1. MMP-3 (-1171 5A/6A) gene polymorphism and risk of preeclampsia
Main Article Content
Abstract
Preeclampsia (PE) is a serious pregnancy-related disorder associated with abnormal placental development. Matrix Metalloproteinase-3 (MMP-3) plays a critical role in trophoblast invasion and spiral artery remodeling. The MMP-3 (-1171 5A/6A) gene polymorphism may influence gene expression and has been implicated in PE susceptibility. This case-control study, conducted on 70 PE patients and 72 normotensive pregnant women at Hanoi Obstetrics and Gynecology Hospital, aimed to investigate the association between the MMP-3 (-1171 5A/6A) gene polymorphism and the risk of preeclampsia among Vietnamese pregnant women. Genotyping of the MMP-3 polymorphism was performed using the PCR-RFLP technique. The results showed that the genotype frequencies of 5A/5A, 5A/6A, and 6A/6A were 0%, 38.6%, and 61.4% in the PE group, and 0%, 15.3%, and 84.7% in the control group, respectively. Pregnant women with the 5A/6A genotype had a significantly increased risk of PE (OR = 3.5; 95% CI: 1.6 - 7.8; p = 0.002), particularly for late-onset PE (OR = 4.5; 95% CI: 1.9 - 11.1; p = 0.001). In conclusion, the MMP-3 (-1171 5A/6A) polymorphism may represent a genetic risk factor for preeclampsia, especially in cases of late-onset disease. These findings contribute to a better understanding of the genetic basis of PE.
Article Details
Keywords
Keywords: Preeclampsia, Matrix Metalloproteinase (MMP), MMP-3 polymorphism
References
2. Laura A. Magee, M.D., Kypros H. Nicolaides, M.D., and Peter von Dadelszen, D.Phil. Preeclampsia | N Engl J Med 2022; 386: 1817-1832. DOI: 10.1056/NEJMra2109523.
3. Chappell S, Morgan L. Searching for genetic clues to the causes of pre-eclampsia. Clin Sci (Lond). 2006; 110(4): 443-458. doi:10.1042/CS20050323.
4. Rana S, Lemoine E, Granger JP, Karumanchi SA. Preeclampsia: Pathophysiology, Challenges, and Perspectives. Circ Res. 2019; 124(7): 1094-1112. doi:10.1161/CIRCRESAHA.118.313276.
5. Alicja Krejner, Malgorzata Litwiniuk & Tomasz Grzela (2016) Matrix metalloproteinases in the wound microenvironment: therapeutic perspectives, Chronic Wound Care Management and Research, 3:, 29-39, DOI: 10.2147/CWCMR.S73819.
6. Sakowicz A, Lisowska M, Biesiada L, et al. Association of Maternal and Fetal Single-Nucleotide Polymorphisms in Metalloproteinase (MMP1, MMP2, MMP3, and MMP9) Genes with Preeclampsia. Disease Markers. 2018; 2018:e1371425. doi:10.1155/2018/1371425.
7. Coolman M, de Maat M, Van Heerde WL, et al. Matrix metalloproteinase-9 gene -1562C/T polymorphism mitigates preeclampsia. Placenta. 2007; 28(7): 709-713. doi:10.1016/j.placenta.2006.06.017.
8. Bộ Y tế. Hướng dẫn sàng lọc và điều trị dự phòng tiền sản giật. 2021.
9. Behforouz A, Dastgheib SA, Abbasi H, et al. Association of MMP-2, MMP-3, and MMP-9 Polymorphisms with Susceptibility to Recurrent Pregnancy Loss. Fetal Pediatr Pathol. 2021; 40(5): 378-386. doi:10.1080/15513815.2019.1710879.
10. Chen J, Khalil RA. Chapter Four - Matrix Metalloproteinases in Normal Pregnancy and Preeclampsia. In: Khalil RA, ed. Progress in Molecular Biology and Translational Science. Vol 148. Matrix Metalloproteinases and Tissue Remodeling in Health and Disease: Target Tissues and Therapy. Academic Press; 2017: 87-165. doi:10.1016/bs.pmbts.2017.04.001.
11. Laskowska M. Altered Maternal Serum Matrix Metalloproteinases MMP-2, MMP-3, MMP-9, and MMP-13 in Severe Early- and Late-Onset Preeclampsia. BioMed Research International. 2017; 2017: e6432426. doi:10.1155/2017/6432426.
12. Lockwood CJ, Basar M, Kayisli UA, et al. Interferon-γ Protects First-Trimester Decidual Cells against Aberrant Matrix Metalloproteinases 1, 3, and 9 Expression in Preeclampsia. The American Journal of Pathology. 2014; 184(9): 2549-2559. doi:10.1016/j.ajpath.2014.05.025.
13. Ye S. Polymorphism in matrix metalloproteinase gene promoters: implication in regulation of gene expression and susceptibility of various diseases. Matrix Biology. 2000; 19(7): 623-629. doi:10.1016/S0945-053X(00)00102-5.
14. Dimitriadis, E., Rolnik, D.L., Zhou, W. et al. Pre-eclampsia. Nat Rev Dis Primers 9, 8 (2023). https://doi.org/10.1038/s41572-023-00417-6.