Skip to main content
Log in

Family-based association study of matrix metalloproteinase-3 and -9 haplotypes with susceptibility to ischemic white matter injury

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

Abstract

Susceptibility to ischemic damage to the subcortical white matter of the brain has a strong genetic basis. Dysregulation of matrix metalloproteinases (MMPs) contributes to loss of cerebrovascular integrity and white matter injury. We investigated whether sequence variation in the genes encoding MMP3 and MMP9 is associated with variation in leukoaraiosis volume, determined by magnetic resonance imaging, in non-Hispanic whites and African-Americans using family-based association tests. Seven hundred and fifty-six white and 671 African-American individuals from sibships ascertained through two or more siblings with hypertension were genotyped for 7 and 8 haplotype-tagging polymorphisms in the MMP3 and MMP9 genes, respectively. MMP3 sequence variation was significantly associated with variation in leukoaraiosis volume in Whites. Two common haplotypes with opposing relationships to leukoaraiosis volume were identified. MMP9 sequence variation was also significantly associated with variation in leukoaraiosis volume in both African-Americans and Whites. Different haplotypes contributed to these associations in the two racial groups. These findings add to the growing body of evidence from animal models and human clinical studies suggesting a role of MMPs in ischemic white matter injury. They provide the basis for further investigation of the role of these genes in susceptibility and/or progression to clinical disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Amar K, MacGowan S, Wilcock G, Lewis T, Scott M (1998) Are genetic factors important in the aetiology of leukoaraiosis? Results from a memory clinic population. Int J Geriatr Psychiatry 13:585–590

    Article  PubMed  CAS  Google Scholar 

  • Asahi M, Asahi K, Jung JC, del Zoppo GJ, Fini ME, Lo EH (2000) Role for matrix metalloproteinase 9 after focal cerebral ischemia: effects of gene knockout and enzyme inhibition with BB-94. J Cereb Blood Flow Metab 20:1681–1689

    Article  PubMed  CAS  Google Scholar 

  • Asahi M, Wang X, Mori T, Sumii T, Jung JC, Moskowitz MA, Fini ME, Lo EH (2001) Effects of matrix metalloproteinase-9 gene knock-out on the proteolysis of blood–brain barrier and white matter components after cerebral ischemia. J Neurosci 21:7724–7732

    PubMed  CAS  Google Scholar 

  • Atwood LD, Wolf PA, Heard-Costa NL, Massaro JM, Beiser A, D’Agostino RB, DeCarli C (2004) Genetic variation in white matter hyperintensity volume in the Framingham Study. Stroke 35:1609–1613

    Article  PubMed  Google Scholar 

  • Bronge L, Fernaeus SE, Blomberg M, Ingelson M, Lannfelt L, Isberg B, Wahlund LO (1999) White matter lesions in Alzheimer patients are influenced by apolipoprotein E genotype. Dement Geriatr Cogn Disord 10:89–96

    Article  PubMed  CAS  Google Scholar 

  • Carlson CS, Eberle MA, Rieder MJ, Yi Q, Kruglyak L, Nickerson DA (2004) Selecting a maximally informative set of single-nucleotide polymorphisms for association analyses using linkage disequilibrium. Am J Hum Genet 74:106–120

    Article  PubMed  CAS  Google Scholar 

  • Carmelli D, DeCarli C, Swan GE, Jack LM, Reed T, Wolf PA, Miller BL (1998a) Evidence for genetic variance in white matter hyperintensity volume in normal elderly male twins. Stroke 29:1177–1181

    CAS  Google Scholar 

  • Carmelli D, Swan GE, Reed T, Miller B, Wolf PA, Jarvik GP, Schellenberg GD (1998b) Midlife cardiovascular risk factors, ApoE, and cognitive decline in elderly male twins. Neurology 50:1580–1585

    CAS  Google Scholar 

  • Cohen JC, Kiss RS, Pertsemlidis A, Marcel YL, McPherson R, Hobbs HH (2004) Multiple rare alleles contribute to low plasma levels of HDL cholesterol. Science 305:869–872

