PMID- 17426976 OWN - NLM STAT- MEDLINE DCOM- 20071016 LR - 20220716 IS - 0172-8172 (Print) IS - 0172-8172 (Linking) VI - 27 IP - 8 DP - 2007 Jun TI - Serum pro-matrix metalloproteinase-3 as an indicator of disease activity and severity in rheumatoid arthritis: comparison with traditional markers. PG - 715-22 AB - Matrix metalloproteinase-3 (MMP-3) production increases in rheumatoid arthritis (RA) and has been proposed as a marker of disease activity and joint damage. The aim of this cross-sectional study is to examine the usefulness of serum proMMP-3 as an indicator of disease activity and severity in comparison with erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP). Serum proMMP-3 was measured by a quantitative ELISA in 85 RA patients and 70 healthy subjects. Clinical and laboratory measures of disease activity and severity were obtained. Radiological joint damage was assessed by the method of Larsen. Serum proMMP-3 was significantly higher in RA patients than that in the healthy subjects. The active RA patients had significantly higher serum proMMP-3 than the inactive patients. Serum proMMP-3 was significantly correlated with some parameters of disease activity including swollen joints count, proximal interphalangeal joint score, morning stiffness, and Health Assessment Questionnaire; however, ESR and serum CRP were better correlated with all indicators of the disease activity than proMMP-3. The analysis of receiver operating characteristic supported that ESR and CRP had higher performance for reflection of activity compared to proMMP-3. There were no significant associations among Larsen score and proMMP-3, ESR, and CRP. Our results suggest that the cross-sectional measurement of serum proMMP-3 could not give additional information about RA disease activity compared to ESR and CRP, and could not give any information about joint damage. FAU - Ates, Askin AU - Ates A AD - Department of Clinical Immunology and Rheumatology, Ankara University School of Medicine, Ankara, Turkey. ates@medicine.ankara.edu.tr FAU - Turkcapar, Nuran AU - Turkcapar N FAU - Olmez, Umit AU - Olmez U FAU - Tiryaki, Olcay AU - Tiryaki O FAU - Duzgun, Nursen AU - Duzgun N FAU - Uguz, Emre AU - Uguz E FAU - Duman, Murat AU - Duman M LA - eng PT - Comparative Study PT - Journal Article DEP - 20070411 PL - Germany TA - Rheumatol Int JT - Rheumatology international JID - 8206885 RN - 0 (Biomarkers) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Arthritis, Rheumatoid/*blood/classification/pathology MH - Biomarkers MH - Blood Sedimentation MH - C-Reactive Protein/*analysis MH - Case-Control Studies MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - ROC Curve MH - Severity of Illness Index EDAT- 2007/04/12 09:00 MHDA- 2007/10/17 09:00 CRDT- 2007/04/12 09:00 PHST- 2006/06/03 00:00 [received] PHST- 2007/03/06 00:00 [accepted] PHST- 2007/04/12 09:00 [pubmed] PHST- 2007/10/17 09:00 [medline] PHST- 2007/04/12 09:00 [entrez] AID - 10.1007/s00296-007-0338-1 [doi] PST - ppublish SO - Rheumatol Int. 2007 Jun;27(8):715-22. doi: 10.1007/s00296-007-0338-1. Epub 2007 Apr 11.