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Published on: April 5, 2024
Association between matrix metalloproteinase-2 and matrix metalloproteinase-9 polymorphisms and endometriosis: A
Lingli Xin1, Qingxiang Hou1, Q I Xiong2
1Department of Obstetrics and Gynecology, Second Artillery General Hospital of Chinese PLA, Beijing 100088, P.R. China.
Abstract:
Matrix metalloproteinase-2 (MMP-2)-735C/T and MMP-9-1562C/T polymorphisms have been indicated in the predisposition to endometriosis. However, due to the small sample sizes of previous studies, the results remain inconclusive. The present meta-analysis was conducted to detect the association between the two genetic polymorphisms and the risk of endometriosis by pooling all the available data. Electronic databases, including PubMed, Embase, Web of Science and CNKI, were searched comprehensively for studies examining a link between MMP-2 and MMP-9 polymorphisms and endometriosis. The strength of the association was assessed based on the pooled odds ratio with a 95% confidence interval, which was calculated using either the fixed- or random-effect model. Following the inclusion criteria, 6 case-control studies were included. The total number of participants was 2,486 (558 cases and 797 controls concerning the MMP-9-1562C/T polymorphism, and 525 cases and 606 controls concerning the MMP-2-735C/T polymorphism). No significant association was identified between the MMP-2-735C/T or MMP-9-1562C/T polymorphism and endometriosis. In further stratified analysis, no significant association was identified between the MMP-9-1562C/T polymorphism and endometriosis. The present meta-analysis revealed no association between the MMP-2-735C/T and MMP-9-1562C/T polymorphisms and the risk of developing endometriosis. Considering the limitations of the meta-analysis, well-designed studies with larger sample sizes are required.
Insights
This meta-analysis found no link between specific matrix metalloproteinase gene variations (MMP-2 and MMP-9) and endometriosis risk. Further research with larger sample sizes is needed to confirm these findings on genetic predisposition.
Area of Science:
- Genetics
- Reproductive Medicine
- Molecular Biology
Background:
- Matrix metalloproteinase-2 (MMP-2) and MMP-9 gene polymorphisms have been suggested as risk factors for endometriosis.
- Previous studies on these genetic associations had small sample sizes, leading to inconclusive results.
Purpose of the Study:
- To conduct a meta-analysis to determine the association between MMP-2 (-735C/T) and MMP-9 (-1562C/T) polymorphisms and endometriosis risk.
- To pool data from available case-control studies to increase statistical power and clarify the genetic predisposition to endometriosis.
Main Methods:
- A comprehensive literature search was performed across PubMed, Embase, Web of Science, and CNKI.
- Included studies were case-control in design, focusing on MMP-2 and MMP-9 polymorphisms in relation to endometriosis.
- Odds ratios with 95% confidence intervals were calculated using fixed- or random-effect models.
Main Results:
- Six case-control studies with a total of 2,486 participants were included in the meta-analysis.
- No significant association was found between the MMP-2 (-735C/T) polymorphism and endometriosis risk.
- Similarly, no significant association was identified between the MMP-9 (-1562C/T) polymorphism and endometriosis risk, even after stratified analysis.
Conclusions:
- The current meta-analysis indicates no association between MMP-2 (-735C/T) and MMP-9 (-1562C/T) polymorphisms and the risk of developing endometriosis.
- Larger, well-designed studies are recommended to further investigate the potential role of these genetic variations in endometriosis.
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