    Article  PubMed  ADS  CAS  Google Scholar 

  • Cunningham LA, Wetzel M, Rosenberg GA (2005) Multiple roles for MMPs and TIMPs in cerebral ischemia. Glia 50:329–339

    Article  PubMed  Google Scholar 

  • DeCarli C, Reed T, Miller BL, Wolf PA, Swan GE, Carmelli D (1999) Impact of apolipoprotein E epsilon4 and vascular disease on brain morphology in men from the NHLBI twin study. Stroke 30:1548–1553

    PubMed  CAS  Google Scholar 

  • DeStefano AL, Atwood LD, Massaro JM, Heard-Costa N, Beiser A, Au R, Wolf PA, DeCarli C (2006) Genome-wide scan for white matter hyperintensity: the Framingham heart study. Stroke 37:77–81

    Article  PubMed  Google Scholar 

  • Fornage M, Lee CR, Doris PA, Bray MS, Heiss G, Zeldin DC, Boerwinkle E (2005) The soluble epoxide hydrolase gene harbors sequence variation associated with susceptibility to and protection from incident ischemic stroke. Hum Mol Genet 14:2829–2837

    Article  PubMed  CAS  Google Scholar 

  • Frazer KA, Pachter L, Poliakov A, Rubin EM, Dubchak I (2004) VISTA: computational tools for comparative genomics. Nucleic Acids Res 32:W273–W279

    Article  PubMed  CAS  Google Scholar 

  • Fu JH, Lu CZ, Hong Z, Dong Q, Luo Y, Wong KS (2005) Extent of white matter lesions is related to acute subcortical infarcts and predicts further stroke risk in patients with first ever ischaemic stroke. J Neurol Neurosurg Psychiatry 76:793–796

    Article  PubMed  CAS  Google Scholar 

  • Gabriel SB, Schaffner SF, Nguyen H, Moore JM, Roy J, Blumenstiel B, Higgins J, DeFelice M, Lochner A, Faggart M, Liu-Cordero SN, Rotimi C, Adeyemo A, Cooper R, Ward R, Lander ES, Daly MJ, Altshuler D (2002) The structure of haplotype blocks in the human genome. Science 296:2225–2229

    Article  PubMed  ADS  CAS  Google Scholar 

  • Ghilardi G, Biondi ML, DeMonti M, Turri O, Guagnellini E, Scorza R (2002) Matrix metalloproteinase-1 and matrix metalloproteinase-3 gene promoter polymorphisms are associated with carotid artery stenosis. Stroke 33:2408–2412

    Article  PubMed  CAS  Google Scholar 

  • Hachinski VC, Potter P, Merskey H (1986) Leuko-araiosis: an ancient term for a new problem. Can J Neurol Sci 13:533–534

    PubMed  CAS  Google Scholar 

  • Hassan A, Lansbury A, Catto AJ, Guthrie A, Spencer J, Craven C, Grant PJ, Bamford JM (2002) Angiotensin converting enzyme insertion/deletion genotype is associated with leukoaraiosis in lacunar syndromes. J Neurol Neurosurg Psychiatry 72:343–346

    Article  PubMed  CAS  Google Scholar 

  • Hirono N, Yasuda M, Tanimukai S, Kitagaki H, Mori E (2000) Effect of the apolipoprotein E epsilon4 allele on white matter hyperintensities in dementia. Stroke 31:1263–1268

    PubMed  CAS  Google Scholar 

  • Horvath S, Xu X, Lake SL, Silverman EK, Weiss ST, Laird NM (2004) Family-based tests for associating haplotypes with general phenotype data: application to asthma genetics. Genet Epidemiol 26:61–69

    Article  PubMed  Google Scholar 

  • Jack CR Jr, O’Brien PC, Rettman DW, Shiung MM, Xu Y, Muthupillai R, Manduca A, Avula R, Erickson BJ (2001) FLAIR histogram segmentation for measurement of leukoaraiosis volume. J Magn Reson Imaging 14:668–676

    Article  PubMed  Google Scholar 

  • Janota I, Mirsen TR, Hachinski VC, Lee DH, Merskey H (1989) Neuropathologic correlates of leuko-araiosis. Arch Neurol 46:1124–1128

