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Research ArticleArticle

Association of a Functional Polymorphism in the Matrix Metalloproteinase-12 Promoter Region with Systemic Sclerosis in an Italian Population

MIRKO MANETTI, LIDIA IBBA-MANNESCHI, CINZIA FATINI, SERENA GUIDUCCI, GIOVANNA CUOMO, CLAUDIA BONINO, LAURA BAZZICHI, VASILIKI LIAKOULI, ROBERTO GIACOMELLI, ROSANNA ABBATE, STEFANO BOMBARDIERI, CARLOMAURIZIO MONTECUCCO, GABRIELE VALENTINI and MARCO MATUCCI-CERINIC
The Journal of Rheumatology September 2010, 37 (9) 1852-1857; DOI: https://doi.org/10.3899/jrheum.100237
MIRKO MANETTI
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  • For correspondence: mirkomanetti@yahoo.it
LIDIA IBBA-MANNESCHI
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CINZIA FATINI
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SERENA GUIDUCCI
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GIOVANNA CUOMO
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CLAUDIA BONINO
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LAURA BAZZICHI
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VASILIKI LIAKOULI
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ROBERTO GIACOMELLI
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ROSANNA ABBATE
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STEFANO BOMBARDIERI
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CARLOMAURIZIO MONTECUCCO
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GABRIELE VALENTINI
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MARCO MATUCCI-CERINIC
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    Figure 1.

    Analysis of the MMP-12 rs2276109 A/G gene polymorphism by PCR-restriction fragment length polymorphism assay. A PvuII restriction endonuclease site was introduced with use of a forward mismatch primer. PCR products (199 bp) were digested with PvuII restriction enzyme and subsequently separated by 3% low-melting-point agarose gel electrophoresis with ethidium bromide staining and visualized under ultraviolet transillumination. The rs2276109 A allele resulted in 1 fragment of 199 bp, while the rs2276109 G gene variant resulted in 2 fragments of 175 bp and 24 bp. Results of a representative experiment are shown. Samples 1 and 6 have the GG genotype, samples 2, 5, and 7 have the AA genotype, and samples 3, 4, and 8 have the heterozygous AG genotype.

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    Table 1.

    Demographic, clinical, and serological characteristics of patients with systemic sclerosis (SSc) and control subjects. Except where indicated otherwise, values are the number (%) of subjects. Disease duration was calculated since the first non-Raynaud’s symptom and did not differ significantly among subsets of patients with SSc.

    CharacteristicsPatients with SSc, n = 250Controls, n = 263
    Mean age, yrs ± SD55.9 ± 12.554.5 ± 12.7
    Sex
      Male27 (10.8)46 (17.5)
      Female223 (89.2)217 (82.5)
    Mean disease duration, yrs ± SD7.7 ± 6.9—
    Disease subset
      lcSSc146 (58.4)—
      dcSSc104 (41.6)—
    Autoantibody positivity
      ANA227 (90.8)—
      Anti-topo I77 (30.8)—
      ACA91 (36.4)—
    Organ involvement
      ILD74 (29.6)—
      PAH35 (14.0)—
    • ACA: anticentromere antibodies; ANA: antinuclear antibodies; anti-topo I: antitopoisomerase I antibodies; dcSSc: diffuse cutaneous SSc; ILD: interstitial lung disease; lcSSc: limited cutaneous SSc; PAH: pulmonary arterial hypertension.

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    Table 2.

    Genotype distribution and allele frequency of the MMP-12 rs2276109 A/G single-nucleotide polymorphism in controls, patients with SSc, and SSc clinical subsets. Values are the number (%) of subjects with a given genotype and the frequency of the rs2276109 A allele in patients and controls.

    SubjectsAAAGGGA Allele Frequency
    Controls, n = 263171 (65.0)85 (32.3)7 (2.7)0.81
    SSc, n = 250202 (80.8)43 (17.2)5 (2.0)*0.89 **
    lcSSc, n = 146108 (74.0)35 (24.0)3 (2.0)0.86
    dcSSc, n = 10494 (90.4)8 (7.7)2 (1.9)§0.94§§
    Anti-topo I-positive SSc, n = 7773 (94.8)3 (3.9)1 (1.3)0.97#
    Anti-topo I-negative SSc, n = 173129 (74.6)40 (23.1)4 (2.3)0.86
    ACA-positive SSc, n = 9164 (70.3)25 (27.5)2 (2.2)0.84
    ACA-negative SSc, n = 159138 (86.8)18 (11.3)3 (1.9)0.92
    SSc-ILD, n = 7467 (90.5)5 (6.8)2 (2.7)0.94†
    SSc-non-ILD, n = 176135 (76.7)38 (21.6)3 (1.7)0.87
    SSc-PAH, n = 3531 (88.6)4 (11.4)0 (0.0)0.94††
    SSc-non-PAH, n = 215171 (79.5)39 (18.2)5 (2.3)0.89
    • P values calculated by chi-squared analysis.

