MMP-9 POLYMORPHISMS, PROTEIN LEVES AND ALBUMINURIA IN TYPE 2 DIABETES

Đặng Đăng Khoa Trần, Thanh Liêm Nguyễn, Thanh Điền Lương, Thị Chiêu Trương, Thị Kim Tường Nguyễn, Văn Lộc Huỳnh

Main Article Content

Abstract

Objective: To review the associations between MMP-9 gene polymorphisms, MMP-9 levels, and the severity of albuminuria in patients with T2DM. Methods: A comprehensive review and synthesis of clinical, epidemiological, and experimental studies on single nucleotide polymorphisms (SNPs) in the MMP-9 gene, circulating MMP-9 levels, and their correlation with albuminuria in T2DM patients. Results: MMP-9 gene polymorphisms influence gene expression and enzymatic activity, which in turn contribute to glomerular damage and the development of albuminuria. Several studies have reported increased frequencies of risk alleles in affected populations, and elevated MMP-9 levels have been associated with early kidney damage and higher degrees of albuminuria. Conclusion: MMP-9 and its genetic variants may serve as potential biomarkers for early detection, risk stratification, and individualized treatment of diabetic nephropathy in T2DM. Further large-scale, multicenter studies are warranted to validate these associations and support clinical translation.

Article Details

References

1. Saeedi, P., I. Petersohn, P. Salpea, B. Malanda, et al., Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract, 2019. 157: p. 107843. https://doi.org/ 10.1016/j.diabres.2019.107843
2. Nayak, A.U., A.M. Nevill, P. Bassett, B.M. Singh, Association of glycation gap with mortality and vascular complications in diabetes. Diabetes Care, 2013. 36(10): p. 3247-3253. https://doi. org/10.2337/dc13-0524
3. Wang, Y., Y. Su, Y. Xu, S.H. Pan, et al., Genetic polymorphism c.1562C>T of the MMP-9 is associated with macroangiopathy in type 2 diabetes mellitus. Biochem Biophys Res Commun, 2010. 391(1): p. 113-117. https://doi.org/ 10.1016/j.bbrc.2009.11.025
4. Huhtala, P., A. Tuuttila, L. Chow, J. Lohi, et al., Complete structure of the human gene for 92-kDa type IV collagenase. Divergent regulation of expression for the 92- and 72-kilodalton enzyme genes in HT-1080 cells. J Biol Chem, 1991. 266(25): p. 16485-16490.
5. Yabluchanskiy, A., Y. Ma, R.P. Iyer, M.E. Hall, et al., Matrix metalloproteinase-9: Many shades of function in cardiovascular disease. Physiology, 2013. 28(6): p. 391-403. https://doi. org/10.1152/physiol.00029.2013
6. Zhang, L.F., Y.Y. Mi, Q. Cao, W. Wang, et al., Update analysis of studies on the MMP-9−1562 C>T polymorphism and cancer risk. Mol Biol Rep, 2012. 39: p. 3435-3441. https://doi.org/10.1007/ s11033-011-1132-4
7. Zou, F., J. Zhang, G. Xiang, H. Jiao, et al., Association of Matrix Metalloproteinase 9 (MMP-9) Polymorphisms with Asthma Risk: A Meta‐Analysis. Can Respir J, 2019. 2019: p. 9260495. https://doi.org/10.1155/2019/9260495
8. Nayor, M., M.G. Larson, N. Wang, R. Santhanakrishnan, et al., The association of chronic kidney disease and microalbuminuria with heart failure with preserved vs. reduced ejection fraction. Eur J Heart Fail, 2017. 19(5): p. 615-623. https://doi.org/10.1002/ejhf.722
9. Ebihara, I., T. Nakamura, N. Shimada, H. Koide, Increased plasma metalloproteinase-9 concentrations precede development of microalbuminuria in non-insulin-dependent diabetes mellitus. Am J Kidney Dis, 1998. 32(4): p. 544-550. https://doi.org/10.1016/S0272-6386 (98)70025-8
10. Xu, X., L. Xiao, P. Xiao, S. Yang, et al., A glimpse of matrix metalloproteinases in diabetic nephropathy. Curr Med Chem, 2014. 21(28): p. 3244-3260. https://doi.org/10.2174/ 0929867321666140718121259