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Published on: April 1, 2019
Genetic polymorphism of MMP family and coronary disease susceptibility: a meta-analysis
Min Li1, Jingpu Shi, Lingyu Fu
1Department of Clinical Epidemiology, The First Hospital of China Medical University, Shenyang, PR China.
Abstract:
The issue that genetic polymorphism of matrix metalloproteinase (MMP) family is in association with coronary disease is controversial. So we did a meta-analysis to clarify it clearly. We made a literature search of PubMed, the Web of Science, and Cochrane Collaboration's database to identify eligible reports. The methodological quality of each included studies was assessed. We calculated the pooled ORs with their 95%CI for each genetic polymorphism in STATA 11 software. Separate analysis was performed to address the consistency of results across the subgroup with different continents. A total of 39 studies were included, with a sample of 42269 individuals. This meta-analysis provided evidence that genetic polymorphism of MMP1-1607 1G/2G, MMP3-Gly45lys, MMP3-376 G/C, MMP3-1171 5A/6A, MMP9-1562 C/T and MMP9-R279Q have a small to medium effect on incidence of coronary disease. There was no evidence that MMP1-519 A/G, MMP1-340 T/C and MMP2-1306 C/T polymorphism could increase risk of coronary disease. Results from subgroup analysis supported a relation between MMP3-1711 5A allele, MMP9-1562 C allele and coronary disease especially in Asian population. The results provide moderate association between the six common genetic polymorphism of matrix metalloproteinase family and coronary disease. However, the challenge for researcher is identifying separate effect on different races.
Insights
Genetic variations in matrix metalloproteinase (MMP) genes show a moderate association with coronary disease risk. Specific MMP gene polymorphisms, particularly in MMP3 and MMP9, are linked to increased incidence, especially in Asian populations.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
Background:
- The association between matrix metalloproteinase (MMP) gene polymorphisms and coronary heart disease (CHD) remains controversial.
- Understanding these genetic links is crucial for identifying individuals at higher risk.
Purpose of the Study:
- To conduct a comprehensive meta-analysis clarifying the association between MMP gene polymorphisms and coronary disease.
- To evaluate the impact of specific MMP polymorphisms on CHD incidence.
Main Methods:
- Systematic literature search of PubMed, Web of Science, and Cochrane databases.
- Inclusion of 39 studies with 42,269 participants.
- Meta-analysis using STATA 11 to calculate pooled odds ratios (ORs) and 95% confidence intervals (CIs).
- Subgroup analysis by continent to assess regional variations.
Main Results:
- Six MMP gene polymorphisms (MMP1-1607 1G/2G, MMP3-Gly45Lys, MMP3-376 G/C, MMP3-1171 5A/6A, MMP9-1562 C/T, MMP9-R279Q) showed a small to medium effect on coronary disease incidence.
- No significant association was found for MMP1-519 A/G, MMP1-340 T/C, and MMP2-1306 C/T polymorphisms.
- Subgroup analysis indicated a relation between MMP3-1711 5A allele, MMP9-1562 C allele, and coronary disease, particularly in Asian populations.
Conclusions:
- This meta-analysis provides moderate evidence for an association between six common MMP gene polymorphisms and coronary disease.
- Further research is needed to elucidate the distinct effects of these polymorphisms across different racial groups.
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