Osteoarthritis

A meta-analysis and a functional study support the influence of mitochondrial DNA (mtDNA) variant m.16519C on the risk of rapid progression of knee osteoarthritis

Ann Rheum DisPublished Meta-analysis of prospective cohorts and functional study

Pooled result · Rapid progression of knee OA with mtDNA variant m.16519CResult — go to the resultCombined OR 1.546 95% CI 1.163–2.054

Authors' conclusion

The presence of the mtDNA variant m.16519C increases the risk of rapid progression of knee OA.

Study context

Population
Subjects with knee osteoarthritis (OA) from three prospective cohorts3 cohorts
Participants
1,095 / 373 / 326
Comparison
Carriers vs non-carriers of mtDNA variant m.16519C
  • Osteoarthritis initiative (OAI)n = 1,095
  • Cohort Hip and Cohort Kneen = 373
  • PROspective Cohort of Osteoarthritis from A Coruñan = 326
Outcome
Rapid progression of knee OA
Methodological detailsthree prospective cohorts, in-depth mtDNA sequencing, transmitochondrial cybrid model
  • Three prospective cohorts
  • In-depth mtDNA sequencing
  • Transmitochondrial cybrid model

Pooled result

As reported in the abstract

Rapid progression of knee OA with mtDNA variant m.16519C

Combined OR

1.546

95% CI 1.163–2.054

P = 0.0027

Carriersvs non-carriers of mtDNA variant m.16519C
combined OR 1.546 (95% CI 1.163–2.054); P = 0.0027

Further pooled results

Functional study in cybrids with m.16519C

Increased mtDNA copy number and decreased mitochondrial biosynthesis
Higher mitochondrial reactive oxygen species (ROS); less resistant to oxidative stress
Lower expression of fission mitochondrial 1; impaired autophagic flux
Modulated transcriptome, especially inflammation; IL-6 among most differentially expressed genes

Original publication

A meta-analysis and a functional study support the influence of mtDNA variant m.16519C on the risk of rapid progression of knee osteoarthritis. Ann Rheum Dis. Published 6 April 2023. doi:10.1136/ard-2022-223570

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