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. 2012 Nov 21;7(11):e49995. doi: 10.1371/journal.pone.0049995

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
a

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.

b

Reported in the included studies.

c

Combined phenotype of disc space narrowing and presence of osteophytes.

d

One negative replication report [54] in disc signal phenotype.