Causal associations of serum matrix metalloproteinase-8 level with ischaemic stroke and ischaemic stroke subtypes: a

Yiming Jia1, Daoxia Guo2,3, Kaixin Zhang1

  • 1Department of Epidemiology, School of Public Health and Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Medical College of Soochow University, Suzhou, China.

Abstract

Insights

High serum matrix metalloproteinase-8 (MMP-8) levels are causally linked to increased risks of small vessel stroke and coronary artery disease. Further research is needed to understand MMP-8

Area of Science:

  • Cardiovascular Genetics
  • Biomarkers in Vascular Disease
  • Stroke Etiology

Background:

  • Elevated serum matrix metalloproteinase-8 (MMP-8) is linked to vascular disease risk, but causality is unproven.
  • Matrix metalloproteinase-8 (MMP-8) is an enzyme involved in extracellular matrix degradation.
  • Understanding MMP-8's role is crucial for cardiovascular disease prevention.

Purpose of the Study:

  • To investigate the causal effect of serum MMP-8 concentrations on ischaemic stroke and coronary artery disease.
  • To analyze the association between MMP-8 and specific ischaemic stroke subtypes.
  • To employ Mendelian randomization to assess causality.

Main Methods:

  • A two-sample Mendelian randomization study design was utilized.
  • Instrumental variables were identified using 10 single-nucleotide polymorphisms associated with serum MMP-8.
  • Genetic association data from large-scale genome-wide association studies were analyzed.

Main Results:

  • Serum MMP-8 showed no significant causal association with total ischaemic stroke, large artery stroke, or cardioembolic stroke.
  • A 1-unit increase in log-transformed serum MMP-8 was associated with a 25% increased risk of small vessel stroke (OR 1.25, p < 0.001).
  • Serum MMP-8 was also associated with a 5% increased risk of coronary artery disease (OR 1.05, p = 0.017).

Conclusions:

  • High serum MMP-8 concentrations are causally associated with increased risks of small vessel stroke and coronary artery disease.
  • The findings suggest MMP-8 as a potential causal factor in specific vascular diseases.
  • Further investigation into the mechanisms linking MMP-8 to vascular pathology is warranted.

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