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Metalloproteinase-3 genotype as a predictor of cardiovascular risk in hypertensive adolescents

Title
Metalloproteinase-3 genotype as a predictor of cardiovascular risk in hypertensive adolescents
Authors
Yun H.L.Tae Y.K.Young M.H.
Ewha Authors
홍영미
SCOPUS Author ID
홍영미scopus
Issue Date
2009
Journal Title
Korean Circulation Journal
ISSN
1738-5520JCR Link
Citation
vol. 39, no. 8, pp. 328 - 334
Indexed
SCIE; SCOPUS; KCI scopus
Abstract
Background and Objectives: Hypertension develops as a result of cardiac hypertrophy and fibrosis or as a result of exchange of the extracellular matrix. In particular, matrix metalloproteinase (MMP)-3 is a major enzyme involved in the reconstruction of the arterial intima through activation of other MMPs. We analyzed MMP-3 genotypes in hypertensive and normotensive adolescents and sought to determine if a particular genotype is a predictor of cardiovascular complications. Subjects and Methods: Forty-four hypertensive adolescents and 59 healthy adolescents were included in this study. Serum aldosterone, renin, insulin, angiotensin converting enzyme (ACE), insulin, homocysteine, vitamin B12, folate, MMP-1, MMP-2, MMP-3, MMP-9, tissue inhibitors of matrix metalloproteinases (TIMP)-1, and TIMP-2 were measured. MMP-3 genotypes were analyzed using a polymerase chain reaction (PCR) primer. The carotid intima media thickness (IMT), diameter, and brachial ankle pulse wave velocity (baPWV) were evaluated using ultrasound. Results: In hypertensive adolescents, blood pressure, anthropometric data, carotid IMT, baPWV, serum pro-MMP-1, MMP-2, MMP-9, TIMP-1, and TIMP-2 were no different between the 6A/6A group and the 5A/6A group. Serum MMP-9 was higher in the 5A/6A group than in the control group. Aldosterone, insulin, and homocysteine were higher in the 6A/6A group than in the control group, and vitamin B12 and folate were lower in the 6A/6A group than in the control group. Conclusion: In conclusion, serum MMP-3 levels were not significantly different in different MMP-3 genotypes in hypertensive adolescents. However, few patients were included in this study. Further investigation is necessary to clarify the relationship between MMP-3 genotype and cardiovascular risk. Copyright © 2009 The Korean Society of Cardiology.
DOI
10.4070/kcj.2009.39.8.328
Appears in Collections:
의과대학 > 의학과 > Journal papers
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