Abstract
Background/Aims
Matrix metallopeptidase (MMP) is known to be involved in tumor invasion and metastasis of cancer. This study investigated the association of MMP7 rs11568818, MMP8 rs11225395, MMP9 rs17576 and rs2250889 with gastric cancer (GC) development and lymph node metastasis (LNM).
Methods
Samples were obtained from 326 chronic gastritis (CG) and 153 GC patients and genotyped by using the GoldenGate® method. Chi-square test was performed to identify the difference of allele distribution between each group (CG vs. GC; CG vs. with LNM GC). The associations of genotype with risk of GC and LNM were estimated by odds ratio and the 95% confidence interval was calculated by logistic regression adjusting for age and sex.
References
3. Herrera V, Parsonnet J. Helicobacter pylori and gastric adenocarcinoma. Clin Microbiol Infect. 2009; 15:971–976.
4. Curran S, Murray GI. Matrix metalloproteinases in tumour invasion and metastasis. J Pathol. 1999; 189:300–308.
5. Stamenkovic I. Matrix metalloproteinases in tumor invasion and metastasis. Semin Cancer Biol. 2000; 10:415–433.
6. Mukherjee S, Roth MJ, Dawsey SM, et al. Increased matrix metalloproteinase activation in esophageal squamous cell carcinoma. J Transl Med. 2010; 8:91.
7. Samantaray S, Sharma R, Chattopadhyaya TK, Gupta SD, Ralhan R. Increased expression of MMP-2 and MMP-9 in esophageal squamous cell carcinoma. J Cancer Res Clin Oncol. 2004; 130:37–44.
8. Liu D, Nakano J, Ishikawa S, et al. Overexpression of matrix metalloproteinase-7 (MMP-7) correlates with tumor proliferation, and a poor prognosis in non-small cell lung cancer. Lung Cancer. 2007; 58:384–331.
9. Chen TY, Li YC, Liu YF, et al. Role of MMP14 gene polymorphisms in susceptibility and pathological development to hepatocellular carcinoma. Ann Surg Oncol. 2011; 18:2348–2356.
10. Chaudhary AK, Pandya S, Mehrotra R, Bharti AC, Jain S, Singh M. Functional polymorphism of the MMP-1 promoter (−1607 1G/2G) in potentially malignant and malignant head and neck lesions in an Indian population. Biomarkers. 2010; 15:684–692.
11. Ayş egül B, Veysi GH, Muzaffer M, Irfan D, Azra A, Hulyam K. Is a single nucleotide polymorphism a risk factor for lung cancer in the matrix metalloproteinase-2 promoter? Mol Biol Rep. 2011; 38:1469–1474.
12. Alakus H, Afriani N, Warnecke-Eberz U, et al. Clinical impact of MMP and TIMP gene polymorphisms in gastric cancer. World J Surg. 2010; 34:2853–2859.
13. Nan H, Niu T, Hunter DJ, Han J. Missense polymorphisms in matrix metalloproteinase genes and skin cancer risk. Cancer Epidemiol Biomarkers Prev. 2008; 17:3551–3557.
14. Murray GI. Matrix metalloproteinases: a multifunctional group of molecules. J Pathol. 2001; 195:135–137.
15. Egeblad M, Werb Z. New functions for the matrix metalloproteinases in cancer progression. Nat Rev Cancer. 2002; 2:161–174.
16. Ye S. Polymorphism in matrix metalloproteinase gene promoters: implication in regulation of gene expression and susceptibility of various diseases. Matrix Biol. 2000; 19:623–629.
17. Zhang B, Henney A, Eriksson P, Hamsten A, Watkins H, Ye S. Genetic variation at the matrix metalloproteinase-9 locus on chromosome 20q12.2–13.1. Hum Genet. 1999; 105:418–423.
18. Rodríguez-Pla A, Beaty TH, Savino PJ, Eagle RC Jr, Seo P, Soloski MJ. Association of a nonsynonymous single-nucleotide polymorphism of matrix metalloproteinase 9 with giant cell arteritis. Arthritis Rheum. 2008; 58:1849–1853.
19. Somerville RP, Oblander SA, Apte SS. Matrix metalloproteinases: old dogs with new tricks. Genome Biol. 2003; 4:216.
20. Honda M, Mori M, Ueo H, Sugimachi K, Akiyoshi T. Matrix metal- loproteinase-7 expression in gastric carcinoma. Gut. 1996; 39:444–448.
