Matrix metalloproteinase 9 genotype modulates asthma control in pediatric asthma patients

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Matrix metalloproteinases, particularly MMP9, play a pivotal role in asthma pathology by influencing extracellular matrix remodeling and inflammation. This study examined 100 Serbian pediatric asthma patients to explore the correlation between MMP9 3' UTR polymorphisms and MMP9 protein levels, and their impact on therapy response and asthma control. The analysis revealed two key polymorphisms (rs13925 and rs20544) in the MMP9 gene's 3'UTR, with higher frequencies of the rs20544 T allele and TT genotype in patients with well controlled asthma. Positive correlations were found between MMP9 serum levels and blood leukocyte count, and CRP levels. Patients with not well controlled disease exhibited significantly higher MMP9 levels than those with well controlled asthma (p=0.027), indicating MMP9's potential role in asthma therapy response.

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  • Research Article
  • Cite Count Icon 18
  • 10.1089/dna.2014.2511
High serum level of matrix metalloproteinase 9 and promoter polymorphism - 1562 C:T as a new risk factor for metabolic syndrome.
  • Sep 11, 2014
  • DNA and Cell Biology
  • Suraj S Yadav + 7 more

The altered matrix metalloproteinases (MMPs) have been suggested in the pathophysiology of metabolic syndrome (MetS). Genetic variants in the promoter region of MMP1 and MMP9 genes may modulate an individual's susceptibility to MetS. The aim of this study was to determine the frequency of MMP1 -519 A:G and MMP9 -1562 C:T polymorphisms and the correlation with serum levels of MMP1 and MMP9 in MetS susceptibility. On the basis of anthropometric profile and laboratory investigations, 180 confirmed MetS patients and 190 unrelated healthy controls of similar ethnicity were genotyped for MMP1 -519 A:G and MMP9-1562 C:T polymorphisms by using the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) methods. In addition, serum levels of MMP1 and MMP9 were quantified by ELISA. We found that the serum level of MMP9 was significantly higher in MetS patients. Variant genotype TT of MMP9 -1562 demonstrated increased risk (odds ratio [OR]=3.70, p=0.015) of MetS. Similarly, variant allele T (OR=1.77, p=0.002) and combined genotype CT+TT (OR=1.81, p=0.057) also showed a significantly higher risk. The CT and TT genotypes of MMP9 -1562 polymorphism contributed to high serum levels of MMP9 in MetS patients. However, no such association was observed with the MMP1 serum level and -519 A:G polymorphism. Our results suggest that a higher serum level of MMP9 in the presence of MMP9 polymorphism -1562 C:T might be a risk factor for the development of MetS. The MMP9 enzyme activity might be a significant indicator in the screening of MetS patients.

  • Research Article
  • Cite Count Icon 116
  • 10.1016/j.clinbiochem.2006.10.007
Rapid separation of serum does not avoid artificially higher matrix metalloproteinase (MMP)-9 levels in serum versus plasma
  • Oct 19, 2006
  • Clinical Biochemistry
  • Raquel F Gerlach + 3 more

Rapid separation of serum does not avoid artificially higher matrix metalloproteinase (MMP)-9 levels in serum versus plasma

  • Research Article
  • 10.15407/fz70.04.042
TaqI polymorphism of VDR gene in colorectal cancer and Crohn’s disease patients
  • Jun 14, 2024
  • Fiziolohichnyĭ zhurnal
  • M.R Lozynska + 5 more

To study the relation of TaqI polymorphism of VDR gene with age, sex and the disease phenotype in patients with colorectal cancer (CRC) and Crohn’s disease (CD) from western regions of Ukraine. Fifty six patients with CRC, 46 patients with CD and 65 control individuals were included in this research. Assessment of TaqI polymorphism was performed using PCR-RFLP method. The genotype-phenotype association for this polymorphism was analyzed. The frequency of tt genotype in patients with CRC is 0.107 and among the control group is 0.138, OR (95% CI 0.248-2.246). The ratio of genotypes TT:Tt:tt in patients with CRC and in control was 37.5%:51.8%:10.7% and 44.6%:41.6%:13.8%. In men with Tt genotype the average age of CRC onset was 57.6 ± 3.6 years, in women with TT genotypethe mean age of the disease onset was 54.5 ± 4.5 years. The frequency of tt genotype in the patients with CD is 0.217 and among the control group is 0.138, OR (95% CI 0.640–4.666). The Tt genotype was detected in a half of patients with CD and TT genotype was found more frequently in control.The ratio of genotypes in men and women with CD was 38.0%:38.0%:24.0% and 20.0%:60.0%:20.0%. Among patients with CD, who underwent surgery, 33.3% individuals were carriers of tt genotype. It was confirmed no statistically significant difference in the allele frequencies and genotype distributions of Taq1 mutation in patients with CRC and CD in comparison to control group. The ratio of men and women with Tt genotype by groups of B1-B3 forms of CD behaviour according to the Montreal classification is differs, in particular, women with Tt genotype are four times more likely to have the B1 form. A study of Taq1 mutation might contribute to the identification of the groups that are at the greatest risk of severe form of CD.

