genotyping by allele-specific primer extension on microarrays. Genome Res 10:1031–1042CrossRefPubMed
33.
go back to reference Rannou F, Corvol MT, Hudry C et al (2000) Sensitivity of anulus fibrosus cells to interleukin 1 beta. Comparison with articular chondrocytes. Spine 25:17–23CrossRefPubMed Rannou F, Corvol MT, Hudry C et al (2000) Sensitivity of anulus fibrosus cells to interleukin 1 beta. Comparison with articular chondrocytes. Spine 25:17–23CrossRefPubMed
34.
go back to reference Rannou F, Ouanes W, Boutron I et al (2007) High-sensitivity C-reactive protein in chronic low back pain with vertebral end-plate Modic signal changes. Arthritis Rheum 57:1311–1315CrossRefPubMed Rannou F, Ouanes W, Boutron I et al (2007) High-sensitivity C-reactive protein in chronic low back pain with vertebral end-plate Modic signal changes. Arthritis Rheum 57:1311–1315CrossRefPubMed
35.
go back to reference Riihimäki H, Mattsson T, Zitting A et al (1990) Radiographically detectable degenerative changes of the lumbar spine among concrete reinforcement workers and house painters. Spine 15:114–119CrossRefPubMed Riihimäki H, Mattsson T, Zitting A et al (1990) Radiographically detectable degenerative changes of the lumbar spine among concrete reinforcement workers and house painters. Spine 15:114–119CrossRefPubMed
36.
go back to reference Riihimäki H, Viikari-Juntura E, Moneta G et al (1994) Incidence of sciatic pain among men in machine operating, dynamic physical work, and sedentary work. A three-year follow-up. Spine 19:138–142PubMedCrossRef Riihimäki H, Viikari-Juntura E, Moneta G et al (1994) Incidence of sciatic pain among men in machine operating, dynamic physical work, and sedentary work. A three-year follow-up. Spine 19:138–142PubMedCrossRef
37.
go back to reference Sambrook PN, MacGregor AJ, Spector TD (1999) Genetic influences on cervical and lumbar disc degeneration: a magnetic resonance imaging study in twins. Arthritis Rheum 42:366–372CrossRefPubMed Sambrook PN, MacGregor AJ, Spector TD (1999) Genetic influences on cervical and lumbar disc degeneration: a magnetic resonance imaging study in twins. Arthritis Rheum 42:366–372CrossRefPubMed
38.
go back to reference Schmid G, Witteler A, Willburger R et al (2004) Lumbar disk herniation: correlation of histologic findings with marrow signal intensity changes in vertebral endplates at MR imaging. Radiology 231:352–358CrossRefPubMed Schmid G, Witteler A, Willburger R et al (2004) Lumbar disk herniation: correlation of histologic findings with marrow signal intensity changes in vertebral endplates at MR imaging. Radiology 231:352–358CrossRefPubMed
39.
go back to reference Solovieva S, Leino-Arjas P, Saarela J et al (2004) Possible association of interleukin 1 gene locus polymorphisms with low back pain. Pain 109:8–19CrossRefPubMed Solovieva S, Leino-Arjas P, Saarela J et al (2004) Possible association of interleukin 1 gene locus polymorphisms with low back pain. Pain 109:8–19CrossRefPubMed
40.
go back to reference Solovieva S, Kouhia S, Leino-Arjas P et al (2004) Interleukin 1 polymorphisms and intervertebral disc degeneration. Epidem 15:626–633CrossRef Solovieva S, Kouhia S, Leino-Arjas P et al (2004) Interleukin 1 polymorphisms and intervertebral disc degeneration. Epidem 15:626–633CrossRef
41.
go back to reference Song Y-Q, Ho DWH, Karppinen J et al (2008) Association between promoter -1607 polymorphism of MMP1 and Lumbar Disc Disease in Southern Chinese. BMC Med Genet 9:38CrossRefPubMed Song Y-Q, Ho DWH, Karppinen J et al (2008) Association between promoter -1607 polymorphism of MMP1 and Lumbar Disc Disease in Southern Chinese. BMC Med Genet 9:38CrossRefPubMed
