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Published in: BMC Musculoskeletal Disorders 1/2020

01-12-2020 | Osteonecrosis of the Femoral Head | Research article

Correlation analysis between CARMEN variants and alcohol-induced osteonecrosis of the femoral head in the Chinese population

Authors: Yongchang Guo, Yuju Cao, Shunguo Gong, Sumei Zhang, Fengzhi Hou, Xinjie Zhang, Jiangeng Hu, Zhimin Yang, Juanjuan Yi, Dan Luo, Xifeng Chen, Jingbo Song

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Osteonecrosis of the femoral head (ONFH) is a complicated disease associated with trauma, hormone abuse and excessive alcohol consumption. Polymorphisms of long non-coding RNAs have been also linked with the development of ONFH. Our research aimed to explore the relationship between CARMEN (Cardiac Mesoderm Enhancer-Associated Non-Coding RNA) variants and ONFH risk.

Methods

Our study used Agena MassARRAY Assay to genotype 6 selected single nucleotide polymorphisms (SNPs) in 731 participants (308 alcohol-induced ONFH patients and 423 controls). We used odds ratios (ORs) and 95% confidence intervals (CIs) to calculate the effect of gene polymorphisms on the occurrence of alcohol-induced ONFH by logistic regression analysis and haplotype analysis.

Results

Our overall analysis illustrated that rs13177623 and rs12654195 had an association with a reduced risk of ONFH after adjustment for age and gender. We also found that rs13177623, rs12654195 and rs11168100 were associated with a decreased susceptibility to alcohol-induced ONFH in people ≤45 years. In addition, the necrotic sites stratification analysis showed that rs12654195 was only found to be related to alcohol-induced ONFH risk in the recessive model. In patients with different clinical stages, rs353300 was observed to be associated with a higher incidence of ONFH. Individuals with different genotypes of rs13177623, rs12654195 and rs11168100 had significantly different clinical parameters (cholinesterase, globulin, percentage of neutrophils and the absolute value of lymphocytes).

