Abstract
Aim
To investigate the association of matrix metalloproteinase-3 (MMP-3) polymorphism with susceptibility to coronary artery stenosis (CAS) and the number of diseased vessels in patients with type 2 diabetes mellitus (T2DM).
Methods
The study population comprised 618 unrelated Iranian individual subjects, including 305 angiographically documented CAS patients with T2DM and 313 control subjects with T2DM. MMP3 genotypes were determined by polymerase chain reaction and restriction fragment length polymorphism.
Results
Significant differences between cases and controls were observed for MMP3 genotype frequencies (p < 0.01). The 6A allele was high frequently seen in the disease group, compared with the control group (64.75 vs. 56.24%, 6A/6A + 5A/6A vs. 5A/5A, p < 0.05). The association of this polymorphism with the severity of stenosis were also evaluated which according to results distribution of MMP3 genotypes were not significantly different as compared with the severity of stenosis (p > 0.05).
Conclusions
Frequency of the 6A allele of the human MMP3 gene is an independent risk factor for CAS in the Iranian T2DM studied.
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Acknowledgments
This study was supported in part by a grant from the Iran University of Medical Sciences. The authors wish to thank Gifted and Talented Students Center of University for funding of this project and thank Shahid Rajaee and Shahid Madani Hospitals in the north of Tehran and Tabriz, respectively, for providing the samples.
Study limitation
There were several limitations for our study. Firstly, this was a small study, and these observations must be confirmed in a larger sample of patients. Nevertheless, a large-scale prospective study should be launched to confirm the associative effect of this polymorphism with CAS T2DM patients. Secondly, we analyzed only one polymorphism in most of the genes, which could have missed an association that was to a specific polymorphism. It will be interesting also to see if this polymorphism has a role in the manifestation and development of other coronary artery disease such as myocardial infarction, coronary aneurysm, etc...in patients with T2DM.
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There are no conflicts of interest.
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This study was supported in part by a grant from the Medical Sciences of Iran University.
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Fallah, S., Seifi, M. & Samadikuchaksaraei, A. Risk of coronary artery stenosis in Iranian type 2 diabetics: is there a role for matrix metalloproteinase-3 gene (-1612 5A/6A) polymorphism?. J Physiol Biochem 66, 359–364 (2010). https://doi.org/10.1007/s13105-010-0042-6
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DOI: https://doi.org/10.1007/s13105-010-0042-6