Shoulder adhesive capsulitis and hypercholesterolemia: role of APO A1 lipoprotein polymorphism on etiology and severity

Purpose Relationship between shoulder adhesive capsulitis (AC) and hypercholesterolemia is known. The connecting link might be represented by the correlation between HDL and transforming growth factor beta (TGF-β): normally, HDLs stimulate TGF-β expression; the latter is employed in the development...

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Veröffentlicht in:Musculoskeletal surgery 2018-10, Vol.102 (Suppl 1), p.35-40
Hauptverfasser: Gumina, S., Candela, V., Castagna, A., Carnovale, M., Passaretti, D., Venditto, T., Giannicola, G., Villani, C.
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container_end_page 40
container_issue Suppl 1
container_start_page 35
container_title Musculoskeletal surgery
container_volume 102
creator Gumina, S.
Candela, V.
Castagna, A.
Carnovale, M.
Passaretti, D.
Venditto, T.
Giannicola, G.
Villani, C.
description Purpose Relationship between shoulder adhesive capsulitis (AC) and hypercholesterolemia is known. The connecting link might be represented by the correlation between HDL and transforming growth factor beta (TGF-β): normally, HDLs stimulate TGF-β expression; the latter is employed in the development of fibrous tissue. We assess whether the presence of the Apo-A1-G75A-polymorphism, which is correlated to an enhanced HDL function, could be a risk factor for the genesis and severity of AC. Methods Peripheral blood samples of 27 patients [7M; 20F, mean age 54.81 (41–65)] with AC and hypercholesterolemia were submitted to polymerase chain reaction in order to evaluate the Apo-A1-G75A-polymorphism. Genome database was used as control. Two categories were obtained according to AC severity: type I (active forward flexion ≥ 100°) and type II ( 0.05), respectively. Patients with type I and II capsulitis were 11 [flexion 148.0° (range 100°–165°)] and 16 [flexion 82.5° (range 50°–95°)], respectively. The prevalence of Apo-A1-G75A in type I was 18.1% (2AG; 9GG) and in type II was 56.3% (8GA; 1AA; 7GG), respectively (RR 1.87, IC 1.005–3.482, p  
doi_str_mv 10.1007/s12306-018-0557-5
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The connecting link might be represented by the correlation between HDL and transforming growth factor beta (TGF-β): normally, HDLs stimulate TGF-β expression; the latter is employed in the development of fibrous tissue. We assess whether the presence of the Apo-A1-G75A-polymorphism, which is correlated to an enhanced HDL function, could be a risk factor for the genesis and severity of AC. Methods Peripheral blood samples of 27 patients [7M; 20F, mean age 54.81 (41–65)] with AC and hypercholesterolemia were submitted to polymerase chain reaction in order to evaluate the Apo-A1-G75A-polymorphism. Genome database was used as control. Two categories were obtained according to AC severity: type I (active forward flexion ≥ 100°) and type II (&lt; 100°). Data were submitted to statistics. Results The prevalence of Apo-A1-G75A-polymorphism in the studied group and in the control group was 22.2% (10AG; 1AA; 16GG) and 19% (OR 1.22, IC 0.59–2.53, p  &gt; 0.05), respectively. Patients with type I and II capsulitis were 11 [flexion 148.0° (range 100°–165°)] and 16 [flexion 82.5° (range 50°–95°)], respectively. The prevalence of Apo-A1-G75A in type I was 18.1% (2AG; 9GG) and in type II was 56.3% (8GA; 1AA; 7GG), respectively (RR 1.87, IC 1.005–3.482, p  &lt; 0.05). Conclusions Apo-A1-G75A-polymorphism is not necessary for the genesis, but it is a risk factor for severity of AC. Level of Evidence III.</description><identifier>ISSN: 2035-5106</identifier><identifier>EISSN: 2035-5114</identifier><identifier>DOI: 10.1007/s12306-018-0557-5</identifier><identifier>PMID: 30343478</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Adult ; Aged ; Apolipoprotein A-I - genetics ; Bursitis - genetics ; Development and progression ; Etiology ; Female ; Genetic aspects ; Genomics ; Humans ; Hypercholesterolemia ; Hypercholesterolemia - genetics ; Lipoproteins ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Original Article ; Orthopedics ; Polymorphism ; Polymorphism, Genetic ; Prospective Studies ; Risk Factors ; Severity of Illness Index ; Shoulder ; Surgical Orthopedics ; Transforming growth factors</subject><ispartof>Musculoskeletal surgery, 2018-10, Vol.102 (Suppl 1), p.35-40</ispartof><rights>Istituto Ortopedico Rizzoli 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>MUSCULOSKELETAL SURGERY is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3545-a01bfb7066404812c2918ef32576f860621d572d7ee74a17fb3eae33aa0998b13</citedby><cites>FETCH-LOGICAL-c3545-a01bfb7066404812c2918ef32576f860621d572d7ee74a17fb3eae33aa0998b13</cites><orcidid>0000-0002-6097-4136</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12306-018-0557-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12306-018-0557-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30343478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gumina, S.