Identification of new susceptibility loci for osteoarthritis (arcOGEN): a genome-wide association study

Summary Background Osteoarthritis is the most common form of arthritis worldwide and is a major cause of pain and disability in elderly people. The health economic burden of osteoarthritis is increasing commensurate with obesity prevalence and longevity. Osteoarthritis has a strong genetic component...

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Veröffentlicht in:The Lancet (British edition) 2012-09, Vol.380 (9844), p.815-823
Hauptverfasser: Zeggini, Eleftheria, Panoutsopoulou, Kalliope, Southam, Lorraine, Rayner, Nigel W, Day-Williams, Aaron G, Lopes, Margarida C, Boraska, Vesna, Esko, Tonu, Evangelou, Evangelos, Hoffman, Albert, Houwing-Duistermaat, Jeanine J, Ingvarsson, Thorvaldur, Jonsdottir, Ingileif, Jonnson, Helgi, Kerkhof, Hanneke J, Kloppenburg, Margreet, Bos, Steffan D, Mangino, Massimo, Metrustry, Sarah, Slagboom, P Eline, Thorleifsson, Gudmar, Raine, Emma V A, Ratnayake, Madhushika, Ricketts, Michelle, Beazley, Claude, Blackburn, Hannah, Bumpstead, Suzannah, Elliott, Katherine S, Hunt, Sarah E, Potter, Simon C, Shin, So-Youn, Yadav, Vijay K, Zhai, Guangju, Sherburn, Kate, Dixon, Kate, Arden, Elizabeth, Aslam, Nadim, Battley, Phillippa-kate, Carluke, Ian, Doherty, Sally, Gordon, Andrew, Joseph, John, Keen, Richard, Koller, Nicola C, Mitchell, Sheryl, O'Neill, Fiona, Paling, Ellen, Reed, Mike R, Rivadeneira, Fernando, Swift, Diane, Walker, Kirsten, Watkins, Bridget, Wheeler, Maggie, Birrell, Fraser, Ioannidis, John P A, Meulenbelt, Ingrid, Metspalu, Andres, Rai, Ashok, Salter, Donald, Stefansson, Kari, Stykarsdottir, Unnur, Uitterlinden, André G, van Meurs, Joyce B J, Chapman, Kay, Deloukas, Panos, Ollier, William E R, Wallis, Gillian A, Arden, Nigel, Carr, Andrew, Doherty, Michael, McCaskie, Andrew, Willkinson, J Mark, Ralston, Stuart H, Valdes, Ana M, Spector, Tim D, Loughlin, John
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container_issue 9844
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container_title The Lancet (British edition)
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creator Zeggini, Eleftheria
Panoutsopoulou, Kalliope
Southam, Lorraine
Rayner, Nigel W
Day-Williams, Aaron G
Lopes, Margarida C
Boraska, Vesna
Esko, Tonu
Evangelou, Evangelos
Hoffman, Albert
Houwing-Duistermaat, Jeanine J
Ingvarsson, Thorvaldur
Jonsdottir, Ingileif
Jonnson, Helgi
Kerkhof, Hanneke J
Kloppenburg, Margreet
Bos, Steffan D
Mangino, Massimo
Metrustry, Sarah
Slagboom, P Eline
Thorleifsson, Gudmar
Raine, Emma V A
Ratnayake, Madhushika
Ricketts, Michelle
Beazley, Claude
Blackburn, Hannah
Bumpstead, Suzannah
Elliott, Katherine S
Hunt, Sarah E
Potter, Simon C
Shin, So-Youn
Yadav, Vijay K
Zhai, Guangju
Sherburn, Kate
Dixon, Kate
Arden, Elizabeth
Aslam, Nadim
Battley, Phillippa-kate
Carluke, Ian
Doherty, Sally
Gordon, Andrew
Joseph, John
Keen, Richard
Koller, Nicola C
Mitchell, Sheryl
O'Neill, Fiona
Paling, Ellen
Reed, Mike R
Rivadeneira, Fernando
Swift, Diane
Walker, Kirsten
Watkins, Bridget
Wheeler, Maggie
Birrell, Fraser
Ioannidis, John P A
Meulenbelt, Ingrid
Metspalu, Andres
Rai, Ashok
Salter, Donald
Stefansson, Kari
Stykarsdottir, Unnur
Uitterlinden, André G
van Meurs, Joyce B J
Chapman, Kay
Deloukas, Panos
Ollier, William E R
Wallis, Gillian A
Arden, Nigel
Carr, Andrew
Doherty, Michael
McCaskie, Andrew
Willkinson, J Mark
Ralston, Stuart H
Valdes, Ana M
Spector, Tim D
Loughlin, John
