Preview

Clinical Medicine (Russian Journal)

Advanced search
Open Access Open Access  Restricted Access Subscription Access

The role of the genetic factor in the development of sarcopenia

https://doi.org/10.30629/0023-2149-2025-103-12-913-920

Abstract

Objectives. To assess the associative relationship between genotype distributions of polymorphic variants of COL1A1, VDR, NOS3, IL6, RANKL, MTHFR, MTR, MTRR genes and risk of sarcopenia in women over 60 years of age.

Materials and methods. This cross-sectional study enrolled 67 women aged 61 to 82 years. Dynamometry and a “Chair rising test” test have been performed. Polymorphic variants of the COL1A1, VDR, NOS3, IL6, RANKL, MTHFR, MTR, MTRR genes have been identified. The participants were divided into 2 groups: group 1 consisted of 34 subjects without sarcopenia and group 2 included 33 persons with sarcopenia.

Results. In group 1, the GG G894T NOS3 genotype significantly prevailed, and in group 2, the GT and TT variants were most frequent, p = 0.035. In group 1, the recessive TT genotypes G894T NOS3, GG A66G MTRR prevailed. CC variant G(-174)IL6 prevailed in group 2, as did the TT C677T MTHFR genotype, which was not detected in group 2, p < 0.05.

Conclusions. Age is an independent risk factor for sarcopenia development. Presence of the TT G894T NOS3, GG A66G MTRR genotype is likely to increase the risk of sarcopenia. While the CC G174C IL6, TT C677T MTHFR genotype is probably protective against the development of sarcopenia. There was no association between the genotype distributions of polymorphic variants of the COL1A1, VDR, RANKL, MTR genes and the risk of sarcopenia in women over 60 years of age.

About the Authors

K. S. Ispavskaya
Ural State Medical University of the Ministry of Health of the Russia
Russian Federation

Ksenia S. Ispavskaya — Postgraduate student, Department of Pharmacology and Clinical Pharmacology

Yekaterinburg 



N. V. Izmozherova
Ural State Medical University of the Ministry of Health of the Russia ; Institute of High-Temperature Electrochemistry, Ural Branch of the Russian Academy of Sciences
Russian Federation

Nadezhda V. Izmozherova — Doctor of Medical Sciences, Head, Department of Pharmacology and Clinical Pharmacology, Chief freelance specialist-clinical pharmacologist of the Ministry of health of the Sverdlovsk region

Yekaterinburg 



A. A. Popov
Ural State Medical University of the Ministry of Health of the Russia ; Institute of High-Temperature Electrochemistry, Ural Branch of the Russian Academy of Sciences
Russian Federation

Artem A. Popov — Doctor of Medical Sciences, Head, Department of Hospital Therapy

Yekaterinburg 



I. A. Pashkina
Ural State Medical University of the Ministry of Health of the Russia
Russian Federation

Inna A. Pashkina — resident Department of Hospital Therapy 

Yekaterinburg



E. V. Kudryavtseva
GAUDPO “Ural Institute of Healthcare Management named after A.B. Blokhin”
Russian Federation

Elena V. Kudryavtseva — Doctor of Medical Sciences, Professor, Department of Gynecology and Obstetrics

Yekaterinburg 



D. L. Zornikov
Ural State Medical University of the Ministry of Health of the Russia
Russian Federation

Danila L. Zornikov —Candidate of Medical Sciences, Docent of the Department of Medical Microbiology and Clinical Laboratory Diagnostic

Yekaterinburg



M. A. Shambatov
Ural State Medical University of the Ministry of Health of the Russia
Russian Federation

Muraz A. Shambatov — Candidate of Medical Sciences, Associate Professor of Pharmacology and Clinical Pharmacology Chair

Yekaterinburg



V. S. Ermakov
I.I. Mechnikov Northwestern State Medical University of the Ministry of Health of the Russia
Russian Federation

Valerii S. Ermakov — cardiac surgeon, 2 cardiac surgery department 

St. Petersburg 



V. N. Kravchuk
I.I. Mechnikov Northwestern State Medical University of the Ministry of Health of the Russia
Russian Federation

Viacheslav N. Kravchuk — Doctor of Medical Sciences, Professor, Head of the Department of cardio-vascular surgical department, Professor of the first department of surgery (improvement of doctors) named after P.A. Kupriyanov Military Medical Academy after S.M. Kirov

St. Petersburg 



V. V. Dalinin
Central Military Clinical Hospital named after P.V. Mandryka of the Ministry of Defense of the Russia
Russian Federation

Vadim V. Dalinin — Doctor of Medical Sciences, Head of the Cardiosurgery Department

