The Ile585Val TRPV1 variant is involved in risk of painful knee osteoarthritis

Autor: Elaine M. Dennison, Rik Lories, Cyrus Cooper, Weiya Zhang, Margaret Wheeler, Deborah J. Hart, Sally Doherty, Victoria Chapman, Ana M. Valdes, Gert De Wilde, Tim D. Spector, Graeme Jones, Paul E. Leaverton, Nigel K Arden, Frances L. Vaughn, Laura L Laslett, Rose A. Maciewicz, Michael Doherty, Flavia M. Cicuttini, Kenneth Muir, Anushka Soni
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Annals of the Rheumatic Diseases
Annals of the Rheumatic Diseases; Vol 70
ISSN: 0003-4967
Popis: Objective To assess if a coding variant in the gene\ud encoding transient receptor potential cation channel,\ud subfamily V, member 1 ( TRPV1 ) is associated with\ud genetic risk of painful knee osteoarthritis (OA).\ud Methods The Ile585Val TRPV1 variant encoded by\ud rs8065080 was genotyped in 3270 cases of symptomatic\ud knee OA, 1098 cases of asymptomatic knee OA and\ud 3852 controls from seven cohorts from the UK, the USA\ud and Australia. The genetic association between the\ud low-pain genotype Ile–Ile and risk of symptomatic and\ud asymptomatic knee OA was assessed.\ud Results The TRPV1 585 Ile–Ile genotype, reported to\ud be associated with lower thermal pain sensitivity, was\ud associated with a lower risk of symptomatic knee OA\ud in a comparison of symptomatic cases with healthy\ud controls, with an odds ratio (OR) of 0.75 (95% CI 0.64\ud to 0.88; p=0.00039 by meta-analysis) after adjustment\ud for age, sex and body mass index. No difference was\ud seen between asymptomatic OA cases and controls\ud (OR=1.02, 95% CI 0.82 to 1.27 p=0.86) but the Ile–Ile\ud genotype was associated with lower risk of symptomatic\ud versus asymptomatic knee OA adjusting for covariates\ud and radiographic severity (OR=0.73, 95% CI 0.57 to 0.94\ud p=0.0136). TRPV1 expression in articular cartilage was\ud increased by infl ammatory cytokines (tumour necrosis\ud factor α and interleukin 1). However, there were no\ud differences in TRPV1 expression in healthy and arthritic\ud synovial tissue.\ud Conclusions A genotype involved in lower peripheral\ud pain sensitivity is signifi cantly associated with a\ud decreased risk of painful knee OA. This indicates a role for\ud the pro-nociceptive gene TRPV1 in genetic susceptibility\ud to symptomatic knee OA, which may also be infl uenced\ud by a role for this molecule in cartilage function.
Databáze: OpenAIRE