  • Research Article
  • 10.3760/cma.j.issn.1001-9030.2019.05.007
Inhibitory effect of ginsenoside Rg3 on vascular growth and expression of vascular endothelial growth factor and matrix metalloproteinase-9 in breast cancer rats
  • May 8, 2019
  • Chinese journal of experimental surgery
  • Hongtao Li + 3 more

Objective To explore the inhibitory effect of ginsenoside Rg3 on vascular growth and expression of vascular endothelial growth factor (VEGF) and matrix metalloproteinase (MMP)-9 in breast cancer rats. Methods The rat model of breast cancer was replicated. The successful rats were divided into model group, low dose group and high dose group according to the random number table method, 20 rats in each group, and 20 healthy rats were taken as blank control group. Rats in the blank control group and model group were given 0.5% sodium carboxymethyl cellulose solution by gavage, while those in the low-dose group and the high-dose group were given 0.5% sodium carboxymethyl cellulose solution containing ginsenoside Rg3. The volume, mass, tumor inhibition rate, microvessel density (MVD), expression of VEGF and MMP-9 were measured, and the serum levels of VEGF and MMP-9 were measured.Statisticalanalysis of data using the statistical product and service solutions 19.0 software. Results The tumor volume of model group, low dose group and high dose group were (4.83±0.66), (3.48±0.51), (1.58±0.23) cm3, and the mass of tumors were (5.17±0.59), (4.00±0.42), (2.09±0.26) g, respectively. The inhibition rates were 0.00%, 22.43%, 53.81%, respectively. The volume and mass of tumors in the low dose group and the high dose group were significantly smaller than those in the model group ( t=7.238, 20.795, 7.225, 21.364, P<0.05), the volume and mass of tumors in the high dose group were significantly smaller than those in the low dose group (t=15.188, 17.292, P<0.05), and the inhibition rate in the high dose group was significantly higher than that in the low dose group (X2=12.324, P<0.05). The MVDs in tumors and breast tissues of rats in blank control group, model group, low dose group and high dose group were (7.53±1.53), (23.52±4.21), (17.32±3.52) and (12.20±2.19), respectively. The serum levels of VEGF were (218.42±46.37), (435.67±83.21), (350.13±45.26), (278.58±30.56) mg/L, and the serum levels of MMP-9 were (230.52±32.56), (460.22±60.36), (330.73±51.57), (255.72±41.73) mg/L. The expression levels of VEGF protein in tissues were (0.23±0.09), (0.58±0.14), (0.46±0.12), (0.25±0.09). The expression levels of MMP-9 protein in tissues were (0.14±0.11), (0.82±0.22), (0.63±0.19), (0.46±0.20), respectively. MVD, VEGF and MMP-9 in the model group were significantly higher than those in the blank control group (t= 15.964, 9.405, 12.364P<0.05). MVD, VEGF and MMP-9 in the low-dose group and the high-dose group were significantly lower than those in the model group (t=5.053, 10.668, 2.910, 8.867, 2.923, 5.415, P<0.05). MVD, VEGF and MM-9 in the high-dose group were significantly lower than those in the low-dose group (t=5.523, 6.261, 2.755P<0.05). Serum levels of VEGF and MMP-9 in model group were significantly higher than those in blank control group (t=10.199, 14.978, P<0.05). Serum levels of VEGF and MMP-9 in low-dose group and high-dose group were significantly lower than those in model group (t=4.039, 7.925, 7.294, 12.463, P<0.05). Serum levels of VEGF and MMP-9 in high-dose group were significantly lower than those in low-dose group (t=5.859, 5.057, P<0.05). Conclusion Ginsenoside Rg3 can inhibit the growth of blood vessels and the expression of VEGF and MMP-9 in breast cancer model rats. Key words: Ginsenoside Rg3; Breast cancer; Rat; Vascular growth; Vascular endothelial growth factor; Matrix metalloproteinase-9

