PMID- 10765930 OWN - NLM STAT- MEDLINE DCOM- 20000518 LR - 20161124 IS - 0004-3591 (Print) IS - 0004-3591 (Linking) VI - 43 IP - 4 DP - 2000 Apr TI - Serum matrix metalloproteinase 3 as a predictor of the degree of joint destruction during the six months after measurement, in patients with early rheumatoid arthritis. PG - 852-8 AB - OBJECTIVE: To evaluate whether matrix metalloproteinase 3 (MMP-3), a proteinase that is expressed in rheumatoid synovial tissue and shows potent activity in degrading the proteoglycan of cartilage, plays a pivotal role in the joint destruction seen in early rheumatoid arthritis (RA). METHODS: In a prospective study of patients with early RA, the relationship between the serum concentration of MMP-3, as determined by a sandwich enzyme immunoassay system, and the progression of joint destruction in patients with early RA, as measured by the Larsen radiologic score, was investigated. RESULTS: Serum MMP-3 levels were elevated in the RA patients compared with healthy controls, not only in the late stage, but also in the early stage of the disease in patients whose duration of RA was <4 months. The serum MMP-3 level at entry into the study had a strong correlation with the Larsen score at 6 months and 12 months after entry (r = 0.58 and r = 0.49, respectively). Similarly, the serum MMP-3 level at 12 months and 24 months after entry showed a positive association with the Larsen score in the subsequent 6-12 months. Suppression of the serum MMP-3 level in the first year led to a decline in joint damage in the second year. CONCLUSION: The serum concentration of MMP-3 is a useful marker for predicting bone damage in the early stage of RA, and the suppression of MMP-3 production may be an effective therapeutic approach for patients with early RA. FAU - Yamanaka, H AU - Yamanaka H AD - Institute of Rheumatology, Tokyo Women's Medical University, Japan. FAU - Matsuda, Y AU - Matsuda Y FAU - Tanaka, M AU - Tanaka M FAU - Sendo, W AU - Sendo W FAU - Nakajima, H AU - Nakajima H FAU - Taniguchi, A AU - Taniguchi A FAU - Kamatani, N AU - Kamatani N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arthritis Rheum JT - Arthritis and rheumatism JID - 0370605 RN - 0 (Biomarkers) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM CIN - Arthritis Rheum. 2000 Nov;43(11):2614-5. PMID: 11083293 CIN - Arthritis Rheum. 2001 Dec;44(12):2940-1. PMID: 11762959 MH - Adult MH - Aged MH - Arthritis, Rheumatoid/*blood MH - Biomarkers/blood MH - Female MH - Humans MH - Joint Diseases/*blood/diagnostic imaging MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Prospective Studies MH - Radiography MH - Time Factors EDAT- 2000/04/15 09:00 MHDA- 2000/05/20 09:00 CRDT- 2000/04/15 09:00 PHST- 2000/04/15 09:00 [pubmed] PHST- 2000/05/20 09:00 [medline] PHST- 2000/04/15 09:00 [entrez] AID - 10.1002/1529-0131(200004)43:4<852::AID-ANR16>3.0.CO;2-7 [doi] PST - ppublish SO - Arthritis Rheum. 2000 Apr;43(4):852-8. doi: 10.1002/1529-0131(200004)43:4<852::AID-ANR16>3.0.CO;2-7.