The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.

Aseptic loosening is a major cause of revision surgery of total hip arthroplasty (THA). Only few host factors affecting aseptic loosening have been identified until now, although they are urgently needed to identify and possibly treat those patients at higher risk for aseptic loosening. To determine...

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Main Authors: Patrick Stelmach, Christian Wedemeyer, Lena Fuest, Gina Kurscheid, Thorsten Gehrke, Stefanie Klenke, Marcus Jäger, Max D Kauther, Hagen S Bachmann
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4755546?pdf=render
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author Patrick Stelmach
Christian Wedemeyer
Lena Fuest
Gina Kurscheid
Thorsten Gehrke
Stefanie Klenke
Marcus Jäger
Max D Kauther
Hagen S Bachmann
author_facet Patrick Stelmach
Christian Wedemeyer
Lena Fuest
Gina Kurscheid
Thorsten Gehrke
Stefanie Klenke
Marcus Jäger
Max D Kauther
Hagen S Bachmann
author_sort Patrick Stelmach
collection DOAJ
description Aseptic loosening is a major cause of revision surgery of total hip arthroplasty (THA). Only few host factors affecting aseptic loosening have been identified until now, although they are urgently needed to identify and possibly treat those patients at higher risk for aseptic loosening. To determine whether the functional single nucleotide polymorphism (SNP) c.-938C>A (rs2279115), located in the promoter region of the BCL2 gene has an impact on aseptic loosening of THA we genotyped and analyzed 234 patients suffering from aseptic loosening and 231 patients after primary THA. The polymorphism is associated with risk for aseptic loosening with the CC genotype at highest risk for aseptic loosening, Odds Ratio CC vs. AA 1.93, 95%CI 1.15-3.25, p = 0.013. In contrast, low risk AA genotype carriers that still developed aseptic loosening showed a significantly shorter time to aseptic loosening than patients carrying the C allele (p = 0.004). These results indicate that the BCL2 -938C>A polymorphism influences the occurrence and course of aseptic loosening and suggests this polymorphism as an interesting candidate for prospective studies and analyses in THA registers.
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spelling doaj.art-44eafa1e139443cf8cf2b6ab0a0de7122022-12-22T02:33:16ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01112e014952810.1371/journal.pone.0149528The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.Patrick StelmachChristian WedemeyerLena FuestGina KurscheidThorsten GehrkeStefanie KlenkeMarcus JägerMax D KautherHagen S BachmannAseptic loosening is a major cause of revision surgery of total hip arthroplasty (THA). Only few host factors affecting aseptic loosening have been identified until now, although they are urgently needed to identify and possibly treat those patients at higher risk for aseptic loosening. To determine whether the functional single nucleotide polymorphism (SNP) c.-938C>A (rs2279115), located in the promoter region of the BCL2 gene has an impact on aseptic loosening of THA we genotyped and analyzed 234 patients suffering from aseptic loosening and 231 patients after primary THA. The polymorphism is associated with risk for aseptic loosening with the CC genotype at highest risk for aseptic loosening, Odds Ratio CC vs. AA 1.93, 95%CI 1.15-3.25, p = 0.013. In contrast, low risk AA genotype carriers that still developed aseptic loosening showed a significantly shorter time to aseptic loosening than patients carrying the C allele (p = 0.004). These results indicate that the BCL2 -938C>A polymorphism influences the occurrence and course of aseptic loosening and suggests this polymorphism as an interesting candidate for prospective studies and analyses in THA registers.http://europepmc.org/articles/PMC4755546?pdf=render
spellingShingle Patrick Stelmach
Christian Wedemeyer
Lena Fuest
Gina Kurscheid
Thorsten Gehrke
Stefanie Klenke
Marcus Jäger
Max D Kauther
Hagen S Bachmann
The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.
PLoS ONE
title The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.
title_full The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.
title_fullStr The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.
title_full_unstemmed The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.
title_short The BCL2 -938C>A Promoter Polymorphism Is Associated with Risk for and Time to Aseptic Loosening of Total Hip Arthroplasty.
title_sort bcl2 938c a promoter polymorphism is associated with risk for and time to aseptic loosening of total hip arthroplasty
url http://europepmc.org/articles/PMC4755546?pdf=render
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