  • Research Article
  • Cite Count Icon 68
  • 10.1007/bf03256240
Relationship between Matrix Metalloproteinase 2 and Lung Cancer Progression
  • May 1, 2007
  • Molecular Diagnosis &amp; Therapy
  • Chun-Bao Guo + 5 more

Matrix metalloproteinases (MMPs) play an important role in several steps of cancer development. MMP2 and MMP9 have previously been implicated in lymphatic and vascular invasion of lung cancer; however, the expression and prognostic significance of MMP2 and MMP9 is not fully clarified. This study was designed to investigate the significance of MMP2 and MMP9 in lung cancer tissue or serum, and their correlation with lung cancer prognosis. Immunohistochemical analysis was performed to determine MMP2 and MMP9 staining in human nonsmall cell lung cancer (NSCLC). Serum MMP2 and MMP9 protein levels in patients after surgery were measured using the ELISA method. The correlation between MMP2 and MMP9 serum levels and clinicopathological features of NSCLC were analyzed by survival analysis. We also performed reverse transcriptase (RT)-PCR assays to detect messenger RNA (mRNA) expression to further confirm the activity of MMP2 and MMP9 in human lung cancer. Increased MMP2 immunostaining and MMP2 serum level correlated with advanced tumor stage and the presence of distant metastasis (Pearson's chi(2) test and ANOVA, p < 0.05). However, for MMP9, only serum level showed a correlation with advanced tumor stage. No significant correlation was observed between MMP2 or MMP9 immunostaining expression and tumor histologic features (Pearson's chi(2) test, p = 0.061 and p = 0.087, respectively). A high densitometry value of MMP2 and MMP9 PCR products (i.e. mRNA expression level) was related to poor differentiation grade, distant metastasis, and small cell carcinoma histologic type (ANOVA, p < 0.05). Our results suggest that MMP2 is a more sensitive predictor than MMP9 of lung cancer progression, metastasis, and survival. Serum MMP2 levels may be a valuable prognosis variable and could help to stratify lung cancer patients into low- and high-risk groups.

  • Research Article
  • 10.1007/s13193-022-01623-6
ERCC2 rs13181 Polymorphism Association with Glioma Risk: an Update Meta-Analysis.
  • Aug 18, 2022
  • Indian Journal of Surgical Oncology
  • Nader Salari + 8 more

Glioma is the most common type of primary brain tumour which accounts for about 30% of all brain and central nervous system tumours, and approximately 70% of adult malignant brain tumours. Numerous studies have been performed to assess the relationship between ERCC2 rs13181 polymorphism and the risk of glioma development, yet these findings of these studies are often inconsistent and contradictory. Therefore, the aim of this study is to conduct a systematic review and meta-analysis to assess the role of ERCC2 rs13181 in glioma developing. In this work, we have conducted a systematic review and meta-analysis. In order to collect the results of relevant studies on the association of ERCC2 rs13181 gene polymorphism with glioma, we initially searched the Scopus, Embase, Web of Science (WoS), PubMed, and ScienceDirect databases, without a lower time limit, and until June 2020. In order to analyse the eligible studies, the random effects model was used and the heterogeneity of the studies was investigated with the I 2 index. Data analysis was performed within the Comprehensive Meta-Analysis software (version 2). The total number of studies that focused on patients with glioma was 10. The odds ratio of GG vs TT genotype in patients with glioma based on meta-analysis was 1.08 (0.85-1.37: 95% confidence interval), which indicates the increasing effect of GG vs TT genotype by 0.08. The odds ratio of GG + TG vs TT genotype in patients with glioma was 1.22 (1.38-1.7: 95% confidence interval) based on meta-analysis, which indicates the increasing effect of GG + TG vs TT genotype as 0.22. The odds ratio of TG vs TT genotype in patients with glioma was 1.2 (0.38-1.4: 95% confidence interval), which shows the increasing effect of TG vs TT genotype by 0.2. The odds ratio of G vs T genotype in patients with glioma based on the meta-analysis was 1.15 (1.26-1.4: 95% confidence interval), which indicates the increasing effect of G vs T genotype by 0.15. The odds ratio of GG vs TG + TT genotype in patients with glioma based on meta-analysis was 1.22 (1.33-1.45: 95% confidence interval), which indicates the increasing effect of GG vs TG + TT genotype by 0.22. The results of this systematic review and meta-analysis show that ERCC2 rs13181 polymorphism and its genotypes are an important risk factor for genetic susceptibility to glioma tumour.

