Influence of biological factors on injuries occurrence in the Polish population

Marek Sawczuk 1,  
Jerzy Eider 1,  
Marian Sygit 1, 4,  
Faculty of Physical Education and Health Promotion, University of Szczecin, Poland
Academy School of Physical Education in Katowice, Poland
Department of Clinical and Molecular Biochemistry, Pomeranian Medical University of Szczecin, Poland
Institute of Rural Health in Lublin, Poland
Department of Sport Education, Academy of Physical Education and Sport, Gdansk, Poland
Department of Orthopaedics, Traumatology and Oncology, Pomeranian Medical University of Szczecin, Poland
Ann Agric Environ Med 2016;23(2):315–318
Introduction and objective:
Anterior cruciate ligament rupture is one of the most common knee injuries in sports. Although various intrinsic and extrinsic risk factors have been identified, the exact aetiology of the injury is not yet fully understood. Single nucleotide polymorphisms (SNPs) in the collagen type I (COL1A1) gene have been shown to be associated with several complex connective tissue disorders. The aim of this study was to examine the association of -1997G/T polymorphisms in the COL1A1 gene with ACL ruptures in Polish recreational skiers in a case-control study.

Material and Methods:
A total of 180 male and female recreational skiers with surgically diagnosed with primary ACL ruptures were recruited for the study, all of whom qualified for ligament reconstruction. The control group was comprised of 245 apparently healthy male and female skiers with a comparable level of exposure to ACL injury, none of whom had any self-reported history of ligament or tendon injury. DNA samples extracted from the oral epithelial cells were genotyped for -1997G/T polymorphisms using PCR method.

Genotype distribution in the cases (GG-82.2% GT-16.7%; TT-1.1%) showed significant difference (P=0.036) compared to controls (GG-71.4% GT-26.5%; TT-2.2%). The frequency of the GG genotype in the ACL rupture group was also statistically significant (p=0.011, Fisher’s exact test recessive mode: GG vs GT+TT). The frequency of the G allele was higher in these cases (90.6%), and also statistically significant (p=0.012) when compared with controls (84.7%).

The results obtained indicate that the -1997G/T COL1A1 gene is one of the genetic markers to be taken into the consideration in the identification of the risk of ACL injury.

Marta Stępień-Słodkowska   
Faculty of Physical Education and Health Promotion, University of Szczecin, Poland
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