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Published on: April 1, 2019
MMP-9 gene rs3918242 polymorphism increases risk of stroke: A meta-analysis
Baohua Wang1, Yinhua Wang1, Lei Zhao1
1Department of Critical Care Medicine, North China University of Science and Technology Affiliated Hospital, Tangshan, China.
Abstract:
The association between matrix metalloproteinase-9 (MMP-9) gene rs3918242 polymorphism and the risk of stroke has been investigated, but the findings have been found to be contradictory. Thus, this association was assessed by meta-analysis. Potential studies were searched throughout PubMed, Embase, and CNKI. Pooled odds ratios and 95% confidence intervals were calculated. Sixteen original studies analyzing this association were included, involving 3647 stroke patients and 3685 unrelated controls. It was confirmed that MMP-9 gene rs3918242 polymorphism increased the risk of stroke. Stratification analysis of ethnicity revealed an increased risk of stroke among Asians, but not among Caucasians. Subgroup analysis by the type of stroke showed that MMP-9 gene rs3918242 polymorphism increased the risk of ischemic stroke. Sensitivity analysis did not draw different findings. In conclusion, MMP-9 gene rs3918242 polymorphism increases the risk of stroke.
Insights
The matrix metalloproteinase-9 (MMP-9) rs3918242 gene variant is linked to a higher stroke risk, particularly in Asians and for ischemic stroke. This meta-analysis confirms the association, offering clarity on conflicting previous findings.
Area of Science:
- Genetics and Genomics
- Neurology
- Cardiovascular Disease
Background:
- The role of matrix metalloproteinase-9 (MMP-9) gene polymorphisms in stroke risk is debated.
- Conflicting results exist regarding the association between MMP-9 rs3918242 polymorphism and stroke.
- A comprehensive assessment is needed to clarify this relationship.
Purpose of the Study:
- To evaluate the association between MMP-9 gene rs3918242 polymorphism and stroke risk using meta-analysis.
- To investigate ethnic and stroke type specific risks associated with this polymorphism.
Main Methods:
- A systematic literature search was conducted across PubMed, Embase, and CNKI.
- Pooled odds ratios and 95% confidence intervals were calculated from 16 eligible studies.
- Involved 3647 stroke patients and 3685 controls.
Main Results:
- The MMP-9 rs3918242 polymorphism was significantly associated with an increased risk of stroke.
- Stratification revealed a higher risk among Asian populations, but not Caucasians.
- Subgroup analysis indicated an increased risk specifically for ischemic stroke.
Conclusions:
- MMP-9 gene rs3918242 polymorphism is a risk factor for stroke.
- The risk is more pronounced in Asian ethnicities and for ischemic stroke subtypes.
- This meta-analysis provides robust evidence for the association.
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