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Matrix metalloproteinase-9 polymorphism contributes to blood pressure and arterial stiffness in essential
1Department of Pharmacology and Therapeutics, Trinity College Dublin, Dublin, Ireland.
Insights
The matrix metalloproteinase (MMP)-9 gene polymorphism -1562C>T influences blood pressure and arterial stiffness in hypertensive patients. T-allele carriers show higher blood pressure and stiffness, indicating increased cardiovascular risk.
Area of Science:
- Cardiovascular Genetics
- Hypertension Research
- Biomarkers of Cardiovascular Disease
Background:
- Arterial stiffness is a key predictor of cardiovascular events in hypertension.
- Serum matrix metalloproteinase (MMP)-9 levels correlate with arterial stiffness and cardiovascular risk.
- The specific role of MMP-9 gene polymorphisms in hypertension and arterial stiffness requires further investigation.
Purpose of the Study:
- To investigate the impact of the MMP-9 -1562C>T polymorphism on blood pressure and arterial stiffness.
- To assess the association between MMP-9 gene variants and cardiovascular risk markers in newly diagnosed hypertensive individuals.
- To determine if MMP-9 polymorphism is an independent predictor of blood pressure and arterial stiffness.
Main Methods:
- Studied 215 untreated hypertensive patients, assessing supine blood pressure, carotid-femoral pulse wave velocity (PWV), and augmentation index.
- Measured serum biochemistry and plasma MMP-9 concentrations.
- Performed genotyping for the MMP-9 -1562C>T polymorphism after genomic DNA extraction.
Main Results:
- T-allele carriers of the MMP-9 -1562C>T polymorphism exhibited significantly higher blood pressure, aortic PWV, and serum MMP-9 levels.
- A significant gene-dose effect was observed for these parameters.
- The 1562C>T polymorphism independently predicted systolic BP (R(2)=0.25), diastolic BP (R(2)=0.16), and PWV (R(2)=0.47).
Conclusions:
- This study demonstrates the influence of the MMP-9 -1562C>T polymorphism on blood pressure and aortic stiffness in a hypertensive population.
- Hypertensive patients with the T allele may face a heightened risk of cardiovascular events.
- The MMP-9 -1562C>T polymorphism is a significant independent predictor of blood pressure and arterial stiffness in this cohort.
Abstract:
Arterial stiffness is an independent predictor of cardiovascular events in a hypertensive population. Serum levels of matrix metalloproteinase (MMP)-9 are associated with arterial stiffness and predict cardiovascular risk. We investigated the role of MMP-9 polymorphism -1562C>T on blood pressure (BP) and arterial stiffness in a newly diagnosed hypertensive population. Untreated hypertensive patients (n=215, mean age 46+/-13 years) were studied. Supine BP, carotid-femoral pulse wave velocity (PWV) and augmentation index were assessed. Serum biochemistry and plasma MMP-9 concentrations were measured and genotyping performed following extraction of genomic DNA. BP, aortic PWV and serum MMP-9 levels were significantly higher in T-allele carriers of the -1562C>T polymorphism with a significant gene-dose effect (P<0.0001). In a stepwise regression model adjusting for known or likely determinants, the 1562C>T polymorphism emerged as an independent predictor of systolic BP (R(2)=0.25, P<0.0001), diastolic BP (R(2)=0.16, P<0.0001) and PWV (R(2)=0.47,P<0.0001). This is the first study to show the effect of MMP-9 polymorphism on BP and aortic stiffness in a hypertensive population. These results suggest that hypertensive patients carrying the T allele may be at increased risk of cardiovascular events.
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