Moscow 



References

1. Tkacheva O.N., Kotovskaya Yu.V., Runikhina N.K., Frolova E.V., Naumov A.V., Vorobyeva N.M. et al. Ostapenko V.S., Mkhitaryan E.A., Sharashkina N.V., Tyukhmenev E.A., Pereverzev A.P., Dudinskaya E.N. Clinical guidelines on frailty. Russian Journal of Geriatric Medicine. 2020;(1):11–46. (In Russian). DOI: 10.37586/2686-8636-1-2020-11-46

2. Cruz-Jentoft A.J., Bahat, G., Bauer J., Boirie Y., Bruyère O., Cederholm T. et al., Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2 (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and ageing. 2019;48(1):16–31. DOI: 10.1093/ageing/afy169

3. Bocharova KA, Rukavishnikova SA, Osipov KV, et al. Sarcopenia in the longterm care system. Current Problems of Health Care and Medical Statistics. 2021;2:12–26 (In Russian). DOI:10.24412/2312-2935-2021-2-12-26

4. Gomes M.J., Martinez P.F., Pagan L.U., Damatto R.L., Cezar M.D.M., Lima A.R.R., Okoshi K., Okoshi M.P. Skeletal muscle aging: influence of oxidative stress and physical exercise. Oncotarget. 2017;8 (12):20428–40. DOI: 10.18632/onco-target.14670

5. Melouane A., Ghanemi A., Yoshioka M., St-Amand J. Functional genomics applications and therapeutic implications in sarcopenia. Mutation Researh. 2019;781:175–85. DOI: 10.1016/j.mrrev.2019.04.003

6. Sgrò P., Sansone M., Sansone A., Sabatini S., Borrione P., Romanelli F., Di Luigi L. Physical exercise, nutrition and hormones: three pillars to fight sarcopenia. The aging male: the official journal of the International Society for the Study of the Aging Male, 2019;22(2):75– 88. DOI: 10.1080/13685538.2018.1439004

7. Khanal P., He L., Stebbings G., Onambele-Pearson G.L., Degens H., Williams A., Thomis M., Morse C.I. Prevalence and association of single nucleotide polymorphisms with sarcopenia in older women depends on definition. Scientific reports. 2020;19;10(1):2913. doi: 10.1038/s41598-020-59722-9

8. Verkhoturova S.V., Tsarenok S.U., Gorbunov V.V., Aksenova T.A. Polymorphism of some genes of bone tissue metabolism (VDR Bsm1 c.IVS7G>A, LCT 13910 T>C, COL1A 12046 G->T) among the representatives of Russian and Buryat nationalities. Osteoporosis and Bone Diseases. 2017;20(1):3–6. (In Russian). DOI: 10.14341/osteo201713-6

9. GWAS Catalog — EMBL-EBI. [Электронный ресурс] URL: https://www.ebi.ac.uk/gwas/ (дата обращения — ноябрь 2019 г.)

10. DisGeNET Database 6.0. [Электронный ресурс] URL: https://www.disgenet.org/ (дата обращения — январь 2020 г.).

11. McConell G.K., Rattigan S., Lee-Young R.S., Wadley G.D., Merry T.L. Skeletal muscle nitric oxide signaling and exercise: a focus on glucose metabolism. American journal of physiology. Endocrinology and metabolism, 2012;303(3):E301–E307. DOI: 10.1152/ajpendo.00667.2011

12. Zmijewski P., Cięszczyk P., Ahmetov I.I., Gronek P., LulińskaKuklik E., Dornowski M. et al. The NOS3 G894T (rs1799983) and -786T/C (rs2070744) polymorphisms are associated with elite swimmer status. Biology of sport. 2018;35(4)”313–319. DOI: 10.5114/biolsport.2018.76528

13. Weyerstraß J., Stewart K., Wesselius A., Zeegers M. Nine genetic polymorphisms associated with power athlete status — A MetaAnalysis. Journal of science and medicine in sport. 2018;21(2):213– 220. DOI: 10.1016/j.jsams.2017.06.012

14. Ferrari S.L., Ahn-Luong L., Garnero P., Humphries S.E., Greenspan S.L. Two promoter polymorphisms regulating interleukin-6 gene expression are associated with circulating levels of C-reactive protein and markers of bone resorption in postmenopausal women. The Journal of clinical endocrinology and metabolism, 2003;88(1):255–259. DOI: 10.1210/jc.2002-020092

15. Serrano A.L., Baeza-Raja B., Perdiguero E., Jardí M., MuñozCánoves P. Interleukin-6 is an essential regulator of satellite cell-mediated skeletal muscle hypertrophy. Cell metabolism, 2008;7(1):33–44. DOI: 10.1016/j.cmet.2007.11.011

16. Salminen A., Huuskonen J., Ojala J., Kauppinen A., Kaarniranta K., Suuronen T. Activation of innate immunity system during aging: NF-kB signaling is the molecular culprit of inflamm-aging. Ageing research reviews. 2008;7(2):83–105. DOI: 10.1016/j.arr.2007.09.002

