PMID- 17875574 OWN - NLM STAT- MEDLINE DCOM- 20080314 LR - 20161124 IS - 0964-6906 (Print) IS - 0964-6906 (Linking) VI - 16 IP - 24 DP - 2007 Dec 15 TI - An increased frequency of the 5A allele in the promoter region of the MMP3 gene is associated with abdominal aortic aneurysms. PG - 3002-7 AB - Matrix metalloproteinase 3 (MMP3), is over expressed in the wall of abdominal aortic aneurysms (AAA), while inactivation of the gene expressing this enzyme is associated with reduced aneurysm formation in an experimental model. The 5A allele of the 5A/6A polymorphism in the promoter region of the MMP3 gene is associated with enhanced MMP3 expression. This study aimed to determine whether the presence of the 5A allele in the MMP3 promoter is a risk factor for AAA, and if this allele is associated with an increased expression of MMP3 in the aneurysm wall. We compared the frequencies of the 5A and 6A alleles in AAA (n = 405), aortic occlusive disease (AOD) (n = 123) and controls (n = 405). The 5A allele frequency was higher in AAA compared with controls (odds ratio - OR 1.32, P = 0.005) and AOD (OR 1.684, P = 0.0004), but was similar in AOD compared to controls (OR 0.78, P = 0.1). The ORs of the 5A/6A and the 5A/5A genotypes were 1.35 and 1.79, compared with 6A homozygotes. Although wall from 5A homozygotes contained 17% more MMP3 mRNA than homozygotes (P = 0.049) the significance of this was lost when adjusted for age and sex (P = 0.069), and size (P = 0.30). Wall from 5A homozygotes did however contain over 45% more MMP3 protein than heterozygotes (P = 0.009 when corrected for age and sex and P = 0.043 when corrected for aneurysm size). It appears that an abnormality in the MMP3 gene is part of the genetic profile that predisposes to aneurysmal disease. FAU - Deguara, Jean AU - Deguara J AD - Academic Department of Surgery, Cardiovascular Division, King's College London, St Thomas' Hospital London SE1 7EH, UK. FAU - Burnand, Kevin G AU - Burnand KG FAU - Berg, Jonathan AU - Berg J FAU - Green, Peter AU - Green P FAU - Lewis, Cathryn M AU - Lewis CM FAU - Chinien, Ganesh AU - Chinien G FAU - Waltham, Matthew AU - Waltham M FAU - Taylor, Peter AU - Taylor P FAU - Stern, Rowena F AU - Stern RF FAU - Solomon, Ellen AU - Solomon E FAU - Smith, Alberto AU - Smith A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070917 PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM EIN - Hum Mol Genet. 2009 Dec 1;18(23):4688. Stern, Rachel F [corrected to Stern, Rowena F] MH - Aorta/diagnostic imaging MH - Aortic Aneurysm, Abdominal/diagnostic imaging/*genetics MH - Arterial Occlusive Diseases/diagnostic imaging/genetics MH - Cohort Studies MH - Female MH - *Gene Frequency MH - *Genetic Linkage MH - Heterozygote MH - Homozygote MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*genetics MH - *Polymorphism, Single Nucleotide MH - *Promoter Regions, Genetic MH - Ultrasonography EDAT- 2007/09/19 09:00 MHDA- 2008/03/15 09:00 CRDT- 2007/09/19 09:00 PHST- 2007/09/19 09:00 [pubmed] PHST- 2008/03/15 09:00 [medline] PHST- 2007/09/19 09:00 [entrez] AID - ddm258 [pii] AID - 10.1093/hmg/ddm258 [doi] PST - ppublish SO - Hum Mol Genet. 2007 Dec 15;16(24):3002-7. doi: 10.1093/hmg/ddm258. Epub 2007 Sep 17.