PMID- 26712881 OWN - NLM STAT- MEDLINE DCOM- 20160505 LR - 20151229 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 145 IP - 1 DP - 2016 Jan TI - Matrix Metalloproteinase 3 Gene Polymorphism and Its Level Predict Morbidity After Acute Myocardial Infarction. PG - 134-9 LID - 10.1093/ajcp/aqv008 [doi] AB - OBJECTIVES: Matrix metalloproteinase is responsible for ventricular remodeling after acute myocardial infarction (MI). The purpose of the present study was to determine whether the matrix metalloproteinase 3 (MMP-3) polymorphism and its level predict morbidity after acute MI (AMI). METHODS: We studied 112 patients with AMI and 140 controls. All patients were followed for AMI complications during their hospitalization and 6 months after. Serum MMP-3 was measured. MMP-3-1612 5A/6A polymorphism was genotyped by polymerase chain reaction. RESULTS: We observed that the serum MMP-3 levels were significantly increased in patients with AMI with morbidity compared with patients without complications. Also, MMP-3 levels in patients with AMI carrying 5A/5A were elevated compared with those carrying 6A/6A. The frequencies of 5A/5A genotypes were significantly increased in patients with AMI compared with controls, and patients with AMI carrying 5A/5A had a fivefold increased risk of developing morbidity. The impairment of left ventricular function (DeltaFS [fractional shortening] and DeltaEF [ejection fraction]) was observed more in the 5A/5A genotype compared with the 6A/6A genotype. A significant inverse correlation between predischarge MMP-3 levels and FS and EF was found at 6 months follow-up. CONCLUSIONS: MMP-3 polymorphism has a significant association with the risk of developing morbidity after AMI. Higher predischarge MMP-3 levels are associated with left ventricular dysfunction after AMI. CI - (c) American Society for Clinical Pathology, 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Abd El-Aziz, Tarek A AU - Abd El-Aziz TA AD - From the Cardiology Department. FAU - Mohamed, Randa H AU - Mohamed RH AD - Medical Biochemistry Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt. randahussiny@yahoo.com. LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Aged MH - Alleles MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*blood/*genetics MH - Middle Aged MH - Myocardial Infarction/blood/genetics/*mortality MH - *Polymorphism, Single Nucleotide MH - Prognosis MH - Promoter Regions, Genetic MH - Risk Factors OTO - NOTNLM OT - MMP-3 OT - Morbidity OT - Polymorphisms OT - Predictors EDAT- 2015/12/30 06:00 MHDA- 2016/05/06 06:00 CRDT- 2015/12/30 06:00 PHST- 2015/12/30 06:00 [entrez] PHST- 2015/12/30 06:00 [pubmed] PHST- 2016/05/06 06:00 [medline] AID - aqv008 [pii] AID - 10.1093/ajcp/aqv008 [doi] PST - ppublish SO - Am J Clin Pathol. 2016 Jan;145(1):134-9. doi: 10.1093/ajcp/aqv008.