17. Kovalev V.V., Kudryavtseva E.V., Milyaeva N.M. Belomestnov S.R. Great obstetric syndromes: “gordian knot” of genetic networks. Ural Medical Journal. 2018;13(168):40–47. (In Russian). DOI 10.25694/URMJ.2018.13.45

18. De Giuseppe R., Tomasinell, C.E., Vincenti A., Di Napoli I., Negro M., & Cena H. Sarcopenia and homocysteine: is there a possible association in the elderly? A narrative review. Nutrition research reviews. 2022;35(1):98–111. DOI: 10.1017/S095442242100010X

19. Urzi F, Pokorny B, Buzan E. Pilot Study on Genetic Associations With Age-Related Sarcopenia. Frontiers in genetics. 2021;11:615238. DOI: 10.3389/fgene.2020.615238

20. Khanal P., Williams A.G., He L. et al. Sarcopenia, obesity, and sarcopenic obesity: relationship with skeletal muscle phenotypes and single nucleotide polymorphisms. Journal of clinical medicine. 2021;10(21):4933. DOI: 10.3390/jcm10214933

21. Zarebska A., Ahmetov I.I., Sawczyn S., Weiner A.S., Kaczmarczyk M., Ficek K.et al. Association of the MTHFR 1298A>C (rs1801131) polymorphism with speed and strength sports in Russian and Polish athletes. Journal of sports sciences. 2014;32(4):375–382. DOI: 10.1080/02640414.2013.825731

22. Kokh N.V., Slepukhina A.A., Lifshits G.I. Folate cycle: review and practical recommendations for the interpretation of genetic tests. Medical Genetics. 2015;14(11):3–8. (In Russian). DOI: 10.1234/XXXXXXXX-2015-11-3-8

23. Li W.X., Cheng F., Zhang A.J., Dai S.X., Li G.H., Lv W.W. et al. Folate deficiency and gene polymorphisms of MTHFR, MTR and MTRR elevate the hyperhomocysteinemia risk. Clinical laboratory.2017;63(3):523–533. DOI: 10.7754/Clin.Lab.2016.160917

24. Walsh S., Ludlow A.T., Metter E.J., Ferrucci L., Roth S.M. Replication study of the vitamin D receptor (VDR) genotype association with skeletal muscle traits and sarcopenia. Aging Clinical and Experimental Research. 2016;28 (3):435–42. DOI: 10.1007/s40520-015-0447-8

25. Kudryavtseva E.V., Berezina D.A., Kornilov D.O., Simarzina V.M., Tryapitsyn M.A., Bekhter A.A., Kovalev V.V., Zornikov D.L. Some molecular genetic determinants of premature aging of women. Consilium Medicum. 2024;26(12):809– 814. (In Russian). DOI: 10.26442/20751753.2024.12.20297

26. Yao X., Yang L., Li M., Xiao H. Relationship of vitamin D receptor gene polymorphism with sarcopenia and muscle traits based on propensity score matching. Journal of clinical laboratory analysis. 2020; 4(11):e23485. DOI: 10.1002/jcla.23485

27. Garatachea N., Lucía A. Genes and the ageing muscle: a review on genetic association studies. Age (Dordrecht, Netherlands). 2013;35(1):207–233. DOI: 10.1007/s11357-011-9327-0

28. Karasik D., Zhou Y., Cupples,L.A., Hannan M.., Kiel, D.P., Demissie S. Bivariate genome-wide linkage analysis of femoral bone traits and leg lean mass: Framingham study. Journal of bone and mineral research: the official journal of the American Society for Bone and Mineral Research. 2009;24(4):710–718. DOI: 10.1359/jbmr.081222

29. Khanal P., He L., Herbert A.J., Stebbings G.K., OnambelePearson G.L., Degens H. et al. The association of multiple gene variants with ageing skeletal muscle phenotypes in elderly women. Genes (Basel). 2020;11(12):1459. DOI: 10.3390/genes11121459

30. Kucher A.N. Molecular and genetic markers of sarkopenia. Molekulyarnaya meditsina. 2021;19(1):17–29 (In Russian). DOI: 10.29296/24999490-2021-01-03


Review

For citations:


Ispavskaya K.S., Izmozherova N.V., Popov A.A., Pashkina I.A., Kudryavtseva E.V., Zornikov D.L., Shambatov M.A., Ermakov V.S., Kravchuk V.N., Dalinin V.V. The role of the genetic factor in the development of sarcopenia. Clinical Medicine (Russian Journal). 2025;103(12):913-920. (In Russ.) https://doi.org/10.30629/0023-2149-2025-103-12-913-920

Views: 303

JATS XML

ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)