Interactions between the MMP-3 gene rs591058 polymorphism and occupational risk factors contribute to the increased risk for lumbar disk herniation: A case-control study

J Clin Lab Anal. 2020 Jul;34(7):e23273. doi: 10.1002/jcla.23273. Epub 2020 Mar 10.

Abstract

Objective: Lumbar disk herniation (LDH) is a complex condition based on lumbar disk degeneration (LDD). Previous studies have shown that genetic factors are highly associated with the severity and risk for LDH. This case-control study was aimed to evaluate the association between the matrix metalloproteinase (MMP)-3 gene rs591058 C/T polymorphism and LDH risk in a southern Chinese population.

Methods: A total of 231 LDH patients and 312 healthy controls were recruited in this study. Genotyping was analyzed using a standard polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP).

Results: It was observed that TT genotype or T allele carriers of the MMP-3 gene rs591058 C/T polymorphism was more likely associated with an increased risk for LDH. Subgroup analyses showed the following characteristics increased the risk for LDH: female sex; cigarette smoking; and alcohol consumption. Furthermore, individuals with high whole body vibration, bending/twisting, and lifting were associated with an increased risk for LDH.

Conclusion: Taken together, these data indicated that the MMP-3 gene rs591058 C/T polymorphism was associated with an increased risk for LDH. The MMP-3 gene rs591058 C/T polymorphism might serve as a clinical indicator and marker for LDH risk in the Chinese population.

Keywords: MMP-3; lumbar disk herniation; single nucleotide polymorphism.

MeSH terms

  • Adult
  • Aged
  • Asian People / genetics
  • Case-Control Studies
  • Female
  • Gene Frequency
  • Genetic Predisposition to Disease
  • Humans
  • Intervertebral Disc Degeneration / diagnostic imaging
  • Intervertebral Disc Degeneration / genetics*
  • Intervertebral Disc Displacement / diagnostic imaging
  • Intervertebral Disc Displacement / genetics*
  • Male
  • Matrix Metalloproteinase 3 / genetics*
  • Middle Aged
  • Occupational Diseases / etiology*
  • Occupational Diseases / genetics
  • Polymorphism, Single Nucleotide*
  • Risk Factors

Substances

  • MMP3 protein, human
  • Matrix Metalloproteinase 3

Supplementary concepts

  • Intervertebral disc disease