Anterior cruciate ligament injuries (ACLIs) are one of the most common knee injuries in sports. Although numerous factors have been related to the risk of ACLIs, it is still unclear why some individuals are more susceptible than others due to the intricate etiology of ACLIs. Several genetic factors have been identified as contributing to ACLIs. This systematic review summarizes the current evidence regarding the genetic causes of ACLIs based on the available literature. Five electronic databases were searched from 2017 to 2022. All titles, abstracts, and full texts were reviewed in detail to determine the inclusions and exclusions. The Newcastle-Ottawa Scale was used to evaluate the risk of bias. The studies' characteristics and results are presented in both narrative and tabular formats. A total of 24 studies examined 31 genes and 62 variants associated with ACLIs in the global population. Ten studies investigated seven collagens and ten SNPs for the ACL injury. The majority of studies found no significant difference in the association of the COL1A1 rs1800012, COL5A1 rs12722, VEGFA rs1570360, IL6R rs2228145, IL6 rs1800795, IL1B rs16944 and rs1143627, however, contrary results were found when nationality and gender were considered together. Conflicting evidence was found for polymorphisms rs2010963, rs699947 of the VEGFA gene in different studies. Due to a lack of data, it was impossible to determine the relationship between the anterior cruciate ligament rupture (ACLR) and the other polymorphisms. More research is required to establish a clear relationship between the ACLR and genetic variants, particularly when gender and nationality are taken into account separately.

Objective: To study the changes in urine metabolism in female water polo players before and after high-intensity training by using ultra-high performance liquid chromatography-mass spectrometry, and to explore the biometabolic characteristics of urine after training and competition. Methods: Twelve young female water polo players (except goalkeepers) from Shanxi Province were selected. A 4-week formal training was started after 1 week of acclimatization according to experimental requirements. Urine samples (5 mL) were collected before formal training, early morning after 4 weeks of training, and immediately after 4 weeks of training matches, and labeled as T1, T2, and T3, respectively. The samples were tested by LC-MS after pre-treatment. XCMS, SIMCA-P 14.1, and SPSS16.0 were used to process the data and identify differential metabolites. Results: On comparing the immediate post-competition period with the pre-training period (T3 vs. T1), 24 differential metabolites involved in 16 metabolic pathways were identified, among which niacin and niacinamide metabolism and purine metabolism were potential post-competition urinary metabolic pathways in the untrained state of the athletes. On comparing the immediate post-competition period with the post-training period (T3 vs. T2), 10 metabolites involved in three metabolic pathways were identified, among which niacin and niacinamide metabolism was a potential target urinary metabolic pathway for the athletes after training. Niacinamide, 1-methylnicotinamide, 2-pyridone, L-Gln, AMP, and Hx were involved in two metabolic pathways before and after the training. Conclusion: Differential changes in urine after water polo games are due to changes in the metabolic pathways of niacin and niacinamide.

Understanding the risk factors and etiology of ACL ruptures (anterior cruciate ligament) is crucial due to the injury’s high occurrence, significant financial cost to the healthcare sector, and clinical consequences. In this study, we investigated the hypothesis that rs11784270 A/C and rs6577958 C/T SNPs (single gene polymorphism) within COL22A1 are associated with ACL ruptures (ACLR) in Polish soccer players. Methods: 228 athletes with ACLR (157 male, age 26 ± 4, 71 female, age 26 ± 6) and 202 control athletes (117 male, age 26 ± 6, 85 female, age 29 ± 2) engaged in the study. The buccal cell swabs were genotyped using TaqMan^® pre-designed SNP genotyping assays, following the manufacturer’s recommendations. The R program and SNPassoc package were used to determine the genotype and allele frequency distributions under the various inheritance models (co-dominant, dominant, recessive, and over-dominant). Further, p-values of <0.05 were considered statistically significant. We found no association between the analyzed polymorphisms and the risk of non-contact ACL ruptures in any of the studied models. Although the genetic variants investigated in this study were not associated with the risk of non-contact ACL ruptures, we assumed that the COL22A1 gene remains a candidate for further investigations in musculoskeletal injuries.

Introduction: Sports injuries are the most common cause of anterior cruciate ligament (ACL) ruptures. Previous research has demonstrated links between some of the COL27A1 and COL11A1 genetic variants and musculoskeletal soft tissue injuries. However, no previous research has investigated the COL27A1 rs1570460 and the COL11A1 rs3753841 in the context of ACL rupture in any population. Thus, our study aimed to assess the association between specific single nucleotide polymorphisms (SNPs), i.e., COL27A1 rs946053 and COL11A1 rs3753841, and the occurrence of ACL injury (ACL-I) in a cohort of Polish athletes. Methods: The study enrolled 233 athletes with ACL-I (161 males and 71 females) and 228 healthy control athletes (143 males and 85 females) with no prior ACL-I history. Genotyping was conducted to assess the presence of COL27A1 rs946053 and COL11A1 rs3753841 genetic variants. Statistical analyses were performed using the R programming environment and package, and an association between SNPs and ACL-I was tested in four genetic models: dominant, co-dominant recessive, and over-dominant. Results: All the analyzed polymorphisms conformed to Hardy-Weinberg equilibrium (HWE). The study revealed no significant differences between the ACL-I and control groups. Conclusions: Despite the absence of significant associations between the investigated SNPs and ACL-I in this study, our findings highlight the importance of continued research to unravel the precise genetic risk mechanisms and etiological factors contributing to ACL-I.

Purpose: In this study, proton nuclear magnetic resonance (1H NMR) spectroscopy was used to evaluate the effect of astaxanthin (ASTA) supplementation on changes in human plasma elicited by high-intensity exercise. Methods: Sixteen adult males were randomly divided into 2 groups (n = 8 per group), namely the control group C (placebo for 28 d, 4 weeks) and experimental group M (supplement medium dose ASTA: 12 mg/d for 28 d, 4 weeks). At 08:00 on the 29th day, fasting blood sampling was carried out on all the participants, and the samples were tested in the laboratory for the first time. Later, the participants performed acute exercise on a pedal-powered bicycle with full strength for 30 s × 3/3 min intervals (loading a weight of 0.075 kg/kg). Blood sampling was then respectively performed immediately, 1 h after the acute exercise, and 1 d after the acute exercise. Results: (1) The metabolites of the subjects of the two groups were found to be diverse at different time points, and 34 types of metabolites were screened from the two groups. (2) The metabolites with differences between the two groups 1 h after exercise were β-hydroxybutyrate, creatine, and glycerol. The levels of β-hydroxybutyric acid and glycerol in group M were significantly lower than those in group C, while the level of creatine was significantly higher. Compared with the resting state 1 h after exercise, the metabolites in common between the two groups were leucine (Leu), valine (Val), and citric acid (CA), and their levels were significantly decreased. (3) During the period between 1 h and 1 d after exercise, the different metabolites between the two groups were methionine (Met) and glycerol. The glycerol levels of group M were significantly lower than those of group C, while the levels of Met were significantly higher. The co-metabolites of the subjects in groups C and M 1 d after exercise were creatine, glucose, and glycerol, the levels of which were all significantly increased. Conclusions: (1) One hour after exercise, the consumption of creatine, amino acids, fatty acids, and CA was found to be obvious, and ASTA intake was conducive to their recovery. (2) After high-intensity exercise, changes occurred in the body's energy metabolism that involved the metabolism of glucose, lipids, and proteins, and basic recovery was found 1 d after exercise. The findings of this study suggest that ASTA intake can accelerate metabolic recovery induced by physical exercise.