PMID- 26087627 OWN - NLM STAT- MEDLINE DCOM- 20150714 LR - 20181023 IS - 0040-3660 (Print) IS - 0040-3660 (Linking) VI - 87 IP - 4 DP - 2015 TI - [Assessment of the role of matrix metalloproteinase-3 gene polymorphism in the development of chronic heart failure]. PG - 8-12 LID - 10.17116/terarkh20158748-12 [doi] AB - AIM: To study the impact of a polymorphic variant of the matrix metalloproteinase-3 (MMP-3) gene on the development and course of chronic heart failure (CHF) in patients with coronary heart disease. SUBJECTS AND METHODS: A total of 277 patients with New York Heart Association (NYHA) Functional Class (FC) II-IV CHF were examined. MMP-3 -1171 5A/6A genetic polymorphism was studied by polymerase chain reaction. A control group included 136 patients (mean age 53.6 +/- 4.8 years) with no signs of cardiovascular diseases, as evidenced by the examination. RESULTS: The frequency of the 5A allele and the 5A/5A genotype of the 1171 5A/6A polymorphic locus in the MMP-3 gene proved to be higher in the patients with CHF than that in the control group. Thus, the variability of the 5A allele (odds ratio (OR), 1.39; 95% confidence interval (CI): 1.033 to 1.869; p = 0.03) and the 5A/5A genotype (OR, 2.15; 95% CI: 1.131 to 4.070; p = 0.02) was associated with increased risk for CHF. There were significant differences in the frequency of MMP-3 alleles and genotypes in relation to FC of CHF. The frequency of the 5A/5A genotype was substantially higher in the patients with NYHA FC IV CHF than that in those with NYHA FC II CHF (32.8% versus 15.2%; p = 0.039). The frequency of the 5A allele was significantly higher in the patients with NYHA FC IV CHF than that in those with NYHA FC II CHF (55.5% and 39.3%; respectively; p = 0.019). Thus, the carriage of the 5A allele and the 5A/5A genotype of the 1171 5A/6A polymorphic locus in the MMP-3 gene is a risk factor of severe CHF. CONCLUSION: The determination of MMP-3 -1171 5A/6A polymorphism may be recommended for the early prediction of a risk for the development and severe course of CHF. FAU - Teplyakov, A T AU - Teplyakov AT AD - Department of Heart Failure, Research Institute of Cardiology, Tomsk, Russia. FAU - Berezikova, E N AU - Berezikova EN AD - Novosibirsk State Medical University, Ministry of Health of Russia, Novosibirsk, Russia. FAU - Shilov, S N AU - Shilov SN AD - Novosibirsk State Medical University, Ministry of Health of Russia, Novosibirsk, Russia. FAU - Grakova, E V AU - Grakova EV AD - Department of Heart Failure, Research Institute of Cardiology, Tomsk, Russia. FAU - Torim, Yu Yu AU - Torim YY AD - Department of Heart Failure, Research Institute of Cardiology, Tomsk, Russia. FAU - Efremov, A V AU - Efremov AV AD - Novosibirsk State Medical University, Ministry of Health of Russia, Novosibirsk, Russia. FAU - Safronov, I D AU - Safronov ID AD - Novosibirsk State Medical University, Ministry of Health of Russia, Novosibirsk, Russia. FAU - Pustovetova, M G AU - Pustovetova MG AD - Novosibirsk State Medical University, Ministry of Health of Russia, Novosibirsk, Russia. FAU - Karpov, R S AU - Karpov RS AD - Department of Heart Failure, Research Institute of Cardiology, Tomsk, Russia. LA - rus PT - English Abstract PT - Journal Article PL - Russia (Federation) TA - Ter Arkh JT - Terapevticheskii arkhiv JID - 2984818R RN - 9007-49-2 (DNA) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Aged MH - Alleles MH - DNA/*genetics MH - Disease Progression MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - Heart Failure/enzymology/*genetics MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*genetics/metabolism MH - Middle Aged MH - Polymerase Chain Reaction MH - *Polymorphism, Genetic EDAT- 2015/06/20 06:00 MHDA- 2015/07/15 06:00 CRDT- 2015/06/20 06:00 PHST- 2015/06/20 06:00 [entrez] PHST- 2015/06/20 06:00 [pubmed] PHST- 2015/07/15 06:00 [medline] AID - 10.17116/terarkh20158748-12 [doi] PST - ppublish SO - Ter Arkh. 2015;87(4):8-12. doi: 10.17116/terarkh20158748-12.