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Matrix metalloproteinase-9 gene polymorphisms in nasal polyposis
Ling-Feng Wang1, Chen-Yu Chien, Chih-Feng Tai
1Department of Medical Genetics, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Background:
Matrix metalloproteinase (MMP) is involved in the upper airway remodeling process. We hypothesized that genetic variants of the MMP-9 gene are associated with cases of chronic rhinosinusitis with nasal polyposis.
Methods:
We conducted a case-control study where 203 cases of chronic rhinosinusitis with nasal polyposis and 730 controls were enrolled. Three tagging single nucleotide polymorphisms (SNPs) and one promoter functional SNP rs3918242 were selected. Hardy-Weinberg equilibrium (HWE) was tested for each SNP, and genetic effects were evaluated according to three inheritance modes. Haplotype analysis was also performed. Permutation was used to adjust for multiple testing.
Results:
All four SNPs were in HWE. The T allele of promoter SNP rs3918242 was associated with chronic rhinosinusitis with nasal polyposis under the dominant (nominal p = 0.023, empirical p = 0.022, OR = 1.62) and additive models (nominal p= 0.012, empirical p = 0.011, OR = 1.60). The A allele of rs2274756 has a nominal p value of 0.034 under the dominant model and 0.020 under the additive model. Haplotype analysis including the four SNPs showed a global p value of 0.015 and the most significant haplotype had a p value of 0.0045. We did not see any SNP that was more significant in the recurrent cases.
Conclusions:
We concluded that MMP-9 gene polymorphisms may influence susceptibility to the development of chronic rhinosinusitis with nasal polyposis in Chinese population.
Insights
Genetic variants in the matrix metalloproteinase-9 (MMP-9) gene may increase the risk of developing chronic rhinosinusitis with nasal polyposis. This study found specific MMP-9 gene polymorphisms associated with this condition in a Chinese population.
Area of Science:
- Genetics
- Immunology
- Otolaryngology
Background:
- Matrix metalloproteinase (MMP) plays a role in upper airway remodeling.
- Chronic rhinosinusitis with nasal polyposis (CRSwNP) involves upper airway remodeling.
- The MMP-9 gene's role in CRSwNP susceptibility is not fully understood.
Purpose of the Study:
- To investigate the association between genetic variants of the MMP-9 gene and CRSwNP.
- To identify specific MMP-9 gene polymorphisms that may influence susceptibility to CRSwNP.
Main Methods:
- A case-control study was conducted with 203 CRSwNP cases and 730 controls.
- Four single nucleotide polymorphisms (SNPs) in the MMP-9 gene were genotyped.
- Statistical analyses included Hardy-Weinberg equilibrium testing, inheritance model evaluation, and haplotype analysis.
Main Results:
- The T allele of the promoter SNP rs3918242 was significantly associated with CRSwNP under dominant and additive models (p < 0.023).
- SNP rs2274756 also showed associations with CRSwNP under dominant and additive models (p < 0.034).
- Haplotype analysis revealed a significant global p-value (0.015), indicating an overall association between MMP-9 haplotypes and CRSwNP.
Conclusions:
- MMP-9 gene polymorphisms may contribute to the susceptibility of developing chronic rhinosinusitis with nasal polyposis.
- Specific MMP-9 SNPs and haplotypes are associated with CRSwNP in the studied Chinese population.
- Further research is warranted to elucidate the precise mechanisms.
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Single Nucleotide Polymorphisms-SNPs
