Copyright © 2004 by the European Society of Cardiology.
Clinical research
The 5A/6A polymorphism of the stromelysin-1 gene and restenosis after percutaneous coronary interventions
Deutsches Herzzentrum München and 1. Medizinische Klinik rechts der Isar, Technische Universität München, München, Germany
* Correspondence to: Werner Koch, PhD, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 München, Germany. Tel: +49-89-1218-2601; Fax: +49-89-1218-3053
E-mail address: wkoch{at}dhm.mhn.de
Received 13 May 2003; revised 21 November 2003; accepted 4 December 2003
Abstract
Aims Matrix metalloproteinase stromelysin-1 has been implicated in the process of exaggerated lumen re-narrowing after primarily successful interventions in coronary arteries. We examined the possibility that the 5A/6A promoter polymorphism of the stromelysin-1 gene is associated with restenosis after stenting or percutaneous transluminal coronary angioplasty (PTCA).
Methods and results The study included 3333 consecutive patients with symptomatic coronary artery disease who were treated with stent implantation (n=2857) or PTCA (n=476). Primary end-point was angiographic restenosis, defined as 
50% diameter stenosis at 6-month follow-up angiography. Restenosis rates were 28.1%, 27.8%, and 29.5% in carriers of the stromelysin-1 genotypes 5A5A, 5A6A, and 6A6A, respectively (P=0.71). The incidence of death or myocardial infarction and the need for revascularization at the site of the intervention due to symptoms or signs of ischaemia in the presence of angiographic restenosis were not significantly different between the genotype groups at 1 year. Separate analysis of the patients who underwent stenting and the patients who were treated with PTCA did not indicate the existence of a treatment type-related association between the 5A/6A polymorphism and restenosis.
Conclusion Our data strongly suggest that the 5A/6A polymorphism of the stromelysin-1 gene is not related to angiographic restenosis or the 1-year clinical outcome after interventions in coronary arteries.
Key Words: Stromelysin-1 • Stents • PTCA • Restenosis • Genetics
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