  • Research Article
  • Cite Count Icon 1
  • 10.5114/wo.2015.55421
Association between breast cancer and tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) gene 1595C/T SNP in a Pakistani population
  • Dec 8, 2015
  • Contemporary Oncology
  • Saima F Rehman + 6 more

Aim of the StudyTRAIL-mediated signalling has emerged as an extensively studied biological mechanism reported to differentially induce apoptosis in cancer cells. However, overwhelmingly increasing experimentally verified data is shedding light on resistance against TRAIL-induced apoptosis in cancer cells. Moreover, genetic and epigenetic mutations also exert effects on the functionality of TRAIL and its receptors. In this study we investigated the association between breast cancer and polymorphisms in tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) in a Pakistani Population.Material and methodsGenotyping for TRAIL gene 1595 C/T polymorphism was done for 363 breast cancer patients and 193 age- and sex-matched healthy controls. DNA was extracted using standard organic methods. PCR-RFLP analysis was done for C/T polymorphism at position 1595 in exon 5 of the TRAIL gene using site-specific primers and restriction enzyme. The results were statistically evaluated by SPSS14.ResultsIn this study, CC homozygotes were 46.3% in patients and 49.7% in controls, p = 0.729 with OR value 0.8705 (95% CI: 0.6137–1.2348). CT was statistically insignificant, p = 0.837 with OR value 0.9242 (95% CI: 0.6494–1.3154). However, the minor allele or risk allele genotype TT had a higher percentage among breast cancer patients (12.1%) than in the control group (6.7%). Since there was a statistically insignificant difference (p = 0.212, OR value 1.9098 with 95% CI 1.0019 to 3.6406) of TT genotype between the two groups, the contrastingly higher percentage of TT genotype in breast cancer patients seems to be a risk factor for the disease. Moreover, the frequency of minor allele T was also found to be higher in the patients (0.329) than in the controls (0.285).ConclusionsThe TRAIL gene 1595 C/T SNP has a contradictory role in cancer development in different populations. In our population group although the percentage of homozygous risk allele TT was higher in patients it was statistically non-significant. The raised T allele and TT genotype in patients may suggest its association with breast cancer in the Pakistani population.

  • Abstract
  • Cite Count Icon 1
  • 10.1182/blood.v116.21.1157.1157
Association of Interferon-Gamma +874(T/A) Single Nucleotide Polymorphism with Response to Immunosuppressive Therapy In Patients with Severe Aplastic Anemia.
  • Nov 19, 2010
  • Blood
  • Hong Chang + 4 more

Association of Interferon-Gamma +874(T/A) Single Nucleotide Polymorphism with Response to Immunosuppressive Therapy In Patients with Severe Aplastic Anemia.

  • Research Article
  • Cite Count Icon 4
  • 10.1111/resp.12049
Year in review 2012: Asthma and chronic obstructive pulmonary disease
  • Mar 21, 2013
  • Respirology
  • Ian A Yang + 3 more

Year in review 2012: Asthma and chronic obstructive pulmonary disease

  • Research Article
  • Cite Count Icon 12
  • 10.1159/000479210
The Relationship Between MMP-2 -1306C>T and MMP-9 -1562C>T Polymorphisms and the Risk and Prognosis of T-Cell Acute Lymphoblastic Leukemia in a Chinese Population: A Case-Control Study
  • Jan 1, 2017
  • Cellular Physiology and Biochemistry
  • Cong-Meng Lin + 8 more