description Summary Background Osteoarthritis is the most common form of arthritis worldwide and is a major cause of pain and disability in elderly people. The health economic burden of osteoarthritis is increasing commensurate with obesity prevalence and longevity. Osteoarthritis has a strong genetic component but the success of previous genetic studies has been restricted due to insufficient sample sizes and phenotype heterogeneity. Methods We undertook a large genome-wide association study (GWAS) in 7410 unrelated and retrospectively and prospectively selected patients with severe osteoarthritis in the arcOGEN study, 80% of whom had undergone total joint replacement, and 11 009 unrelated controls from the UK. We replicated the most promising signals in an independent set of up to 7473 cases and 42 938 controls, from studies in Iceland, Estonia, the Netherlands, and the UK. All patients and controls were of European descent. Findings We identified five genome-wide significant loci (binomial test p≤5·0×10−8 ) for association with osteoarthritis and three loci just below this threshold. The strongest association was on chromosome 3 with rs6976 (odds ratio 1·12 [95% CI 1·08–1·16]; p=7·24×10−11 ), which is in perfect linkage disequilibrium with rs11177. This SNP encodes a missense polymorphism within the nucleostemin-encoding gene GNL3 . Levels of nucleostemin were raised in chondrocytes from patients with osteoarthritis in functional studies. Other significant loci were on chromosome 9 close to ASTN2 , chromosome 6 between FILIP1 and SENP6 , chromosome 12 close to KLHDC5 and PTHLH , and in another region of chromosome 12 close to CHST11 . One of the signals close to genome-wide significance was within the FTO gene, which is involved in regulation of bodyweight—a strong risk factor for osteoarthritis. All risk variants were common in frequency and exerted small effects. Interpretation Our findings provide insight into the genetics of arthritis and identify new pathways that might be amenable to future therapeutic intervention. Funding arcOGEN was funded by a special purpose grant from Arthritis Research UK.
doi_str_mv 10.1016/S0140-6736(12)60681-3
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The health economic burden of osteoarthritis is increasing commensurate with obesity prevalence and longevity. Osteoarthritis has a strong genetic component but the success of previous genetic studies has been restricted due to insufficient sample sizes and phenotype heterogeneity. Methods We undertook a large genome-wide association study (GWAS) in 7410 unrelated and retrospectively and prospectively selected patients with severe osteoarthritis in the arcOGEN study, 80% of whom had undergone total joint replacement, and 11 009 unrelated controls from the UK. We replicated the most promising signals in an independent set of up to 7473 cases and 42 938 controls, from studies in Iceland, Estonia, the Netherlands, and the UK. All patients and controls were of European descent. Findings We identified five genome-wide significant loci (binomial test p≤5·0×10−8 ) for association with osteoarthritis and three loci just below this threshold. The strongest association was on chromosome 3 with rs6976 (odds ratio 1·12 [95% CI 1·08–1·16]; p=7·24×10−11 ), which is in perfect linkage disequilibrium with rs11177. This SNP encodes a missense polymorphism within the nucleostemin-encoding gene GNL3 . Levels of nucleostemin were raised in chondrocytes from patients with osteoarthritis in