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Matrix metalloproteinase 9 gene haplotypes affect left ventricular hypertrophy in hypertensive patients
Riccardo Lacchini1, Anna L B Jacob-Ferreira, Marcelo R Luizon
1Department of Pharmacology, Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil.
Insights
Genetic variations in the matrix metalloproteinase-9 (MMP-9) gene are linked to hypertension and cardiac remodeling. Specific MMP-9 gene polymorphisms influence left ventricular remodeling in hypertensive individuals.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Hypertension Research
Background:
- Matrix metalloproteinases (MMPs) play a role in cardiac remodeling.
- Genetic polymorphisms in MMP genes can have functional consequences.
- Investigating MMP-9 genetic variations in hypertension and left ventricular remodeling is crucial.
Purpose of the Study:
- To determine the association between MMP-9 genetic polymorphisms and hypertension.
- To assess the impact of MMP-9 genetic polymorphisms on left ventricular remodeling in hypertensive patients.
Main Methods:
- Study included 173 hypertensive patients and 137 healthy controls.
- Analyzed MMP-9 polymorphisms: C(-1562)T, -90 (CA)(14-24), and Q279R.
- Used Haplo.stats and linear regression for association and effect analyses on LV remodeling parameters.
Main Results:
- The MMP-9 -90 (CA)(14-24) "HH" genotype was associated with hypertension (P=0.0085).
- One MMP-9 haplotype ("C, H, Q") showed a protective effect against left ventricular mass index (LVMI) and end-diastolic diameter increases (P=0.0490, P=0.0367).
- Another MMP-9 haplotype ("T, H, Q") demonstrated detrimental effects on LVMI and end-diastolic diameter (P=0.0015, P=0.0057).
Conclusions:
- MMP-9 gene polymorphisms may influence susceptibility to left ventricular remodeling in hypertensive patients.
- Further research is needed to explore the clinical implications of these MMP-9 polymorphisms in hypertension.
Background:
Matrix metalloproteinases (MMPs) are involved in cardiac remodeling and are encoded by genes showing genetic polymorphisms that have functional implications. We examined whether MMP-9 genetic polymorphisms are associated with hypertension and with left ventricular (LV) remodeling in hypertensive patients.
Methods:
We studied 173 hypertensive patients and 137 age, race and gender matched healthy controls. Heart echocardiography was performed in all patients and the following MMP-9 genetic polymorphisms were analyzed: C(-1562)T (rs3918242), -90 (CA)(14-24) (rs2234681) and Q279R (rs17576). Haplo.stats analysis was used to assess whether MMP-9 haplotypes are associated with hypertension. Linear regression analysis was performed to assess whether MMP-9 haplotypes affect LV mass index (LVMI) and other echocardiography parameters.
Results:
MMP-9 -90 (CA)(14-24) "HH" genotype (H allele defined by number of CA repeats ≥21) was associated with hypertension (P=0.0085; OR=2.321, 95% confidence interval=1.250 to 4.309). While one MMP-9 haplotype ("C, H, Q") protects against LVMI and end-diastolic diameter increases due to remodeling (P=0.0490 and P=0.0367), another MMP-9 haplotype apparently has detrimental effects over both parameters in hypertensive patients ("T, H, Q", P=0.0015 and P=0.0057, respectively).
Conclusion:
Genetic polymorphisms in MMP-9 gene may modify the susceptibility of hypertensive patients to LV remodeling. Further studies are necessary to examine whether these polymorphisms affect clinical events in hypertensive patients.
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