PMID- 21228692 OWN - NLM STAT- MEDLINE DCOM- 20110506 LR - 20110113 IS - 1528-1159 (Electronic) IS - 0362-2436 (Linking) VI - 36 IP - 2 DP - 2011 Jan 15 TI - Association study of BMP4, IL6, Leptin, MMP3, and MTNR1B gene promoter polymorphisms and adolescent idiopathic scoliosis. PG - E123-30 LID - 10.1097/BRS.0b013e318a511b0e [doi] AB - STUDY DESIGN: a genetic association study was performed on 126 patients with adolescent idiopathic scoliosis and 197 healthy controls from independent Hungarian pedigrees. OBJECTIVE: to reveal implication of promoter polymorphisms of bone morphogenetic protein 4 (BMP4), interleukin-6 (IL6), leptin, matrix metalloproteinase-3 (MMP3), melatonin 1B receptor (MTNR1B) genes in adolescent idiopathic scoliosis (AIS). Combinatorial association of these candidate genes was also studied to detect additive effect of certain single-nucleotide polymorphism (SNP) patterns. SUMMARY OF BACKGROUND DATA: it was previously unraveled that IL6, MMP3, and MTNR1B genes could be considered as predisposition genes of AIS. Since BMP4 and leptin play a central role in bone formation and remodeling and are in direct interaction with melatonin, IL6, and MMP3, these also can be potential predisposition genes. METHODS: the genotyping was determined by polymerase chain reaction-restriction fragment length polymorphism. RESULTS: at a single gene level, no significant differences were found for allele and genotype frequencies of the polymorphisms of these genes between cases or controls; therefore, the formerly detected association of IL6, MMP3, and MTNR1B with AIS was not confirmed in the Hungarian population by independent SNP analysis. However, significantly increased AIS risk was observed at particular combinations of genotypes of paired SNPs of the candidate genes. CONCLUSIONS: the genetic effect of promoter polymorphisms of BMP4, IL6, leptin, MMP3, and MTNR1B can be synergistic for susceptibility to AIS. The combinatorial effect can modulate the final biological impact of many susceptibility polymorphisms; therefore, this should be considered at the comparison of results from case-control studies of different populations. FAU - Morocz, Monika AU - Morocz M AD - Institute of Genetics, Biological Research Center, Hungarian Academy of Sciences, Temesvari Korut 62, H-6726, Szeged, Hungary. morocz@brc.hu FAU - Czibula, Agnes AU - Czibula A FAU - Grozer, Zsuzsanna B AU - Grozer ZB FAU - Szecsenyi, Anita AU - Szecsenyi A FAU - Almos, Peter Z AU - Almos PZ FAU - Rasko, Istvan AU - Rasko I FAU - Illes, Tamas AU - Illes T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Spine (Phila Pa 1976) JT - Spine JID - 7610646 RN - 0 (BMP4 protein, human) RN - 0 (Bone Morphogenetic Protein 4) RN - 0 (Interleukin-6) RN - 0 (Leptin) RN - 0 (Receptor, Melatonin, MT2) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adolescent MH - Bone Morphogenetic Protein 4/*genetics MH - Female MH - Gene Frequency MH - Gene Regulatory Networks MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Interleukin-6/*genetics MH - Leptin/*genetics MH - Male MH - Matrix Metalloproteinase 3/*genetics MH - Models, Genetic MH - *Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic/genetics MH - Receptor, Melatonin, MT2/*genetics MH - Scoliosis/*genetics MH - Young Adult EDAT- 2011/01/14 06:00 MHDA- 2011/05/07 06:00 CRDT- 2011/01/14 06:00 PHST- 2011/01/14 06:00 [entrez] PHST- 2011/01/14 06:00 [pubmed] PHST- 2011/05/07 06:00 [medline] AID - 00007632-201101150-00020 [pii] AID - 10.1097/BRS.0b013e318a511b0e [doi] PST - ppublish SO - Spine (Phila Pa 1976). 2011 Jan 15;36(2):E123-30. doi: 10.1097/BRS.0b013e318a511b0e.