functional studies. Other significant loci were on chromosome 9 close to ASTN2 , chromosome 6 between FILIP1 and SENP6 , chromosome 12 close to KLHDC5 and PTHLH , and in another region of chromosome 12 close to CHST11 . One of the signals close to genome-wide significance was within the FTO gene, which is involved in regulation of bodyweight—a strong risk factor for osteoarthritis. All risk variants were common in frequency and exerted small effects. Interpretation Our findings provide insight into the genetics of arthritis and identify new pathways that might be amenable to future therapeutic intervention. Funding arcOGEN was funded by a special purpose grant from Arthritis Research UK.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>DOI: 10.1016/S0140-6736(12)60681-3</identifier><identifier>PMID: 22763110</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Arthroplasty, Replacement ; Biological and medical sciences ; Case-Control Studies ; chondrocytes ; Diseases of the osteoarticular system ; elderly ; Female ; General aspects ; genes ; Genetic Predisposition to Disease ; Genome-Wide Association Study ; Humans ; Internal Medicine ; Linkage Disequilibrium ; loci ; longevity ; Male ; Medical sciences ; Miscellaneous. Osteoarticular involvement in other diseases ; obesity ; odds ratio ; Osteoarthritis ; Osteoarthritis - genetics ; Osteoarthritis - surgery ; Osteoarthritis, Hip - genetics ; Osteoarthritis, Hip - surgery ; Osteoarthritis, Knee - genetics ; Osteoarthritis, Knee - surgery ; pain ; patients ; people ; phenotype ; Polymorphism, Single Nucleotide ; risk ; risk factors ; single nucleotide polymorphism</subject><ispartof>The Lancet (British edition), 2012-09, Vol.380 (9844), p.815-823</ispartof><rights>Elsevier Ltd</rights><rights>2012 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Ltd. All rights reserved.</rights><rights>2012 Elsevier Ltd. 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MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeggini, Eleftheria</creatorcontrib><creatorcontrib>Panoutsopoulou, Kalliope</creatorcontrib><creatorcontrib>Southam, Lorraine</creatorcontrib><creatorcontrib>Rayner, Nigel W</creatorcontrib><creatorcontrib>Day-Williams, Aaron G</creatorcontrib><creatorcontrib>Lopes, Margarida C</creatorcontrib><creatorcontrib>Boraska, Vesna</creatorcontrib><creatorcontrib>Esko, Tonu</creatorcontrib><creatorcontrib>Evangelou, Evangelos</creatorcontrib><creatorcontrib>Hoffman, Albert</creatorcontrib><creatorcontrib>Houwing-Duistermaat, Jeanine J</creatorcontrib><creatorcontrib>Ingvarsson, Thorvaldur</creatorcontrib><creatorcontrib>Jonsdottir, Ingileif</creatorcontrib><creatorcontrib>Jonnson, Helgi</creatorcontrib><creatorcontrib>Kerkhof, Hanneke J</creatorcontrib><creatorcontrib>Kloppenburg, Margreet</creatorcontrib><creatorcontrib>Bos, Steffan D</creatorcontrib><creatorcontrib>Mangino, Massimo</creatorcontrib><creatorcontrib>Metrustry, Sarah</creatorcontrib><creatorcontrib>Slagboom, P Eline</creatorcontrib><creatorcontrib>Thorleifsson, Gudmar</creatorcontrib><creatorcontrib>Raine, Emma V A</creatorcontrib><creatorcontrib>Ratnayake, Madhushika</creatorcontrib><creatorcontrib>Ricketts, Michelle</creatorcontrib><creatorcontrib>Beazley, Claude</creatorcontrib><creatorcontrib>Blackburn, Hannah</creatorcontrib><creatorcontrib>Bumpstead, Suzannah</creatorcontrib><creatorcontrib>Elliott, Katherine S</creatorcontrib><creatorcontrib>Hunt, Sarah E</creatorcontrib><creatorcontrib>Potter, Simon