IL-1 receptor antagonist gene as a predictive biomarker of progression of knee osteoarthritis in a population cohort
Open accessAbstract
Objective Within the interleukin-1 (IL-1) cytokine family, IL-1 receptor antagonist (IL1RN) gene variants have been associated with radiological severity of knee osteoarthritis (OA) in cross-sectional studies. The present study tested the relation between IL1RN gene variants and progression of knee OA assessed radiographically by change in Kellgren-Lawrence (KL) score over time.Design 1153 Caucasian adults (age range: 44-89) from the Johnson County Osteoarthritis Project were evaluated for unequivocal radiographic evidence of knee OA at baseline, defined as KL score ≥2, and were re-examined after 4-11 years for radiographic changes typical of OA progression. IL1RN gene variants were tested for association with OA progression and for potential interaction with body mass index (BMI). Other IL-1 gene variations were tested for association with OA progression as a secondary objective.Results Of 154 subjects with OA at baseline, 88 showed progression at follow-up. Seven IL1RN single nucleotide polymorphisms (SNPs) and one IL-1 receptor SNP were associated with progression. Four IL1RN haplotypes, each occurring in >5% of this population, showed different relationships with progression, including one (rs315931/rs4251961/rs2637988/rs3181052/rs1794066/rs419598/rs380092/rs579543/rs315952/rs9005/rs315943/rs1374281; ACAGATACTGCC) associated with increased progression [odds ratio (OR) 1.91 (95%CI 1.16-3.15); P = 0.012]. Haplotypes associated with progression by KL score were also associated with categorical change in joint space narrowing. BMI was associated with OA progression in subjects carrying a specific IL1RN haplotype, but not in subjects without that haplotype.Conclusion A significantly greater likelihood of radiological progression of knee OA was associated with a commonly occurring IL1RN haplotype that could be tagged by three IL1RN SNPs (rs419598, rs9005, rs315943). Interactions were also observed between IL1RN gene variants and BMI relative to OA progression. This suggests that IL1RN gene markers may be useful in stratifying patients for medical management and drug development.
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IL1RN variants affect the pathophysiology of human infections and the risk of insulin resistance and knee osteoarthritis.
“These findings have been confirmed in three independent cohorts26, and further research has demonstrated that these factors affect the pathophysiology of human infections27 and the risk of developing insulin resistance28 and knee osteoarthritis29.”
From Inflammageing: chronic inflammation in ageing, cardiovascular disease, and frailty (2018) · cites this paper as [29]
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Self-citation
- Authors
- Wu, X., Kondragunta, V., Kornman, K. S., Wang, H. Y., Duff, G. W., Renner, J. B., & Jordan, J. M.
- Affiliations
- University of Sheffield (GB)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Wu, X.
- Kondragunta, V.
- Kornman, K.S.
- Wang, H.Y.
- Duff, G.W.
- Renner, J.B.
- Jordan, J.M.
- Venue
- Osteoarthritis and Cartilage
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 21
- Issue
- 7
- Pages
- 930-938
- ISSN
- 1063-4584 (ISSN-L)
- PMC
- PMC3725144
- OpenAlex
- W2024043682
- Cited by
- 60
- References
- 48
- Citations by year
- 2025: 2 · 2023: 4 · 2022: 6 · 2021: 3 · 2020: 10 · 2019: 4 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 9 · 2014: 11 · 2013: 2
- FWCI
- 7.01
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Osteoarthritis and Cartilage (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Johnston County Osteoarthritis Project (5-P60-AR30701)
- NIAMS Multipurpose Arthritis and Musculoskeletal Disease Center (5 P60 AR49465-03)
- NIAMS Multidisciplinary Clinical Research Center
- Topics
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- knee osteoarthritis, disease progression, interleukin-1 receptor antagonist, Kellgren-Lawrence grade, radiographic progression, single nucleotide polymorphisms, haplotypes, body mass index, joint space narrowing, genetic susceptibility, predictive biomarkers, cartilage degeneration
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Haplotypes, Humans, Male, Middle Aged, Radiography, Risk Factors, Body Mass Index, Osteoarthritis, Knee, Polymorphism, Single Nucleotide, Interleukin 1 Receptor Antagonist Protein
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