Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects

As one of the most frequent skeletal anomalies, developmental dysplasia of the hip (DDH) is characterized by a considerable range of pathology, from minor laxity of ligaments in the hip joint to complete luxation. Multifactorial etiology, of which the candidate genes have been studied the most, pose...

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Main Authors: Stefan Harsanyi, Radoslav Zamborsky, Lubica Krajciova, Milan Kokavec, Lubos Danisovic
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/4/153
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author Stefan Harsanyi
Radoslav Zamborsky
Lubica Krajciova
Milan Kokavec
Lubos Danisovic
author_facet Stefan Harsanyi
Radoslav Zamborsky
Lubica Krajciova
Milan Kokavec
Lubos Danisovic
author_sort Stefan Harsanyi
collection DOAJ
description As one of the most frequent skeletal anomalies, developmental dysplasia of the hip (DDH) is characterized by a considerable range of pathology, from minor laxity of ligaments in the hip joint to complete luxation. Multifactorial etiology, of which the candidate genes have been studied the most, poses a challenge in understanding this disorder. Candidate gene association studies (CGASs) along with genome-wide association studies (GWASs) and genome-wide linkage analyses (GWLAs) have found numerous genes and loci with susceptible DDH association. Studies put major importance on candidate genes associated with the formation of connective tissue (COL1A1), osteogenesis (PAPPA2, GDF5), chondrogenesis (UQCC1, ASPN) and cell growth, proliferation and differentiation (TGFB1). Recent studies show that epigenetic factors, such as DNA methylation affect gene expression and therefore could play an important role in DDH pathogenesis. This paper reviews all existing risk factors affecting DDH incidence, along with candidate genes associated with genetic or epigenetic etiology of DDH in various studies.
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spelling doaj.art-890323504fcd4f85952c68d6da854ef12023-09-03T03:50:40ZengMDPI AGMedicina1010-660X2020-03-015615315310.3390/medicina56040153Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic AspectsStefan Harsanyi0Radoslav Zamborsky1Lubica Krajciova2Milan Kokavec3Lubos Danisovic4Faculty of Medicine, Institute of Medical Biology, Genetics and Clinical Genetics, Comenius University in Bratislava, 811-08 Bratislava, SlovakiaDepartment of Orthopedics, Faculty of Medicine, Comenius University and National Institute of Children’s Diseases, 833-40 Bratislava, SlovakiaFaculty of Medicine, Institute of Medical Biology, Genetics and Clinical Genetics, Comenius University in Bratislava, 811-08 Bratislava, SlovakiaDepartment of Orthopedics, Faculty of Medicine, Comenius University and National Institute of Children’s Diseases, 833-40 Bratislava, SlovakiaFaculty of Medicine, Institute of Medical Biology, Genetics and Clinical Genetics, Comenius University in Bratislava, 811-08 Bratislava, SlovakiaAs one of the most frequent skeletal anomalies, developmental dysplasia of the hip (DDH) is characterized by a considerable range of pathology, from minor laxity of ligaments in the hip joint to complete luxation. Multifactorial etiology, of which the candidate genes have been studied the most, poses a challenge in understanding this disorder. Candidate gene association studies (CGASs) along with genome-wide association studies (GWASs) and genome-wide linkage analyses (GWLAs) have found numerous genes and loci with susceptible DDH association. Studies put major importance on candidate genes associated with the formation of connective tissue (COL1A1), osteogenesis (PAPPA2, GDF5), chondrogenesis (UQCC1, ASPN) and cell growth, proliferation and differentiation (TGFB1). Recent studies show that epigenetic factors, such as DNA methylation affect gene expression and therefore could play an important role in DDH pathogenesis. This paper reviews all existing risk factors affecting DDH incidence, along with candidate genes associated with genetic or epigenetic etiology of DDH in various studies.https://www.mdpi.com/1010-660X/56/4/153developmental dysplasia of the hipDDHgeneticsepigeneticsrisk factor
spellingShingle Stefan Harsanyi
Radoslav Zamborsky
Lubica Krajciova
Milan Kokavec
Lubos Danisovic
Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects
Medicina
developmental dysplasia of the hip
DDH
genetics
epigenetics
risk factor
title Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects
title_full Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects
title_fullStr Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects
title_full_unstemmed Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects
title_short Developmental Dysplasia of the Hip: A Review of Etiopathogenesis, Risk Factors, and Genetic Aspects
title_sort developmental dysplasia of the hip a review of etiopathogenesis risk factors and genetic aspects
topic developmental dysplasia of the hip
DDH
genetics
epigenetics
risk factor
url https://www.mdpi.com/1010-660X/56/4/153
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