C</creatorcontrib><creatorcontrib>Shin, So-Youn</creatorcontrib><creatorcontrib>Yadav, Vijay K</creatorcontrib><creatorcontrib>Zhai, Guangju</creatorcontrib><creatorcontrib>Sherburn, Kate</creatorcontrib><creatorcontrib>Dixon, Kate</creatorcontrib><creatorcontrib>Arden, Elizabeth</creatorcontrib><creatorcontrib>Aslam, Nadim</creatorcontrib><creatorcontrib>Battley, Phillippa-kate</creatorcontrib><creatorcontrib>Carluke, Ian</creatorcontrib><creatorcontrib>Doherty, Sally</creatorcontrib><creatorcontrib>Gordon, Andrew</creatorcontrib><creatorcontrib>Joseph, John</creatorcontrib><creatorcontrib>Keen, Richard</creatorcontrib><creatorcontrib>Koller, Nicola C</creatorcontrib><creatorcontrib>Mitchell, Sheryl</creatorcontrib><creatorcontrib>O'Neill, Fiona</creatorcontrib><creatorcontrib>Paling, Ellen</creatorcontrib><creatorcontrib>Reed, Mike R</creatorcontrib><creatorcontrib>Rivadeneira, Fernando</creatorcontrib><creatorcontrib>Swift, Diane</creatorcontrib><creatorcontrib>Walker, Kirsten</creatorcontrib><creatorcontrib>Watkins, Bridget</creatorcontrib><creatorcontrib>Wheeler, Maggie</creatorcontrib><creatorcontrib>Birrell, Fraser</creatorcontrib><creatorcontrib>Ioannidis, John P A</creatorcontrib><creatorcontrib>Meulenbelt, Ingrid</creatorcontrib><creatorcontrib>Metspalu, Andres</creatorcontrib><creatorcontrib>Rai, Ashok</creatorcontrib><creatorcontrib>Salter, Donald</creatorcontrib><creatorcontrib>Stefansson, Kari</creatorcontrib><creatorcontrib>Stykarsdottir, Unnur</creatorcontrib><creatorcontrib>Uitterlinden, André G</creatorcontrib><creatorcontrib>van Meurs, Joyce B J</creatorcontrib><creatorcontrib>Chapman, Kay</creatorcontrib><creatorcontrib>Deloukas, Panos</creatorcontrib><creatorcontrib>Ollier, William E R</creatorcontrib><creatorcontrib>Wallis, Gillian A</creatorcontrib><creatorcontrib>Arden, Nigel</creatorcontrib><creatorcontrib>Carr, Andrew</creatorcontrib><creatorcontrib>Doherty, Michael</creatorcontrib><creatorcontrib>McCaskie, Andrew</creatorcontrib><creatorcontrib>Willkinson, J Mark</creatorcontrib><creatorcontrib>Ralston, Stuart H</creatorcontrib><creatorcontrib>Valdes, Ana M</creatorcontrib><creatorcontrib>Spector, Tim D</creatorcontrib><creatorcontrib>Loughlin, John</creatorcontrib><creatorcontrib>arcOGEN Consortium and arcOGEN Collaborators</creatorcontrib><creatorcontrib>arcOGEN Collaborators</creatorcontrib><creatorcontrib>arcOGEN Consortium</creatorcontrib><title>Identification of new susceptibility loci for osteoarthritis (arcOGEN): a genome-wide association study</title><title>The Lancet (British edition)</title><addtitle>Lancet</addtitle><description>Summary Background Osteoarthritis is the most common form of arthritis worldwide and is a major cause of pain and disability in elderly people. The health economic burden of osteoarthritis is increasing commensurate with obesity prevalence and longevity. Osteoarthritis has a strong genetic component but the success of previous genetic studies has been restricted due to insufficient sample sizes and phenotype heterogeneity. Methods We undertook a large genome-wide association study (GWAS) in 7410 unrelated and retrospectively and prospectively selected patients with severe osteoarthritis in the arcOGEN study, 80% of whom had undergone total joint replacement, and 11 009 unrelated controls from the UK. We replicated the most promising signals in an independent set of up to 7473 cases and 42 938 controls, from studies in Iceland, Estonia, the Netherlands, and the UK. All patients and controls were of