Variants within the MMP3 and COL5A1 genes associate with soft tissue injury history in elite male rugby athletes

  • Jon Brazier*
  • , Mark R. Antrobus
  • , Peter C. Callus
  • , Adam J. Herbert
  • , Georgina K. Stebbings
  • , Daniel Martin
  • , Stephen H. Day
  • , Liam P. Kilduff
  • , Mark A. Bennett
  • , Robert M. Erskine
  • , Stuart M. Raleigh
  • , Tom Cullen
  • , Malcolm Collins
  • , Yannis P. Pitsiladis
  • , Shane M. Heffernan
  • , Alun G. Williams
  • *Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

1 Citation (Scopus)

Abstract

Objectives: To investigate associations between genetic variants within COLGALT1, COL1A1, COL3A1, COL5A1, KDR, MIR608, MMP3, NID1, TIMP2 and VEGFA and injury history in elite male rugby athletes.

Design: A case-control genetic association study was conducted on 184 elite male rugby athletes.

Methods: Participants were genotyped for 13 genetic polymorphisms previously associated with soft tissue injury using standard PCR assays. Injury data were collected via a self-reported injury-history questionnaire. Single-locus association and Total Genotype Score (TGS) analyses were conducted using χ2 tests. In addition, multifactor dimensionality reduction and inferred haplotype analysis were used to identify genetic interactions.

Results: The TT genotype of MMP3 rs679620 was underrepresented in the non-injured ligament group compared to the ligament sprain and ligament rupture groups (10 %, 32 %, 25 %; P < 0.04, respectively). The T allele of MMP3 rs679620 was overrepresented in the non-injured tendon group compared to the tendinopathy group (50 %, 38 %; P < 0.02). The proportion of C allele carriers of COL5A1 rs12722 was higher in the tendon rupture group than the non-injured tendon group (96 %, 75 %; P < 0.02). Furthermore, the T-C inferred haplotype frequency of COL5A1 rs12722 and COL5A1 rs3196378 was higher in the tendon rupture, ligament sprain and total injured athlete groups compared to their respective non-injured groups (P < 0.02).

Conclusions: This study is the first to identify associations between MMP3 rs679620 and COL5A1 rs12722 and soft-tissue injury history in elite male rugby athletes. These findings support the growing evidence that soft-tissue injury could be influenced by an athlete's genetic predisposition.
Original languageEnglish
Pages (from-to)720-726
Number of pages7
JournalJournal of Science and Medicine in Sport
Volume28
Issue number9
Early online date19 May 2025
DOIs
Publication statusPublished - Sept 2025

User-Defined Keywords

  • Genetics
  • Rugby
  • Tendon
  • Ligament
  • Soft Tissue
  • Elite

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