発育性股関節形成不全に関わる遺伝子座を同定 -世界最大規模のゲノム解析による遺伝因子の解明-

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2026-03-31 理化学研究所,九州大学,静岡県立総合病院,静岡県立大学

理化学研究所などの共同研究グループは、発育性股関節形成不全(DDH)に関わる遺伝的要因を解明するため、世界最大規模のゲノムワイド関連解析(GWAS)を実施し、新たに7つを含む計9つの疾患感受性遺伝子座を同定した。日本人と英国人のデータを統合した解析により、DDHと変形性股関節症(OA)の間には一部共通する遺伝因子がある一方で、異なる遺伝的基盤も存在することが判明した。さらに、これらの遺伝子は軟骨や結合組織に関連し、関節構造の維持に重要なコラーゲン経路に関与することが示唆された。本成果は病態理解を進め、将来的な予防・治療法開発に貢献すると期待される。

発育性股関節形成不全に関わる遺伝子座を同定 -世界最大規模のゲノム解析による遺伝因子の解明-
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遺伝子研究により、股関節形成不全における新規遺伝子が特定された Genetic study identifies novel genes in developmental dysplasia of the hip

Soichiro Yoshino,Shibo Chen,Ryosuke Yamaguchi,Taishi Kurakazu,Konstantinos Hatzikotoulas,Yoshinao Koike,Daisuke Inoue,Yusuke Kohno,Kan Sasaki,Hyonmin Choe,Shoji Baba,Toshihiko Hara,Juji Ito,Yaichiro Okuzu,Kyohei Shiomoto,Tomoyuki Nakamura,Gaku Koyano,Tomohiro Shimizu,Koichi Kinoshita,Eiji Takahashi,Takeshi Utsunomiya,Daisuke Hara,Taishi Sato,Shinya Kawahara,… Chikashi Terao
Bone Research  Published:31 March 2026
DOI:https://doi.org/10.1038/s41413-026-00514-8

Abstract

Developmental dysplasia of the hip (DDH), a morphological abnormality of the hip joint, is a well-recognized risk factor for hip osteoarthritis (OA). Much remains unknown about the genetic factors of DDH and its subtypes. To further understand its genetic basis, we conducted genome-wide association studies (GWASs) using a total of 1 085 Japanese DDH cases (including 788 hip dysplasia cases without dislocation and 297 cases with dislocated hip) and 24 000 controls. Additionally, we meta-analyzed with United Kingdom (UK) DDH GWAS and the largest hip OA GWAS to date. We identified three genome-wide significant novel loci, COL11A2, CALN1 and TRPM7, associated with hip dysplasia without dislocation. None of these signals were significant in dislocated hips, and additionally two of the signals had an opposite direction of association, suggesting distinct genetic architectures between the subtypes. The Japanese DDH GWAS identified five associated loci (VEGF-C, FOXC1, SMC2, SLC38A4, and TRPM7), and the trans-ancestry meta-analysis with UK revealed two loci (COL11A1 and GDF5) supported by strong trans-ancestry genetic correlation (r = 1.0). In total, nine loci were identified for DDH and its subtypes, with hip dysplasia without dislocation showing distinct genetic signals from hip dislocation. The meta-analysis of DDH and hip OA identified five novel signals for hip OA. Susceptibility loci and heritability enrichment analyses implicated pathways involving bone formation, collagen type XI trimer, and chondrocyte development, as well as their gene regulation, in DDH. These findings enhance understanding of the genetic architecture and biological pathways underlying DDH, providing new insights into its relationship with OA.

医療・健康
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