21. Jormsjö S, Whatling C, Walter DH, Zeiher AM, Hamsten A, Eriksson P. Allele-specific regulation of matrix metalloproteinase-7 promoter activity is associated with coronary artery luminal dimensions among hypercholesterolemic patients. Arterioscler Thromb Vasc Biol. 2001; 21:1834–1849.
22. Zhang J, Jin X, Fang S, et al. The functional polymorphism in the matrix metalloproteinase-7 promoter increases susceptibility to esophageal squamous cell carcinoma, gastric cardiac adenocarcinoma and non-small cell lung carcinoma. Carcinogenesis. 2005; 26:1748–1753.
23. Sugimoto M, Furuta T, Kodaira C, et al. Polymorphisms of matrix metalloproteinase-7 and chymase are associated with susceptibility to and progression of gastric cancer in Japan. J Gastroenterol. 2008; 43:751–761.
24. Kubben FJ, Sier CF, Meijer MJ, et al. Clinical impact of MMP and TIMP gene polymorphisms in gastric cancer. Br J Cancer. 2006; 95:744–751.
25. Koskensalo S, Louhimo J, Nordling S, Hagström J, Haglund C. MMP-7 as a prognostic marker in colorectal cancer. Tumour Biol. 2011; 32:259–264.
26. Singh H, Jain M, Mittal B. MMP-7 (−181A>G) promoter polymorphisms and risk for cervical cancer. Gynecol Oncol. 2008; 110:71–75.
27. Li Y, Jin X, Kang S, et al. Polymorphisms in the promoter regions of the matrix metalloproteinases-1, -3, -7, and -9 and the risk of epithelial ovarian cancer in China. Gynecol Oncol. 2006; 101:92–96.
28. Decock J, Long JR, Laxton RC, et al. Association of matrix metalloproteinase-8 gene variation with breast cancer prognosis. Cancer Res. 2007; 67:10214–10221.
29. Wang H, Parry S, Macones G, et al. Functionally significant SNP MMP8 promoter haplotypes and preterm premature rupture of membranes (PPROM). Hum Mol Genet. 2004; 13:2659–2669.
30. Lee J, Kim HR, Min JW, et al. Lack of association between matrix metalloproteinase 8 promoter polymorphism and bronchiectasis in Koreans. J Korean Med Sci. 2007; 22:667–671.
31. Qiu W, Zhou G, Zhai Y, et al. No association of MMP-7, MMP-8, and MMP-21 polymorphisms with the risk of hepatocellular carcinoma in a Chinese population. Cancer Epidemiol Biomarkers Prev. 2008; 17:2514–2518.
32. Tang Y, Zhu J, Chen L, Chen L, Zhang S, Lin J. Associations of matrix metalloproteinase-9 protein polymorphisms with lymph node metastasis but not invasion of gastric cancer. Clin Cancer Res. 2008; 14:2870–2877.
33. Cotignola J, Reva B, Mitra N, et al. Matrix Metalloproteinase-9 (MMP-9) polymorphisms in patients with cutaneous malignant melanoma. BMC Med Genet. 2007; 8:10.
34. Cong Y, Guo X, Liu X, et al. Association of the single nucleotide polymorphisms in the extracellular matrix metalloprotease-9 gene with PACG in southern China. Mol Vis. 2009; 15:1412–1417.
Table 1.
Characteristic | Chronic gastritis n (%) | Gastric cancer n (%) | p-valuea |
---|---|---|---|
Patients (n) | 326 | 153 | |
Age (mean, yr) | 55.2 | 57.8 | |
≤50 | 103 (31.6) | 46 (30.07) | |
51–60 | 129 (39.57) | 40 (26.14) | <0.0001 |
60–70 | 93 (28.53) | 46 (30.07) | |
≥71 | 1 (0.31) | 21 (13.73) | |
Gender | |||
Male | 160 (49.1) | 101 (66) | 0.0005 |
Female | 166 (50.9) | 52 (34) | 0.0005 |
Lymph node metastasis | |||
N0 | − | 94 (61.4) | |
N1 | − | 32 (20.9) | |
N2 | − | 22 (14.4) | |
N3 | − | 5 (3.3) | |
Tumor invasion | |||
T1 | 69 (45.1) | ||
T2 | 37 (24.2) | ||
T3 | 44 (28.8) | ||
T4 | 3 (2) | ||
Metastasis | |||
M0 | 152 (99.3) | ||
M1 | 1 (0.7) | ||
Staging | |||
IA | 62 (40.5) | ||
IB | 27 (17.6) | ||
II | 22 (14.4) | ||
IIIA | 20 (13.1) | ||
IIIB | 13 (8.5) | ||
IV | 9 (5.9) | ||
Histological classification | |||
Diffuse | 18 (11.80) | ||
Intestinal | 117 (76.50) | ||
Mixed | 7 (4.60) | ||
Unclassified | 11 (7.20) |
Table 2.
