Gene CHD7 linked with Scoliosis
Gene CHD7 linked with Scoliosis
Could this be why we're so "messed up"?!!
this gene could give parents a head start with introducing the brace to override what our DNA is telling the spine to do. Scoliosis could be a thing of the past once they pinpoint it .
I'm highly optomistic about this!
Scientists identify first gene linked to scoliosis
Mon, 06/25/2007 - 16:22 - NLN
Physicians have recognized scoliosis, the abnormal curvature of the spine, since the time of Hippocrates, but its causes have remained a mystery -- until now. For the first time, researchers have discovered a gene that underlies the condition, which affects about 3 percent of all children.
The new finding lays the groundwork for determining how a defect in the gene -- known as CHD7 -- leads to the C- and S-shaped curves that characterize scoliosis. The gene's link to scoliosis was identified by scientists at Washington University School of Medicine in St. Louis, working in collaboration with investigators at the University of Texas Southwestern Medical Center and Texas Scottish Rite Hospital for Children, both in Dallas, Rutgers State University of New Jersey and the University of Iowa. The group published its results in May in the American Journal of Human Genetics.
"Hopefully, we can now begin to understand the steps by which the gene affects spinal development," says Anne Bowcock, Ph.D., professor of genetics, of medicine and of pediatrics. "If we understand the genetic basis of the condition, we can theoretically predict who is going to develop scoliosis and develop treatments to intervene before the deformity sets in. It may take many years to accomplish these goals, but I think it will eventually happen."
The researchers have traced a defect in CHD7 to idiopathic scoliosis, the form of the condition for which there is no apparent cause. It is the most common type of scoliosis, occurs in otherwise healthy children and is typically detected during the growth spurt that accompanies adolescence.
Although scientists have known for years that scoliosis runs in families, its pattern of inheritance has remained unclear. That's because the condition is likely caused by several different genes that work in concert with one another -- and the environment -- to cause scoliosis. Bowcock predicts that scientists will soon find other genes involved in the disease.
The CHD7 gene is thought to play a critical role in many basic functions in the cell. The researchers zeroed in on the gene after finding that it is missing or profoundly disrupted in a rare syndrome called CHARGE. Babies born with the syndrome often die in infancy. Those that survive have heart defects, mental retardation, genital and urinary problems, ear abnormalities and deafness, among other problems. They also develop late-onset scoliosis.
"This led us to consider that milder variations of CHD7 may be involved in other types of scoliosis," Bowcock said.
The researchers, led by Carol Wise, Ph.D., at Scottish Rite Hospital, collected data on 52 families with a history of scoliosis in at least two members -- the one who sought treatment and another from earlier generation. The patients had an average spinal curvature of 40 degrees and did not have any illnesses, such as Marfan syndrome or cerebral palsy, which can also involve scoliosis. The researchers performed genome-wide scans that spelled out the 6 billion letters of genetic code in the affected family members and analyzed the data.
They found that patients with scoliosis very often had a defect in the gene's non-coding region, meaning that the error did not disrupt production of the CHD7 protein. The researchers speculate that this particular mutation alters the binding of a molecule that controls whether the gene is turned on. In this case, they think the gene is turned off more often than it should be, which reduces the amount of CHD7 protein produced.
"The change in the amount of the protein produced is subtle, which correlates with the onset of scoliosis, which typically happens very gradually," explains Michael Lovett, Ph.D., professor of genetics and pediatrics. "This particular defect was so highly associated with scoliosis that it is either the real McCoy or is very closely linked to the defect that causes the condition."
The researchers will continue to look for genetic variations involved in scoliosis by studying additional families with the condition.
Severe scoliosis is typically treated by surgery or by wearing an orthopedic brace, which straightens the curvature over time. Most minor spinal curves can be monitored by a doctor and do not progress to the point where treatment is necessary.
-Washington University School of Medicine
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Banta, did you happen to note the date of the article? It's 2 years old.
CHD7 - and a few other related genes - are believed to be associated with susceptibility to idiopathic scoliosis (IS). I wouldn't get to excited just yet, however: Researchers still don't have a clue about the underlying mechanism.
A later (Nov. 2007) bulletin from the American Academy of Orthopedic Surgeons describes other tests in the works (saliva and blood tests) to determine potential curve progression, which (assuming it works) is far more valuable than just knowing who may develop scoliosis.
It's my guess they're describing the Axial Biotech/Scolioscore test - and it is available. Unfortunately, it's only offered to a very limited subset of patients, and there's some dispute on the accuracy of the test results they're reporting (search "axial biotech" on here).
41, dx'd JIS & Boston braced @ 10
Pre-op ±53°, Post-op < 20°
Fused 2/5/08, T4-L1 ... Darrell S. Hanson, Houston
VIEW MY X-RAYS
Thank you so much for posting that link to the bulletin from the American Academy of Orthopedic Surgeons! That is a wonderful summary of how the diagnosis and treatment of scoliosis is going to be revolutionized in the future. It really sums up what we've been discussing here in "amateur land". It makes me very hopeful for the future!
I heard about that awhile ago. Yeah if you look at a family pedigree you can see the patterns sometimes. Some forms of Scoliosis could be genetic.