European descent. Findings We identified five genome-wide significant loci (binomial test p≤5·0×10−8 ) for association with osteoarthritis and three loci just below this threshold. The strongest association was on chromosome 3 with rs6976 (odds ratio 1·12 [95% CI 1·08–1·16]; p=7·24×10−11 ), which is in perfect linkage disequilibrium with rs11177. This SNP encodes a missense polymorphism within the nucleostemin-encoding gene GNL3 . Levels of nucleostemin were raised in chondrocytes from patients with osteoarthritis in functional studies. Other significant loci were on chromosome 9 close to ASTN2 , chromosome 6 between FILIP1 and SENP6 , chromosome 12 close to KLHDC5 and PTHLH , and in another region of chromosome 12 close to CHST11 . One of the signals close to genome-wide significance was within the FTO gene, which is involved in regulation of bodyweight—a strong risk factor for osteoarthritis. All risk variants were common in frequency and exerted small effects. Interpretation Our findings provide insight into the genetics of arthritis and identify new pathways that might be amenable to future therapeutic intervention. Funding arcOGEN was funded by a special purpose grant from Arthritis Research UK.</description><subject>Arthroplasty, Replacement</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>chondrocytes</subject><subject>Diseases of the osteoarticular system</subject><subject>elderly</subject><subject>Female</subject><subject>General aspects</subject><subject>genes</subject><subject>Genetic Predisposition to Disease</subject><subject>Genome-Wide Association Study</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Linkage Disequilibrium</subject><subject>loci</subject><subject>longevity</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>obesity</subject><subject>odds ratio</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - genetics</subject><subject>Osteoarthritis - surgery</subject><subject>Osteoarthritis, Hip - genetics</subject><subject>Osteoarthritis, Hip - surgery</subject><subject>Osteoarthritis, Knee - genetics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>pain</subject><subject>patients</subject><subject>people</subject><subject>phenotype</subject><subject>Polymorphism, Single Nucleotide</subject><subject>risk</subject><subject>risk factors</subject><subject>single nucleotide polymorphism</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks1u1DAURiMEokPhEYBskKaLFP87YVGEqlIqVXRRKrGzHOd66pKJB9tpNW-PZzIMhQ0rW_K5x9f3c1G8xugYIyzeXyPMUCUkFXNMjgQSNa7ok2KGmWQVZ_L702K2Rw6KFzHeIYSYQPx5cUCIFBRjNCsWFx0MyVlndHJ-KL0tB3go4xgNrJJrXe_Suuy9caX1ofQxgdch3QaXXCznOpir87OvRx9KXS5g8EuoHlwHpY4xl0zKmMZu_bJ4ZnUf4dVuPSxuPp99O_1SXV6dX5x-uqyMaFiqapBMYt1IITqGtSSctLXQNeIcNJd1C5Zrq6WwjLZt3om2IY0FLgFjDYYeFieTdzW2S-hMflzQvVoFt9Rhrbx26u-Twd2qhb9XlDFaN00WzHeC4H-OEJNaujyLvtcD-DEqjKisa8kxySifUBN8jAHs_hqM1CYktQ1JbRJQmKhtSIrmujePe9xX_U4lA-92gI5G9zbowbj4hxMUMYZY5t5OnNVe6UXIzM01QZgjhElTE5mJjxMBeeb3DoKKxsFgoHMBTFKdd_9t9uQfg-ndkL9L_wPWEO_8GIYcqMIqEoUmycaBydZA6S9CYc7R</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Zeggini, Eleftheria</creator><creator>Panoutsopoulou, Kalliope</creator><creator>Southam, Lorraine</creator><creator>Rayner, Nigel W</creator><creator>Day-Williams, Aaron G</creator><creator>Lopes, Margarida C</creator><creator>Boraska, Vesna</creator><creator>Esko, Tonu</creator><creator>Evangelou, Evangelos</creator><creator>Hoffman, Albert</creator><creator>Houwing-Duistermaat, Jeanine