Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

The TGFB1 gene is associated with curve severity but not with the development of adolescent idiopathic scoliosis: a replication study in the Chinese population

Authors: Leilei Xu, Weixiang Sun, Xiaodong Qin, Yong Qiu, Zezhang Zhu

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Login to get access

Abstract

Background

The transforming growth factor beta-1 (TGFB1) gene was recently reported to be a new susceptible gene of adolescent idiopathic scoliosis (AIS) in Russian population. This study aimed to replicate the relationship between the TGFB1 gene and the susceptibility of AIS in a Chinese population, and to further describe its association with the curve severity.

Methods

A total of 1251 female AIS patients and 994 age-matched healthy controls were included in this study. The rs1800469 of TGFB1 gene was genotyped for all participants using the PCR-based Invader assay. The differences of genotype and allele distributions between AIS patients and healthy controls were assessed using the Chi-square test. One-way ANOVA test was used to compare the mean Cobb angles among patients with different genotypes.

Results

There was no significant difference in terms of the genotype and the allele frequency between the patients and the controls. The mean Cobb angle was 34.7 ± 11.9° (range 25–61°). Case-only analysis showed that rs1800469 was significantly associated with the curve severity. Patients with genotype TT had remarkably higher curve magnitude (39.1 ± 12.8°) than those with genotype CT (34.8 ± 11.1°) or CC (32.1 ± 10.6°).

