Related Experiment Video
Updated: Jun 21, 2026

Monitoring Neutrophil Elastase and Cathepsin G Activity in Human Sputum Samples
Published on: May 21, 2021
Serum matrix metalloproteinases in adult CF patients: Relation to pulmonary exacerbation
Martin Roderfeld1, Timo Rath, Richard Schulz
1Justus-Liebig-University Giessen, Department of Internal Medicine, Germany.
Background:
Matrix metalloproteinases (MMPs) virtually degrade all components of the extracellular matrix and are mainly expressed in tissues following inflammation or remodeling. Increased expression of certain MMPs in sputum and bronchoalveolar lavage of patients with cystic fibrosis (CF) is related to impaired lung function. We investigated whether a panel of serum MMPs is associated with both, impairment of pulmonary function and occurrence of pulmonary exacerbations (PEx) in adult patients with CF.
Methods:
Serum concentrations of MMP-1, MMP-2, MMP-3, MMP-7, MMP-8, MMP-9, MMP-12, MMP-13, and TIMP-1 were determined by ELISA in 54 adult CF patients. PEx was defined based on a score established by Rosenfeld in 2001. MMP-1, MMP-8, MMP-9 and TIMP-1 were assessed in 7 CF patients with PEx before and after systemic antibiotic therapy.
Results:
Of the 54 CF patients, PEx was diagnosed in 16 different CF patients. Compared to healthy controls, MMP-1, MMP-8, and MMP-9, serum levels were elevated in CF patients and correlated with PEx. MMP-8 expression was associated with impaired lung function. For MMP-2, we observed a decreased expression and an association of MMP-2 decline with PEx. Antibiotic treatment of CF patients with PEx led to a decrease of MMP-1, MMP-8 and active MMP-9 protein concentration.
Conclusions:
Increased serum expression of certain MMPs is associated with occurrence of PEx and impaired lung function in CF. Hence, these MMPs might serve as surrogate markers for PEx.
Insights
In cystic fibrosis (CF) patients, elevated serum matrix metalloproteinases (MMPs) correlate with pulmonary exacerbations (PEx) and impaired lung function. These MMPs may serve as biomarkers for PEx in CF.
Area of Science:
- Biochemistry
- Immunology
- Pulmonology
Background:
- Matrix metalloproteinases (MMPs) degrade extracellular matrix components and are involved in inflammation and tissue remodeling.
- Elevated MMPs in cystic fibrosis (CF) patients' airways correlate with reduced lung function.
- The association between serum MMPs and CF-related pulmonary exacerbations (PEx) requires further investigation.
Purpose of the Study:
- To determine if serum MMP levels are associated with impaired pulmonary function in adult CF patients.
- To investigate the relationship between serum MMPs and the occurrence of PEx in adult CF patients.
Main Methods:
- Serum concentrations of 9 MMPs and TIMP-1 were measured using ELISA in 54 adult CF patients.
- Pulmonary exacerbations (PEx) were defined using a validated scoring system.
- Specific MMPs were assessed in a subset of patients before and after antibiotic therapy for PEx.
Main Results:
- Serum MMP-1, MMP-8, and MMP-9 levels were elevated in CF patients compared to controls and correlated with PEx.
- MMP-8 expression was linked to impaired lung function, while MMP-2 decline was associated with PEx.
- Antibiotic treatment reduced serum levels of MMP-1, MMP-8, and active MMP-9 in patients with PEx.
Conclusions:
- Increased serum MMPs are associated with PEx and reduced lung function in CF patients.
- Specific MMPs show potential as non-invasive biomarkers for predicting and monitoring PEx in CF.
- Further research into MMP-targeted therapies could improve CF management.
Related Concept Videos
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation, but...
Cystic Fibrosis: Management
Sinus disease and chronic sinusitis...
Role of Matrix Metalloproteases in Degradation of ECM
A...
Extracellular Matrix
The Extracellular Matrix
In order to maintain tissue organization, many animal cells are surrounded by structural molecules that make up the extracellular matrix (ECM). Together, the molecules in the ECM maintain the structural integrity of tissue as well as the remarkable specific properties of certain tissues.
Composition of the Extracellular Matrix
The extracellular matrix (ECM) is commonly composed of ground substance, a gel-like fluid, fibrous components, and many structurally and functionally diverse...
The Extracellular Matrix
