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Matrix metalloproteinase-3 gene polymorphisms are associated with ischemic stroke
Su Kang Kim1, Sung Wook Kang, Dong Hwan Kim
1Kohwang Medical Research Institute, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Abstract:
Stroke is a heterogeneous disease caused by different pathogenic mechanisms. Several candidate genes for stroke have been proposed, but few have been replicated. Matrix metalloproteinases (MMPs) are expressed following stroke. We investigated the association of single nucleotide polymorphisms (SNPs) of the MMP3 gene with stroke in the Korean population. This study included 186 stroke patients [116 ischemic stroke (IS) and 70 intracerebral hemorrhage (ICH)] and 668 age-matched control subjects (267 for IS and 401 for ICH). Three SNPs [rs520540 (Ala362Ala), rs602128 (Asp96Asp), and rs679620 (Lys45Glu)] in the coding region of MMP3 were selected and genotyped by direct sequencing. HelixTree, SNPAnalyzer, SNPStats, and Haploview version 4.2 were used to analyze genetic data. Multiple logistic regression models (codominant, dominant, and recessive models) were conducted to evaluate odds ratio, 95% confidence interval, and P value. Three SNPs in the MMP3 gene were significantly associated with IS (P<0.05). The genotype distribution of 3 SNPs differed between the IS and control subjects. However, there was no association of the SNPs between the ICH and control. In analysis of gender, 3 SNPs were also associated with IS in female group (P<0.05). These SNPs remained significantly associated with IS after the Bonferroni correction for multiple testing (P(c)<0.05). Haplotype analysis revealed that no haplotypes were associated with IS or ICH. Overall, the results of our study demonstrate an association of the MMP3 gene with development of IS, and no association of MMP3 with ICH.
Insights
This study found that specific variations in the MMP3 gene are linked to an increased risk of ischemic stroke (IS) in the Korean population, particularly in women. No association was found for intracerebral hemorrhage (ICH).
Area of Science:
- Genetics
- Neurology
- Cardiovascular Diseases
Background:
- Stroke is a complex disease with diverse causes.
- Identifying genetic risk factors for stroke subtypes is crucial.
- Matrix metalloproteinases (MMPs) play a role in post-stroke processes.
Purpose of the Study:
- To investigate the association between MMP3 gene single nucleotide polymorphisms (SNPs) and stroke risk in Koreans.
- To differentiate the genetic contribution of MMP3 in ischemic stroke (IS) versus intracerebral hemorrhage (ICH).
Main Methods:
- Genotyping of three MMP3 SNPs (rs520540, rs602128, rs679620) in 186 stroke patients and 668 controls.
- Statistical analysis using logistic regression models and Bonferroni correction.
- Haplotype analysis to assess combined SNP effects.
Main Results:
- Three MMP3 SNPs were significantly associated with IS, but not ICH.
- The association with IS was particularly notable in the female subgroup.
- Bonferroni correction confirmed the statistical significance of these findings for IS.
Conclusions:
- The MMP3 gene is associated with the development of ischemic stroke in the Korean population.
- MMP3 gene variations do not appear to be associated with intracerebral hemorrhage risk.
- Further research may elucidate the specific mechanisms linking MMP3 to IS pathogenesis.
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