PMID- 10365570 OWN - NLM STAT- MEDLINE DCOM- 19990701 LR - 20191103 IS - 1328-8067 (Print) IS - 1328-8067 (Linking) VI - 41 IP - 3 DP - 1999 Jun TI - Tissue inhibitor of metalloproteinases-1 and matrix metalloproteinase-3 in Japanese healthy children and in Kawasaki disease and their clinical usefulness in juvenile rheumatoid arthritis. PG - 239-45 AB - BACKGROUND AND METHODS: To determine the clinical values of tissue inhibitor of metalloproteinases-1 (TIMP-1) and matrix metalloproteinase-3 (MMP-3) in juvenile rheumatoid arthritis (JRA), we measured serum levels of these enzymes with rapid one-step sandwich enzyme immunoassay. Forty-one JRA patients, 48 normal healthy children (NC) and 10 Kawasaki disease (KD) patients were investigated. RESULTS: Serum TIMP-1 levels in NC corresponded to those in normal adults reported in the literature, while MMP-3 levels were lower than those in healthy children and the ratio of MMP-3/TIMP-1 decreased. The TIMP-1 levels in JRA and KD at the first clinic examination were statistically higher than those in NC (P < 0.05) and MMP-3 levels and MMP-3/TIMP-1 in JRA were significantly higher than those in NC (P < 0.0001 and 0.0005, respectively) and KD (P < 0.001 and 0.0005, respectively). In JRA, MMP-3 levels of patients with arthritis were statistically higher than those of patients without arthritis (P < 0.05) and MMP-3 levels were correlated with C-reactive protein (rs = 0.465, P < 0.05), while TIMP-1 did not (rs = 0.340). There was a positive correlation between serum levels of MMP-3 and TIMP-1 and prognosis (rs = 0.733, P < 0.05). CONCLUSION: In JRA, the serum MMP-3 level is a useful marker to evaluate joint damage, while serum TIMP-1 remains an acute phase reactant. FAU - Matsuyama, T AU - Matsuyama T AD - Department of Pediatrics, Kyorin University, School of Medicine Tokyo, Japan. m-clinic@muf.biglobe.ne.jp LA - eng PT - Comparative Study PT - Journal Article PL - Australia TA - Pediatr Int JT - Pediatrics international : official journal of the Japan Pediatric Society JID - 100886002 RN - 0 (Biomarkers) RN - 0 (Protease Inhibitors) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adolescent MH - Arthritis, Juvenile/classification/*enzymology/immunology MH - Biomarkers/*blood MH - Blood Sedimentation MH - C-Reactive Protein/metabolism MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Disease Progression MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Infant MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Mucocutaneous Lymph Node Syndrome/*enzymology/immunology MH - Prognosis MH - Protease Inhibitors/*blood MH - Reproducibility of Results MH - Tissue Inhibitor of Metalloproteinase-1/*blood EDAT- 1999/06/12 00:00 MHDA- 1999/06/12 00:01 CRDT- 1999/06/12 00:00 PHST- 1999/06/12 00:00 [pubmed] PHST- 1999/06/12 00:01 [medline] PHST- 1999/06/12 00:00 [entrez] AID - 10.1046/j.1442-200x.1999.01061.x [doi] PST - ppublish SO - Pediatr Int. 1999 Jun;41(3):239-45. doi: 10.1046/j.1442-200x.1999.01061.x.