MMP7 (Matrilysin), a potent extracellular matrix degrading enzyme with wide substrate specificity, is emerging as a new regulator of cardiovascular diseases including coronary artery disease and atherosclerosis. However, potential contributions of MMP7 genetic variations to hypertension remain unknown. In this study, we first probed for the association of a tag single nucleotide polymorphism (SNP) in the MMP7 gene promoter (-181A/G; rs11568818) with hypertension in an urban south Indian population (n=1517).The heterozygous A/G genotype showed a strong association with hypertension as compared to the A/A wild-type genotype (OR=1.641, 95% CI=1.276-2.109; p=1x10 -4 ); AG genotype carriers also displayed significantly higher diastolic blood pressure and mean arterial pressure than AA genotype subjects. The study was replicated in a north Indian population (n=977) as well (OR=1.520, 95% CI =1.106-2.090; p=0.01). Transient transfection experiments using MMP7 promoter-luciferase reporter constructs revealed that the variant -181G allele conferred greater promoter activity than the -181A allele.Computational prediction and structure-based conformational and molecular dynamics simulation studies suggested higher binding affinity for the transcription factor CREB to the -181G promoter. In corroboration, over-expression/down-regulation of CREB and chromatin immunoprecipitation experiments provided convincing evidence for stronger binding of CREB with the -181G promoter. Further, the -181G promoter also displayed an enhanced response to hypoxia and epinephrine-treatment. The higher promoter activity of -181G allele also translated to increased MMP7 protein levels. Indeed, MMP7-181A/G heterozygous individuals displayed elevated plasma MMP7 levels which positively correlated with blood pressure. In conclusion, the MMP7 A-181G promoter SNP increased expression of MMP7 under pathophysiological (such as hypoxic stress and catecholamine excess) conditions via increased interactions with the transcription factor CREB and enhanced the risk for hypertension in its carriers.Keywords: MMP7, hypertension, single nucleotide polymorphism, association study, transcriptional regulation, CREB, epinephrine, hypoxia.informed written consent and the study was approved by the institutional ethics Committee at Indian Institute of Technology Madras. Demographic, physiological and biochemical parameters of both the study populations are listed in the Tables S1 and S2.
Genotyping of MMP7 -181A/G polymorphismGenomic DNA was isolated from heparin/EDTA-anticoagulated blood samples using Flexigene DNA kit. The promoter region of MMP7 comprising of -302 bp to -153 bp (NCBI accession number: NM_002423.4) was PCR-amplified using specific primers, purified and digested with EcoRI to detect the genotypes at the -181 bp position (Fig. S1).
Estimation of biochemical parametersCommon biochemical parameters such as glucose, lipid profile, urea, creatinine, hemoglobin, sodium and potassium levels in plasma were estimated by standard assays. Blood pressure was m...