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Updated: May 4, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
MMP-9: biomarker for abdominal aneurysm
C A Affirul1, I M Azim, H Hanafiah
1Surgery Department, Medical Faculty and Allied Health, Islamic Science University of Malaysia, 13th Floor, MPAJ Building, Kuala Lumpur.
Matrix Metalloproteinase 9 (MMP-9) levels correlate with Abdominal Aortic Aneurysm (AAA). However, MMP-9 has limited diagnostic utility for AAA due to low sensitivity and specificity.
Area of Science:
- Vascular Biology
- Biomarker Discovery
- Cardiovascular Research
Background:
- Matrix Metalloproteinase 9 (MMP-9) is significantly expressed in Abdominal Aortic Aneurysm (AAA) tissue.
- Previous studies suggest MMP-9 as a potential biomarker for AAA, but findings have been conflicting.
- This study investigates the correlation between MMP-9 levels and AAA to clarify its utility as a biomarker.
Purpose of the Study:
- To determine the correlation between Matrix Metalloproteinase 9 (MMP-9) concentration levels and Abdominal Aortic Aneurysm (AAA).
- To evaluate the utility of MMP-9 as a diagnostic biomarker for AAA in the studied population.
Main Methods:
- Prospective controlled trial involving 20 AAA patients and 36 healthy controls.
- MMP-9 concentrations measured using enzyme-linked immunosorbent assay (ELISA).
- Comparison of MMP-9 levels with abdominal imaging (ultrasonography or CT).
Main Results:
- MMP-9 levels were significantly correlated with AAA (p=0.004).
- Mean MMP-9 was 21.39 ± 1.03 ng/mL in AAA patients versus 23.94 ± 0.60 ng/mL in controls (p < 0.05).
- Sensitivity and specificity for MMP-9 as an AAA biomarker were 60% and 64%, respectively, with a cutoff of 12.54.
Conclusions:
- MMP-9 levels show a significant correlation with Abdominal Aortic Aneurysm (AAA).
- The diagnostic utility of MMP-9 for AAA is limited by its low sensitivity and specificity.
- MMP-9 has restricted value in predicting AAA presence or absence.
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