Association of MMP-9 gene polymorphisms with nephrolithiasis patients
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Published on: February 3, 2012
Atheer Awad Mehde1,2, Wesen Adel Mehdi2, Faridah Yusof1
1Department of Biotechnology Engineering, Faculty of Engineering, International Islamic University Malaysia, Kuala Lumpur, Malaysia.
Background:
Nephrolithiasis is one of the causes which lead to chronic kidney disease (CKD). Matrix metalloproteinases (MMPs) are endopeptidases degrading extracellular matrix which correlate with the pathogenesis of atherosclerosis. The current study was designed to analyze the association of (R279Q, C1562T) polymorphism of MMP-9 with nephrolithiasis patients.
Methods:
Genotyping of MMP-9/R279Q and of MMP-9/C1562T polymorphism were carried out by PCR-based restriction digestion method. Serum level of MMP-9, oxidative stress marker, MDA, and uric acid were measured in patients and control.
Results:
Allele frequencies of the MMP-9/C1562T polymorphism for C and T allele were 71.25% and 28.75% in patients, 87.08% and 12.92% in control respectively. The homozygote TT was more frequent in the nephrolithiasis patients group, while T allele frequency was significantly higher in the nephrolithiasis patients group than in the control group. The patients with CT and TT genotype showed a significant increase in serum MMP-9, Total Oxidant Status (TOS), Oxidative Stress Index (OSI), Malondialdehyde (MDA), and uric acid when compared to CC genotype in patients with nephrolithiasis. The R279Q polymorphism site with regard to the relationship with nephrolithiasis was not significant.
Conclusion:
The result indicates that patients with TT genotype had an increased risk of stones. Also, the results demonstrate that TT allele of the C1562T polymorphism in the MMP-9gene is related with an increase of oxidative stress in nephrolithiasis patients and may possibly impose a risk for cardiovascular diseases in patients with TT genotype of MMP-9.
Insights
The MMP-9 C1562T gene variant, specifically the TT genotype, is linked to an increased risk of kidney stones (nephrolithiasis). This genotype also elevates oxidative stress markers in patients, potentially increasing cardiovascular disease risk.
Area of Science:
- Genetics
- Nephrology
- Biochemistry
Background:
- Nephrolithiasis is a significant risk factor for chronic kidney disease (CKD).
- Matrix metalloproteinases (MMPs), particularly MMP-9, play a role in extracellular matrix degradation and are implicated in atherosclerosis pathogenesis.
- The association between MMP-9 gene polymorphisms and nephrolithiasis requires further investigation.
Purpose of the Study:
- To investigate the association of MMP-9 gene polymorphisms (R279Q and C1562T) with nephrolithiasis.
- To evaluate the relationship between these polymorphisms and serum levels of MMP-9, oxidative stress markers, and uric acid in patients with nephrolithiasis.
Main Methods:
- Genotyping of MMP-9 R279Q and C1562T polymorphisms using PCR-based restriction digestion.
- Measurement of serum MMP-9, Malondialdehyde (MDA), and uric acid levels in patients and control groups.
Main Results:
- The T allele frequency of the MMP-9 C1562T polymorphism was significantly higher in nephrolithiasis patients compared to controls.
- The TT genotype was more prevalent in the nephrolithiasis group.
- Patients with CT and TT genotypes exhibited elevated serum MMP-9, Total Oxidant Status (TOS), Oxidative Stress Index (OSI), MDA, and uric acid compared to the CC genotype.
- No significant association was found between the R279Q polymorphism and nephrolithiasis.
Conclusions:
- The TT genotype of the MMP-9 C1562T polymorphism is associated with an increased risk of nephrolithiasis.
- This TT genotype correlates with increased oxidative stress in nephrolithiasis patients.
- The TT genotype may pose a cardiovascular disease risk in individuals with nephrolithiasis.
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