Gibbon A, Hobbs H, van der Merwe W, Raleigh S M, Cook J, Handley C J, Posthumus M, Collins M, September A V
a Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences , University of Cape Town , Cape Town , South Africa.
b Sports Science Orthopaedic Clinic , Sports Science Institute of South Africa , Cape Town , South Africa.
J Sports Sci. 2017 Apr;35(7):655-662. doi: 10.1080/02640414.2016.1183806. Epub 2016 May 21.
Matrix metalloproteinase-3 (MMP3) is a mediator of matrix remodelling and a proposed susceptibility locus in the genetic profile of musculoskeletal soft tissue injuries. Therefore, this study aimed to validate the MMP3 gene as a risk marker for these injuries by conducting a case control genetic association study in two independent samples groups. Three previously investigated MMP3 variants (rs679620, rs591058 and rs650108) in addition to the functional promoter variant (rs3025058) were genotyped in 195 Australian control participants and 79 Australian individuals with chronic Achilles tendinopathy. Similarly, 234 South African individuals with acute anterior cruciate ligament ruptures and 232 matched control participants were also analysed. Based on high linkage with the previously associated MMP3 variant rs679620, rs3025058 was inferred and found to be associated with increased risk for Achilles tendinopathy within the South African group (P = 0.012; OR: 2.88; 95% CI: 1.4 to 6.1). Lastly, the 6A-G-C-G haplotype, constructed from the investigated variants, was significantly associated with reduced risk for Achilles tendinopathy (29% CON vs. 20% TEN, P = 0.037) in the Australian group. In conclusion, a signal surrounding MMP3 is apparent with respect to Achilles tendinopathy. However, whether the investigated variants are contributing to injury susceptibility or whether they are merely linked to the risk conferring variants mapping elsewhere within the MMP gene cluster on chromosome 11, still requires refining.
基质金属蛋白酶-3(MMP3)是基质重塑的介质,也是肌肉骨骼软组织损伤遗传图谱中一个潜在的易感基因座。因此,本研究旨在通过在两个独立样本组中进行病例对照基因关联研究,验证MMP3基因作为这些损伤的风险标志物。除功能性启动子变体(rs3025058)外,还对195名澳大利亚对照参与者和79名患有慢性跟腱病的澳大利亚个体进行了基因分型,检测了三个先前研究过的MMP3变体(rs679620、rs591058和rs650108)。同样,对234名急性前交叉韧带断裂的南非个体和232名匹配的对照参与者也进行了分析。基于与先前相关的MMP3变体rs679620的高度连锁,推断出rs3025058,并发现其与南非组中跟腱病风险增加相关(P = 0.012;OR:2.88;95% CI:1.4至6.1)。最后,由所研究变体构建的6A-G-C-G单倍型与澳大利亚组中跟腱病风险降低显著相关(对照组29% vs. 跟腱病组20%,P = 0.037)。总之,关于跟腱病,MMP3周围存在一个明显的信号。然而,所研究的变体是导致损伤易感性,还是仅仅与位于11号染色体上MMP基因簇其他位置的风险赋予变体连锁,仍需要进一步明确。