    PubMed  CAS  Google Scholar 

  • Jian Liu K, Rosenberg GA (2005) Matrix metalloproteinases and free radicals in cerebral ischemia. Free Radic Biol Med 39:71–80

    Article  PubMed  CAS  Google Scholar 

  • Jiang X, Namura S, Nagata I (2001) Matrix metalloproteinase inhibitor KB-R7785 attenuates brain damage resulting from permanent focal cerebral ischemia in mice. Neurosci Lett 305:41–44

    Article  PubMed  CAS  Google Scholar 

  • Kuller LH, Shemanski L, Manolio T, Haan M, Fried L, Bryan N, Burke GL, Tracy R, Bhadelia R (1998) Relationship between ApoE, MRI findings, and cognitive function in the Cardiovascular Health Study. Stroke 29:388–398

    PubMed  CAS  Google Scholar 

  • Kuller LH, Longstreth WT Jr, Arnold AM, Bernick C, Bryan RN, Beauchamp NJ Jr (2004) White matter hyperintensity on cranial magnetic resonance imaging: a predictor of stroke. Stroke 35:1821–1825

    Article  PubMed  Google Scholar 

  • Laird NM, Horvath S, Xu X (2000) Implementing a unified approach to family-based tests of association. Genet Epidemiol 19(Suppl 1):S36–S42

    Article  PubMed  Google Scholar 

  • de Leeuw FE, de Groot JC, Achten E, Oudkerk M, Ramos LM, Heijboer R, Hofman A, Jolles J, van Gijn J, Breteler MM (2001) Prevalence of cerebral white matter lesions in elderly people: a population based magnetic resonance imaging study. The Rotterdam Scan Study. J Neurol Neurosurg Psychiatry 70:9–14

    Article  PubMed  Google Scholar 

  • Li J, Brick P, O’Hare MC, Skarzynski T, Lloyd LF, Curry VA, Clark IM, Bigg HF, Hazleman BL, Cawston TE et al (1995) Structure of full-length porcine synovial collagenase reveals a C-terminal domain containing a calcium-linked, four-bladed beta-propeller. Structure 3:541–549

    Article  PubMed  CAS  Google Scholar 

  • Lo EH, Wang X, Cuzner ML (2002) Extracellular proteolysis in brain injury and inflammation: role for plasminogen activators and matrix metalloproteinases. J Neurosci Res 69:1–9

    Article  PubMed  CAS  Google Scholar 

  • Lohmueller KE, Pearce CL, Pike M, Lander ES, Hirschhorn JN (2003) Meta-analysis of genetic association studies supports a contribution of common variants to susceptibility to common disease. Nat Genet 33:177–182

    Article  PubMed  CAS  Google Scholar 

  • Medley TL, Kingwell BA, Gatzka CD, Pillay P, Cole TJ (2003) Matrix metalloproteinase-3 genotype contributes to age-related aortic stiffening through modulation of gene and protein expression. Circ Res 92:1254–1261

    Article  PubMed  CAS  Google Scholar 

  • Mun-Bryce S, Rosenberg GA (1998) Matrix metalloproteinases in cerebrovascular disease. J Cereb Blood Flow Metab 18:1163–1172

    Article  PubMed  CAS  Google Scholar 

  • Nagase H, Woessner JF Jr (1999) Matrix metalloproteinases. J Biol Chem 274:21491–21494

    Article  PubMed  CAS  Google Scholar 

  • Pantoni L, Garcia JH (1997) Pathogenesis of leukoaraiosis: a review. Stroke 28:652–659

    PubMed  CAS  Google Scholar 

  • Pantoni L, Leys D, Fazekas F, Longstreth WT Jr, Inzitari D, Wallin A, Filippi M, Scheltens P, Erkinjuntti T, Hachinski V (1999) Role of white matter lesions in cognitive impairment of vascular origin. Alzheimer Dis Assoc Disord 13(Suppl 3):S49–S54

