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The heritability of doctor-diagnosed traumatic and degenerative meniscus tears

Magnusson, K. LU ; Turkiewicz, A. LU ; Snoeker, B. LU ; Hughes, V. LU and Englund, M. LU orcid (2021) In Osteoarthritis and Cartilage 29(7). p.979-985
Abstract

Objective: To estimate the genetic contribution to traumatic and degenerative meniscus tears for men and women across the lifespan. Methods: We linked the Swedish Twin Register with individual-level national healthcare data to form a 30-year, population-wide, longitudinal twin cohort. To study genetic contribution to meniscus tears, we estimated the heritability and familial risk using incident traumatic and degenerative tear diagnostic codes in a cohort of 88,414 monozygotic and dizygotic twin-pairs, aged ≥17 years. Results: During follow-up, 3,372 (3.8%) of 88,414 twins were diagnosed with a traumatic or degenerative meniscus tear. The heritability was 0.39 (95% CI = 0.32–0.47) for men and 0.43 (95% CI = 0.36–0.50) for women, and did... (More)

Objective: To estimate the genetic contribution to traumatic and degenerative meniscus tears for men and women across the lifespan. Methods: We linked the Swedish Twin Register with individual-level national healthcare data to form a 30-year, population-wide, longitudinal twin cohort. To study genetic contribution to meniscus tears, we estimated the heritability and familial risk using incident traumatic and degenerative tear diagnostic codes in a cohort of 88,414 monozygotic and dizygotic twin-pairs, aged ≥17 years. Results: During follow-up, 3,372 (3.8%) of 88,414 twins were diagnosed with a traumatic or degenerative meniscus tear. The heritability was 0.39 (95% CI = 0.32–0.47) for men and 0.43 (95% CI = 0.36–0.50) for women, and did not vary by age. Environmental factors that were unique to each twin in a pair explained a greater proportion of the variance than genetic factors, both for men (0.61, 95% CI = 0.53–0.68) and women (0.57, 95% CI = 0.50–0.64). Separate analyses of traumatic vs degenerative meniscus tears yielded similar results. Conclusion: For the first time, we have estimated the genetic contribution to doctor-diagnosed meniscus tears using a twin study design. We found a relatively low to modest heritability for meniscus tears (∼40%). The heritability was also fairly stable over the lifespan, and equal in both men and women. Our findings suggest that environmental risk factors are a more important contributor to both traumatic and degenerative doctor-diagnosed meniscus tears than genetic factors.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute meniscus tears, Degenerative meniscus tears, Epidemiology, Genetics, Meniscus tears
in
Osteoarthritis and Cartilage
volume
29
issue
7
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:85104068432
  • pmid:33744431
ISSN
1063-4584
DOI
10.1016/j.joca.2021.03.005
language
English
LU publication?
yes
id
8f2a4522-0b8c-4df6-9912-4f4263498955
date added to LUP
2021-04-21 08:58:41
date last changed
2024-04-20 05:08:24
@article{8f2a4522-0b8c-4df6-9912-4f4263498955,
  abstract     = {{<p>Objective: To estimate the genetic contribution to traumatic and degenerative meniscus tears for men and women across the lifespan. Methods: We linked the Swedish Twin Register with individual-level national healthcare data to form a 30-year, population-wide, longitudinal twin cohort. To study genetic contribution to meniscus tears, we estimated the heritability and familial risk using incident traumatic and degenerative tear diagnostic codes in a cohort of 88,414 monozygotic and dizygotic twin-pairs, aged ≥17 years. Results: During follow-up, 3,372 (3.8%) of 88,414 twins were diagnosed with a traumatic or degenerative meniscus tear. The heritability was 0.39 (95% CI = 0.32–0.47) for men and 0.43 (95% CI = 0.36–0.50) for women, and did not vary by age. Environmental factors that were unique to each twin in a pair explained a greater proportion of the variance than genetic factors, both for men (0.61, 95% CI = 0.53–0.68) and women (0.57, 95% CI = 0.50–0.64). Separate analyses of traumatic vs degenerative meniscus tears yielded similar results. Conclusion: For the first time, we have estimated the genetic contribution to doctor-diagnosed meniscus tears using a twin study design. We found a relatively low to modest heritability for meniscus tears (∼40%). The heritability was also fairly stable over the lifespan, and equal in both men and women. Our findings suggest that environmental risk factors are a more important contributor to both traumatic and degenerative doctor-diagnosed meniscus tears than genetic factors.</p>}},
  author       = {{Magnusson, K. and Turkiewicz, A. and Snoeker, B. and Hughes, V. and Englund, M.}},
  issn         = {{1063-4584}},
  keywords     = {{Acute meniscus tears; Degenerative meniscus tears; Epidemiology; Genetics; Meniscus tears}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{7}},
  pages        = {{979--985}},
  publisher    = {{Elsevier}},
  series       = {{Osteoarthritis and Cartilage}},
  title        = {{The heritability of doctor-diagnosed traumatic and degenerative meniscus tears}},
  url          = {{http://dx.doi.org/10.1016/j.joca.2021.03.005}},
  doi          = {{10.1016/j.joca.2021.03.005}},
  volume       = {{29}},
  year         = {{2021}},
}