Objective
Degenerative cervical spondylosis (DCS) is a common musculoskeletal disease that encompasses a wide range of progressive degenerative changes and affects all the components of the cervical spine. DCS has brought a huge social and economic burdens to society. However, the genetic basis of DCS remains elusive now.
Methods
Firstly, by integrating the gene-expression prediction models of whole blood and skeletal muscle and genome-wide association study (GWAS) summary data of DCS (including 3739 DCS patients and 382326 controls), we conducted a transcriptome-wide association study (TWAS) to evaluate the associations of genetically predicted gene-expression with DCS risk using Functional Summary-based Imputation (FUSION) software. Secondly, to validate the genes identified by TWAS analysis, these genes were further compared with the differentially expressed genes (DEGs) detected by the RNA expression profiles of DCS acquired from the Gene Expression Omnibus database (GEO, accession number: GSE153761). Thirdly, we used Functional Mapping and Annotation of Genome-wide Association Study (FUMA) and Metascape tools to conduct gene functional enrichment and annotation analysis.
Results
TWAS identified 420 significant genes for DCS with a P value < 0.05 in the skeletal muscle, such as RPS15A (PTWAS = 0.0003), and 110 genes in the whole blood, such as SELL (PTWAS = 0.0028). After comparing with RNA expression profiling of DCS, we identified 12 common genes, such as APLNR (PTWAS = 0.0013, PDEG = 0.0254). We identified 148 GO terms enriched for DCS, such as mast cell degranulation (GO:0043303). We also identified 15 KEGG pathways enriched for DCS, such as sphingolipid signaling pathway (ko04071). By integrating the enrichment results of TWAS analysis and RNA expression profile, 9 common terms were identified such as Degradation of the extracellular matrix (R-HSA-1474228).
Conclusion
Our results identified putative susceptibility genes for DCS, providing new insights into the genetic mechanisms underlying DCS development.