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Published on: November 29, 2024
Matrix metalloproteinase-2 (MMP-2) gene polymorphism and cardiovascular comorbidity in type 2 diabetes patients
Monika Buraczynska1, Michal Dragan1, Kinga Buraczynska2
1Department of Nephrology, Medical University of Lublin, Lublin, Poland.
Objective:
Matrix metalloproteinases (MMPs) play an important role in pathogenesis of atherosclerosis and vascular disease. We hypothesized that MMP-2 might be a susceptibility gene for cardiovascular disease (CVD) in diabetes. The aim of this study was to evaluate the association between C(-1306)T functional polymorphism in the MMP-2 gene and risk of CVD in type 2 diabetes patients.
Methods:
We examined 1090 patients with T2DM and 612 controls. All subjects were genotyped for the C(-1306)T polymorphism by polymerase chain reaction (PCR) and restriction analysis.
Results:
A significant decrease of T allele frequency was observed in patients with CVD versus those with no CVD (OR 0.44, 95% CI 0.36-0.52, p<0.0001). In contrast, OR for CC genotype was 2.19 (1.79-2.68, p<0.0001), conferring 2-fold greater odds for CVD. When the distribution of C(-1306)T was compared in subgroups with different clinical phenotypes of CVD, patients with stroke had the lowest frequency of T allele (6% vs. 11%), compared to entire CVD+ group (p<0.05).
Conclusions:
T2DM patients carrying the T allele of MMP-2 C(-1306)T polymorphism have a significantly reduced risk of CVD. The C(-1306)T polymorphism is associated with susceptibility to stroke in T2DM patients.
Insights
Individuals with type 2 diabetes (T2DM) carrying the T allele of the MMP-2 C(-1306)T polymorphism show a reduced risk of cardiovascular disease (CVD). This genetic variation is linked to stroke susceptibility in T2DM patients.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Endocrinology
Background:
- Matrix metalloproteinases (MMPs) are implicated in the development of atherosclerosis and vascular diseases.
- The MMP-2 gene is a potential susceptibility factor for cardiovascular disease (CVD) in diabetic populations.
Purpose of the Study:
- To investigate the association between the MMP-2 C(-1306)T functional polymorphism and the risk of CVD in patients with type 2 diabetes mellitus (T2DM).
Main Methods:
- Genotyping of the MMP-2 C(-1306)T polymorphism using polymerase chain reaction (PCR) and restriction analysis.
- Study population included 1090 T2DM patients and 612 controls.
Main Results:
- A significant decrease in T allele frequency was observed in CVD patients compared to controls (OR 0.44).
- The CC genotype was associated with a 2-fold increased odds for CVD (OR 2.19).
- Stroke patients exhibited the lowest T allele frequency (6%) compared to the overall CVD group.
Conclusions:
- The T allele of the MMP-2 C(-1306)T polymorphism is associated with a significantly reduced risk of CVD in T2DM patients.
- The C(-1306)T polymorphism may influence susceptibility to stroke in individuals with T2DM.
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