Conclusions

The TGFB1 gene may not be a predisposition gene of AIS in the Chinese population. However, it can play a role in the curve progression of AIS. Replication studies in other ethnic groups are warranted to understand the implication of TGFB1 gene in AIS.
Literature
1.
go back to reference Weinstein SL. Advances in the diagnosis and management of adolescent idiopathic scoliosis. J Pediatr Orthop. 1994;14:561–3.CrossRefPubMed Weinstein SL. Advances in the diagnosis and management of adolescent idiopathic scoliosis. J Pediatr Orthop. 1994;14:561–3.CrossRefPubMed
2.
go back to reference Lonstein JE. Adolescent idiopathic scoliosis: screening and diagnosis. Instr Course Lect. 1989;38:105–13.PubMed Lonstein JE. Adolescent idiopathic scoliosis: screening and diagnosis. Instr Course Lect. 1989;38:105–13.PubMed
3.
go back to reference Horne JP, Flannery R, Usman S. Adolescent idiopathic scoliosis: diagnosis and management. Am Fam Physician. 2014;89:193–8.PubMed Horne JP, Flannery R, Usman S. Adolescent idiopathic scoliosis: diagnosis and management. Am Fam Physician. 2014;89:193–8.PubMed
4.
go back to reference Burwell RG, Aujla RK, Kirby AS, Dangerfield PH, Moulton A, Cole AA, et al. Body mass index of girls in health influences menarche and skeletal maturation: a leptin-sympathetic nervous system focus on the trunk with hypothalamic asymmetric dysfunction in the pathogenesis of adolescent idiopathic scoliosis? Stud Health Technol Inform. 2008;140:9–21.PubMed Burwell RG, Aujla RK, Kirby AS, Dangerfield PH, Moulton A, Cole AA, et al. Body mass index of girls in health influences menarche and skeletal maturation: a leptin-sympathetic nervous system focus on the trunk with hypothalamic asymmetric dysfunction in the pathogenesis of adolescent idiopathic scoliosis? Stud Health Technol Inform. 2008;140:9–21.PubMed
5.
go back to reference Girardo M, Bettini N, Dema E, Cervellati S. The role of melatonin in the pathogenesis of adolescent idiopathic scoliosis (AIS). Eur Spine J. 2011;20 Suppl 1:S68–74.CrossRefPubMed Girardo M, Bettini N, Dema E, Cervellati S. The role of melatonin in the pathogenesis of adolescent idiopathic scoliosis (AIS). Eur Spine J. 2011;20 Suppl 1:S68–74.CrossRefPubMed
6.
go back to reference Burwell RG, Dangerfield PH. Pathogenesis of progressive adolescent idiopathic scoliosis. Platelet activation and vascular biology in immature vertebrae: an alternative molecular hypothesis. Acta Orthop Belg. 2006;72:247–60.PubMed Burwell RG, Dangerfield PH. Pathogenesis of progressive adolescent idiopathic scoliosis. Platelet activation and vascular biology in immature vertebrae: an alternative molecular hypothesis. Acta Orthop Belg. 2006;72:247–60.PubMed
7.
go back to reference Ahn UM, Ahn NU, Nallamshetty L, Buchowski JM, Rose PS, Miller NH, et al. The etiology of adolescent idiopathic scoliosis. Am J Orthop (Belle Mead NJ). 2002;31:387–95. Ahn UM, Ahn NU, Nallamshetty L, Buchowski JM, Rose PS, Miller NH, et al. The etiology of adolescent idiopathic scoliosis. Am J Orthop (Belle Mead NJ). 2002;31:387–95.
8.
go back to reference Miller NH. Cause and natural history of adolescent idiopathic scoliosis. Orthop Clin North Am. 1999;30:343–52.CrossRefPubMed Miller NH. Cause and natural history of adolescent idiopathic scoliosis. Orthop Clin North Am. 1999;30:343–52.CrossRefPubMed
9.
go back to reference Miller NH, Mims B, Child A, Milewicz DM, Sponseller P, Blanton SH. Genetic analysis of structural elastic fiber and collagen genes in familial adolescent idiopathic scoliosis. J Orthop Res. 1996;14:994–9.CrossRefPubMed Miller NH, Mims B, Child A, Milewicz DM, Sponseller P, Blanton SH. Genetic analysis of structural elastic fiber and collagen genes in familial adolescent idiopathic scoliosis. J Orthop Res. 1996;14:994–9.CrossRefPubMed
10.
go back to reference Gurnett CA, Alaee F, Bowcock A, Kruse L, Lenke LG, Bridwell KH, et al. Genetic linkage localizes an adolescent idiopathic scoliosis and pectus excavatum gene to chromosome 18 q. Spine (Phila Pa 1976). 2009;34:E94–100.CrossRef Gurnett CA, Alaee F, Bowcock A, Kruse L, Lenke LG, Bridwell KH, et al. Genetic linkage localizes an adolescent idiopathic scoliosis and pectus excavatum gene to chromosome 18 q. Spine (Phila Pa 1976). 2009;34:E94–100.CrossRef
