Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma

Abstract In renal cell carcinoma (RCC), tissue inhibitor of metalloproteinase (TIMP) 3 expression is lost, suggesting that the TIMP3 gene may function as a tumor suppressor gene. Cadmium (Cd) and arsenic (As) exposure may affect the expression of TIMP3. Here we investigate the association of clear c...

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Main Authors: Chao-Yuan Huang, Mei-Chieh Chen, Chih-Yin Wu, Ying-Chin Lin, Ya-Li Huang, Horng-Sheng Shiue, Yeong-Shiau Pu, Yu-Mei Hsueh
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-94807-3
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author Chao-Yuan Huang
Mei-Chieh Chen
Chih-Yin Wu
Ying-Chin Lin
Ya-Li Huang
Horng-Sheng Shiue
Yeong-Shiau Pu
Yu-Mei Hsueh
author_facet Chao-Yuan Huang
Mei-Chieh Chen
Chih-Yin Wu
Ying-Chin Lin
Ya-Li Huang
Horng-Sheng Shiue
Yeong-Shiau Pu
Yu-Mei Hsueh
author_sort Chao-Yuan Huang
collection DOAJ
description Abstract In renal cell carcinoma (RCC), tissue inhibitor of metalloproteinase (TIMP) 3 expression is lost, suggesting that the TIMP3 gene may function as a tumor suppressor gene. Cadmium (Cd) and arsenic (As) exposure may affect the expression of TIMP3. Here we investigate the association of clear cell RCC with TIMP3 polymorphisms, and explore whether TIMP3 polymorphisms modify the relationship between blood Cd or total urinary As levels and clear cell RCC respectively. We recruited 281 clear cell RCC patients and 689 sex- and age-matched controls. The clear cell RCC was diagnosed by pathological evaluation after image-guided biopsy or surgical resection of the renal tumor. Concentrations of blood Cd and lead, and also total urinary As, were measured. We determined TIMP3 polymorphisms using the Agena Bioscience MassARRAY system. Odds ratio (OR) of clear cell RCC was significantly inversely correlated with TIMP3 rs9609643 GA/AA genotype, with OR = 0.63 (95% confidence interval, CI, 0.44–0.91). For TIMP3 rs715572 AA compared to the GG/GA genotype, the OR of clear cell RCC was 1.60 with 95% CI of 1.01–2.56. Individuals with high blood Cd concentrations and the TIMP3 rs9609643 GG genotype exhibited a higher OR of clear cell RCC than reference groups (OR = 4.48, 95% CI 2.09–9.60). This study presents a novel finding that the GA/AA genotype of TIMP3 rs9609643 significantly decreased the clear cell RCC risk, and AA genotype of TIMP3 rs715572 significantly increased the clear cell RCC risk. Furthermore, this study first identified that the TIMP3 rs9609643 risk genotypes appear to interact with high blood Cd levels to increase the OR of clear cell RCC.
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spelling doaj-art-5a9e8262670a4db2bf1cacf2fa5c1f2d2025-08-20T02:49:29ZengNature PortfolioScientific Reports2045-23222025-03-0115111010.1038/s41598-025-94807-3Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinomaChao-Yuan Huang0Mei-Chieh Chen1Chih-Yin Wu2Ying-Chin Lin3Ya-Li Huang4Horng-Sheng Shiue5Yeong-Shiau Pu6Yu-Mei Hsueh7Department of Urology, National Taiwan University Hospital, College of Medicine, National Taiwan UniversityDepartment of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical UniversityDepartment of Family Medicine, Wan Fang Hospital, Taipei Medical UniversityDepartment of Family Medicine, Wan Fang Hospital, Taipei Medical UniversityDepartment of Public Health, School of Medicine, College of Medicine, Taipei Medical UniversityDepartment of Chinese Medicine, College of Medicine, Chang Gung UniversityDepartment of Urology, National Taiwan University Hospital, College of Medicine, National Taiwan UniversityDepartment of Family Medicine, Wan Fang Hospital, Taipei Medical UniversityAbstract In renal cell carcinoma (RCC), tissue inhibitor of metalloproteinase (TIMP) 3 expression is lost, suggesting that the TIMP3 gene may function as a tumor suppressor gene. Cadmium (Cd) and arsenic (As) exposure may affect the expression of TIMP3. Here we investigate the association of clear cell RCC with TIMP3 polymorphisms, and explore whether TIMP3 polymorphisms modify the relationship between blood Cd or total urinary As levels and clear cell RCC respectively. We recruited 281 clear cell RCC patients and 689 sex- and age-matched controls. The clear cell RCC was diagnosed by pathological evaluation after image-guided biopsy or surgical resection of the renal tumor. Concentrations of blood Cd and lead, and also total urinary As, were measured. We determined TIMP3 polymorphisms using the Agena Bioscience MassARRAY system. Odds ratio (OR) of clear cell RCC was significantly inversely correlated with TIMP3 rs9609643 GA/AA genotype, with OR = 0.63 (95% confidence interval, CI, 0.44–0.91). For TIMP3 rs715572 AA compared to the GG/GA genotype, the OR of clear cell RCC was 1.60 with 95% CI of 1.01–2.56. Individuals with high blood Cd concentrations and the TIMP3 rs9609643 GG genotype exhibited a higher OR of clear cell RCC than reference groups (OR = 4.48, 95% CI 2.09–9.60). This study presents a novel finding that the GA/AA genotype of TIMP3 rs9609643 significantly decreased the clear cell RCC risk, and AA genotype of TIMP3 rs715572 significantly increased the clear cell RCC risk. Furthermore, this study first identified that the TIMP3 rs9609643 risk genotypes appear to interact with high blood Cd levels to increase the OR of clear cell RCC.https://doi.org/10.1038/s41598-025-94807-3Tissue inhibitor of metalloproteinases 3CadmiumArsenicClear Cell Renal cell carcinoma
spellingShingle Chao-Yuan Huang
Mei-Chieh Chen
Chih-Yin Wu
Ying-Chin Lin
Ya-Li Huang
Horng-Sheng Shiue
Yeong-Shiau Pu
Yu-Mei Hsueh
Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma
Scientific Reports
Tissue inhibitor of metalloproteinases 3
Cadmium
Arsenic
Clear Cell Renal cell carcinoma
title Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma
title_full Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma
title_fullStr Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma
title_full_unstemmed Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma
title_short Interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism, blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma
title_sort interaction of tissue inhibitor of metalloproteinase 3 gene polymorphism blood cadmium and total urinary arsenic levels on clear cell renal cell carcinoma
topic Tissue inhibitor of metalloproteinases 3
Cadmium
Arsenic
Clear Cell Renal cell carcinoma
url https://doi.org/10.1038/s41598-025-94807-3
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