The causal effect of matrix metalloproteinase-3 on ankylosing spondylitis: Evidence from Mendelian randomization

Wenkai Liu1,2, Licheng Guo1,2, Yongfa Zhang1,2

  • 1Department of Emergency, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, Fujian, China.

Medicine
|January 31, 2025
PubMed

Insights

Matrix metalloproteinase-3 (MMP-3) plays a causal role in ankylosing spondylitis (AS). This Mendelian randomization study confirms MMP-3

Area of Science:

  • Genetics
  • Immunology
  • Rheumatology

Background:

  • Observational studies suggest matrix metalloproteinase-3 (MMP-3) may benefit ankylosing spondylitis (AS).
  • The causal relationship between MMP-3 and AS remains uncertain.
  • Understanding this link is crucial for AS pathogenesis and treatment.

Purpose of the Study:

  • To investigate the causal relationship between MMP-3 and AS using Mendelian randomization.
  • To leverage large-scale genome-wide association study data for robust analysis.
  • To provide evidence for MMP-3's role in AS development.

Main Methods:

  • Mendelian randomization (MR) analysis utilizing genome-wide association studies (GWAS) data.
  • GWAS data for MMP-3 (n=21,758) and AS (n=297,932) from public repositories.
  • Employing multiple MR methods including IVW, weighted median, weighted mode, and MR-Egger.
  • Sensitivity analyses using Cochran Q, MR-PRESSO, and MR-Egger intercept to assess heterogeneity and pleiotropy.

Main Results:

  • The inverse-variance weighted (IVW) method indicated a causal effect of MMP-3 on AS (OR=0.9047, P=0.0823).
  • Concordant results were observed across other MR methods (P < .05).
  • Sensitivity analyses confirmed the reliability and robustness of the findings.

Conclusions:

  • This MR study provides strong evidence for a causal role of MMP-3 in the development of ankylosing spondylitis.
  • The findings offer valuable insights into the underlying mechanisms of AS.
  • MMP-3 emerges as a potential therapeutic target for ankylosing spondylitis.

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