Association of MMP-9 gene polymorphisms with Behçet's disease risk

Abir Naouali1, Wajih Kaabachi1, Kalthoum Tizaoui1

  • 1Department of Basic Sciences, Medicine Faculty of Tunis, University Tunis El Manar, Tunis 1007, Tunisia.

Immunology Letters
|February 3, 2015
PubMed

Insights

Genetic variations in the matrix metalloproteinase-9 (MMP-9) gene are linked to Behçet disease (BD) susceptibility. Specifically, the MMP-9 2003 G/A polymorphism increases BD risk, particularly in women, while other polymorphisms show protective effects.

Area of Science:

  • Genetics
  • Immunology
  • Rheumatology

Background:

  • Matrix metalloproteinases (MMPs), particularly MMP-9, play a crucial role in aneurysm formation.
  • Aneurysm formation is a significant clinical manifestation in Behçet disease (BD).
  • Genetic polymorphisms in MMP-9 may influence susceptibility to BD.

Purpose of the Study:

  • To investigate the association between four single nucleotide polymorphisms (SNPs) in the MMP-9 gene and BD risk in a Tunisian population.
  • To analyze the association of MMP-9 gene polymorphisms (-1562 C/T, 2003 G/A, 836 A/G, and 1721 C/G) with BD susceptibility.
  • To explore gender-specific associations and the role of MMP-9 serum levels in BD patients.

Main Methods:

  • A case-control study involving 240 BD patients and 288 healthy controls from Tunisia.
  • Genotyping of MMP-9 gene polymorphisms using polymerase chain-reaction (PCR) and restriction fragment length polymorphism (RFLP).
  • Statistical analysis including subgroup analysis by gender and haplotype analysis.

Main Results:

  • The MMP-9 -1562 C/T polymorphism (rs3918242) showed no association with BD risk.
  • The MMP-9 2003 G/A polymorphism (rs17577) was significantly associated with increased BD susceptibility, especially in women.
  • The MMP-9 1721 C/G polymorphism (rs2250889) demonstrated a protective role against BD in both genders. The MMP-9 836 A/G polymorphism was protective in men.
  • Elevated MMP-9 serum levels were observed in BD patients with ocular lesions.

Conclusions:

  • The MMP-9 2003 G/A polymorphism is a risk factor for BD, particularly in women.
  • The MMP-9 1721 C/G and 836 A/G polymorphisms may confer a protective effect against BD development in a gender-specific manner.
  • MMP-9 serum levels might be relevant in BD patients with ocular manifestations, warranting further investigation.

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