PMID- 21134112 OWN - NLM STAT- MEDLINE DCOM- 20111007 LR - 20211020 IS - 1478-3231 (Electronic) IS - 1478-3223 (Print) IS - 1478-3223 (Linking) VI - 31 IP - 6 DP - 2011 Jul TI - Genetic polymorphisms of matrix metalloproteinase 3 in primary sclerosing cholangitis. PG - 785-91 LID - 10.1111/j.1478-3231.2010.02420.x [doi] AB - BACKGROUND: The damaging cholestasis inherent to primary sclerosing cholangitis (PSC) results from bile duct stricturing because of progressive fibrosis. The matrix metalloproteinase 3 (MMP3) degrades a wide range of matrix components and is expressed by activated liver stellate cells, and so is a candidate for involvement with the fibrotic processes underlying PSC. Moreover, the MMP3 gene harbours polymorphisms associated with variation in its activity directly impacting clinical phenotypes. AIMS: We aimed to examine the influence of MMP3 polymorphisms on PSC risk and progression. METHODS: Nine single nucleotide polymorphisms (SNPs) tagging the common genetic variation of MMP3 were genotyped in 266 PSC patients and 407 controls. SNPs and inferred haplotypes were assessed for PSC association by logistic regression and score tests. The effect of SNPs on survival to liver transplant or death was analysed using Cox regression, and Kaplan-Meier curves were constructed. RESULTS: No association of PSC with individual SNPs or haplotypes of MMP3 was detected. However, progression to death or liver transplant was significantly associated with homozygosity for minor alleles of rs522616, rs650108 and rs683878, particularly among PSC patients with concurrent ulcerative colitis (UC) (strongest in redundant SNPs rs650108/rs683878, hazard ratio=3.23, 95% confidence interval 1.45-7.25, P=0.004). CONCLUSIONS: Genetic variation in MMP3 influences PSC progression, possibly in the context of coexisting UC. While the functional variants and specific mechanisms remain unknown, this finding implicates the turnover of the extracellular matrix as an important and variable component of PSC pathogenesis. Efforts to understand this process could form the basis for developing effective treatments, which are currently lacking for PSC. CI - (c) 2010 John Wiley & Sons A/S. FAU - Juran, Brian D AU - Juran BD AD - Center for Basic Research in Digestive Diseases, Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. FAU - Atkinson, Elizabeth J AU - Atkinson EJ FAU - Schlicht, Erik M AU - Schlicht EM FAU - Larson, Joseph J AU - Larson JJ FAU - Ellinghaus, David AU - Ellinghaus D FAU - Franke, Andre AU - Franke A FAU - Lazaridis, Konstantinos N AU - Lazaridis KN LA - eng GR - R01 DK084960/DK/NIDDK NIH HHS/United States GR - R01 DK084960-01A1/DK/NIDDK NIH HHS/United States GR - R01DK084960/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20101207 PL - United States TA - Liver Int JT - Liver international : official journal of the International Association for the Study of the Liver JID - 101160857 RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM CIN - Liver Int. 2011 Jul;31(6):751-4. PMID: 21645205 MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Case-Control Studies MH - Child MH - Cholangitis, Sclerosing/enzymology/*genetics/mortality MH - Colitis, Ulcerative/epidemiology MH - Comorbidity MH - Disease Progression MH - Female MH - Gene Frequency MH - Genetic Association Studies MH - Genetic Predisposition to Disease MH - Haplotypes MH - Humans MH - Kaplan-Meier Estimate MH - Linkage Disequilibrium MH - Logistic Models MH - Male MH - Matrix Metalloproteinase 3/*genetics MH - Middle Aged MH - Minnesota MH - Phenotype MH - *Polymorphism, Single Nucleotide MH - Proportional Hazards Models MH - Risk Assessment MH - Risk Factors MH - Young Adult PMC - PMC3139245 MID - NIHMS310300 EDAT- 2010/12/08 06:00 MHDA- 2011/10/08 06:00 PMCR- 2011/07/19 CRDT- 2010/12/08 06:00 PHST- 2010/12/08 06:00 [entrez] PHST- 2010/12/08 06:00 [pubmed] PHST- 2011/10/08 06:00 [medline] PHST- 2011/07/19 00:00 [pmc-release] AID - 10.1111/j.1478-3231.2010.02420.x [doi] PST - ppublish SO - Liver Int. 2011 Jul;31(6):785-91. doi: 10.1111/j.1478-3231.2010.02420.x. Epub 2010 Dec 7.