Genetic Influence of Fracture Nonunion (FNU): A Systematic Review.

IF 1.8 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pharmacogenomics & Personalized Medicine Pub Date : 2023-01-01 DOI:10.2147/PGPM.S407308
Mir Sadat-Ali, Hussain K Al-Omar, Khalid W AlTabash, Ammar K AlOmran, Dakheel A AlDakheel, Hasan N AlSayed
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Abstract

Purpose: Nonunion of fractures occurs in about 15% of all fractures causing repeated surgical interference and prolonged morbidity. We performed this systematic review to assess genes and polymorphisms influencing fractures' nonunion (FNU).

Methods: We searched between 2000 and July 2022 in PubMed, EMBASE, the Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews, Genome Wide Association Studies (GWAS) Catalog, and the Science Citation Index, with the keywords nonunion of fractures, genetic influence, and GWAS. The exclusion criteria were review articles and correspondence. The data were retrieved to determine the number of studies, genes, and polymorphisms and the total number of subjects screened.

Results: A total of 79 studies were reported on nonunion of fractures and genetic influence. After the inclusion and exclusion criteria, ten studies with 4402 patients' data were analyzed. Nine studies were case-controlled, and 1 GWAS. It was identified that patients with polymorphisms in the genes ANXA3, BMP2, CALY, CYR61, FGFR1, IL1β, NOG, NOS2, PDGF gene, and TACR1 are prone to develop a nonunion of fractures.

Conclusion: We believe that for patients who develop an early nonunion of fractures, a genetic study should be conducted for single nucleotide polymorphism (SNP) and genes so that alternative and more aggressive treatment can be performed to heal fractures without prolonged morbidity.

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骨折不愈合(FNU)的遗传影响:系统综述。
目的:骨折不愈合约占所有骨折的15%,导致反复手术干预和长期发病。我们进行了这项系统综述,以评估影响骨折不愈合(FNU)的基因和多态性。方法:检索2000年至2022年7月PubMed、EMBASE、Cochrane中央对照试验注册库和Cochrane系统评价数据库、全基因组关联研究(GWAS)目录和科学引文索引,检索关键词为骨折不愈合、遗传影响和GWAS。排除标准为综述文章和通信。检索数据以确定研究、基因和多态性的数量以及筛选的受试者总数。结果:共报道了79项关于骨折不愈合及其遗传影响的研究。根据纳入和排除标准,对10项研究4402例患者数据进行分析。9项研究为病例对照,1项为GWAS。研究发现,具有ANXA3、BMP2、CALY、CYR61、FGFR1、IL1β、NOG、NOS2、PDGF基因和TACR1基因多态性的患者易发生骨折不愈合。结论:我们认为,对于发生骨折早期不愈合的患者,应该进行单核苷酸多态性(SNP)和基因的遗传学研究,以便进行替代和更积极的治疗来治愈骨折,而不会延长发病率。
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来源期刊
Pharmacogenomics & Personalized Medicine
Pharmacogenomics & Personalized Medicine Biochemistry, Genetics and Molecular Biology-Molecular Medicine
CiteScore
3.30
自引率
5.30%
发文量
110
审稿时长
16 weeks
期刊介绍: Pharmacogenomics and Personalized Medicine is an international, peer-reviewed, open-access journal characterizing the influence of genotype on pharmacology leading to the development of personalized treatment programs and individualized drug selection for improved safety, efficacy and sustainability. In particular, emphasis will be given to: Genomic and proteomic profiling Genetics and drug metabolism Targeted drug identification and discovery Optimizing drug selection & dosage based on patient''s genetic profile Drug related morbidity & mortality intervention Advanced disease screening and targeted therapeutic intervention Genetic based vaccine development Patient satisfaction and preference Health economic evaluations Practical and organizational issues in the development and implementation of personalized medicine programs.
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