Background: T-cell acute lymphoblastic leukemia (T-ALL) is a malignant hematological disease and is often accompanied by a variety of genetic abnormalities. Hence, our study aims to investigate the relationship between MMP-2 -1306C>T and MMP-9 -1562C>T polymorphisms and the risk and prognosis of T-ALL. Methods: From April 2009 to February 2011, a total of 376 T-ALL patients were chosen as the case group. Meanwhile, 352 healthy people who passed routine health examinations were selected as the control group. A polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay was used to detect the frequency of MMP-2 -1306C>T (rs243865) and MMP-9 -1562C>T (rs3918242) polymorphisms in the study subjects. The serum levels of MMP-2 and MMP-9 were detected using enzyme-linked immunosorbent assay (ELISA). A Kaplan-Meier analysis was employed to analyze the event-free survival (EFS) rates of the T-All patients with different MMP-2 and MMP-9 genotypes. A multivariate COX model was applied to analyze the relationship between MMP-2 and MMP-9 polymorphisms and the prognosis of T-ALL patients. A C-statistic and net reclassification index (NRI) was carried out to evaluate the predictive value of MMP-2 and MMP-9 gene polymorphisms using the Cox model. Results: Compared to the control group, the genotypic frequency of MMP-2 -1306C>T (CT + TT) and MMP-9 -1562C>T (CT + TT) in the case group was significantly higher. The serum level of MMP-9 was markedly elevated in T-ALL patients with the CT + TT genotype compared to patients with the CC genotype. The results of the Kaplan-Meier analysis showed that the median EFS was lower in T-ALL patients with the CT + TT genotype of MMP-9 -1562C>T compared to patients with the CC genotype. The results of a multivariate analysis using the Cox proportional hazard model indicated that the MMP-9 -1562C>T polymorphism was associated with the prognosis of T-ALL patients. Conclusion: These results indicated that MMP-2 -1306C/T and MMP-9 -1562C/T polymorphisms might be associated with an increased risk of T-ALL. The MMP-9 -1562C>T polymorphism may also be related to the prognosis of T-ALL patients.

  • Research Article
  • Cite Count Icon 16
  • 10.1007/s00380-008-1041-1
Association of the matrix metalloproteinase-3 (−439C/G) promoter polymorphism with Kawasaki disease in Korean children
  • Sep 1, 2008
  • Heart and Vessels
  • Young Mi Hong + 3 more

Kawasaki disease (KD) is a multisystemic vasculitis that often includes coronary artery involvement. The serum levels of matrix metalloproteinase (MMP)-3 and -9 are significantly elevated in KD patients, and polymorphisms in the genes encoding MMP-3 and MMP-9 have been associated with the susceptibility, severity, and progression of atherosclerosis and aneurysm. However, the association between MMP-3 gene polymorphisms and development of aneurysm is somewhat controversial in a number of diseases. Ninety-seven children with KD and 194 children with congenital heart disease (CHD) were included in this study. Echocardiography was used to examine all children in the KD group for coronary artery aneurysm. Genotyping of the MMP-3 (-439C/G) promoter polymorphism was performed using the single-base extension method, and serum MMP-3 levels were estimated using the sandwich enzyme immunoassay method. There was no significant difference in MMP-3 (-439C/G) genotypes between KD and control groups. There was no association between this MMP-3 polymorphism and development of coronary aneurysm in KD. Serum MMP-3 levels were significantly higher in KD patients compared to control subjects. Among the KD patients, serum MMP-3 levels were higher in children with genotypes CG+GG compared to the CC group, but this difference was not significant. Although further large-scale studies will be required to fully examine the relationship between MMP-3 gene polymorphisms and coronary artery lesions (CAL) in KD, the present findings suggest that while MMP-3 may play a role in the pathogenesis of KD, there is no apparent association between CAL and the MMP-3 (-439C/G) gene polymorphism in Korean children with KD.

  • Research Article
  • Cite Count Icon 38
  • 10.1016/j.jneuroim.2005.10.010
Serum levels of matrix metalloproteinase-9 and its tissue inhibitor (TIMP-1) in acute disseminated encephalomyelitis
  • Nov 29, 2005
  • Journal of Neuroimmunology
  • Takashi Ichiyama + 5 more

Serum levels of matrix metalloproteinase-9 and its tissue inhibitor (TIMP-1) in acute disseminated encephalomyelitis

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  • Research Article
  • Cite Count Icon 39
  • 10.7314/apjcp.2015.16.4.1327
Serum levels of MMP9 and MMP2 in patients with oral squamous cell carcinoma.
  • Mar 9, 2015
  • Asian Pacific Journal of Cancer Prevention
  • Alireza Lotfi + 5 more

