Table 2. Candidate genes with a moderate level of epidemiological evidence in lumbar disc degenerationa.
Gene | Variation | Amount of evidence | ReplicationLevel | ProtectionFrom Bias | Additional biological evidenceb | Ethnicity | Phenotype | Reference |
ASPN | allele D14 | B | B | B | yes | Japanese Chinese | sciatica and disc signal | Song et al 2008 |
COL11A1 | rs1676486 | B | B | B | yes | Japanese | sciatica | Mio et al 2007 |
GDF5 | rs143383 | A | B | A | − | Northern European | X-rayc, partially MRI | Williams et al 2011 |
SKT | rs16924573 | B | B | A | yes | Japanese Finnish | sciatica | Karasugi et al 2009 |
THBS2 d | rs9406328 | B | B | B | yes | Japanese | sciatica | Hirose et al 2008 |
MMP9 d | rs17576 | B | B | B | yes | Japanese | sciatica | Hirose et al 2008 |
Based on Venice interim guidelines [33], statistical significance level (p-value) of original association and replication level including also the absence of inconsistent replications. Amount of evidence increases when alleles are contrasted.
Reported in the included studies.
Combined phenotype of disc space narrowing and presence of osteophytes.
One negative replication report [54] in disc signal phenotype.