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Extracellular matrix remodeling genes polymorphisms and risk of chronic bronchitis and recurrent pneumonia in
Gulnaz Faritovna Korytina1, Leysan Zinurovna Akhmadishina, Elena Vitalievna Viktorova
1Department of Genomics, Institute of Biochemistry and Genetics, Ufa Scientific Center, Ufa, Russian Federation. Guly_kory@mail.ru
Insights
Gene variations in matrix metalloproteinases (MMP) and tissue inhibitors of metalloproteinases (TIMP) are linked to severe respiratory diseases in Tatar children. Specific MMP9, MMP3, and TIMP3 gene polymorphisms and MMP3/MMP12 haplotypes increase susceptibility to chronic bronchitis and recurrent pneumonia.
Area of Science:
- Genetics
- Pediatrics
- Pulmonology
Background:
- Severe chronic respiratory diseases pose a significant health burden in children.
- Genetic predispositions, including gene polymorphisms, are increasingly recognized as factors influencing disease susceptibility.
- Matrix metalloproteinases (MMPs) and their inhibitors (TIMPs) are crucial in tissue remodeling and inflammation, making them candidates for respiratory disease association studies.
Purpose of the Study:
- To investigate the association between gene polymorphisms in MMPs, disintegrin and metalloproteinase 33 (ADAM33), and TIMPs with severe chronic respiratory diseases in Tatar children.
- To identify specific genetic variants and haplotypes that may confer susceptibility or protection against chronic bronchitis and recurrent pneumonia.
Main Methods:
- A case-control study was conducted with 592 Tatar individuals from Ufa, Russia.
- The study included 119 children with chronic bronchitis, 138 with recurrent pneumonia, and 335 healthy controls.
- Genotyping was performed for specific polymorphisms in MMP9, MMP12, MMP3, and TIMP3 genes, and haplotype analysis was conducted for MMP3 and MMP12.
Main Results:
- The heterozygous genotype for MMP9 (2660A>G) was associated with a protective effect in healthy children compared to patients with chronic bronchitis and recurrent pneumonia.
- MMP12 (-82A>G) locus showed an association with chronic bronchitis.
- The MMP3 (6A6A genotype) and a combined MMP3/MMP12 haplotype were significantly associated with recurrent pneumonia and chronic bronchitis, respectively.
- TIMP3 (-1296T>C) polymorphism was linked to recurrent pneumonia.
Conclusions:
- Specific gene polymorphisms in MMP9, MMP3, and TIMP3, as well as MMP3 and MMP12 haplotypes, play a role in the susceptibility to severe airway and lung injury in children.
- These genetic factors may contribute to the development of chronic bronchitis and recurrent pneumonia in the studied pediatric population.
- Further research is warranted to elucidate the precise mechanisms underlying these genetic associations.
Abstract:
We investigated the association of matrix metalloproteinases, the disintegrin and metalloprotease 33 and the tissue and serum inhibitors of proteinase gene polymorphisms with severe chronic respiratory diseases in Tatar children. We analyzed the case-control data sample from a total of 592 Tatar individuals, consisting of 119 children with chronic bronchitis, 138 with recurrent pneumonia and 335 control children residing in Ufa (Russia). The percentage of heterozygous genotype for the MMP9 (2660A>G) was higher among healthy children (52.54% vs 36.13% in chronic bronchitis patients, P(adj)=0.0033, P(cor)=0.033, odds ratio (OR)=0.51; and 36.96% in recurrent pneumonia group, P(adj)=0.0034, P(cor)=0.034, OR=0.53). The MMP12 (-82A>G) locus was associated with chronic bronchitis in the additive model (P(adj)=0.0091, P(cor)=0.09, OR=0.45, β=-0.798). The relationship between the 6A6A genotype of MMP3 (-1171 5A>6A) (P(adj)=0.0013, P(cor)=0.013, OR=3.91) and the 6A-A haplotype of MMP3 (-1171 5A>6A) and MMP12 (-82A>G) and recurrent pneumonia were unraveled (Padj=0.001, P(cor)=0.01, OR=2.07). This haplotype was also associated with a higher risk of chronic bronchitis (P(adj)=0.0012, P(cor)=0.012, OR=2.15). The TIMP3 (-1296T>C) was associated with recurrent pneumonia in the dominant model (P(adj)=0.0031, P(cor)=0.031, OR=1.91). The MMP9, MMP3 and TIMP3 (tissue inhibitors of matrix metalloproteinases) polymorphisms and MMP3 and MMP12 haplotypes may play a substantial role in susceptibility to severe airway and lung injury in children with chronic bronchitis and recurrent pneumonia.
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