    • ↵* p = 0.0003,

    • ↵** p = 0.0002 for comparison with controls.

    • ↵§ p < 0.0001 for comparison with controls and 0.003 with lcSSc;

    • ↵§§ p < 0.0001 for comparison with controls and 0.003 with lcSSc;

    • ↵# p < 0.0001 for comparison with controls and 0.0004 with anti-topo I-negative SSc;

    • ↵† p < 0.0001 for comparison with controls and 0.03 with SSc-non-ILD;

    • ↵†† p = 0.1 for comparison with SSc-non-PAH. ACA: anticentromere antibodies; anti-topo I: antitopoisomerase I antibodies; dcSSc: diffuse cutaneous SSc; ILD: interstitial lung disease; lcSSc: limited cutaneous SSc; PAH: pulmonary arterial hypertension.

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    Table 3.

    Univariate analysis for association between the MMP-12 rs2276109 polymorphism and SSc clinical subsets according to recessive, dominant, and additive genetic models. Healthy controls were used as reference for all comparisons except anti-topo I-positive SSc versus anti-topo I-negative SSc, and SSc-ILD versus SSc-non-ILD.

    Recessive ModelDominant ModelAdditive Model
    OR (95% CI)pOR (95% CI)pOR (95% CI)p
    Univariate Analysis
      SSc2.26 (1.51–3.39)< 0.00011.34 (0.42–4.28)0.61.65 (0.52–5.31)0.4
      dcSSc5.06 (2.51–10.18)< 0.00011.28 (0.28–5.92)0.71.68 (0.36–7.83)0.5
      lcSSc1.53 (0.98–2.39)0.061.19 (0.32–4.49)0.81.22 (0.32–4.60)0.8
      Anti-topo I-positive SSc6.22 (2.15–18.03)0.00021.79 (0.20–16.36)0.62.26 (0.25–20.63)0.5
      SSc-ILD2.91 (1.24–6.83)0.010.62 (0.10–3.81)0.60.74 (0.12–4.56)0.7
    Multivariate Analysis*
      SSc2.44 (1.61–3.71)< 0.0001————
      dcSSc4.69 (2.36–9.33)< 0.0001————
      Anti-topo I-positive SSc6.39 (2.18–18.76)0.001————
      SSc-ILD2.94 (1.25–6.95)0.01————
    • ↵* Adjusted for age and sex. Anti-topo I: anti-topoisomerase I antibodies; dcSSc: diffuse cutaneous SSc; ILD: interstitial lung disease; lcSSc: limited cutaneous SSc.

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1 Sep 2010
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Association of a Functional Polymorphism in the Matrix Metalloproteinase-12 Promoter Region with Systemic Sclerosis in an Italian Population
MIRKO MANETTI, LIDIA IBBA-MANNESCHI, CINZIA FATINI, SERENA GUIDUCCI, GIOVANNA CUOMO, CLAUDIA BONINO, LAURA BAZZICHI, VASILIKI LIAKOULI, ROBERTO GIACOMELLI, ROSANNA ABBATE, STEFANO BOMBARDIERI, CARLOMAURIZIO MONTECUCCO, GABRIELE VALENTINI, MARCO MATUCCI-CERINIC
The Journal of Rheumatology Sep 2010, 37 (9) 1852-1857; DOI: 10.3899/jrheum.100237

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Association of a Functional Polymorphism in the Matrix Metalloproteinase-12 Promoter Region with Systemic Sclerosis in an Italian Population
MIRKO MANETTI, LIDIA IBBA-MANNESCHI, CINZIA FATINI, SERENA GUIDUCCI, GIOVANNA CUOMO, CLAUDIA BONINO, LAURA BAZZICHI, VASILIKI LIAKOULI, ROBERTO GIACOMELLI, ROSANNA ABBATE, STEFANO BOMBARDIERI, CARLOMAURIZIO MONTECUCCO, GABRIELE VALENTINI, MARCO MATUCCI-CERINIC
The Journal of Rheumatology Sep 2010, 37 (9) 1852-1857; DOI: 10.3899/jrheum.100237
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