J</creator><creator>Ingvarsson, Thorvaldur</creator><creator>Jonsdottir, Ingileif</creator><creator>Jonnson, Helgi</creator><creator>Kerkhof, Hanneke J</creator><creator>Kloppenburg, Margreet</creator><creator>Bos, Steffan D</creator><creator>Mangino, Massimo</creator><creator>Metrustry, Sarah</creator><creator>Slagboom, P Eline</creator><creator>Thorleifsson, Gudmar</creator><creator>Raine, Emma V A</creator><creator>Ratnayake, Madhushika</creator><creator>Ricketts, Michelle</creator><creator>Beazley, Claude</creator><creator>Blackburn, Hannah</creator><creator>Bumpstead, Suzannah</creator><creator>Elliott, Katherine S</creator><creator>Hunt, Sarah E</creator><creator>Potter, Simon C</creator><creator>Shin, So-Youn</creator><creator>Yadav, Vijay K</creator><creator>Zhai, Guangju</creator><creator>Sherburn, Kate</creator><creator>Dixon, Kate</creator><creator>Arden, Elizabeth</creator><creator>Aslam, Nadim</creator><creator>Battley, Phillippa-kate</creator><creator>Carluke, Ian</creator><creator>Doherty, Sally</creator><creator>Gordon, Andrew</creator><creator>Joseph, John</creator><creator>Keen, Richard</creator><creator>Koller, Nicola C</creator><creator>Mitchell, Sheryl</creator><creator>O'Neill, Fiona</creator><creator>Paling, Ellen</creator><creator>Reed, Mike R</creator><creator>Rivadeneira, Fernando</creator><creator>Swift, Diane</creator><creator>Walker, Kirsten</creator><creator>Watkins, Bridget</creator><creator>Wheeler, Maggie</creator><creator>Birrell, Fraser</creator><creator>Ioannidis, John P A</creator><creator>Meulenbelt, Ingrid</creator><creator>Metspalu, Andres</creator><creator>Rai, Ashok</creator><creator>Salter, Donald</creator><creator>Stefansson, Kari</creator><creator>Stykarsdottir, Unnur</creator><creator>Uitterlinden, André G</creator><creator>van Meurs, Joyce B J</creator><creator>Chapman, Kay</creator><creator>Deloukas, Panos</creator><creator>Ollier, William E R</creator><creator>Wallis, Gillian A</creator><creator>Arden, Nigel</creator><creator>Carr, Andrew</creator><creator>Doherty, Michael</creator><creator>McCaskie, Andrew</creator><creator>Willkinson, J Mark</creator><creator>Ralston, Stuart H</creator><creator>Valdes, Ana M</creator><creator>Spector, Tim D</creator><creator>Loughlin, John</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Lancet Publishing Group</general><scope>6I.</scope><scope>AAFTH</scope><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120901</creationdate><title>Identification of new susceptibility loci for osteoarthritis (arcOGEN): a genome-wide association study</title><author>Zeggini, Eleftheria ; Panoutsopoulou, Kalliope ; Southam, Lorraine ; Rayner, Nigel W ; Day-Williams, Aaron G ; Lopes, Margarida C ; Boraska, Vesna ; Esko, Tonu ; Evangelou, Evangelos ; Hoffman, Albert ; Houwing-Duistermaat, Jeanine J ; Ingvarsson, Thorvaldur ; Jonsdottir, Ingileif ; Jonnson, Helgi ; Kerkhof, Hanneke J ; Kloppenburg, Margreet ; Bos, Steffan D ; Mangino, Massimo ; Metrustry, Sarah ; Slagboom, P Eline ; Thorleifsson, Gudmar ; Raine, Emma V A ; Ratnayake, Madhushika ; Ricketts, Michelle ; Beazley, Claude ; Blackburn, Hannah ; Bumpstead, Suzannah ; Elliott, Katherine S ; Hunt, Sarah E ; Potter, Simon C ; Shin, So-Youn ; Yadav, Vijay K ; Zhai, Guangju ; Sherburn, Kate ; Dixon, Kate ; Arden, Elizabeth ; Aslam, Nadim ; Battley, Phillippa-kate ; Carluke, Ian ; Doherty, Sally ; Gordon, Andrew ; Joseph, John ; Keen, Richard ; Koller, Nicola C ; Mitchell, Sheryl ; O'Neill, Fiona ; Paling, Ellen ; Reed, Mike R ; Rivadeneira, Fernando ; Swift, Diane ; Walker, Kirsten ; Watkins, Bridget ; Wheeler, Maggie ; Birrell, Fraser ; Ioannidis, John P A ; Meulenbelt, Ingrid ; Metspalu, Andres ; Rai, Ashok ; Salter, Donald ; Stefansson, Kari ; Stykarsdottir, Unnur ; Uitterlinden, André G ; van Meurs, Joyce B J ; Chapman, Kay ; Deloukas, Panos ; Ollier, William E R ; Wallis, Gillian A ; Arden, Nigel ; Carr, Andrew ; Doherty, Michael ; McCaskie, Andrew ; Willkinson, J Mark ; Ralston, Stuart H ; Valdes, Ana M ; Spector, Tim D ; Loughlin, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c694t-8e7471a9766d41a7252b86a8055ea578bef5afa76f43bbafa6b929fe57e11aec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Arthroplasty, Replacement</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>chondrocytes</topic><topic>Diseases of the osteoarticular system</topic><topic>elderly</topic><topic>Female</topic><topic>General aspects</topic><topic>genes</topic><topic>Genetic Predisposition to Disease</topic><topic>Genome-Wide Association Study</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Linkage Disequilibrium</topic><topic>loci</topic><topic>longevity</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous. 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Access</collection><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Lancet (British edition)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeggini, Eleftheria</au><au>Panoutsopoulou, Kalliope</au><au>Southam, Lorraine</au><au>Rayner, Nigel W</au><au>Day-Williams, Aaron G</au><au>Lopes, Margarida C</au><au>Boraska, Vesna</au><au>Esko, Tonu</au><au>Evangelou, Evangelos</au><au>Hoffman, Albert</au><au>Houwing-Duistermaat, Jeanine J</au><au>Ingvarsson, Thorvaldur</au><au>Jonsdottir, Ingileif</au><au>Jonnson, Helgi</au><au>Kerkhof, Hanneke J</au><au>Kloppenburg, Margreet</au><au>Bos, Steffan D</au><au>Mangino, Massimo</au><au>Metrustry, Sarah</au><au>Slagboom, P Eline</au><au>Thorleifsson, Gudmar</au><au>Raine, Emma V A</au><au>Ratnayake, Madhushika</au><au>Ricketts, Michelle</au><au>Beazley, Claude</au><au>Blackburn, Hannah</au><au>Bumpstead, Suzannah</au><au>Elliott, Katherine S</au><au>Hunt, Sarah E</au><au>Potter, Simon C</au><au>Shin, So-Youn</au><au>Yadav, Vijay K</au><au>Zhai, Guangju</au><au>Sherburn, Kate</au><au>Dixon, Kate</au><au>Arden, Elizabeth</au><au>Aslam, Nadim</au><au>Battley, Phillippa-kate</au><au>Carluke, Ian</au><au>Doherty, Sally</au><au>Gordon, Andrew</au><au>Joseph, John</au><au>Keen, Richard</au><au>Koller, Nicola C</au><au>Mitchell, Sheryl</au><au>O'Neill, Fiona</au><au>Paling, Ellen</au><au>Reed, Mike R</au><au>Rivadeneira, Fernando</au><au>Swift, Diane</au><au>Walker, Kirsten</au><au>Watkins, Bridget</au><au>Wheeler, Maggie</au><au>Birrell, Fraser</au><au>Ioannidis, John P A</au><au>Meulenbelt, Ingrid</au><au>Metspalu, Andres</au><au>Rai, Ashok</au><au>Salter, Donald</au><au>Stefansson, Kari</au><au>Stykarsdottir, Unnur</au><au>Uitterlinden, André G</au><au>van Meurs, Joyce B J</au><au>Chapman, Kay</au><au>Deloukas, Panos</au><au>Ollier, William E R</au><au>Wallis, Gillian A</au><au>Arden, Nigel</au><au>Carr, Andrew</au><au>Doherty, Michael</au><au>McCaskie, Andrew</au><au>Willkinson, J Mark</au><au>Ralston, Stuart H</au><au>Valdes, Ana M</au><au>Spector, Tim D</au><au>Loughlin, John</au><aucorp>arcOGEN Consortium and arcOGEN Collaborators</aucorp><aucorp>arcOGEN Collaborators</aucorp><aucorp>arcOGEN Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identification of new susceptibility loci for