Evidence for genetic anticipation in nodal osteoarthritis.

Abstract:

OBJECTIVE:Evidence was sought for genetic anticipation (disease occurring at an earlier age in subsequent generations, with increasing severity) in nodal osteoarthritis (NOA). METHODS:Age at symptom onset and disease severity was compared within 30 parent/offspring pairs with NOA. Correlation between the offspring age of disease onset and the parental age at conception was also assessed. RESULTS:The age at onset of nodal symptoms was earlier in the offspring (43 years (95% confidence intervals (CI) 38 to 47) v 61 (CI 58 to 65); mean difference 18 years (CI 13 to 22): p < 0.001) as was larger joint symptom onset (48 years (CI 41 to 55) v 67 (CI 61 to 73); mean difference 20 years (CI 13 to 27): p < 0.01). A negative correlation existed between age of offspring symptom onset and parental age at conception. Fifteen (50%) offspring had similar or more extensive disease than their parents. CONCLUSIONS:These results suggest genetic anticipation occurs in NOA and if confirmed a search for trinucleotide repeats is warranted.

journal_name

Ann Rheum Dis

authors

Wright GD,Regan M,Deighton CM,Wallis G,Doherty M

doi

10.1136/ard.57.9.524

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

524-6

issue

9

eissn

0003-4967

issn

1468-2060

journal_volume

57

pub_type

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