PMID- 12821236 OWN - NLM STAT- MEDLINE DCOM- 20030709 LR - 20190708 IS - 0735-1097 (Print) IS - 0735-1097 (Linking) VI - 41 IP - 12 DP - 2003 Jun 18 TI - Influences of matrix metalloproteinase-3 gene variation on extent of coronary atherosclerosis and risk of myocardial infarction. PG - 2130-7 AB - OBJECTIVES: The aim of this study was to assess matrix metalloproteinase-3 (MMP3) gene variation in relation to the degree of coronary atherosclerosis and risk of myocardial infarction (MI) in patients with coronary artery disease. METHODS: In this study, we systematically screened the promoter and coding regions for sequence variants. All polymorphisms identified were analyzed in 1,240 individuals undergoing coronary angiography. Functional analyses of the polymorphisms were carried out with the use of report assays and electrophoretic mobility shift assays. RESULTS: Six novel polymorphisms were identified. The 6A/6A genotype was associated with greater number of coronary arteries with significant stenosis (odds ratio [OR] 1.52, p = 0.008), whereas the 5A/5A and 5A/6A genotypes were associated with increased risk of MI (OR 2.02 and 1.78, p = 0.016 and 0.032, respectively). A stepwise logistic regression analysis with all polymorphisms taken into account showed that the effect of MI susceptibility was largely attributed to the 5A/6A polymorphism. In a stepwise logistic regression analysis with all haplotypes as independent variables, the most common haplotype (T-5A-A-A-G-A), and two rare haplotypes, all containing the 5A allele, were associated with MI susceptibility. Functional studies showed that the T-5A-A-A-G-A haplotype had a higher promoter activity in macrophages. CONCLUSIONS: These data indicate that the effect of MMP3 gene variation is attributable to the 5A/6A polymorphism and that individuals carrying the 6A/6A genotype may be predisposed to developing atherosclerotic plaques with significant stenosis, whereas those carrying the 5A allele may be predisposed to developing unstable plaques. FAU - Beyzade, Seyyare AU - Beyzade S AD - Human Genetics Division, Southampton University Medical School, Southampton, United Kingdom. FAU - Zhang, Shaoli AU - Zhang S FAU - Wong, Yuk-ki AU - Wong YK FAU - Day, Ian N M AU - Day IN FAU - Eriksson, Per AU - Eriksson P FAU - Ye, Shu AU - Ye S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Am Coll Cardiol JT - Journal of the American College of Cardiology JID - 8301365 RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Aged MH - Coronary Angiography MH - Coronary Artery Disease/*complications/diagnostic imaging/*genetics MH - Female MH - Genetic Variation/*genetics MH - Genotype MH - Humans MH - In Vitro Techniques MH - Male MH - Matrix Metalloproteinase 3/*genetics MH - Middle Aged MH - Myocardial Infarction/diagnostic imaging/*etiology/*genetics MH - Open Reading Frames/genetics MH - Polymorphism, Genetic/genetics MH - Promoter Regions, Genetic/genetics MH - Risk Assessment MH - Severity of Illness Index EDAT- 2003/06/25 05:00 MHDA- 2003/07/10 05:00 CRDT- 2003/06/25 05:00 PHST- 2003/06/25 05:00 [pubmed] PHST- 2003/07/10 05:00 [medline] PHST- 2003/06/25 05:00 [entrez] AID - S0735109703004820 [pii] AID - 10.1016/s0735-1097(03)00482-0 [doi] PST - ppublish SO - J Am Coll Cardiol. 2003 Jun 18;41(12):2130-7. doi: 10.1016/s0735-1097(03)00482-0.