Association of ABCB1 and CYP450 Gene Polymorphisms and their DNA Methylation Status with Steroid-Induced Osteonecrosis of the Femoral Head in the Chinese Population

Osteonecrosis of the femoral head (ONFH) is a severe pathological state with multiple etiologies. Steroid hormone metabolism-related genes play an important role in ONFH. The aim of this study was to investigate the relationships between polymorphisms of the drug-metabolizing enzyme gene, cytochrome...

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Veröffentlicht in:Genetic testing and molecular biomarkers 2020-12, Vol.24 (12), p.789-797
Hauptverfasser: Huang, Ronglan, Zhan, Qinghao, Hu, Wenbin, Yang, Renmin, Cheng, Nan, Han, Yongsheng, Yue, Xiuyu
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container_issue 12
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container_title Genetic testing and molecular biomarkers
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creator Huang, Ronglan
Zhan, Qinghao
Hu, Wenbin
Yang, Renmin
Cheng, Nan
Han, Yongsheng
Yue, Xiuyu
description Osteonecrosis of the femoral head (ONFH) is a severe pathological state with multiple etiologies. Steroid hormone metabolism-related genes play an important role in ONFH. The aim of this study was to investigate the relationships between polymorphisms of the drug-metabolizing enzyme gene, cytochrome P450 ( ), and the drug transporter gene, ATP-binding cassette subfamily B member 1 ( ), as well as their DNA methylation status with the pathogenesis of steroid-induced ONFH. In this case-control study, we evaluated five single nucleotide polymorphisms (SNPs) in two genes in a Han Chinese population, including 79 patients with steroid-induced ONFH and 114 persons who took steroids but did not develop steroid-induced ONFH. SNPs were genotyped by the improved multiplex ligation detection reaction. MethylTarget technology was used to ascertain the methylation status at two CpG islands in the gene for statistical analysis. Finally, interactions between the SNPs and the CpG site's methylation levels were statistically analyzed by methylation quantitative trait locus. We found that the T allele of the rs2242480 locus was associated with steroid-induced ONFH risk reduction (odds ratio [OR] = 0.598, 95% confidence interval [CI]: 0.360-0.992,  = 0.046). In the genetic model analysis, the T allele of the rs2032582 locus in the gene was associated with a reduced risk of steroid-induced ONFH under the dominant model (OR = 0.465, 95% CI: 0.223-0.972,  = 0.042). The CpG sites with significant differences (  
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Steroid hormone metabolism-related genes play an important role in ONFH. The aim of this study was to investigate the relationships between polymorphisms of the drug-metabolizing enzyme gene, cytochrome P450 ( ), and the drug transporter gene, ATP-binding cassette subfamily B member 1 ( ), as well as their DNA methylation status with the pathogenesis of steroid-induced ONFH. In this case-control study, we evaluated five single nucleotide polymorphisms (SNPs) in two genes in a Han Chinese population, including 79 patients with steroid-induced ONFH and 114 persons who took steroids but did not develop steroid-induced ONFH. SNPs were genotyped by the improved multiplex ligation detection reaction. MethylTarget technology was used to ascertain the methylation status at two CpG islands in the gene for statistical analysis. Finally, interactions between the SNPs and the CpG site's methylation levels were statistically analyzed by methylation quantitative trait locus. We found that the T allele of the rs2242480 locus was associated with steroid-induced ONFH risk reduction (odds ratio [OR] = 0.598, 95% confidence interval [CI]: 0.360-0.992,  = 0.046). In the genetic model analysis, the T allele of the rs2032582 locus in the gene was associated with a reduced risk of steroid-induced ONFH under the dominant model (OR = 0.465, 95% CI: 0.223-0.972,  = 0.042). The CpG sites with significant differences (  &lt; 0.05) in methylation levels between the cases and controls were . A total of 14 pairs of linear regression tests between SNPs and methylation sites demonstrated statistical significance (  &lt; 0.05). 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We found that the T allele of the rs2242480 locus was associated with steroid-induced ONFH risk reduction (odds ratio [OR] = 0.598, 95% confidence interval [CI]: 0.360-0.992,  = 0.046). In the genetic model analysis, the T allele of the rs2032582 locus in the gene was associated with a reduced risk of steroid-induced ONFH under the dominant model (OR = 0.465, 95% CI: 0.223-0.972,  = 0.042). The CpG sites with significant differences (  &lt; 0.05) in methylation levels between the cases and controls were . A total of 14 pairs of linear regression tests between SNPs and methylation sites demonstrated statistical significance (  &lt; 0.05). This study provides evidence for two steroid-induced ONFH susceptibility genes ( , ) in the Han Chinese population.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>33252269</pmid><doi>10.1089/gtmb.2020.0201</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source Alma/SFX Local Collection
subjects Adenosine triphosphate
Alleles
Biomedical materials
Confidence intervals
CpG islands
Cytochrome
Cytochrome P450
Cytochromes P450
Deoxyribonucleic acid
DNA
DNA methylation
Etiology
Femur
Gene mapping
Gene polymorphism
Genes
Genetic analysis
Metabolism
Nucleotides
Original
Osteonecrosis
Pathogenesis
Quantitative trait loci
Regression analysis
Risk management
Risk reduction
Single-nucleotide polymorphism
Statistical analysis
Statistics
Steroid hormones
Steroids
title Association of ABCB1 and CYP450 Gene Polymorphisms and their DNA Methylation Status with Steroid-Induced Osteonecrosis of the Femoral Head in the Chinese Population
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