Osteoarthritis

Mitonuclear epistasis involving TP63 and haplogroup Uk: Risk of rapid progression of knee osteoarthritis (OA) in patients from the OAI

Osteoarthritis CartilagePublished Cohort study

Main finding · Rapid progression of knee OA with G allele of rs12107036 (TP63) plus haplogroup UkResult — go to the resultOdds ratio 1.670 95% CI 1.031–2.706

Authors' conclusion

This study demonstrates the existence of a mitonuclear epistasis in OA, providing new mechanisms by which nuclear and mitochondrial variation influence the susceptibility to develop different OA phenotypes.

Study context

Population
Subjects from the Osteoarthritis Initiative with follow-up of at least 48 months≥48-month follow-up
Participants
1,095 subjects
Exposure
Simultaneous presence of the G allele of rs12107036 at TP63 and haplogroup Uk
Outcome
Rapid progression of knee OA
Methodological detailsgenetic association analysis, generalized estimating equations, adjusted for age, gender, BMI, contralateral knee OA, WOMAC pain, previous injury in target knee and mitochondrial deoxyribonucleic acid (mtDNA) variant m.16519C
  • Genetic association analysis
  • Generalized estimating equations
  • Adjusted for age, gender, BMI, contralateral knee OA, WOMAC pain, previous injury in target knee and mtDNA variant m.16519C

Main finding

As reported in the abstract

Rapid progression of knee OA with G allele of rs12107036 (TP63) plus haplogroup Uk

Odds ratio

1.670

95% CI 1.031–2.706

adjusted p-value = 0.027

G allele of rs12107036 + haplogroup Uk
OR 1.670 (95% CI 1.031–2.706); adjusted p-value = 0.027

Observational data: associations, not effects.

Further findings

Population attributable fraction of rapid progressors, G allele of rs12107036 + haplogroup Uk

Population attributable fraction (highest proportion of rapid progressors)
23.4%
  • 95%CI: 7.89-38.9; p-value < 0.05

Model discrimination (AUC)

AUC, cross-validation model
0.730
AUC, predictive model
0.735

Original publication

Mitonuclear epistasis involving TP63 and haplogroup Uk: Risk of rapid progression of knee OA in patients from the OAI. Osteoarthritis Cartilage. Published 6 January 2024. doi:10.1016/j.joca.2023.12.008

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