11.
go back to reference Gao X, Gordon D, Zhang D, Browne R, Helms C, Gillum J, et al. CHD7 gene polymorphisms are associated with susceptibility to idiopathic scoliosis. Am J Hum Genet. 2007;80:957–65.CrossRefPubMedPubMedCentral Gao X, Gordon D, Zhang D, Browne R, Helms C, Gillum J, et al. CHD7 gene polymorphisms are associated with susceptibility to idiopathic scoliosis. Am J Hum Genet. 2007;80:957–65.CrossRefPubMedPubMedCentral
12.
go back to reference Miller NH, Justice CM, Marosy B, Doheny KF, Pugh E, Zhang J, et al. Identification of candidate regions for familial idiopathic scoliosis. Spine (Phila Pa 1976). 2005;30:1181–7.CrossRef Miller NH, Justice CM, Marosy B, Doheny KF, Pugh E, Zhang J, et al. Identification of candidate regions for familial idiopathic scoliosis. Spine (Phila Pa 1976). 2005;30:1181–7.CrossRef
13.
go back to reference Wu J, Qiu Y, Zhang L, Sun Q, Qiu X, He Y. Association of estrogen receptor gene polymorphisms with susceptibility to adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2006;31:1131–6.CrossRef Wu J, Qiu Y, Zhang L, Sun Q, Qiu X, He Y. Association of estrogen receptor gene polymorphisms with susceptibility to adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2006;31:1131–6.CrossRef
14.
go back to reference Inoue M, Minami S, Nakata Y, Kitahara H, Otsuka Y, Isobe K, et al. Association between estrogen receptor gene polymorphisms and curve severity of idiopathic scoliosis. Spine (Phila Pa 1976). 2002;27:2357–62.CrossRef Inoue M, Minami S, Nakata Y, Kitahara H, Otsuka Y, Isobe K, et al. Association between estrogen receptor gene polymorphisms and curve severity of idiopathic scoliosis. Spine (Phila Pa 1976). 2002;27:2357–62.CrossRef
15.
go back to reference Zhang HQ, Lu SJ, Tang MX, Chen LQ, Liu SH, Guo CF, et al. Association of estrogen receptor beta gene polymorphisms with susceptibility to adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2009;34:760–4.CrossRef Zhang HQ, Lu SJ, Tang MX, Chen LQ, Liu SH, Guo CF, et al. Association of estrogen receptor beta gene polymorphisms with susceptibility to adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2009;34:760–4.CrossRef
16.
go back to reference Chen Z, Tang NL, Cao X, Qiao D, Yi L, Cheng JC, et al. Promoter polymorphism of matrilin-1 gene predisposes to adolescent idiopathic scoliosis in a Chinese population. Eur J Hum Genet. 2009;17:525–32.CrossRefPubMed Chen Z, Tang NL, Cao X, Qiao D, Yi L, Cheng JC, et al. Promoter polymorphism of matrilin-1 gene predisposes to adolescent idiopathic scoliosis in a Chinese population. Eur J Hum Genet. 2009;17:525–32.CrossRefPubMed
17.
go back to reference Qiu XS, Tang NL, Yeung HY, Lee KM, Hung VW, Ng BK, et al. Melatonin receptor 1B (MTNR1B) gene polymorphism is associated with the occurrence of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2007;32:1748–53.CrossRef Qiu XS, Tang NL, Yeung HY, Lee KM, Hung VW, Ng BK, et al. Melatonin receptor 1B (MTNR1B) gene polymorphism is associated with the occurrence of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2007;32:1748–53.CrossRef
18.
go back to reference Wang H, Wu Z, Zhuang Q, Fei Q, Zhang J, Liu Y, et al. Association study of tryptophan hydroxylase 1 and arylalkylamine N-acetyltransferase polymorphisms with adolescent idiopathic scoliosis in Han Chinese. Spine (Phila Pa 1976). 2008;33:2199–203.CrossRef Wang H, Wu Z, Zhuang Q, Fei Q, Zhang J, Liu Y, et al. Association study of tryptophan hydroxylase 1 and arylalkylamine N-acetyltransferase polymorphisms with adolescent idiopathic scoliosis in Han Chinese. Spine (Phila Pa 1976). 2008;33:2199–203.CrossRef
19.
go back to reference Nikolova S, Dikova M, Dikov D, Djerov A, Dzhebir G, Atanasov V, et al. Role of the IL-6 gene in the etiopathogenesis of idiopathic scoliosis. Anal Cell Pathol (Amst). 2015;2015:621893. Nikolova S, Dikova M, Dikov D, Djerov A, Dzhebir G, Atanasov V, et al. Role of the IL-6 gene in the etiopathogenesis of idiopathic scoliosis. Anal Cell Pathol (Amst). 2015;2015:621893.
