Objective-To search for genetic association between microsatellite mar
ker loci and sibling pairs with nodal osteoarthritis (NOA). Methods-Us
ing the affected sibling pair method of analysis, genomic DNA from 66
sib pairs with NOA was analysed for association with highly polymorphi
c microsatellite marker loci. The microsatellite markers were amplifie
d using polymerase chain reaction and typed on polyacrylamide gels. Re
sults-A significant association (p < 0.05) was identified between NOA
and two loci on the short arm of chromosome 2 (2q 23-35). Candidate ge
nes for osteoarthritis in this region include: fibronectin, a glycopro
tein present in the extracellular matrix of normal cartilage; the alph
a 2 chain of collagen type V, a major constituent of bone; and the int
erleukin-8 receptor, important in the regulation of neutrophil activat
ion and chemotaxis. Conclusions-The chromosomal region 2q 23-35 requir
es further detailed study in NOA. Confirmation of these findings in la
rge independent data sets and further analysis of candidate genes in t
his region will be important in unravelling the molecular basis for th
is common disease.