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Published on: January 7, 2013
Impacts of Matrix Metalloproteinase 9 Genotypes on Renal Cell Carcinoma
Cheng-Hsi Liao1,2,3, Chung-Lin Tsai3,4, Shu-Yu Chang1,3,5
1Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan, R.O.C.
Background/Aim:
The expression of matrix metalloproteinase 9 (MMP9) is elevated in various renal diseases, including renal cell carcinoma. However, the role of MMP9 genotype in this context remains unclear. This study aimed to investigate the association between MMP9 promoter rs3918242 genotypes and the risk of renal cell carcinoma.
Materials And Methods:
The MMP9 rs3918242 genotypes of 118 patients with renal cell carcinoma and 590 healthy subjects were determined using the polymerase chain reaction-restriction fragment length polymorphism method.
Results:
The results indicated that individuals carrying the CT or TT genotype of MMP9 rs3918242 did not exhibit an increased risk of renal cell carcinoma compared to wild-type CC carriers (odds ratio=1.20 and 2.68, 95% confidence interval=0.75-1.92 and 0.89-8.03; p=0.5270 and 0.1420, respectively). However, individuals with the CT and TT genotypes had a higher prevalence of renal cell carcinoma than those with the CC genotype when they also had hypertension (p=0.0010), diabetes (p=0.0010), or a family history of cancer (p<0.00001). No correlation was observed between MMP9 rs3918242 genotypic distribution and age (60 years or younger vs. older than 60 years) or sex (both p>0.05). Additionally, no correlation was found between MMP9 rs3918242 genotype and the risk of renal cell carcinoma in individuals with smoking or alcohol consumption habits.
Conclusion:
Carrying the T allele for MMP9 rs3918242 may predict a higher risk of renal cell carcinoma among individuals diagnosed with hypertension, diabetes, or with a family history of cancer.
Insights
The matrix metalloproteinase 9 (MMP9) rs3918242 genotype does not directly increase renal cell carcinoma risk. However, the T allele may predict higher risk in patients with hypertension, diabetes, or a family cancer history.
Area of Science:
- Genetics and Oncology
- Molecular Biology
- Cancer Epidemiology
Background:
- Elevated matrix metalloproteinase 9 (MMP9) expression is linked to renal diseases, including renal cell carcinoma (RCC).
- The specific role of MMP9 genetic variations, particularly promoter polymorphisms, in RCC development is not well-defined.
- Investigating MMP9 genotypes may offer insights into RCC susceptibility.
Purpose of the Study:
- To examine the association between the MMP9 promoter rs3918242 polymorphism and the risk of developing renal cell carcinoma.
- To determine if specific MMP9 genotypes modify RCC risk in conjunction with clinical factors.
Main Methods:
- Genotyping of the MMP9 rs3918242 polymorphism was performed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).
- Case-control study design involving 118 RCC patients and 590 healthy controls.
- Statistical analysis included odds ratio calculation and assessment of genotype associations with clinical parameters.
Main Results:
- No significant association was found between MMP9 rs3918242 genotypes (CT or TT) and overall RCC risk compared to the CC genotype.
- A significantly higher prevalence of RCC was observed in individuals with CT or TT genotypes who also had hypertension, diabetes, or a family history of cancer.
- No correlations were identified between MMP9 rs3918242 genotype distribution and age, sex, smoking, or alcohol consumption.
Conclusions:
- The MMP9 rs3918242 T allele may serve as a predictive marker for increased renal cell carcinoma risk.
- This heightened risk is particularly relevant for individuals with co-existing hypertension, diabetes, or a personal/family history of cancer.
- Further research is warranted to elucidate the mechanisms underlying gene-environment interactions in RCC pathogenesis.
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