Pharmacogenetic Associations of MMP9 and MMP12 Variants with Cardiovascular Disease in Patients with Hypertension
2011

Genetic Variants and Heart Disease Treatment

Sample size: 38698 publication 10 minutes Evidence: moderate

Author Information

Author(s): Tanner Rikki M., Lynch Amy I., Brophy Victoria H., Eckfeldt John H., Davis Barry R., Ford Charles E., Boerwinkle Eric, Arnett Donna K.

Primary Institution: University of Alabama at Birmingham

Hypothesis

Do MMP9 and MMP12 genetic variants affect cardiovascular disease outcomes in hypertensive patients treated with different antihypertensive drugs?

Conclusion

The study found interactions between antihypertensive drugs and MMP9 and MMP12 variants that may influence treatment decisions for cardiovascular disease.

Supporting Evidence

  • Participants with the MMP9 R668Q AA genotype had a lower risk of combined CHD when treated with chlorthalidone.
  • MMP9 R279Q GG genotype was associated with lower risk of combined CVD when treated with chlorthalidone.
  • MMP12 N122S GG genotype showed increased rates of CHD when treated with lisinopril.

Takeaway

This study looked at how certain genes might change the way heart disease treatments work for people with high blood pressure.

Methodology

The study analyzed data from a randomized clinical trial involving hypertensive patients, assessing genetic variants and their interactions with antihypertensive treatments.

Potential Biases

Potential population substructure may affect the results, but randomization helps control for this.

Limitations

The study only examined four MMP polymorphisms and may not be generalizable to younger populations.

Participant Demographics

Participants were predominantly aged 55 or older, with 47% non-White and 46% female.

Statistical Information

P-Value

0.005

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0023609

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