osteoarthritis (arcOGEN): a genome-wide association study</atitle><jtitle>The Lancet (British edition)</jtitle><addtitle>Lancet</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>380</volume><issue>9844</issue><spage>815</spage><epage>823</epage><pages>815-823</pages><issn>0140-6736</issn><eissn>1474-547X</eissn><coden>LANCAO</coden><abstract>Summary Background Osteoarthritis is the most common form of arthritis worldwide and is a major cause of pain and disability in elderly people. The health economic burden of osteoarthritis is increasing commensurate with obesity prevalence and longevity. Osteoarthritis has a strong genetic component but the success of previous genetic studies has been restricted due to insufficient sample sizes and phenotype heterogeneity. Methods We undertook a large genome-wide association study (GWAS) in 7410 unrelated and retrospectively and prospectively selected patients with severe osteoarthritis in the arcOGEN study, 80% of whom had undergone total joint replacement, and 11 009 unrelated controls from the UK. We replicated the most promising signals in an independent set of up to 7473 cases and 42 938 controls, from studies in Iceland, Estonia, the Netherlands, and the UK. All patients and controls were of European descent. Findings We identified five genome-wide significant loci (binomial test p≤5·0×10−8 ) for association with osteoarthritis and three loci just below this threshold. The strongest association was on chromosome 3 with rs6976 (odds ratio 1·12 [95% CI 1·08–1·16]; p=7·24×10−11 ), which is in perfect linkage disequilibrium with rs11177. This SNP encodes a missense polymorphism within the nucleostemin-encoding gene GNL3 . Levels of nucleostemin were raised in chondrocytes from patients with osteoarthritis in functional studies. Other significant loci were on chromosome 9 close to ASTN2 , chromosome 6 between FILIP1 and SENP6 , chromosome 12 close to KLHDC5 and PTHLH , and in another region of chromosome 12 close to CHST11 . One of the signals close to genome-wide significance was within the FTO gene, which is involved in regulation of bodyweight—a strong risk factor for osteoarthritis. All risk variants were common in frequency and exerted small effects. Interpretation Our findings provide insight into the genetics of arthritis and identify new pathways that might be amenable to future therapeutic intervention. Funding arcOGEN was funded by a special purpose grant from Arthritis Research UK.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>22763110</pmid><doi>10.1016/S0140-6736(12)60681-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland
subjects Arthroplasty, Replacement
Biological and medical sciences
Case-Control Studies
chondrocytes
Diseases of the osteoarticular system
elderly
Female
General aspects
genes
Genetic Predisposition to Disease
Genome-Wide Association Study
Humans
Internal Medicine
Linkage Disequilibrium
loci
longevity
Male
Medical sciences
Miscellaneous. Osteoarticular involvement in other diseases
obesity
odds ratio
Osteoarthritis
Osteoarthritis - genetics
Osteoarthritis - surgery
Osteoarthritis, Hip - genetics
Osteoarthritis, Hip - surgery
Osteoarthritis, Knee - genetics
Osteoarthritis, Knee - surgery
pain
patients
people
phenotype
Polymorphism, Single Nucleotide
risk
risk factors
single nucleotide polymorphism
title Identification of new susceptibility loci for osteoarthritis (arcOGEN): a genome-wide association study
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