PMID- 31404425 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220409 IS - 2590-1613 (Electronic) IS - 2590-1613 (Linking) VI - 3 DP - 2019 Jul TI - Matrix metalloproteinases 3 polymorphism increases the risk of developing advanced endometriosis and infertility: A case-control study. PG - 100041 LID - 10.1016/j.eurox.2019.100041 [doi] LID - 100041 AB - OBJECTIVE: Endometriosis has a complex and multifactorial pathology, and it is considered one of the main causes of infertility nowadays. The angiogenic process, which involves remodeling of extracellular matrix, is crucial for the development of this disease, mainly by the action of the matrix metalloproteinase 3 (MMP-3). It is known that genetic factors can influence endometriosis, thus; we investigated the role of MMP3 276G>A polymorphism as a risk factor for the development of the disease and its symptoms. STUDY DESIGN: This case-control study included 283 women with endometriosis (cases) and 217 women without the disease (controls) who were submitted to laparoscopic or laparotomy surgery. Real-time polymerase chain reaction performed by TaqMan system was applied for all polymorphisms. A multivariate logistic regression was performed to evaluate the association between polymorphism and endometriosis or clinical and gynecological characteristics of the disease, using their respective odds ratios (OR) and 95% confidence intervals (CI). RESULTS: The allelic frequency of the MMP3 276 G > A polymorphism was 33.6% in controls and 40.3% in endometriosis cases. The allelic distribution was significantly different between the two (P = 0.03). The variant genotype of MMP3 276AA was associated with increased endometriosis risk in the advanced endometriosis cases (OR: 2.08, 95% CI: 1.05 - 4.07 and OR: 1.87, 95% CI: 1.01 - 3.45). Regarding the symptoms, endometriosis-related infertile women had a positive association with the presence of MMP3 276 G > A polymorphism (OR: 3.13, 95% CI: 1.08-9.08 and OR: 3.30, 95% CI: 1.31 - 8.33). CONCLUSIONS: These findings suggest that the MMP3 276A polymorphism is involved with advanced endometriosis cases and infertility, and these associations may implicate in the behavior of disease. FAU - Cardoso, Jessica V AU - Cardoso JV AD - Programa de Pos-guaduacao em Saude Publica e Meio Ambiente, Escola Nacional de Saude Publica, Fundacao Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. AD - Laboratorio de Pesquisa de Ciencias Farmaceuticas, Unidade de Farmacia, Centro Universitario Estadual da Zona Oeste, Rio de Janeiro, RJ, Brazil. FAU - Machado, Daniel E AU - Machado DE AD - Laboratorio de Pesquisa de Ciencias Farmaceuticas, Unidade de Farmacia, Centro Universitario Estadual da Zona Oeste, Rio de Janeiro, RJ, Brazil. FAU - da Silva, Mayara C AU - da Silva MC AD - Programa de Pos-guaduacao em Saude Publica e Meio Ambiente, Escola Nacional de Saude Publica, Fundacao Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. AD - Laboratorio de Pesquisa de Ciencias Farmaceuticas, Unidade de Farmacia, Centro Universitario Estadual da Zona Oeste, Rio de Janeiro, RJ, Brazil. FAU - Berardo, Plinio T AU - Berardo PT AD - Servico de Ginecologia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil. AD - Departamento de Ginecologia, Faculdade de Medicina, Universidade Estacio de Sa, Rio de Janeiro, RJ, Brazil. FAU - Ferrari, Renato AU - Ferrari R AD - Instituto de Ginecologia, Hospital Moncorvo Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. FAU - Abrao, Mauricio S AU - Abrao MS AD - Secao de Endometriose, Divisao de Ginecologia, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil. AD - Divisao de Ginecologia, Beneficencia Portuguesa de Sao Paulo, Sao Paulo, SP, Brazil. FAU - Perini, Jamila A AU - Perini JA AD - Programa de Pos-guaduacao em Saude Publica e Meio Ambiente, Escola Nacional de Saude Publica, Fundacao Oswaldo Cruz, Rio de Janeiro, RJ, Brazil. AD - Laboratorio de Pesquisa de Ciencias Farmaceuticas, Unidade de Farmacia, Centro Universitario Estadual da Zona Oeste, Rio de Janeiro, RJ, Brazil. LA - eng PT - Journal Article DEP - 20190506 PL - Netherlands TA - Eur J Obstet Gynecol Reprod Biol X JT - European journal of obstetrics & gynecology and reproductive biology: X JID - 101750520 PMC - PMC6687389 OTO - NOTNLM OT - Angiogenesis OT - Endometriosis OT - Infertility OT - MMP3 OT - Polymorphisms EDAT- 2019/08/14 06:00 MHDA- 2019/08/14 06:01 PMCR- 2019/05/06 CRDT- 2019/08/13 06:00 PHST- 2019/02/12 00:00 [received] PHST- 2019/05/03 00:00 [revised] PHST- 2019/05/05 00:00 [accepted] PHST- 2019/08/13 06:00 [entrez] PHST- 2019/08/14 06:00 [pubmed] PHST- 2019/08/14 06:01 [medline] PHST- 2019/05/06 00:00 [pmc-release] AID - S2590-1613(19)30076-6 [pii] AID - 100041 [pii] AID - 10.1016/j.eurox.2019.100041 [doi] PST - epublish SO - Eur J Obstet Gynecol Reprod Biol X. 2019 May 6;3:100041. doi: 10.1016/j.eurox.2019.100041. eCollection 2019 Jul.