42.
go back to reference Stephens M, Smith NJ, Donnelly P (2001) A new statistical method for haplotype reconstruction from population data. Am J Hum Genet 68:978–989CrossRefPubMed Stephens M, Smith NJ, Donnelly P (2001) A new statistical method for haplotype reconstruction from population data. Am J Hum Genet 68:978–989CrossRefPubMed
43.
go back to reference Strand V, Kavanaugh AF (2004) The role of interleukin-1 in bone resorption in rheumatoid arthritis. Rheumatology (Oxford) 43((Suppl 3)):iii10–iii16CrossRef Strand V, Kavanaugh AF (2004) The role of interleukin-1 in bone resorption in rheumatoid arthritis. Rheumatology (Oxford) 43((Suppl 3)):iii10–iii16CrossRef
44.
go back to reference Takahashi M, Haro H, Wakabayashi Y et al (2001) The association of degeneration of the intervertebral disc with 5A/6A polymorphism in the promoter of the human matrix metalloproteinase-3 gene. J Bone Joint Surg [Br] 83-B:491–495CrossRef Takahashi M, Haro H, Wakabayashi Y et al (2001) The association of degeneration of the intervertebral disc with 5A/6A polymorphism in the promoter of the human matrix metalloproteinase-3 gene. J Bone Joint Surg [Br] 83-B:491–495CrossRef
45.
go back to reference Ulrich JA, Liebenberg EC, Thuillier DU, Lotz JC (2007) ISSLS prize winner: repeated disc injury causes persistent inflammation. Spine 32:2812–2819CrossRefPubMed Ulrich JA, Liebenberg EC, Thuillier DU, Lotz JC (2007) ISSLS prize winner: repeated disc injury causes persistent inflammation. Spine 32:2812–2819CrossRefPubMed
46.
go back to reference Videman T, Leppävuori J, Kaprio J et al (1998) Intragenic polymorphisms of the vitamin D receptor gene associated with intervertebral disc degeneration. Spine 23:2477–2485CrossRefPubMed Videman T, Leppävuori J, Kaprio J et al (1998) Intragenic polymorphisms of the vitamin D receptor gene associated with intervertebral disc degeneration. Spine 23:2477–2485CrossRefPubMed
47.
go back to reference Videman T, Saarela J, Kaprio J et al (2009) Associations of 25 structural, degradative, and inflammatory candidate genes with lumbar disc desiccation, bulging, and height narrowing. Arthritis Rheum 60:470–481CrossRefPubMed Videman T, Saarela J, Kaprio J et al (2009) Associations of 25 structural, degradative, and inflammatory candidate genes with lumbar disc desiccation, bulging, and height narrowing. Arthritis Rheum 60:470–481CrossRefPubMed
48.
go back to reference Virtanen IM, Karppinen J, Taimela S et al (2007) Occupational and genetic risk factors associated with intervertebral disc disease. Spine 32:1129–1134CrossRefPubMed Virtanen IM, Karppinen J, Taimela S et al (2007) Occupational and genetic risk factors associated with intervertebral disc disease. Spine 32:1129–1134CrossRefPubMed
49.
go back to reference Zhang YH, Zhao CQ, Jiang LS, Chen XD, Dai LY (2008) Modic changes: a systematic review of the literature. Eur Spine J 17:1289–1299CrossRefPubMed Zhang YH, Zhao CQ, Jiang LS, Chen XD, Dai LY (2008) Modic changes: a systematic review of the literature. Eur Spine J 17:1289–1299CrossRefPubMed
Metadata
Title
Modic changes and interleukin 1 gene locus polymorphisms in occupational cohort of middle-aged men
Authors
Jaro Karppinen
Svetlana Solovieva
Katariina Luoma
Raili Raininko
Päivi Leino-Arjas
Hilkka Riihimäki
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 12/2009
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-009-1139-x

Other articles of this Issue 12/2009

European Spine Journal 12/2009 Go to the issue

Open Operating Theatre (OOT)

Laminarthrectomy