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Published on: May 8, 2017
Serum MMP-3 in rheumatoid arthritis: correlation with systemic inflammation but not with erosive status
1Rheumatology Service, University Hospital of Lausanne, Switzerland.
Objective:
Metalloproteinases (MMP) play an important role in the remodelling of the extracellular matrix. However, evidence that they are responsible for tissue damage in pathological situations remains circumstantial. Stromelysin (MMP-3) production is increased in rheumatoid arthritis (RA), and has been proposed as a marker of joint damage. The relevance of serum levels of MMP-3 to erosions in RA was studied.
Methods:
Fifty-three patients with active RA of > 5 yr duration and with available X-rays were stratified according to disease duration. Hand X-rays were scored for erosions. Patients were then classified into upper and lower quartiles. Serum MMP-3 levels were compared between these two groups.
Results:
No significant differences in serum MMP-3 were seen between high and low eroders. A statistically significant correlation was observed between sMMP-3 and erthyrocyte sedimentation rate and C-reactive protein.
Conclusions:
Serum MMP-3 is not an independent marker of joint damage, but is correlated with systemic inflammation. Its precise role in joint damage in RA remains to be elucidated.
Insights
Serum matrix metalloproteinase-3 (MMP-3) levels do not independently predict joint damage in rheumatoid arthritis (RA). However, MMP-3 levels correlate with systemic inflammation markers in RA patients.
Area of Science:
- Biochemistry
- Rheumatology
- Immunology
Background:
- Matrix metalloproteinases (MMPs) are crucial for extracellular matrix remodeling.
- Their role in pathological tissue damage, particularly in rheumatoid arthritis (RA), requires further clarification.
- Stromelysin (MMP-3) is upregulated in RA and has been investigated as a potential marker for joint damage.
Purpose of the Study:
- To investigate the relationship between serum MMP-3 levels and joint erosions in patients with active RA.
- To determine if serum MMP-3 is an independent predictor of radiographic joint damage in RA.
Main Methods:
- Fifty-three patients with active RA (disease duration > 5 years) were included.
- Hand X-rays were assessed for erosions and patients stratified into high and low erosion groups.
- Serum MMP-3 levels were compared between these patient groups.
Main Results:
- No significant difference in serum MMP-3 levels was observed between patients with high and low levels of joint erosion.
- A statistically significant correlation was found between serum MMP-3 levels and erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).
Conclusions:
- Serum MMP-3 is not an independent marker for joint damage in RA.
- Serum MMP-3 levels are associated with systemic inflammation in RA.
- The specific role of MMP-3 in RA-related joint damage warrants further investigation.
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