    Article  PubMed  Google Scholar 

  • Reich DE, Cargill M, Bolk S, Ireland J, Sabeti PC, Richter DJ, Lavery T, Kouyoumjian R, Farhadian SF, Ward R, Lander ES (2001) Linkage disequilibrium in the human genome. Nature 411:199–204

    Article  PubMed  ADS  CAS  Google Scholar 

  • Romanic AM, White RF, Arleth AJ, Ohlstein EH, Barone FC (1998) Matrix metalloproteinase expression increases after cerebral focal ischemia in rats: inhibition of matrix metalloproteinase-9 reduces infarct size. Stroke 29:1020–1030

    PubMed  CAS  Google Scholar 

  • Rosenberg GA (2002) Matrix metalloproteinases in neuroinflammation. Glia 39:279–291

    Article  PubMed  Google Scholar 

  • Rosenberg GA, Navratil M (1997) Metalloproteinase inhibition blocks edema in intracerebral hemorrhage in the rat. Neurology 48:921–926

    PubMed  CAS  Google Scholar 

  • Rosenberg GA, Navratil M, Barone F, Feuerstein G (1996) Proteolytic cascade enzymes increase in focal cerebral ischemia in rat. J Cereb Blood Flow Metab 16:360–366

    Article  PubMed  CAS  Google Scholar 

  • Rosenberg GA, Sullivan N, Esiri MM (2001) White matter damage is associated with matrix metalloproteinases in vascular dementia. Stroke 32:1162–1168

    PubMed  CAS  Google Scholar 

  • Schmidt R, Fazekas F, Hayn M, Schmidt H, Kapeller P, Roob G, Offenbacher H, Schumacher M, Eber B, Weinrauch V, Kostner GM, Esterbauer H (1997) Risk factors for microangiopathy-related cerebral damage in the Austrian stroke prevention study. J Neurol Sci 152:15–21

    Article  PubMed  CAS  Google Scholar 

  • Schmidt H, Fazekas F, Kostner GM, van Duijn CM, Schmidt R (2001a) Angiotensinogen gene promoter haplotype and microangiopathy-related cerebral damage: results of the Austrian Stroke Prevention Study. Stroke 32:405–412

    CAS  Google Scholar 

  • Schmidt R, Schmidt H, Fazekas F, Launer LJ, Niederkorn K, Kapeller P, Lechner A, Kostner GM (2001b) Angiotensinogen polymorphism M235T, carotid atherosclerosis, and small-vessel disease-related cerebral abnormalities. Hypertension 38:110–115

    CAS  Google Scholar 

  • Schmidt H, Aulchenko YS, Schweighofer N, Schmidt R, Frank S, Kostner GM, Ott E, van Duijn C (2004) Angiotensinogen promoter B-haplotype associated with cerebral small vessel disease enhances basal transcriptional activity. Stroke 35:2592–2597

    Article  PubMed  CAS  Google Scholar 

  • Schwartz GL, Fornage M, Moseley T, Turner ST (2005) Treatment of leukoaraiosis. Curr Treat Options Cardiovasc Med 7(3):173–177

    PubMed  Google Scholar 

  • Seaman SR, Muller-Myhsok B (2005) Rapid simulation of P values for product methods and multiple-testing adjustment in association studies. Am J Hum Genet 76:399–408

    Article  PubMed  CAS  Google Scholar 

  • SeattleSNPs Variation Discovery Resource http://www.pga.mbt.washington.edu. Cited 1 June 2006

  • Shifman S, Kuypers J, Kokoris M, Yakir B, Darvasi A (2003) Linkage disequilibrium patterns of the human genome across populations. Hum Mol Genet 12:771–776

    Article  PubMed  CAS  Google Scholar 

  • Sierra C, Coca A, Gomez-Angelats E, Poch E, Sobrino J, de la Sierra A (2002) Renin-angiotensin system genetic polymorphisms and cerebral white matter lesions in essential hypertension. Hypertension 39:343–347

    Article  PubMed  CAS  Google Scholar 

  • Sobel RA (2001) Matrix metalloproteinases and diffuse white matter injury. Stroke 32:1167–1168

