PMID- 10556259 OWN - NLM STAT- MEDLINE DCOM- 20000118 LR - 20190513 IS - 1462-0324 (Print) IS - 1462-0324 (Linking) VI - 38 IP - 11 DP - 1999 Nov TI - Serum levels of matrix metalloproteinase-3 in relation to the development of radiological damage in patients with early rheumatoid arthritis. PG - 1081-7 AB - OBJECTIVE: To evaluate the significance of serum matrix metalloproteinase-3 (MMP-3) levels in relation to the development of radiological damage (X-ray damage) in early rheumatoid arthritis (RA). METHODS: Serum MMP-3 levels were measured in 46 healthy controls (CTRL), 19 osteoarthritis (OA) and 78 RA patients with joint symptoms for <1 yr at presentation (T0): 48 patients without and 30 with X-ray damage at T0. Serum MMP-3, measured by ELISA, and X-ray damage, scored according to Sharp's method, were assessed at 0, 6, 12 and 24 months. RESULTS: MMP-3 levels in CTRL and OA were low or undetectable with no differences between the groups (P=0.19). Levels in RA were higher than in CTRL (P<0.01). Initial MMP-3 levels in patients with X-ray damage at T0 (n=30) were higher than the levels in patients without any X-ray damage during follow-up (n=19) (P<0.01), but were not different from those in patients who developed X-ray damage during the study (n=29) (P=0.11). In the patients without X-ray damage at T0, there was a significant correlation between MMP-3 at T0 and the total X-ray damage after 6 months (r=0.34, P=0.02) and 12 months (r=0.32, P=0.03). This correlation was almost exclusively determined by joint space narrowing in the Sharp score. CONCLUSION: The serum MMP-3 level seems to be an indicator for the development of radiological damage in patients with early RA and appears to be particularly indicative of cartilage degradation. FAU - Posthumus, M D AU - Posthumus MD AD - Department of Rheumatology, University Hospital Groningen, The Netherlands. FAU - Limburg, P C AU - Limburg PC FAU - Westra, J AU - Westra J FAU - Cats, H A AU - Cats HA FAU - Stewart, R E AU - Stewart RE FAU - van Leeuwen, M A AU - van Leeuwen MA FAU - van Rijswijk, M H AU - van Rijswijk MH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Rheumatology (Oxford) JT - Rheumatology (Oxford, England) JID - 100883501 RN - 0 (Biomarkers) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Arthritis, Rheumatoid/blood/*diagnostic imaging/*enzymology MH - Biomarkers MH - C-Reactive Protein/metabolism MH - Cohort Studies MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Prospective Studies MH - Radiography EDAT- 1999/11/11 00:00 MHDA- 1999/11/11 00:01 CRDT- 1999/11/11 00:00 PHST- 1999/11/11 00:00 [pubmed] PHST- 1999/11/11 00:01 [medline] PHST- 1999/11/11 00:00 [entrez] AID - 10.1093/rheumatology/38.11.1081 [doi] PST - ppublish SO - Rheumatology (Oxford). 1999 Nov;38(11):1081-7. doi: 10.1093/rheumatology/38.11.1081.