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Variation in the matrix metalloproteinase-3, -7, -12 and -13 genes is associated with functional status in rheumatoid
S Ye1, N Patodi, K Walker-Bone
1Human Genetics Division, School of Medicine, University of Southampton, Southampton General Hospital, Southampton, UK. shu.Ye@soton.ac.uk
Abstract:
As matrix metalloproteinases (MMPs) play an important role in rheumatoid arthritis, we investigated whether variation in MMP genes was associated with functional disability in rheumatoid arthritis patients. A cohort of patients with seropositive rheumatoid arthritis were recruited and genotyped for the MMP1-1607 1G > 2G, MMP3-1612 5A > 6A, MMP7-153C > T, MMP7-181G > A, MMP12-82A > G and MMP13-77A > G polymorphisms. Genotypes were then analysed in relation to functional disability assessed by Steinbrocker index and Health Assessment Questionnaire (HAQ) score. We detected an association between the MMP13-77 A > G polymorphism and Steinbrocker index, with patients of the A/A genotype having higher score than patients of the A/G or G/G genotype (P = 0.005), and the association remained significant after adjusting for age, sex, erythrocyte sedimentation rate, presence of erosive disease, Ritchie score, prednisolone therapy and years of diagnosis (P = 0.003). We also observed a relationship of Steinbrocker index with the MMP3-1612 5A > 6A, MMP7-181 A > G and MMP12-82A > G polymorphisms (P = 0.082, P = 0.037 and P = 0.045). No association was detected between the MMP1-1607 1G > 2G and MMP7-153C > T polymorphisms and either Steinbrocker index or HAQ score. These results suggest that MMP3, MMP7, MMP12 and MMP13 genotypes may play a role in determining functional status of rheumatoid arthritis.
Insights
Genetic variations in matrix metalloproteinase (MMP) genes, specifically MMP3, MMP7, MMP12, and MMP13, are linked to functional disability in rheumatoid arthritis patients. These MMP genotypes may influence disease severity and patient outcomes.
Area of Science:
- Rheumatology and Genetics
- Molecular Biology and Disease Mechanisms
Background:
- Matrix metalloproteinases (MMPs) are implicated in the pathogenesis of rheumatoid arthritis (RA).
- Genetic polymorphisms in MMP genes may influence individual susceptibility and disease progression in RA.
Purpose of the Study:
- To investigate the association between variations in MMP gene polymorphisms and functional disability in patients with rheumatoid arthritis.
- To determine if specific MMP genotypes correlate with disease severity as assessed by clinical indices.
Main Methods:
- Genotyping of rheumatoid arthritis patients for specific polymorphisms in MMP1, MMP3, MMP7, MMP12, and MMP13 genes.
- Assessment of functional disability using the Steinbrocker index and Health Assessment Questionnaire (HAQ) score.
- Statistical analysis to identify correlations between MMP genotypes and functional status, adjusting for clinical covariates.
Main Results:
- A significant association was found between the MMP13-77 A > G polymorphism and the Steinbrocker index, with the A/A genotype linked to higher disability scores (P = 0.003 after adjustment).
- Relationships were also observed between functional status and polymorphisms in MMP3 (5A > 6A), MMP7 (181G > A), and MMP12 (82A > G).
- No significant associations were detected for MMP1 (1607 1G > 2G) or MMP7 (153C > T) polymorphisms with functional disability measures.
Conclusions:
- MMP3, MMP7, MMP12, and MMP13 genotypes may contribute to determining the functional status of rheumatoid arthritis patients.
- These genetic variations could serve as potential biomarkers for predicting disease progression and functional outcomes in RA.
- Further research is warranted to elucidate the precise mechanisms by which these MMP gene variations impact rheumatoid arthritis pathophysiology.
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