Conclusions

Our data provided new light on the association between CARMEN polymorphisms and alcohol-induced ONFH risk in the Chinese Han population.
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Literature
1.
go back to reference Mouzas OD, Zibis AH, Bonotis KS, Katsimagklis CD, Hadjigeorgiou GM, Papaliaga MN, Dimitroulias AP, Malizos KN. Psychological distress, personality traits and functional disability in patients with osteonecrosis of the femoral head. J Clin Med Res. 2014;6(5):336–44.PubMedPubMedCentral Mouzas OD, Zibis AH, Bonotis KS, Katsimagklis CD, Hadjigeorgiou GM, Papaliaga MN, Dimitroulias AP, Malizos KN. Psychological distress, personality traits and functional disability in patients with osteonecrosis of the femoral head. J Clin Med Res. 2014;6(5):336–44.PubMedPubMedCentral
2.
go back to reference Shah KN, Racine J, Jones LC, Aaron RK. Pathophysiology and risk factors for osteonecrosis. Curr Rev Musculoskelet Med. 2015;8(3):201–9.CrossRef Shah KN, Racine J, Jones LC, Aaron RK. Pathophysiology and risk factors for osteonecrosis. Curr Rev Musculoskelet Med. 2015;8(3):201–9.CrossRef
3.
go back to reference Zalavras CG, Lieberman JR. Osteonecrosis of the femoral head: evaluation and treatment. J Am Acad Orthop Surg. 2014;22(7):455–64.CrossRef Zalavras CG, Lieberman JR. Osteonecrosis of the femoral head: evaluation and treatment. J Am Acad Orthop Surg. 2014;22(7):455–64.CrossRef
4.
go back to reference Adesina OO, Brunson A, Keegan THM, Wun T. Osteonecrosis of the femoral head in sickle cell disease: prevalence, comorbidities and surgical outcomes in California. Blood Adv. 2016;1(16):1287–95.CrossRef Adesina OO, Brunson A, Keegan THM, Wun T. Osteonecrosis of the femoral head in sickle cell disease: prevalence, comorbidities and surgical outcomes in California. Blood Adv. 2016;1(16):1287–95.CrossRef
5.
go back to reference Kubo T, Ueshima K, Saito M, Ishida M, Arai Y, Fujiwara H. Clinical and basic research on steroid-induced osteonecrosis of the femoral head in Japan. J Orthop Sci. 2016;21(4):407–13.CrossRef Kubo T, Ueshima K, Saito M, Ishida M, Arai Y, Fujiwara H. Clinical and basic research on steroid-induced osteonecrosis of the femoral head in Japan. J Orthop Sci. 2016;21(4):407–13.CrossRef
6.
go back to reference Zhao D, Yu M, Hu K, Wang W, Yang L, Wang B, Gao X, Guo Y, Xu Y, Wei Y. Prevalence of nontraumatic osteonecrosis of the femoral head and its associated risk factors in the Chinese population: results from a nationally representative survey. Chin Med J. 2015;128(21):2843–50.CrossRef Zhao D, Yu M, Hu K, Wang W, Yang L, Wang B, Gao X, Guo Y, Xu Y, Wei Y. Prevalence of nontraumatic osteonecrosis of the femoral head and its associated risk factors in the Chinese population: results from a nationally representative survey. Chin Med J. 2015;128(21):2843–50.CrossRef
7.
go back to reference Choi HR, Steinberg ME, Cheng EY. Osteonecrosis of the femoral head: diagnosis and classification systems. Curr Rev Musculoskelet Med. 2015;8(3):210–20..CrossRef Choi HR, Steinberg ME, Cheng EY. Osteonecrosis of the femoral head: diagnosis and classification systems. Curr Rev Musculoskelet Med. 2015;8(3):210–20..CrossRef
8.
go back to reference Wang L, Pan H, Zhu ZA. A genetic pedigree analysis to identify gene mutations involved in femoral head necrosis. Mol Med Rep. 2014;10(4):1835–8.CrossRef Wang L, Pan H, Zhu ZA. A genetic pedigree analysis to identify gene mutations involved in femoral head necrosis. Mol Med Rep. 2014;10(4):1835–8.CrossRef
9.
go back to reference Xue Y, Zhao Z, Hong D, Zhang H, Chen H, Fan S. MDR1 gene polymorphisms are associated with glucocorticoid-induced avascular necrosis of the femoral head in a Chinese population. Genet Test Mol Biomarkers. 2014;18(3):196–201.CrossRef Xue Y, Zhao Z, Hong D, Zhang H, Chen H, Fan S. MDR1 gene polymorphisms are associated with glucocorticoid-induced avascular necrosis of the femoral head in a Chinese population. Genet Test Mol Biomarkers. 2014;18(3):196–201.CrossRef
