K. Hirano et al., Tissue inhibitor of metalloproteinases-2 gene polymorphisms in chronic obstructive pulmonary disease, EUR RESP J, 18(5), 2001, pp. 748-752
Proteinase/antiproteinase imbalance is the most widely accepted theory for
development of chronic obstructive pulmonary disease (COPD). Mutations of t
issue of metalloproteinases-2 (TIMP-2) that downregulate its activity may i
ncrease the activities of matrix metalloproteinases and result in the degra
dation of the lung matrix.
Polymorphisms of the TIMP-2 gene were investigated in 88 COPD patients and
40 control subjects. The variations were examined by single-strand conforma
tional polymorphism analysis followed by sequencing.
Two polymorphisms were identified, +853 G/A and -418 G/C nucleotide substit
utions. There was a significant deviation in the genotypic frequencies at 853 and the allele frequencies for G were significantly higher in the COPD
patient group than in the control group. For locus -418, the allele frequen
cies for C in the COPD patient group also tended to be higher than those in
the control group. The +853 G/A nucleotide substitution was a silent varia
nt. The -418 G/C substitution was located in the consensus sequence for the
Sp1 binding site.
These polymorphisms may be associated with the development of chronic obstr
uctive pulmonary disease, decreasing the transcription and stability of the
messenger ribonucleic acid, and available as genetic markers of susceptibi
lity to the disease.