20.
go back to reference Aulisa L, Papaleo P, Pola E, Angelini F, Aulisa AG, Tamburrelli FC, et al. Association between IL-6 and MMP-3 gene polymorphisms and adolescent idiopathic scoliosis: a case-control study. Spine (Phila Pa 1976). 2007;32:2700–2.CrossRef Aulisa L, Papaleo P, Pola E, Angelini F, Aulisa AG, Tamburrelli FC, et al. Association between IL-6 and MMP-3 gene polymorphisms and adolescent idiopathic scoliosis: a case-control study. Spine (Phila Pa 1976). 2007;32:2700–2.CrossRef
21.
go back to reference Mao S, Xu L, Zhu Z, Qian B, Qiao J, Yi L, et al. Association between genetic determinants of peak height velocity during puberty and predisposition to adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2013;38(12):1034–9.CrossRef Mao S, Xu L, Zhu Z, Qian B, Qiao J, Yi L, et al. Association between genetic determinants of peak height velocity during puberty and predisposition to adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2013;38(12):1034–9.CrossRef
22.
go back to reference Sharma S, Gao X, Londono D, Devroy SE, Mauldin KN, Frankel JT, et al. Genome-wide association studies of adolescent idiopathic scoliosis suggest candidate susceptibility genes. Hum Mol Genet. 2011;20:1456–66.CrossRefPubMedPubMedCentral Sharma S, Gao X, Londono D, Devroy SE, Mauldin KN, Frankel JT, et al. Genome-wide association studies of adolescent idiopathic scoliosis suggest candidate susceptibility genes. Hum Mol Genet. 2011;20:1456–66.CrossRefPubMedPubMedCentral
23.
go back to reference Takahashi Y, Kou I, Takahashi A, Johnson TA, Kono K, Kawakami N, et al. A genome-wide association study identifies common variants near LBX1 associated with adolescent idiopathic scoliosis. Nat Genet. 2011;43:1237–40.CrossRefPubMed Takahashi Y, Kou I, Takahashi A, Johnson TA, Kono K, Kawakami N, et al. A genome-wide association study identifies common variants near LBX1 associated with adolescent idiopathic scoliosis. Nat Genet. 2011;43:1237–40.CrossRefPubMed
24.
go back to reference Kou I, Takahashi Y, Johnson TA, Takahashi A, Guo L, Dai J, et al. Genetic variants in GPR126 are associated with adolescent idiopathic scoliosis. Nat Genet. 2013;45:676–9.CrossRefPubMed Kou I, Takahashi Y, Johnson TA, Takahashi A, Guo L, Dai J, et al. Genetic variants in GPR126 are associated with adolescent idiopathic scoliosis. Nat Genet. 2013;45:676–9.CrossRefPubMed
25.
go back to reference Grauers A, Wang J, Einarsdottir E, Simony A, Danielsson A, Akesson K, et al. Candidate gene analysis and exome sequencing confirm LBX1 as a susceptibility gene for idiopathic scoliosis. Spine J. 2015;15:2239–46.CrossRefPubMed Grauers A, Wang J, Einarsdottir E, Simony A, Danielsson A, Akesson K, et al. Candidate gene analysis and exome sequencing confirm LBX1 as a susceptibility gene for idiopathic scoliosis. Spine J. 2015;15:2239–46.CrossRefPubMed
26.
go back to reference Qiu XS, Lv F, Zhu ZZ, Qian BP, Wang B, Yu Y, et al. Lack of association between the CHL1 gene and adolescent idiopathic scoliosis susceptibility in Han Chinese: a case-control study. BMC Musculoskelet Disord. 2014;15:38.CrossRefPubMedPubMedCentral Qiu XS, Lv F, Zhu ZZ, Qian BP, Wang B, Yu Y, et al. Lack of association between the CHL1 gene and adolescent idiopathic scoliosis susceptibility in Han Chinese: a case-control study. BMC Musculoskelet Disord. 2014;15:38.CrossRefPubMedPubMedCentral
27.
go back to reference Nikolova S, Yablanski V, Vlaev E, Stokov L, Savov AS, Kremensky IM. Association between ESR1 common genetic polymorphisms and curve severity of idiopathic scoliosis in Bulgarian patients: A case-control study. C R Acad Bulg Sci. 2015;68:783–8. Nikolova S, Yablanski V, Vlaev E, Stokov L, Savov AS, Kremensky IM. Association between ESR1 common genetic polymorphisms and curve severity of idiopathic scoliosis in Bulgarian patients: A case-control study. C R Acad Bulg Sci. 2015;68:783–8.
28.
