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Association between the Matrix Metalloproteinase-9 rs3918242 Polymorphism and Ischemic Stroke Susceptibility: A
Tao He1, Jie Wang2, Xiao-Li Wang3
1Department of Neurosurgery, Affiliated Hospital of Qingdao University, Qingdao, China.
Background:
In recent years, dozens of case-control studies showed that matrix metalloproteinase (MMP)-9 rs3918242 variants were associated with ischemic stroke (IS) susceptibility. However, the conclusions of case-control studies that evaluated the relationship between MMP-9 rs3918242 variants and the risk of IS were still equivocal. Herein, we conducted a comprehensive meta-analysis to investigate the association between MMP-9 rs3918242 variants and the risk of IS.
Methods:
We searched 5 databases (PubMed, EMBASE, Google Scholar, Web of Science, and Chinese Biomedical Literature Database) to identify the eligible studies up to October of 2016. The pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to evaluate the association of MMP-9 rs3918242 variants with IS susceptibility under the allelic model (T versus C) and the dominant model (TT + CT versus CC).
Results:
A total of 14 studies with 3233 cases and 3123 controls were included in this meta-analysis. Our meta-analysis indicated that MMP-9 rs3918242 variants were associated with significantly increased risk of IS in overall populations (T versus C: OR = 1.43, 95% CI = 1.20-1.71, P < .001; TT + CT versus CC: OR = 1.39, 95% CI = 1.16-1.67, P < .001). Subgroup analysis based on ethnicity (Chinese and Caucasian) suggested that MMP-9 rs3918242 variants contributed to increase the risk of IS in Chinese population; However, no association was detected between MMP-9 rs3918242 variants and the risk of IS in Caucasian population.
Conclusion:
Therefore, our meta-analysis suggested that MMP-9 rs3918242 variants (T allele, TT and CT genotypes) contributed to significantly increase the risk of IS in the Chinese population.
Insights
Matrix metalloproteinase (MMP)-9 rs3918242 variants are linked to a higher risk of ischemic stroke (IS). This association is particularly significant in the Chinese population, warranting further investigation into genetic predispositions for IS.
Area of Science:
- Genetics
- Neurology
- Cardiovascular Disease
Background:
- Numerous case-control studies suggest a link between matrix metalloproteinase (MMP)-9 rs3918242 variants and ischemic stroke (IS) susceptibility.
- Previous findings have been equivocal, necessitating a comprehensive analysis to clarify the association.
Purpose of the Study:
- To conduct a meta-analysis investigating the association between MMP-9 rs3918242 variants and the risk of IS.
- To evaluate the risk under allelic and dominant genetic models.
Main Methods:
- Searched five major databases for eligible studies up to October 2016.
- Performed a meta-analysis using pooled odds ratios (ORs) and 95% confidence intervals (CIs).
- Analyzed data under allelic (T vs. C) and dominant (TT+CT vs. CC) models.
Main Results:
- Included 14 studies with 3233 IS cases and 3123 controls.
- MMP-9 rs3918242 variants showed a significantly increased risk of IS in overall populations (OR=1.43, P<.001).
- Subgroup analysis revealed increased IS risk in the Chinese population but not in Caucasians.
Conclusions:
- MMP-9 rs3918242 variants (T allele, TT, and CT genotypes) significantly increase IS risk.
- The association is specific to the Chinese population.
- These findings highlight the role of MMP-9 rs3918242 in IS susceptibility among Chinese individuals.
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