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Published on: August 7, 2017
Exhaled breath condensate MMP-9 level and its relationship wıth asthma severity and interleukin-4/10 levels in
Gulbin Bingol Karakoc1, Ayfer Yukselen, Mustafa Yilmaz
1Division of Pediatric Allergy–Immunology, Faculty of Medicine, University of Cukurova, Balcali, Adana, Turkey.
Background:
Matrix metalloproteases (MMPs) are key mediators in airway remodeling, and MMP- 9 is the main type investigated to discover its implication for the pathogenesis and severity of asthma.
Objective:
To evaluate MMP-9 and its natural tissue inhibitors of metalloproteinases (TIMP-1) levels of exhaled breath condensate (EBC) in children with asthma. We also analyzed any potential relationship between these enzymes and EBC interleukin (IL)-4/10 levels as well as asthma severity.
Methods:
Three study groups were formed: group 1, children with persistent asthma (n = 20); group 2, children with intermittent asthma (n = 10), and group 3, healthy controls (n = 12). Pulmonary functions were measured as forced expiratory volume in 1 second (FEV(1)), peak expiratory flow (PEF), and forced expiratory flow from 25% to 75% of vital capacity values by spirometry, and MMP-9, TIMP-1 and IL-4/10 levels in EBC were analyzed by enzyme-linked immunosorbent assay (ELISA).
Results:
The MMP-9 levels of EBC were found to be 57.7 ± 17.5, 35.4 ± 11.7, and 30.6 ± 3.7 ng/mL in children belonging to group 1, group 2 and group 3, respectively. Children belonging to group 1 and group 2 showed significantly higher MMP-9 levels of EBC in comparison with the controls (P < .001 and P = .047, respectively). No statistically significant difference was found between groups regarding TIMP-1 levels of EBC. EBC MMP-9 levels were inversely correlated with both FEV(1) and PEF values (r = -0.472, P = .011, and r = -0.571, P = .002, respectively) in children with asthma. Positive correlations were also seen between MMP-9 levels and IL-4/10 levels of EBC (r = 0.419, P = .027 and r = 0.405, P = .032, respectively) in children with asthma.
Conclusion:
We showed that MMP-9 levels of EBC are elevated in children with asthma and correlated with lung functions and other inflammatory markers such as IL-4/IL10 in EBC.
Insights
Elevated matrix metalloproteinase-9 (MMP-9) in exhaled breath condensate (EBC) indicates asthma severity in children. Higher MMP-9 levels correlate with reduced lung function and increased inflammatory markers like IL-4/IL-10.
Area of Science:
- Pulmonary Medicine
- Biochemistry
- Immunology
Background:
- Matrix metalloproteinases (MMPs) are implicated in airway remodeling.
- MMP-9 is a key focus for understanding asthma pathogenesis and severity.
Purpose of the Study:
- Evaluate matrix metalloproteinase-9 (MMP-9) and tissue inhibitor of metalloproteinase-1 (TIMP-1) levels in children's exhaled breath condensate (EBC).
- Analyze the relationship between these enzyme levels, EBC interleukin (IL)-4/10, and asthma severity.
Main Methods:
- Compared MMP-9, TIMP-1, and IL-4/10 levels in EBC from children with persistent asthma, intermittent asthma, and healthy controls using ELISA.
- Assessed pulmonary function via spirometry (FEV(1), PEF).
Main Results:
- Significantly higher MMP-9 levels were found in EBC of children with persistent and intermittent asthma compared to controls.
- EBC MMP-9 levels negatively correlated with forced expiratory volume in 1 second (FEV(1)) and peak expiratory flow (PEF).
- Positive correlations were observed between MMP-9 and EBC IL-4/10 levels in asthmatic children.
Conclusions:
- Elevated MMP-9 levels in EBC are associated with asthma in children.
- MMP-9 levels in EBC correlate with impaired lung function and inflammatory markers in pediatric asthma.
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