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MMP-2 Rs24386 (C-->T) gene polymorphism and the phenotype of age-related macular degeneration
Rasa Liutkeviciene1,2, Vaiva Lesauskaite3, Giedre Sinkunaite-Marsalkiene3
1Department of Ophthalmology, Lithuanian University of Health Sciences, Medical Academy, Kaunas LT-50161, Lithuania.
Aim:
To examine the MMP-2 (-1306 C/T) gene polymorphism and the phenotype characterized by soft and hard drusen of early age-related macular degeneration (AMD) and geographic atrophy of late AMD form.
Methods:
The study enrolled 850 investigations (290 AMD patients with soft and hard drusen, 34 with geographic atrophy and a random sample of the population n=526). Early AMD was classified according to the International Classification and Grading System. For geographic atrophy diagnosis the Age-Related Eye Disease Study classification was used. The potential association with single nucleotide polymorphisms on MMP-2 Rs243865 was evaluated for all patients, adjusted for age and sex. The genotyping test of MMP-2 Rs243865 (C-->T) was conducted using the real-time polymerase chain reaction method.
Results:
MMP-2 (-1306 C/T) C/C genotype was more frequently detected in AMD patients with hard drusen than the soft drusen or control group (66.43% vs 53.74%, vs 54.94%, P=0.047). Logistic regression analysis showed that the MMP-2 (-1306) C/C genotype increased the likelihood to develop hard drusen in AMD patients (OR=1.7, 95% CI: 1.06-2.74; P=0.028). No association between MMP-2 (-1306 C/T) gene polymorphism in patients with atrophic AMD and control group was found (54.94%, 37.64%, 7.41% vs 50%, 38.24%, 11.76%; P=0.6).
Conclusion:
The MMP-2 Rs24386 (C-->T) polymorphism is found to be associated with the development of hard drusen in patients with AMD.
Insights
The MMP-2 (-1306 C/T) gene polymorphism, specifically the C/C genotype, is linked to an increased risk of developing hard drusen in age-related macular degeneration (AMD) patients. This finding may aid in understanding AMD progression.
Area of Science:
- Ophthalmology
- Genetics
- Molecular Biology
Background:
- Age-related macular degeneration (AMD) is a leading cause of vision loss.
- Drusen, lipid deposits under the retina, are key indicators of AMD.
- Understanding genetic factors influencing AMD phenotypes is crucial for early detection and treatment.
Purpose of the Study:
- To investigate the association between the MMP-2 (-1306 C/T) gene polymorphism and the presence of soft and hard drusen in early AMD.
- To examine the relationship between this polymorphism and geographic atrophy in late AMD.
Main Methods:
- Genotyping of the MMP-2 Rs243865 (C-->T) polymorphism using real-time polymerase chain reaction.
- Analysis included 850 participants: 290 AMD patients and 526 controls.
- Statistical analysis adjusted for age and sex.
Main Results:
- The MMP-2 (-1306 C/C) genotype was significantly more frequent in AMD patients with hard drusen compared to those with soft drusen or controls (P=0.047).
- Logistic regression indicated that the MMP-2 (-1306 C/C) genotype increases the likelihood of developing hard drusen (OR=1.7, P=0.028).
- No significant association was found between the MMP-2 (-1306 C/T) polymorphism and atrophic AMD.
Conclusions:
- The MMP-2 Rs24386 (C-->T) polymorphism is associated with the development of hard drusen in patients with AMD.
- This genetic variant may play a role in the specific phenotypic manifestation of AMD.
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