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A missense variant in SLC39A8 is associated with severe idiopathic scoliosis
Journal article   Open access   Peer reviewed

A missense variant in SLC39A8 is associated with severe idiopathic scoliosis

Gabe Haller, Kevin McCall, Supak Jenkitkasemwong, Brooke Sadler, Lilian Antunes, Momchil Nikolov, Julia Whittle, Zachary Upshaw, Jimann Shin, Erin Baschal, …
Nature communications, Vol.9(1), pp.4171-7
10/09/2018
DOI: 10.1038/s41467-018-06705-0
PMCID: PMC6177404
PMID: 30301978
url
https://doi.org/10.1038/s41467-018-06705-0View
Published (Version of record) Open Access

Abstract

Genetic factors predictive of severe adolescent idiopathic scoliosis (AIS) are largely unknown. To identify genetic variation associated with severe AIS, we performed an exome-wide association study of 457 severe AIS cases and 987 controls. We find a missense SNP in SLC39A8 (p.Ala391Thr, rs13107325) associated with severe AIS (P = 1.60 × 10 , OR = 2.01, CI = 1.54-2.62). This pleiotropic SNP was previously associated with BMI, blood pressure, cholesterol, and blood manganese level. We replicate the association in a second cohort (841 cases and 1095 controls) resulting in a combined P = 7.02 × 10 , OR = 1.94, CI = 1.63-2.34. Clinically, the minor allele of rs13107325 is associated with greater spinal curvature, decreased height, increased BMI and lower plasma manganese in our AIS cohort. Functional studies demonstrate reduced manganese influx mediated by the SLC39A8 p.Ala391Thr variant and vertebral abnormalities, impaired growth, and decreased motor activity in slc39a8 mutant zebrafish. Our results suggest the possibility that scoliosis may be amenable to dietary intervention.
Bone and Bones - pathology Genetic Predisposition to Disease Movement Scoliosis - genetics Genetic Association Studies Humans Ions Mutation, Missense - genetics Zebrafish - genetics Exome - genetics Animals HEK293 Cells Polymorphism, Single Nucleotide - genetics Cation Transport Proteins - genetics Cation Transport Proteins - deficiency

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