Matrix metalloproteinase-1 polymorphism in Taiwanese patients with endobronchial tuberculosis

Han Pin Kuo, Yu Min Wang, Chun Hua Wang, Chih Chen He, Shu Min Lin, Horng Chyuan Lin, Chien Ying Liu, Kuo Hsiung Huang, Ling Ling Hsieh, Chien Da Huang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

24 Scopus citations

Abstract

Endobronchial tuberculosis (TB) often leads to some degree of tracheobronchial stenosis. Because matrix metalloproteinases (MMPs) play an essential role in tissue remodeling in the airways, we investigated the role of MMP-1 polymorphism in patients with endobronchial TB. One hundred and one cases of pulmonary TB in Taiwanese patients were genotyped for the 1G/2G polymorphism of MMP-1 promoter (-1607 bp). Bronchoscopic examination was performed to determine the presence of endobronchial involvement. Levels of MMP-1 in peripheral blood monocytes and in bronchial biopsies were also determined. 1G genotypes of MMP-1 polymorphism, containing at least one 1G allele, were associated with the presence of endobronchial TB. Using multivariate analysis, 1G genotypes and female gender were independent predictors of the development of endobronchial TB. Endobronchial TB patients with 1G genotypes had a 9.86-fold greater risk of developing tracheobronchial stenosis. IL-1β increased levels of MMP-1 in peripheral blood monocytes of TB patients with 1G genotypes. MMP-1 activity was also present in the endobronchial TB granuloma from patients with 1G/1G genotype. 1G genotypes of MMP-1 polymorphism were associated with a greater risk of developing tracheobronchial stenosis through up-regulation of MMP-1 activity.

Original languageEnglish
Pages (from-to)262-267
Number of pages6
JournalTuberculosis
Volume88
Issue number3
DOIs
StatePublished - 05 2008

Keywords

  • Endobronchial tuberculosis
  • Matrix metalloproteinase-1
  • Polymorphism
  • Stenosis
  • Taiwanese

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