Gene/SNP | Chronic gastritis n (%) | Gastric cancer n (%) | Model | OR | 95% CI | p-value |
---|---|---|---|---|---|---|
MMP7 rs11568818 | ||||||
AA | 280 (85.89) | 128 (83.66) | Allele | 1.195 | 0.725–1.970 | 0.484a |
AG | 45 (13.8) | 24 (15.69) | Additive | 1.104 | 0.655–1.860 | 0.711b |
GG | 1 (0.31) | 1 (0.65) | Dominant | 1.087 | 0.630–1.874 | 0.765b |
Recessive | 2.069 | 0.107–40.009 | 0.630b | |||
MMP8 rs11225395 | ||||||
GG | 150 (47.62) | 67 (45.27) | Allele | 1.006 | 0.748–1.352 | 0.969a |
AG | 127 (40.32) | 67 (45.27) | Additive | 1.016 | 0.755–1.369 | 0.914b |
AA | 38 (12.06) | 14 (9.46) | Dominant | 1.121 | 0.748–1.678 | 0.580b |
Recessive | 0.806 | 0.417–1.556 | 0.520b | |||
MMP9 rs17576 | ||||||
GG | 153 (47.37) | 75 (50.34) | Allele | 1.100 | 0.813–1.487 | 0.538a |
AG | 143 (44.27) | 63 (42.28) | Additive | 0.902 | 0.656–1.239 | 0.524b |
AA | 27 (8.36) | 11 (7.38) | Dominant | 0.865 | 0.581–1.289 | 0.477b |
Recessive | 0.936 | 0.443–1.976 | 0.861b | |||
MMP9 rs2250889 | ||||||
CC | 161 (49.85) | 85 (55.92) | Allele | 0.856 | 0.627–1.169 | 0.329a |
GC | 143 (44.27) | 58 (38.16) | Additive | 0.844 | 0.607–1.173 | 0.313b |
GG | 19 (5.88) | 9 (5.92) | Dominant | 0.789 | 0.531–1.174 | 0.243b |
Recessive | 0.948 | 0.411–2.189 | 0.901b |
Table 3.
Gene/SNP | Chronic gastritis n (%) | With LNM gastric cancer n (%) | Model | OR | 95% CI | p-value |
---|---|---|---|---|---|---|
MMP7rs11568818 | ||||||
AA | 280 (85.89) | 46 (77.97) | Allele | 1.594 | 0.834–3.047 | 0.156a |
AG | 45 (13.8) | 13 (22.03) | Additive | 1.442 | 0.709–2.935 | 0.312b |
GG | 1 (0.31) | 0 (0) | Dominant | 1.466 | 0.713–3.015 | 0.298b |
Recessive | 0.000 | − | 0.992b | |||
MMP8rs11225395 | ||||||
GG | 150 (47.62) | 30 (50.85) | Allele | 1.127 | 0.734–1.731 | 0.584a |
AG | 127 (40.32) | 23 (38.98) | Additive | 0.896 | 0.577–1.390 | 0.623b |
AA | 38 (12.06) | 6 (10.17) | Dominant | 0.856 | 0.476–1.540 | 0.604b |
Recessive | 0.895 | 0.348–2.299 | 0.818b | |||
MMP9rs17576 | ||||||
GG | 153 (47.37) | 26 (44.07) | Allele | 0.999 | 0.653–1.530 | 0.998a |
AG | 143 (44.27) | 30 (50.85) | Additive | 1.015 | 0.641–1.608 | 0.950b |
AA | 27 (8.36) | 3 (5.08) | Dominant | 1.160 | 0.649–2.071 | 0.617b |
Recessive | 0.605 | 0.172–2.126 | 0.433b | |||
MMP9rs2250889 | ||||||
CC | 161 (49.85) | 30 (50.85) | Allele | 0.956 | 0.651–1.485 | 0.841a |
GC | 143 (44.27) | 26 (44.07) | Additive | 0.977 | 0.608–1.568 | 0.922b |
GG | 19 (5.88) | 3 (5.08) | Dominant | 1.030 | 0.578–1.835 | 0.921b |
Recessive | 0.746 | 0.206–2.701 | 0.655b |