It was investigated whether radiographic osteoarthritis (ROA) is associated with specific
haplotypes of the COL2A1 gene. Radiographs of knees, hips, hands, and spine were scored for the
presence of ROA in subjects of 55–70 years from a population-based cohort study, the Rotterdam
study. Cases had ROA in 3 or more joint groups; controls, from the same population, had ROA in
less than 3 joint groups. Allele frequencies of 3 dimorphisms (HaeIII, HindIII, MaeII) and a VNTR
polymorphism of the COL2A1 gene were determined. The VNTR allele 14R2 and the HindIII
polymorphism showed a significant association. Haplotype analysis of the HaeIII, HindIII and
VNTR polymorphisms showed that a specific haplotype (1-2-14R2) is strongly associated with ROA
in 3 or more joint groups (OR = 5.3, 95% CI 2.3–12.7). Our results suggest that a specific haplotype
of the COL2A1 locus may predispose to generalised ROA.