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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.
Abstract:
The human matrix metalloproteinases (MMPs) are importantly involved in aneurysm formation. Since the clinical manifestations in Behçet disease (BD) include aneurysm formation among major symptoms, polymorphisms in MMP-9 might be associated with BD susceptibility. The aim of the current case-control study was to investigate the association of four single nucleotide polymorphisms (SNPs) in MMP-9 gene: -1562 C/T, 2003 G/A (R668Q), 836 A/G (Q279R) and 1721 C/G (R574P) with BD risk in the Tunisian population. The distribution of MMP-9 gene polymorphisms was analyzed by polymerase chain-reaction (PCR) and restriction fragment length polymorphism (RFLP) for 240 BD patients and 288 controls. Our study indicated that the MMP-9 -1562 C/T polymorphism (rs3918242) was not associated with BD risk. We found a significant association of the MMP-9 2003 G/A (rs17577) with an increased susceptibility to BD. However, the MMP-9 1721 C/G polymorphism (rs2250889) had a protective role against the development of BD. Subgroup analysis based on stratification by gender revealed that the MMP-9 2003 G/A polymorphism was associated with a highly significant BD risk in women's group (G vs. A: P=0.0000001). However, the MMP-9 836 A/G polymorphism had a protective role in men's group (G vs. A: P=0.00043). The MMP-9 1721 C/G polymorphism was associated with a protective effect in both men and women groups (CG+GG vs. CC: P=0.04 and P=0.0002, respectively). The haplotype analysis did not show any association with BD risk. A significant difference in the MMP-9 serum levels were observed in the patient subgroup with ocular lesions manifestations.
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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