    ADS  Google Scholar 

  • Sunyaev S, Ramensky V, Koch I, Lathe W III, Kondrashov AS, Bork P (2001) Prediction of deleterious human alleles. Hum Mol Genet 10:591–597

    Article  PubMed  CAS  Google Scholar 

  • Szolnoki Z, Melegh B (2006) Gene–gene and gene-environment interplay represent specific susceptibility for different types of ischaemic stroke and leukoaraiosis. Curr Med Chem 13:1627–1634

    Article  PubMed  CAS  Google Scholar 

  • Szolnoki Z, Somogyvari F, Kondacs A, Szabo M, Fodor L (2001) Evaluation of the roles of common genetic mutations in leukoaraiosis. Acta Neurol Scand 104:281–287

    Article  PubMed  CAS  Google Scholar 

  • Szolnoki Z, Somogyvari F, Kondacs A, Szabo M, Fodor L, Bene J, Melegh B (2004) Specific APO E genotypes in combination with the ACE D/D or MTHFR 677TT mutation yield an independent genetic risk of leukoaraiosis. Acta Neurol Scand 109:222–227

    Article  PubMed  CAS  Google Scholar 

  • The ARIC investigators (1989) The Atherosclerosis Risk in Communities (ARIC) Study: design and objectives. Am J Epidemiol 129:687–702

    Google Scholar 

  • Turner ST, Jack CR, Fornage M, Mosley TH, Boerwinkle E, de Andrade M (2004) Heritability of leukoaraiosis in hypertensive sibships. Hypertension 43:483–487

    Article  PubMed  CAS  Google Scholar 

  • Turner ST, Fornage M, Jack CR Jr, Mosley TH, Kardia SL, Boerwinkle E, de Andrade M (2005) Genomic susceptibility loci for brain atrophy in hypertensive sibships from the GENOA study. Hypertension 45:793–798

    Article  PubMed  CAS  Google Scholar 

  • Wang X, Mori T, Jung JC, Fini ME, Lo EH (2002) Secretion of matrix metalloproteinase-2 and -9 after mechanical trauma injury in rat cortical cultures and involvement of MAP kinase. J Neurotrauma 19:615–625

    Article  PubMed  Google Scholar 

  • Woessner JF Jr (1999) Matrix metalloproteinase inhibition. From the Jurassic to the third millennium. Ann N Y Acad Sci 878:388–403

    Article  PubMed  CAS  Google Scholar 

  • Wong TY, Klein R, Sharrett AR, Couper DJ, Klein BE, Liao DP, Hubbard LD, Mosley TH (2002) Cerebral white matter lesions, retinopathy, and incident clinical stroke. JAMA 288:67–74

    Article  PubMed  Google Scholar 

  • Ye S, Eriksson P, Hamsten A, Kurkinen M, Humphries SE, Henney AM (1996) Progression of coronary atherosclerosis is associated with a common genetic variant of the human stromelysin-1 promoter which results in reduced gene expression. J Biol Chem 271:13055–13060

    Article  PubMed  CAS  Google Scholar 

  • Zeger SL, Liang KY (1986) Longitudinal data analysis for discrete and continuous outcomes. Biometrics 42:121–130

    Article  PubMed  CAS  Google Scholar 

  • Zhang B, Ye S, Herrmann SM, Eriksson P, de Maat M, Evans A, Arveiler D, Luc G, Cambien F, Hamsten A, Watkins H, Henney AM (1999) Functional polymorphism in the regulatory region of gelatinase B gene in relation to severity of coronary atherosclerosis. Circulation 99:1788–1794

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The authors thank the staff and participants of the GENOA study for their contributions. This research was supported by grants from the National Institutes of Health NS41558 and NS41466 and by funds from the Mayo Foundation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Myriam Fornage.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fornage, M., Mosley, T.H., Jack, C.R. et al. Family-based association study of matrix metalloproteinase-3 and -9 haplotypes with susceptibility to ischemic white matter injury. Hum Genet 120, 671–680 (2007). https://doi.org/10.1007/s00439-006-0236-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00439-006-0236-8

Keywords

Navigation