10.
go back to reference Tsai S, Wu P, Chen C, Chiang C, Huang C, Chen T, Liu C, Chen W. Etiologies and outcome of osteonecrosis of the femoral head: etiology and outcome study in a Taiwan population. Journal of The Chinese Medical Association. 2016;79(1):39–45.CrossRef Tsai S, Wu P, Chen C, Chiang C, Huang C, Chen T, Liu C, Chen W. Etiologies and outcome of osteonecrosis of the femoral head: etiology and outcome study in a Taiwan population. Journal of The Chinese Medical Association. 2016;79(1):39–45.CrossRef
11.
go back to reference Cui L, Zhuang Q, Lin J, Jin J, Zhang K, Cao L, Lin J, Yan S, Guo W, He W. Multicentric epidemiologic study on six thousand three hundred and ninety five cases of femoral head osteonecrosis in China. Int Orthop. 2016;40(2):267–76.CrossRef Cui L, Zhuang Q, Lin J, Jin J, Zhang K, Cao L, Lin J, Yan S, Guo W, He W. Multicentric epidemiologic study on six thousand three hundred and ninety five cases of femoral head osteonecrosis in China. Int Orthop. 2016;40(2):267–76.CrossRef
12.
go back to reference An F, Du J, Wang J, Zhao L, Ma C, Zhao J, Wang J. MMP20 single-nucleotide polymorphisms correlate with susceptibility to alcohol-induced osteonecrosis of the femoral head in Chinese males. Med Sci Monit. 2019;25:3750–61.CrossRef An F, Du J, Wang J, Zhao L, Ma C, Zhao J, Wang J. MMP20 single-nucleotide polymorphisms correlate with susceptibility to alcohol-induced osteonecrosis of the femoral head in Chinese males. Med Sci Monit. 2019;25:3750–61.CrossRef
13.
go back to reference Liu C, An F, Cao Y, Wang J, Tian Y, Wu H, Wang J. Significant association between RETN genetic polymorphisms and alcohol-induced osteonecrosis of femoral head. Mol Genet Genomic Med. 2019;7(8):e822.PubMedPubMedCentral Liu C, An F, Cao Y, Wang J, Tian Y, Wu H, Wang J. Significant association between RETN genetic polymorphisms and alcohol-induced osteonecrosis of femoral head. Mol Genet Genomic Med. 2019;7(8):e822.PubMedPubMedCentral
14.
go back to reference Wang Y, Cao Y, Li Y, Guo Y, Wang Q, Yang M, Zhang N, Jin T, Wang J. Genetic association of the ApoB and ApoA1 gene polymorphisms with the risk for alcohol-induced osteonecrosis of femoral head. Int J Clin Exp Pathol. 2015;8(9):11332–9.PubMedPubMedCentral Wang Y, Cao Y, Li Y, Guo Y, Wang Q, Yang M, Zhang N, Jin T, Wang J. Genetic association of the ApoB and ApoA1 gene polymorphisms with the risk for alcohol-induced osteonecrosis of femoral head. Int J Clin Exp Pathol. 2015;8(9):11332–9.PubMedPubMedCentral
15.
go back to reference Wang Y, Yang X, Shi J, Zhao Y, Pan L, Zhou J, Wang G, Wang J. Combination analysis of NOS3, ABCB1 and IL23R polymorphisms with alcohol-induced osteonecrosis of the femoral head risk in Chinese males. Oncotarget. 2017;8(20):33770–8.CrossRef Wang Y, Yang X, Shi J, Zhao Y, Pan L, Zhou J, Wang G, Wang J. Combination analysis of NOS3, ABCB1 and IL23R polymorphisms with alcohol-induced osteonecrosis of the femoral head risk in Chinese males. Oncotarget. 2017;8(20):33770–8.CrossRef
16.
go back to reference Chen J, Liu W, Cao Y, Zhang X, Guo Y, Zhu Y, Li J, Du J, Jin T, Wang G, et al. MMP-3 and MMP-8 single-nucleotide polymorphisms are related to alcohol-induced osteonecrosis of the femoral head in Chinese males. Oncotarget. 2017;8(15):25177–88.CrossRef Chen J, Liu W, Cao Y, Zhang X, Guo Y, Zhu Y, Li J, Du J, Jin T, Wang G, et al. MMP-3 and MMP-8 single-nucleotide polymorphisms are related to alcohol-induced osteonecrosis of the femoral head in Chinese males. Oncotarget. 2017;8(15):25177–88.CrossRef