</creatorcontrib><creatorcontrib>Candela, V.</creatorcontrib><creatorcontrib>Castagna, A.</creatorcontrib><creatorcontrib>Carnovale, M.</creatorcontrib><creatorcontrib>Passaretti, D.</creatorcontrib><creatorcontrib>Venditto, T.</creatorcontrib><creatorcontrib>Giannicola, G.</creatorcontrib><creatorcontrib>Villani, C.</creatorcontrib><title>Shoulder adhesive capsulitis and hypercholesterolemia: role of APO A1 lipoprotein polymorphism on etiology and severity</title><title>Musculoskeletal surgery</title><addtitle>Musculoskelet Surg</addtitle><addtitle>Musculoskelet Surg</addtitle><description>Purpose Relationship between shoulder adhesive capsulitis (AC) and hypercholesterolemia is known. The connecting link might be represented by the correlation between HDL and transforming growth factor beta (TGF-β): normally, HDLs stimulate TGF-β expression; the latter is employed in the development of fibrous tissue. We assess whether the presence of the Apo-A1-G75A-polymorphism, which is correlated to an enhanced HDL function, could be a risk factor for the genesis and severity of AC. Methods Peripheral blood samples of 27 patients [7M; 20F, mean age 54.81 (41–65)] with AC and hypercholesterolemia were submitted to polymerase chain reaction in order to evaluate the Apo-A1-G75A-polymorphism. Genome database was used as control. Two categories were obtained according to AC severity: type I (active forward flexion ≥ 100°) and type II (&lt; 100°). Data were submitted to statistics. Results The prevalence of Apo-A1-G75A-polymorphism in the studied group and in the control group was 22.2% (10AG; 1AA; 16GG) and 19% (OR 1.22, IC 0.59–2.53, p  &gt; 0.05), respectively. Patients with type I and II capsulitis were 11 [flexion 148.0° (range 100°–165°)] and 16 [flexion 82.5° (range 50°–95°)], respectively. The prevalence of Apo-A1-G75A in type I was 18.1% (2AG; 9GG) and in type II was 56.3% (8GA; 1AA; 7GG), respectively (RR 1.87, IC 1.005–3.482, p  &lt; 0.05). Conclusions Apo-A1-G75A-polymorphism is not necessary for the genesis, but it is a risk factor for severity of AC. 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The connecting link might be represented by the correlation between HDL and transforming growth factor beta (TGF-β): normally, HDLs stimulate TGF-β expression; the latter is employed in the development of fibrous tissue. We assess whether the presence of the Apo-A1-G75A-polymorphism, which is correlated to an enhanced HDL function, could be a risk factor for the genesis and severity of AC. Methods Peripheral blood samples of 27 patients [7M; 20F, mean age 54.81 (41–65)] with AC and hypercholesterolemia were submitted to polymerase chain reaction in order to evaluate the Apo-A1-G75A-polymorphism. Genome database was used as control. Two categories were obtained according to AC severity: type I (active forward flexion ≥ 100°) and type II (&lt; 100°). Data were submitted to statistics. Results The prevalence of Apo-A1-G75A-polymorphism in the studied group and in the control group was 22.2% (10AG; 1AA; 16GG) and 19% (OR 1.22, IC 0.59–2.53, p  &gt; 0.05), respectively. Patients with type I and II capsulitis were 11 [flexion 148.0° (range 100°–165°)] and 16 [flexion 82.5° (range 50°–95°)], respectively. The prevalence of Apo-A1-G75A in type I was 18.1% (2AG; 9GG) and in type II was 56.3% (8GA; 1AA; 7GG), respectively (RR 1.87, IC 1.005–3.482, p  &lt; 0.05). Conclusions Apo-A1-G75A-polymorphism is not necessary for the genesis, but it is a risk factor for severity of AC. Level of Evidence III.</abstract><cop>Milan</cop><pub>Springer Milan</pub><pmid>30343478</pmid><doi>10.1007/s12306-018-0557-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6097-4136</orcidid></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Aged
Apolipoprotein A-I - genetics
Bursitis - genetics
Development and progression
Etiology
Female
Genetic aspects
Genomics
Humans
Hypercholesterolemia
Hypercholesterolemia - genetics
Lipoproteins
Male
Medicine
Medicine & Public Health
Middle Aged
Original Article
Orthopedics
Polymorphism
Polymorphism, Genetic
Prospective Studies
Risk Factors
Severity of Illness Index
Shoulder
Surgical Orthopedics
Transforming growth factors
title Shoulder adhesive capsulitis and hypercholesterolemia: role of APO A1 lipoprotein polymorphism on etiology and severity
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