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Association of Matrix Metalloproteinase-9 (MMP9) Variants with Primary Angle Closure and Primary Angle Closure
Xueli Chen1,2, Yuhong Chen1, Janey L Wiggs2
1Department of Ophthalmology & Vision Science, Eye & Ear Nose Throat Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Abstract:
Shorter axial length observed in patients with primary angle closure glaucoma (PACG) might be due to altered matrix metalloproteinase-9 (MMP9) activity resulting in ECM remodeling during eye growth and development. This study aimed to evaluate common variants in MMP9 for association with PACG. Six tag SNPs of MMP9 were genotyped in a Chinese sample of 1,030 cases, including 572 PACG and 458 primary angle closure (PAC), and 499 controls. None of 6 SNPs were significantly associated with overall PAC/PACG (P > 0.07) or with PAC/PACG subgroups (Pc > 0.18). Meta-analysis of two non-Chinese studies revealed significant association between rs17576 and PACG (ORs = 0.56, P < 0.0001); however, meta-analysis of our dataset with 4 Chinese datasets did not replicate this association (ORs = 1.23, P = 0.29). Prior significant association for rs3918249 in one Caucasian study (OR = 0.63, P = 0.006) was not replicated in meta-analysis of 3 Chinese studies including this study (ORs = 0.91, P = 0.13). Significant heterogeneity between non-Chinese and Chinese datasets precluded overall meta-analysis for rs17576 and rs3918249 (Q = 0.001 and 0.04 respectively). rs17577 was nominally associated with PACG in one Caucasian study (OR = 1.71, P = 0.02), but not in 3 Chinese studies including our study (ORs = 1.20, P = 0.07). Overall meta-analysis revealed nominal association for rs17577 and PAC/PACG (ORs = 1.26, Pc = 0.05). Meta-analysis did not show significant association between the other SNPs and PAC/PACG (P > 0.47). The largest association study to date did not find significant association between MMP9 and PAC/PACG in Chinese; meta-analysis with other Chinese datasets did not produce significant association. In most instances combination with non-Chinese datasets was not possible except for one variant showing nominally significant association. More work is needed to define the role of MMP9 variants in PACG.
Insights
Genetic variants in matrix metalloproteinase-9 (MMP9) were investigated for their role in primary angle closure glaucoma (PACG). This large study found no significant association between common MMP9 variants and PACG in the Chinese population.
Area of Science:
- Ophthalmology
- Genetics
- Glaucoma Research
Background:
- Primary angle closure glaucoma (PACG) is characterized by shorter axial length, potentially linked to matrix metalloproteinase-9 (MMP9) activity and extracellular matrix (ECM) remodeling during ocular development.
- Understanding the genetic basis of PACG is crucial for developing targeted therapies and improving patient outcomes.
Purpose of the Study:
- To investigate the association between common variants in the MMP9 gene and the risk of PACG in a Chinese cohort.
- To evaluate previously reported associations of MMP9 variants with PACG using meta-analysis.
Main Methods:
- Genotyping of six tag single nucleotide polymorphisms (SNPs) in the MMP9 gene was performed in 1,030 cases (572 PACG, 458 primary angle closure [PAC]) and 499 controls.
- Meta-analysis was conducted, combining the current study's data with previously published studies, including both Chinese and non-Chinese populations.
Main Results:
- None of the six genotyped MMP9 SNPs showed a significant association with PAC/PACG in the Chinese cohort.
- Meta-analysis of Chinese datasets did not replicate previously reported associations for rs17576 and rs3918249.
- A nominal association was observed for rs17577 with PAC/PACG in an overall meta-analysis (ORs = 1.26, Pc = 0.05), but this was not consistently significant across all analyses.
Conclusions:
- The study did not find significant evidence supporting a role for common MMP9 variants in PACG development within the Chinese population.
- Heterogeneity between Chinese and non-Chinese datasets limited the scope of overall meta-analyses.
- Further research is warranted to fully elucidate the potential contribution of MMP9 genetic variants to PACG pathogenesis.
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