Squamous cell carcinoma (SCC) is the most common cancer in the oral area. Matrix metalloproteinases (MMPs) and especially MMP-2 and MMP-9 are increased in malignancy and lymph node involvement in oral SCCs. We aimed to evaluate the serum levels of MMP-2 and MMP-9 in patients with oral SCC compared to normal subjects and their relation with clinicopathological findings. In this case control study, 20 patients with oral SCC and 20 healthy subjects were included and serum levels of MMP-2 and MMP-9 were compared between groups. Also, the correlation between these markers with clinicopathological findings including grade (T) and node (N) were evaluated. Patients with oral SCC had significantly higher serum levels of MMP-2 (p=0.01) and MMP-9 (p<0.001) compared to healthy subjects. With increase in grade T, MMP-2 was significantly increased (p=0.001), but in the MMP-9 case this was not significant (p=0.27). The levels of MMP-2 (p=0.002) and MMP-9 (p=0.01) in cases with lymph node involvement and that of MMP-2 in subjects with smoking history (p=0.001) were significantly high. There was significantly positive correlation between MMP-2 with grade T tumor (r=0.598, p=0.005), lymph node involvement (r=0.737, p<0.001) and smoking (r=0.674, p=0.001) and also between MMP-9 and lymph node involvement (r=0.474, p=0.03). Both markers are significantly increased in oral SCC compared to healthy subjects. However, MMP-2 was better for evaluating lymph node involvement and tumor grade.

  • Research Article
  • Cite Count Icon 9
  • 10.3980/j.issn.2222-3959.2011.04.05
Detection and comparison of matrix metalloproteinase in primary and recurrent pterygium fibroblasts.
  • Aug 18, 2011
  • International journal of ophthalmology
  • Meixia An + 2 more

To detect and compare the levels of matrix metalloproteinases (MMPs) secreted by primary and recurrent human pterygium fibroblasts (HPFs). Primary and recurrent HPFs as well as human conjunctival fibroblasts (HCF) were cultured in RPMI 1640 medium at the same conditions. The protein levels of MMP-1, MMP-3 and MMP-9 were determined by enzyme-linked immune sorbent assay (ELISA), respectively. 1) The protein level of MMP-1 in serum-free supernatant from cultured primary and recurrent HPFs was higher than that in normal HCFs (P<0.05); similarly, the protein level of MMP-1 in serum-free supernatant from cultured primary HPFs was higher than that in recurrent HCFs (P<0.05). 2) The protein level of MMP-3 in serum-free supernatant from cultured primary HPFs was higher than that in normal HCFs (P<0.05); meanwhile, the protein level of MMP-3 in serum-free supernatant from cultured recurrent HPFs was lower when compared with that in primary HPFs and normal HCFs (P<0.05). 3) MMP-9 was not detected in primary and recurrent HPFs in the conditioned medium. The protein levels of MMP-1 and MMP-3 in supernatant secreted by primary HPFs are different from recurrent HPFs. Different pathological mechanisms may exist between primary and recurrent pterygia.

  • Research Article
  • Cite Count Icon 13
  • 10.1007/s12012-021-09707-5
Association of Matrix Metalloproteinase-2 (MMP-2) and MMP-9 Promoter Polymorphisms, Their Serum Levels, and Activities with Coronary Artery Calcification (CAC) in an Iranian Population.
  • Nov 3, 2021
  • Cardiovascular Toxicology
  • Saeed Elahirad + 9 more

The serum levels and activity of matrix metalloproteinases (MMPs) are associated with the risk of coronary artery calcification (CAC). We sought to investigate the association between MMP-2 -1575G>A (rs243866) and MMP-9 -1562 C>T (rs3918242) SNPs with MMP-2 and MMP-9 serum levels and activity in individuals with CAC. One hundred and fifty-five cases with CAC and 155 healthy individuals as control group from West of Iran were included and frequency of genotypes and alleles of rs243866 and rs3918242 in MMP-2 and MMP-9 genes were determined using PCR-RFLP. We also investigated the serum levels of MMP-2 and MMP-9 and their activity using ELISA and gelatin zymography, respectively. Additionally, serum biochemical parameters including FBS (fasting blood sugar), urea, creatinine, cholesterol, triglyceride, HDL (high-density lipoprotein), LDL (low-density lipoprotein), calcium, and phosphorus as well as blood pressure (systolic blood pressure (SBP) and diastolic blood pressure (DBP)) were measured. Our results showed that both serum levels of MMP-2 and MMP-9 (P < 0.001) and their activity (P < 0.001) were higher in individuals with CAC when compared to the control group. Carrying A and T alleles in MMP-2 -1575G>A (rs243866) and MMP-9 -1562 C>T (rs3918242) SNPs, respectively, may predispose the individuals to CAC by acting as the risk factors. Serum levels and activity of MMP-2 and MMP-9 were found to be higher in CAC cases when compared to the healthy controls. Carriers of A allele in rs243866 SNP and T allele in rs3918242 SNP were shown to have higher MMP-2 and MMP-9 serum levels and activity that may result in increased ECM degradation and support the initiation and development of calcification.

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