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Association of the MMP-3 5A/6A gene polymorphism with multiple sclerosis in patients from Serbia
Tamara Djurić1, Maja Zivković, Aleksandra Stanković
1Laboratory of Radiobiology and Molecular Genetics, Vinca Institute of Nuclear Sciences, 11000 Belgrade, Serbia. tamariska@vin.bg.ac.yu
Abstract:
Matrix metalloproteinases (MMPs) are proteolytic enzymes involved in remodeling of the extracellular matrix. MMPs are suggested to play a role in the influx of inflammatory cells into the CNS, disruption of the blood brain barrier, and to degrade myelin in vitro. In this study, we have investigated the possible association of MMP-3 5A/6A gene polymorphism with MS susceptibility and/or severity in patients from Serbia. A total of 184 MS patients (150 RR, 34 SP) and 236 controls have been studied. Results show that the distribution of MMP-3 5A/6A genotype frequencies between MS patients and controls were not significantly different. In bout onset patients, carriers of MMP-3 6A/6A genotype had significantly higher mean MSSS values compared to the carriers of 5A allele (6.29+/-1.89 vs. 5.29+/-2.62, respectively, ANCOVA, p=0.01 Scheffe post-hoc test). In conclusion, our results indicate association of MMP-3 6A/6A genotype with significantly higher mean MSSS values. Thus, the obtained results suggest that it should be carefully considered during follow up of patients with MS. Further genetic and functional studies are needed to resolve the complex role of MMPs and their tissue inhibitors in MS pathology and/or regeneration.
Insights
The MMP-3 6A/6A genotype is linked to increased Multiple Sclerosis Severity Score (MSSS) in Serbian patients. This finding suggests a potential role for MMP-3 in MS progression and warrants consideration in patient follow-up.
Area of Science:
- Neuroimmunology
- Genetics
- Biochemistry
Background:
- Matrix metalloproteinases (MMPs) are enzymes crucial for extracellular matrix remodeling.
- MMPs are implicated in central nervous system (CNS) inflammation, blood-brain barrier disruption, and myelin degradation.
- The specific role of MMP-3 gene polymorphism in Multiple Sclerosis (MS) susceptibility and severity requires further investigation.
Purpose of the Study:
- To investigate the association between the MMP-3 5A/6A gene polymorphism and susceptibility or severity of MS in a Serbian cohort.
- To analyze genotype frequencies in MS patients and healthy controls.
- To evaluate the correlation between MMP-3 genotypes and clinical parameters like the Multiple Sclerosis Severity Score (MSSS).
Main Methods:
- Genotyping of the MMP-3 5A/6A polymorphism in 184 MS patients (150 RRMS, 34 SPMS) and 236 controls from Serbia.
- Statistical analysis to compare genotype distributions between cases and controls.
- Analysis of MSSS values in relation to MMP-3 genotypes in patients with bout onset MS.
Main Results:
- No significant difference in MMP-3 5A/6A genotype frequencies was observed between MS patients and controls.
- Patients with the MMP-3 6A/6A genotype exhibited significantly higher mean MSSS values compared to carriers of the 5A allele in bout onset MS.
- Statistical significance was confirmed using ANCOVA and Scheffe post-hoc tests (p=0.01).
Conclusions:
- The MMP-3 6A/6A genotype is associated with increased disease severity in MS patients, as indicated by higher MSSS values.
- These findings suggest that MMP-3 polymorphism may influence MS progression and should be considered in patient management.
- Further research into the complex roles of MMPs and their inhibitors in MS pathology and potential regeneration is warranted.
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