17.
go back to reference Li Y, Wang Y, Guo Y, Wang Q, Ouyang Y, Cao Y, Jin T, Wang J. OPG and RANKL polymorphisms are associated with alcohol-induced osteonecrosis of the femoral head in the north area of China population in men. Medicine. 2016;95(25):e3981.CrossRef Li Y, Wang Y, Guo Y, Wang Q, Ouyang Y, Cao Y, Jin T, Wang J. OPG and RANKL polymorphisms are associated with alcohol-induced osteonecrosis of the femoral head in the north area of China population in men. Medicine. 2016;95(25):e3981.CrossRef
18.
go back to reference Gibb EA, Brown CJ, Lam WL. The functional role of long non-coding RNA in human carcinomas. Mol Cancer. 2011;10(1):38.CrossRef Gibb EA, Brown CJ, Lam WL. The functional role of long non-coding RNA in human carcinomas. Mol Cancer. 2011;10(1):38.CrossRef
19.
go back to reference Su SC, Reiter RJ, Hsiao HY, Chung WH, Yang S. Functional interaction between melatonin signaling and noncoding RNAs. Trends Endocrinol Metab. 2018;29(6):435–45.CrossRef Su SC, Reiter RJ, Hsiao HY, Chung WH, Yang S. Functional interaction between melatonin signaling and noncoding RNAs. Trends Endocrinol Metab. 2018;29(6):435–45.CrossRef
20.
go back to reference Klattenhoff CA, Scheuermann JC, Surface LE, Bradley RK, Fields PA, Steinhauser ML, Ding H, Butty VL, Torrey L, Haas S. Braveheart, a long noncoding RNA required for cardiovascular lineage commitment. Cell. 2013;152(3):570–83.CrossRef Klattenhoff CA, Scheuermann JC, Surface LE, Bradley RK, Fields PA, Steinhauser ML, Ding H, Butty VL, Torrey L, Haas S. Braveheart, a long noncoding RNA required for cardiovascular lineage commitment. Cell. 2013;152(3):570–83.CrossRef
21.
go back to reference Ounzain S, Micheletti R, Beckmann T, Schroen B, Alexanian M, Pezzuto I, Crippa S, Nemir M, Sarre A, Johnson R. Genome-wide profiling of the cardiac transcriptome after myocardial infarction identifies novel heart-specific long non-coding RNAs. Eur Heart J. 2014;36(6):353–68.CrossRef Ounzain S, Micheletti R, Beckmann T, Schroen B, Alexanian M, Pezzuto I, Crippa S, Nemir M, Sarre A, Johnson R. Genome-wide profiling of the cardiac transcriptome after myocardial infarction identifies novel heart-specific long non-coding RNAs. Eur Heart J. 2014;36(6):353–68.CrossRef
22.
go back to reference Du C, Shen Z, Zang R, Xie H, Li H, Chen P, Hang B, Xu X, Tang W, Xia Y. Negative feedback circuitry between MIR143HG and RBM24 in Hirschsprung disease. Biochim Biophys Acta. 2016;1862(11):2127–36.CrossRef Du C, Shen Z, Zang R, Xie H, Li H, Chen P, Hang B, Xu X, Tang W, Xia Y. Negative feedback circuitry between MIR143HG and RBM24 in Hirschsprung disease. Biochim Biophys Acta. 2016;1862(11):2127–36.CrossRef
23.
go back to reference Matsuo K, HIROHATA T, SUGIOKA Y, IKEDA M, FUKUDA A. Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res. 1988;234:115–23. Matsuo K, HIROHATA T, SUGIOKA Y, IKEDA M, FUKUDA A. Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res. 1988;234:115–23.
24.
go back to reference Totty WG, Murphy WA, Ganz W, Kumar B, Daum WJ, Siegel BA. Magnetic resonance imaging of the normal and ischemic femoral head. Am J Roentgenol. 1984;143(6):1273–80.CrossRef Totty WG, Murphy WA, Ganz W, Kumar B, Daum WJ, Siegel BA. Magnetic resonance imaging of the normal and ischemic femoral head. Am J Roentgenol. 1984;143(6):1273–80.CrossRef
25.
go back to reference Du J, Jin T, Cao Y, Chen J, Guo Y, Sun M, Li J, Zhang X, Wang G, Wang J. Association between genetic polymorphisms of MMP8 and the risk of steroid-induced osteonecrosis of the femoral head in the population of northern China. Medicine. 2016;95(37):e4794.CrossRef Du J, Jin T, Cao Y, Chen J, Guo Y, Sun M, Li J, Zhang X, Wang G, Wang J. Association between genetic polymorphisms of MMP8 and the risk of steroid-induced osteonecrosis of the femoral head in the population of northern China. Medicine. 2016;95(37):e4794.CrossRef
