Matrix metalloproteinase-9 -1562C/T promoter polymorphism confers risk for COPD: a meta-analysis
1Division of Pulmonary Diseases, State Key Laboratory of Biotherapy of China, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Background:
The role of matrix metalloproteinase (MMP) gene polymorphisms in the development of chronic obstructive pulmonary disease (COPD) has been reported with inconsistent results. This meta-analysis was performed to assess the association of MMP-1 -1607G/GG and MMP-9 -1562C/T promoter polymorphisms with COPD susceptibility.
Methods:
Published case-control studies from Pubmed and China National Knowledge Infrastructure (CNKI) databases were retrieved. Data were extracted and pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated.
Results:
A total of fourteen case-control studies were included in this meta-analysis. Pooled effect size showed an association of MMP-9 -1562 C/T with the risk of COPD (dominant model: TT+CT vs CC; OR: 1.46; 95% CI: 1.02-2.08; p = 0.04). However, no correlation with COPD was revealed in MMP-1 -1607G/GG polymorphism. When stratified by ethnicity, results indicated MMP-1 -1607G/GG (recessive model: G/G vs G/GG+GG/GG; OR: 1.20; 95% CI: 1.01-1.44; p = 0.04) and MMP-9 -1562 C/T (dominant model; OR: 1.66; 95% CI: 1.01-2.71; p = 0.04) were correlated with COPD susceptibility among Caucasians and Asians respectively. According to source of controls, significant association of MMP-9 -1562 C/T (additive model: T vs C; OR:1.71, 95% CI: 1.42-2.07; p<0.00001, and dominant model; OR: 1.92; 95% CI: 1.34-2.76; p = 0.0004) with COPD susceptibility was revealed in the subgroup with smoker-based controls. However, in the aforementioned risk estimates, only the association of MMP-9 -1562 C/T (additive and dominant models) with the risk of COPD in the subgroup with smoker-based controls persisted significantly after Bonferroni correction for multiple testing. Moreover, after excluding the studies without Hardy-Weinberg equilibrium and/or with small sample size, the pooled results were robust and no publication bias was found in this study.
Conclusion:
This meta-analysis suggests, when using healthy smokers as controls, MMP-9 -1562 C/T, but not MMP-1 -1607 G/GG polymorphism is associated with the risk of COPD.
Insights
This meta-analysis found that the MMP-9 -1562 C/T gene polymorphism is associated with chronic obstructive pulmonary disease (COPD) risk, particularly when using healthy smokers as controls. The MMP-1 -1607 G/GG polymorphism showed no significant association with COPD susceptibility.
Area of Science:
- Genetics and Molecular Biology
- Respiratory Medicine
- Epidemiology
Background:
- Inconsistent findings exist regarding the role of matrix metalloproteinase (MMP) gene polymorphisms in chronic obstructive pulmonary disease (COPD) development.
- This study focuses on MMP-1 -1607G/GG and MMP-9 -1562C/T promoter polymorphisms.
Purpose of the Study:
- To assess the association between MMP-1 -1607G/GG and MMP-9 -1562C/T promoter polymorphisms and COPD susceptibility.
- To clarify the inconsistent results reported in previous studies.
Main Methods:
- A meta-analysis of published case-control studies from Pubmed and CNKI databases.
- Data extraction and pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated.
- Stratification by ethnicity and source of controls was performed, including Bonferroni correction.
Main Results:
- A total of fourteen case-control studies were included.
- MMP-9 -1562 C/T polymorphism was associated with COPD risk (dominant model: OR=1.46, p=0.04).
- MMP-1 -1607G/GG showed no overall correlation, but associations were found in specific ethnic groups and with smoker-based controls for MMP-9.
Conclusions:
- MMP-9 -1562 C/T polymorphism is associated with COPD risk, especially when healthy smokers are used as controls.
- MMP-1 -1607 G/GG polymorphism was not found to be associated with COPD risk in this meta-analysis.
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