PMID- 35172898 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220223 IS - 2052-1847 (Print) IS - 2052-1847 (Electronic) IS - 2052-1847 (Linking) VI - 14 IP - 1 DP - 2022 Feb 16 TI - Association between matrix metalloproteinase-3 gene polymorphisms and tendon-ligament injuries: evidence from a meta-analysis. PG - 26 LID - 10.1186/s13102-022-00421-5 [doi] LID - 26 AB - BACKGROUND: Tendon-ligament injuries (TLIs), including Achilles tendinopathy, cruciate ligament injury, tennis elbow, rotator cuff injury, patellar tendinopathy, and tibial tendinopathy, are common musculoskeletal soft injuries during physical activity. Matrix metalloproteinase-3 (MMP-3) gene polymorphisms have been implicated in the etiology of TLIs in several genetic association studies with inconsistent results. The purpose of this study was to collect and synthesize the current evidences on the association of MMP-3 polymorphisms and TLIs. METHODS: The search was conducted using PubMed, Web of Science, EMBASE, Cochrane Library, CNKI and Wanfang databases, prior to July, 2021. Newcastle Ottawa Scale was used to appraise the study quality. Strengths of association were represented by odds ratios (ORs) and 95% confidence intervals (95% CIs). RESULTS: Thirteen studies with 2871 cases and 4497 controls met the eligibility criteria, and each study was in high quality. The overall analyzes suggested rs3025058 was associated with an increased TLIs risk (5A vs. 6A, OR = 1.20, 95% CI 1.03-1.40, P = 0.020). However, the association was not found for rs679620, rs591058, and rs650108 polymorphisms. Subgroup analysis by injury type suggested that rs679620 polymorphism was associated with a reduced risk to Achilles tendon rupture (AA + AG vs. GG, OR = 0.46, 95% CI 0.25-0.87, P = 0.020), and rs3025058 was associated with an elevated risk to anterior cruciate ligament injury (5A5A + 5A6A vs. 6A6A, OR = 1.46, 95% CI 1.03-2.06, P = 0.030). When stratified by ethnicity, the findings indicated that rs3025058 polymorphism was associated with an increased TLIs risk among Caucasians (5A6A vs. 6A6A, OR = 1.55, 95% CI 1.09-2.42, P = 0.020) and Brazilians (5A5A vs. 5A6A + 6A6A, OR = 2.80, 95% CI 1.44-5.45, P = 0.002). CONCLUSION: Findings of this study suggest that rs679620 polymorphism is associated with a reduced Achilles tendon rupture risk, and rs3025058 polymorphism contributes to an increased TLIs risk in Caucasians and Brazilians. However, rs591058 and rs650108 polymorphisms do not show any association with TLIs. CI - (c) 2022. The Author(s). FAU - Guo, Rui AU - Guo R AD - Department of Orthopedic Center, People's Hospital of Xinjiang Uygur Autonomous Region, No. 91 Tianchi Road, Urumqi, 830001, Xinjiang, China. FAU - Aizezi, Aihaiti AU - Aizezi A AD - Department of Orthopedic Center, People's Hospital of Xinjiang Uygur Autonomous Region, No. 91 Tianchi Road, Urumqi, 830001, Xinjiang, China. FAU - Fan, Yong AU - Fan Y AD - Department of Orthopedic Center, People's Hospital of Xinjiang Uygur Autonomous Region, No. 91 Tianchi Road, Urumqi, 830001, Xinjiang, China. FAU - Ji, Zhe AU - Ji Z AD - Department of Orthopedic Center, People's Hospital of Xinjiang Uygur Autonomous Region, No. 91 Tianchi Road, Urumqi, 830001, Xinjiang, China. FAU - Li, Wenzong AU - Li W AD - Department of Surgery, People's Hospital of Burqin County, Altay, 836500, Xinjiang, China. FAU - Li, Yongxian AU - Li Y AD - Department of Surgery, People's Hospital of Tuoli County, Tacheng, 834300, Xinjiang, China. FAU - Wang, Zhigang AU - Wang Z AD - Department of Orthopedic Center, People's Hospital of Xinjiang Uygur Autonomous Region, No. 91 Tianchi Road, Urumqi, 830001, Xinjiang, China. rmyygr@126.com. FAU - Ning, Kai AU - Ning K AD - Department of Orthopedic Center, People's Hospital of Xinjiang Uygur Autonomous Region, No. 91 Tianchi Road, Urumqi, 830001, Xinjiang, China. 13579233099@163.com. LA - eng GR - 2018D01C120/Natural Science Foundation of Xinjiang Uygur Autonomous Region/ GR - 2018D01C120/Natural Science Foundation of Xinjiang Uygur Autonomous Region/ PT - Journal Article DEP - 20220216 PL - England TA - BMC Sports Sci Med Rehabil JT - BMC sports science, medicine & rehabilitation JID - 101605016 PMC - PMC8851795 OTO - NOTNLM OT - Matrix metalloproteinase-3 OT - Meta-analysis OT - Polymorphism OT - Tendon-ligament injury COIS- The authors declare that they have no competing interests. EDAT- 2022/02/18 06:00 MHDA- 2022/02/18 06:01 PMCR- 2022/02/16 CRDT- 2022/02/17 05:29 PHST- 2021/11/13 00:00 [received] PHST- 2022/02/11 00:00 [accepted] PHST- 2022/02/17 05:29 [entrez] PHST- 2022/02/18 06:00 [pubmed] PHST- 2022/02/18 06:01 [medline] PHST- 2022/02/16 00:00 [pmc-release] AID - 10.1186/s13102-022-00421-5 [pii] AID - 421 [pii] AID - 10.1186/s13102-022-00421-5 [doi] PST - epublish SO - BMC Sports Sci Med Rehabil. 2022 Feb 16;14(1):26. doi: 10.1186/s13102-022-00421-5.