26.
go back to reference Purcell S, Neale BM, Toddbrown K, Thomas L, Ferreira MAR, Bender D, Maller J, Sklar P, De Bakker PIW, Daly MJ. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet. 2007;81(3):559–75.CrossRef Purcell S, Neale BM, Toddbrown K, Thomas L, Ferreira MAR, Bender D, Maller J, Sklar P, De Bakker PIW, Daly MJ. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet. 2007;81(3):559–75.CrossRef
27.
go back to reference Yu Y, Xie Z, Wang J, Chen C, Du S, Chen P, Li B, Jin T, Zhao H. Single-nucleotide polymorphisms of MMP2 in MMP/TIMP pathways associated with the risk of alcohol-induced osteonecrosis of the femoral head in Chinese males: a case-control study. Medicine (Baltimore). 2016;95(49):e5407.CrossRef Yu Y, Xie Z, Wang J, Chen C, Du S, Chen P, Li B, Jin T, Zhao H. Single-nucleotide polymorphisms of MMP2 in MMP/TIMP pathways associated with the risk of alcohol-induced osteonecrosis of the femoral head in Chinese males: a case-control study. Medicine (Baltimore). 2016;95(49):e5407.CrossRef
28.
go back to reference Ounzain S, Micheletti R, Arnan C, Plaisance I, Cecchi D, Schroen B, Reverter F, Alexanian M, Gonzales C, Ng SY, et al. CARMEN, a human super enhancer-associated long noncoding RNA controlling cardiac specification, differentiation and homeostasis. J Mol Cell Cardiol. 2015;89(Pt A):98–112.CrossRef Ounzain S, Micheletti R, Arnan C, Plaisance I, Cecchi D, Schroen B, Reverter F, Alexanian M, Gonzales C, Ng SY, et al. CARMEN, a human super enhancer-associated long noncoding RNA controlling cardiac specification, differentiation and homeostasis. J Mol Cell Cardiol. 2015;89(Pt A):98–112.CrossRef
29.
go back to reference Derrien T, Johnson R, Bussotti G, Tanzer A, Djebali S, Tilgner H, Guernec G, Martin D, Merkel A, Knowles DG. The GENCODE v7 catalog of human long noncoding RNAs: analysis of their gene structure, evolution, and expression. Genome Res. 2012;22(9):1775–89.CrossRef Derrien T, Johnson R, Bussotti G, Tanzer A, Djebali S, Tilgner H, Guernec G, Martin D, Merkel A, Knowles DG. The GENCODE v7 catalog of human long noncoding RNAs: analysis of their gene structure, evolution, and expression. Genome Res. 2012;22(9):1775–89.CrossRef
30.
go back to reference Boucher JM, Peterson SM, Urs S, Zhang C, Liaw L. The miR-143/145 cluster is a novel transcriptional target of Jagged-1/notch signaling in vascular smooth muscle cells. J Biol Chem. 2011;286(32):28312–21.CrossRef Boucher JM, Peterson SM, Urs S, Zhang C, Liaw L. The miR-143/145 cluster is a novel transcriptional target of Jagged-1/notch signaling in vascular smooth muscle cells. J Biol Chem. 2011;286(32):28312–21.CrossRef
31.
go back to reference Ounzain S, Micheletti R, Beckmann T, Schroen B, Alexanian M, Pezzuto I, Crippa S, Nemir M, Sarre A, Johnson R, et al. Genome-wide profiling of the cardiac transcriptome after myocardial infarction identifies novel heart-specific long non-coding RNAs. Eur Heart J. 2015;36(6):353–368a.CrossRef Ounzain S, Micheletti R, Beckmann T, Schroen B, Alexanian M, Pezzuto I, Crippa S, Nemir M, Sarre A, Johnson R, et al. Genome-wide profiling of the cardiac transcriptome after myocardial infarction identifies novel heart-specific long non-coding RNAs. Eur Heart J. 2015;36(6):353–368a.CrossRef
Metadata
Title
Correlation analysis between CARMEN variants and alcohol-induced osteonecrosis of the femoral head in the Chinese population
Authors
Yongchang Guo
Yuju Cao
Shunguo Gong
Sumei Zhang
Fengzhi Hou
Xinjie Zhang
Jiangeng Hu
Zhimin Yang
Juanjuan Yi
Dan Luo
Xifeng Chen
Jingbo Song
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03553-2

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