Changes in the Matrix Metalloproteinase 9 Point-of-Care Test Positivity According to MMP-9 Concentration and Loading

Jungah Huh1, Soo Youn Choi, Youngsub Eom

  • 1Department of Ophthalmology, Korea University College of Medicine, Seoul, South Korea.

Cornea
|August 2, 2019
PubMed
Abstract

Insights

The InflammaDry test for matrix metalloproteinase 9 (MMP-9) shows variable results based on MMP-9 form and tear volume. Higher concentrations of preform MMP-9 and larger tear volumes are needed for positive detection, risking false negatives.

Area of Science:

  • Ophthalmology
  • Biochemistry
  • Diagnostic Testing

Background:

  • Matrix metalloproteinase 9 (MMP-9) is implicated in ocular surface inflammation.
  • Point-of-care tests aim to rapidly detect biomarkers like MMP-9.

Purpose of the Study:

  • To evaluate the InflammaDry point-of-care test's performance for detecting matrix metalloproteinase 9 (MMP-9).
  • To determine how MMP-9 concentrations and sample loading volumes affect InflammaDry test positivity.

Main Methods:

  • Analyzed two forms of MMP-9 (preform and active) using the InflammaDry test.
  • Tested varying concentrations (50–1500 ng/mL) and loading volumes (5–40 μL) of both MMP-9 forms.

Main Results:

  • Higher concentrations of preform MMP-9 were required for positive InflammaDry results compared to active MMP-9.
  • Positive results for both MMP-9 forms were dependent on loading volume, with larger volumes yielding stronger signals.
  • False negatives were observed with lower tear volumes even with elevated MMP-9 levels.

Conclusions:

  • InflammaDry test sensitivity varies with MMP-9 form (preform vs. active) and concentration.
  • Loading volume significantly impacts InflammaDry test results, affecting band density.
  • Clinicians must consider potential false negatives due to low tear volume when interpreting InflammaDry results.

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