PMID- 11796404 OWN - NLM STAT- MEDLINE DCOM- 20020212 LR - 20220409 IS - 0003-4967 (Print) IS - 1468-2060 (Electronic) IS - 0003-4967 (Linking) VI - 61 IP - 2 DP - 2002 Feb TI - Increased matrix metalloproteinase-3 serum levels in rheumatic diseases: relationship with synovitis and steroid treatment. PG - 161-6 AB - OBJECTIVE: To determine matrix metalloproteinase-3 (MMP-3) serum levels in patients with rheumatic diseases and to study the relation between MMP-3 and C reactive protein (CRP) levels. METHODS: MMP-3 serum levels were determined by enzyme linked immunosorbent assay (ELISA) in (a) patients with active inflammatory rheumatic diseases: rheumatoid arthritis (RA), psoriatic arthritis, polymyalgia rheumatica, acute crystal arthritis, and ankylosing spondylitis; (b) patients with active inflammatory systemic diseases: cutaneo-articular or renal systemic lupus erythematosus (SLE), systemic sclerosis, and vasculitides; (c) patients with non-inflammatory rheumatic diseases: osteoarthritis and fibromyalgia; (d) critically ill patients without rheumatic diseases, representing an acute inflammatory control group; (e) healthy controls. RESULTS: MMP-3 serum levels were significantly increased in patients with active RA, psoriatic arthritis, and polymyalgia rheumatica, whether treated or not by corticosteroids, and in female patients with acute crystal arthritis. MMP-3 serum levels were normal in steroid-free patients with active cutaneo-articular or renal SLE, systemic sclerosis, and vasculitides but were significantly increased in steroid treated patients. MMP-3 levels were normal in fibromyalgia, osteoarthritis, ankylosing spondylitis, and acute inflammatory controls. MMP-3 was significantly correlated with CRP in RA (r=0.5, p=0.0004) but not in any of the other disease groups. CONCLUSIONS: MMP-3 serum levels are increased in inflammatory rheumatic diseases characterised by joint synovitis, such as RA, polymyalgia rheumatica, psoriatic arthritis, and acute crystal arthritis-that is, whether the diseases are acute or chronic, erosive or not. They are normal in SLE, systemic sclerosis, and vasculitides as well as in non-rheumatic inflammatory controls, but are significantly increased by steroids. These data strongly suggest that serum MMP-3 reflects synovial inflammation. FAU - Ribbens, C AU - Ribbens C AD - Department of Rheumatology, University of Liege, Belgium. Clio.Ribbens@ulg.ac.be FAU - Martin y Porras, M AU - Martin y Porras M FAU - Franchimont, N AU - Franchimont N FAU - Kaiser, M-J AU - Kaiser MJ FAU - Jaspar, J-M AU - Jaspar JM FAU - Damas, P AU - Damas P FAU - Houssiau, F A AU - Houssiau FA FAU - Malaise, M G AU - Malaise MG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Ann Rheum Dis JT - Annals of the rheumatic diseases JID - 0372355 RN - 0 (Biomarkers) RN - 0 (Glucocorticoids) RN - 9007-41-4 (C-Reactive Protein) RN - 9PHQ9Y1OLM (Prednisolone) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Arthritis, Psoriatic/blood MH - Arthritis, Rheumatoid/*blood/drug therapy MH - Biomarkers/blood MH - C-Reactive Protein/analysis MH - Case-Control Studies MH - Female MH - Fibromyalgia/blood MH - Glucocorticoids/therapeutic use MH - Humans MH - Lupus Erythematosus, Systemic/blood MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Osteoarthritis/blood MH - Polymyalgia Rheumatica/blood MH - Prednisolone/therapeutic use MH - Scleroderma, Systemic/blood MH - Spondylitis, Ankylosing/blood MH - Statistics, Nonparametric MH - Vasculitis/blood PMC - PMC1753989 EDAT- 2002/01/18 10:00 MHDA- 2002/02/13 10:01 PMCR- 2005/02/01 CRDT- 2002/01/18 10:00 PHST- 2002/01/18 10:00 [pubmed] PHST- 2002/02/13 10:01 [medline] PHST- 2002/01/18 10:00 [entrez] PHST- 2005/02/01 00:00 [pmc-release] AID - 10.1136/ard.61.2.161 [doi] PST - ppublish SO - Ann Rheum Dis. 2002 Feb;61(2):161-6. doi: 10.1136/ard.61.2.161.