go back to reference Nikolova S, Yablanski V, Vlaev E, Getova G, Atanasov V, Stokov L, et al. Alpha gene polymorphisms and susceptibility to idiopathic scoliosis in Bulgarian patients: a Case-control Study. OA Maced J Med Sci. 2015;3:278–82.CrossRef Nikolova S, Yablanski V, Vlaev E, Getova G, Atanasov V, Stokov L, et al. Alpha gene polymorphisms and susceptibility to idiopathic scoliosis in Bulgarian patients: a Case-control Study. OA Maced J Med Sci. 2015;3:278–82.CrossRef
29.
go back to reference Tang NL, Yeung HY, Lee KM, Hung VW, Cheung CS, Ng BK, et al. A relook into the association of the estrogen receptor [alpha] gene (PvuII, XbaI) and adolescent idiopathic scoliosis: a study of 540 Chinese cases. Spine (Phila Pa 1976). 2006;31:2463–8.CrossRef Tang NL, Yeung HY, Lee KM, Hung VW, Cheung CS, Ng BK, et al. A relook into the association of the estrogen receptor [alpha] gene (PvuII, XbaI) and adolescent idiopathic scoliosis: a study of 540 Chinese cases. Spine (Phila Pa 1976). 2006;31:2463–8.CrossRef
30.
go back to reference Takahashi Y, Matsumoto M, Karasugi T, Watanabe K, Chiba K, Kawakami N, et al. Replication study of the association between adolescent idiopathic scoliosis and two estrogen receptor genes. J Orthop Res. 2011;29:834–7.CrossRefPubMed Takahashi Y, Matsumoto M, Karasugi T, Watanabe K, Chiba K, Kawakami N, et al. Replication study of the association between adolescent idiopathic scoliosis and two estrogen receptor genes. J Orthop Res. 2011;29:834–7.CrossRefPubMed
31.
go back to reference Janusz P, Kotwicki T, Andrusiewicz M, Kotwicka M. XbaI and PvuII polymorphisms of estrogen receptor 1 gene in females with idiopathic scoliosis: no association with occurrence or clinical form. PLoS One. 2013;8:e76806.CrossRefPubMedPubMedCentral Janusz P, Kotwicki T, Andrusiewicz M, Kotwicka M. XbaI and PvuII polymorphisms of estrogen receptor 1 gene in females with idiopathic scoliosis: no association with occurrence or clinical form. PLoS One. 2013;8:e76806.CrossRefPubMedPubMedCentral
32.
go back to reference Takahashi Y, Matsumoto M, Karasugi T, Watanabe K, Chiba K, Kawakami N, et al. Lack of association between adolescent idiopathic scoliosis and previously reported single nucleotide polymorphisms in MATN1, MTNR1B, TPH1, and IGF1 in a Japanese population. J Orthop Res. 2011;29:1055–8.CrossRefPubMed Takahashi Y, Matsumoto M, Karasugi T, Watanabe K, Chiba K, Kawakami N, et al. Lack of association between adolescent idiopathic scoliosis and previously reported single nucleotide polymorphisms in MATN1, MTNR1B, TPH1, and IGF1 in a Japanese population. J Orthop Res. 2011;29:1055–8.CrossRefPubMed
33.
go back to reference Ryzhkov II, Borzilov EE, Churnosov MP, Ataman AP, Dedkov AA, Polonikov AP. Transforming Growth Factor Beta 1 is a Novel Susceptibility Gene for Adolescent Idiopathic Scoliosis. Spine (Phila Pa 1976). 2013;12:E699–704.CrossRef Ryzhkov II, Borzilov EE, Churnosov MP, Ataman AP, Dedkov AA, Polonikov AP. Transforming Growth Factor Beta 1 is a Novel Susceptibility Gene for Adolescent Idiopathic Scoliosis. Spine (Phila Pa 1976). 2013;12:E699–704.CrossRef
34.
go back to reference Rienhoff HJ, Yeo CY, Morissette R, Khrebtukova I, Melnick J, Luo S, et al. A mutation in TGFB3 associated with a syndrome of low muscle mass, growth retardation, distal arthrogryposis and clinical features overlapping with Marfan and Loeys-Dietz syndrome. Am J Med Genet A. 2013;161A:2040–6.CrossRefPubMed Rienhoff HJ, Yeo CY, Morissette R, Khrebtukova I, Melnick J, Luo S, et al. A mutation in TGFB3 associated with a syndrome of low muscle mass, growth retardation, distal arthrogryposis and clinical features overlapping with Marfan and Loeys-Dietz syndrome. Am J Med Genet A. 2013;161A:2040–6.CrossRefPubMed
35.
go back to reference Kuechler A, Altmuller J, Nurnberg P, Kotthoff S, Kubisch C, Borck G. Exome sequencing identifies a novel heterozygous TGFB3 mutation in a disorder overlapping with Marfan and Loeys-Dietz syndrome. Mol Cell Probes. 2015. doi:10.1016/j.mcp.2015.07.003.PubMed Kuechler A, Altmuller J, Nurnberg P, Kotthoff S, Kubisch C, Borck G. Exome sequencing identifies a novel heterozygous TGFB3 mutation in a disorder overlapping with Marfan and Loeys-Dietz syndrome. Mol Cell Probes. 2015. doi:10.​1016/​j.​mcp.​2015.​07.​003.PubMed
