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Published on: June 14, 2016
Common matrix metalloproteinase 2 gene haplotypes may modulate left ventricular remodelling in hypertensive patients
R Lacchini1, A L B Jacob-Ferreira, M R Luizon
1Department of Pharmacology, Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil.
Abstract:
Matrix metalloproteinases (MMPs) are involved in cardiac remodelling. We examined whether MMP-2 genetic polymorphisms are associated with hypertension and left ventricular (LV) remodelling in hypertensive patients. We studied 160 hypertensive patients and 123 healthy controls. Echocardiography was performed in all patients and the C(-1306)T (rs243865) and C(-735)T (rs 2285053) MMP-2 polymorphisms were analysed. Haplo.stats analysis was used to evaluate whether MMP-2 haplotypes are associated with hypertension and with extremes in LV mass index (LVMI). Multiple linear regression analysis was performed to assess whether MMP-2 genotypes or haplotypes affect LVMI and other echocardiography parameters. The C(-1306)T 'CC' genotype was associated with reduced LVMI and LV end-diastolic diameter (EDD) (P=0.0365 and P=0.0438, respectively). The haplotype 'C, C' was associated with reduced LVMI and EDD (P=0.0278 and P=0.0322, respectively). The comparison of upper and lower extremes of the LVMI phenotype showed that the 'C, C' haplotype was more common in the lower LVMI group (P=0.0060), whereas the 'T, C' haplotype was more common in the higher quartile of LVMI (P=0.0187), and this haplotype was associated with increased risk of higher LVMI values (odds ratio=3.5121, 95% confidence interval=1.3193-9.3494). The findings suggest that MMP-2 polymorphisms affect hypertension-induced LV remodelling.
Insights
Genetic variations in matrix metalloproteinase-2 (MMP-2) influence cardiac remodeling in hypertension. Specific MMP-2 gene polymorphisms are linked to reduced left ventricular mass and dimensions in hypertensive patients.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Hypertension Research
Background:
- Matrix metalloproteinases (MMPs), particularly MMP-2, play a crucial role in cardiac remodeling processes.
- Hypertension is a major risk factor for adverse cardiac remodeling, leading to increased left ventricular mass and dysfunction.
- Understanding the genetic underpinnings of cardiac remodeling in hypertension is essential for developing targeted therapies.
Purpose of the Study:
- To investigate the association between matrix metalloproteinase-2 (MMP-2) gene polymorphisms and hypertension.
- To determine if MMP-2 genetic variations are linked to left ventricular (LV) remodeling in hypertensive individuals.
- To explore the impact of MMP-2 genotypes and haplotypes on echocardiographic parameters of LV remodeling.
Main Methods:
- Study included 160 hypertensive patients and 123 healthy controls.
- Echocardiography was performed to assess left ventricular mass index (LVMI) and end-diastolic diameter (EDD).
- MMP-2 gene polymorphisms C(-1306)T (rs243865) and C(-735)T (rs 2285053) were analyzed, along with MMP-2 haplotypes using Haplo.stats.
Main Results:
- The 'CC' genotype at the C(-1306)T polymorphism was associated with reduced LVMI and LV end-diastolic diameter (P=0.0365 and P=0.0438).
- The 'C, C' MMP-2 haplotype correlated with decreased LVMI and EDD (P=0.0278 and P=0.0322).
- The 'T, C' haplotype was more prevalent in the highest quartile of LVMI (P=0.0187) and associated with an increased risk of higher LVMI (OR=3.5121).
Conclusions:
- MMP-2 gene polymorphisms significantly influence hypertension-induced left ventricular remodeling.
- Specific MMP-2 genotypes and haplotypes may serve as genetic markers for predicting the extent of cardiac remodeling in hypertensive patients.
- These findings highlight the role of MMP-2 in the pathophysiology of hypertensive heart disease.
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