36.
go back to reference Ingman WV, Robertson SA. The essential roles of TGFB1 in reproduction. Cytokine Growth Factor Rev. 2009;20:233–9.CrossRefPubMed Ingman WV, Robertson SA. The essential roles of TGFB1 in reproduction. Cytokine Growth Factor Rev. 2009;20:233–9.CrossRefPubMed
37.
go back to reference Qiu GX, Guo SJ, Liu Y, Qian WW, Wu ZH. The expression of collagen type I, II and TGF-beta1 in the articular processes of scoliosis patients. Zhonghua Yi Xue Za Zhi. 2005;85:2391–4.PubMed Qiu GX, Guo SJ, Liu Y, Qian WW, Wu ZH. The expression of collagen type I, II and TGF-beta1 in the articular processes of scoliosis patients. Zhonghua Yi Xue Za Zhi. 2005;85:2391–4.PubMed
38.
go back to reference Nerlich AG, Bachmeier BE, Boos N. Expression of fibronectin and TGF-beta1 mRNA and protein suggest altered regulation of extracellular matrix in degenerated disc tissue. Eur Spine J. 2005;14:17–26.CrossRefPubMed Nerlich AG, Bachmeier BE, Boos N. Expression of fibronectin and TGF-beta1 mRNA and protein suggest altered regulation of extracellular matrix in degenerated disc tissue. Eur Spine J. 2005;14:17–26.CrossRefPubMed
39.
go back to reference Jiang H, Qiu X, Dai J, Yan H, Zhu Z, Qian B, et al. Association of rs11190870 near LBX1 with adolescent idiopathic scoliosis susceptibility in a Han Chinese population. Eur Spine J. 2013;22:282–6.CrossRefPubMed Jiang H, Qiu X, Dai J, Yan H, Zhu Z, Qian B, et al. Association of rs11190870 near LBX1 with adolescent idiopathic scoliosis susceptibility in a Han Chinese population. Eur Spine J. 2013;22:282–6.CrossRefPubMed
40.
go back to reference Fan YH, Song YQ, Chan D, Takahashi Y, Ikegawa S, Matsumoto M, et al. SNP rs11190870 near LBX1 is associated with adolescent idiopathic scoliosis in southern Chinese. J Hum Genet. 2012;57:244–6.CrossRefPubMed Fan YH, Song YQ, Chan D, Takahashi Y, Ikegawa S, Matsumoto M, et al. SNP rs11190870 near LBX1 is associated with adolescent idiopathic scoliosis in southern Chinese. J Hum Genet. 2012;57:244–6.CrossRefPubMed
41.
go back to reference Grainger DJ, Heathcote K, Chiano M, Snieder H, Kemp PR, Metcalfe JC, et al. Genetic control of the circulating concentration of transforming growth factor type beta1. Hum Mol Genet. 1999;8:93–7.CrossRefPubMed Grainger DJ, Heathcote K, Chiano M, Snieder H, Kemp PR, Metcalfe JC, et al. Genetic control of the circulating concentration of transforming growth factor type beta1. Hum Mol Genet. 1999;8:93–7.CrossRefPubMed
42.
go back to reference Silverman ES, Palmer LJ, Subramaniam V, Hallock A, Mathew S, Vallone J, et al. Transforming growth factor-beta1 promoter polymorphism C-509 T is associated with asthma. Am J Respir Crit Care Med. 2004;169:214–9.CrossRefPubMed Silverman ES, Palmer LJ, Subramaniam V, Hallock A, Mathew S, Vallone J, et al. Transforming growth factor-beta1 promoter polymorphism C-509 T is associated with asthma. Am J Respir Crit Care Med. 2004;169:214–9.CrossRefPubMed
43.
go back to reference Xu H, Qiu G, Wu Z, Wang Y, Zhang J, Liu Y, et al. Expression of transforming growth factor and basic fibroblast growth factor and core protein of proteoglycan in human vertebral cartilaginous endplate of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2005;30:1973–8.CrossRef Xu H, Qiu G, Wu Z, Wang Y, Zhang J, Liu Y, et al. Expression of transforming growth factor and basic fibroblast growth factor and core protein of proteoglycan in human vertebral cartilaginous endplate of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2005;30:1973–8.CrossRef
Metadata
Title
The TGFB1 gene is associated with curve severity but not with the development of adolescent idiopathic scoliosis: a replication study in the Chinese population
Authors
Leilei Xu
Weixiang Sun
Xiaodong Qin
Yong Qiu
Zezhang Zhu
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-0863-8

Other articles of this Issue 1/2016

BMC Musculoskeletal Disorders 1/2016 Go to the issue