PMID- 22291799 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20211021 IS - 1896-9151 (Electronic) IS - 1734-1922 (Print) IS - 1734-1922 (Linking) VI - 7 IP - 4 DP - 2011 Aug TI - Changes in the activity of connective tissue matrix enzymes in the metabolic syndrome. PG - 634-41 LID - 10.5114/aoms.2011.24133 [doi] AB - INTRODUCTION: Early atherosclerotic changes in the endothelium associated with metabolic syndrome are generated with the participation of inflammatory cells, cytokines and enzymes of the extracellular matrix. The study is aimed at a comparison between the activity of inflammatory agents, tumour necrosis factor alpha (TNF-alpha) and the enzymes of the connective tissue matrix in the blood of healthy female patients as well as those suffering from the metabolic syndrome. MATERIAL AND METHODS: The examination included 35 women with metabolic syndrome (MS). The control group (C) comprised 35 healthy women. Lipidogram, C-reactive protein level (CRP), fasting glucose level (FGL), matrix metalloproteinase (MMP)-8 and -9 activity, tissue inhibitor of metalloproteinase-1 (TIMP-1) and TNF-alpha levels in blood were determined. RESULTS: As compared with the control group, the level of inflammatory factors and the activity of extracellular matrix enzymes in the metabolic syndrome were statistically higher (p < 0.05) and concerned the following parameters: TNF-alpha (pg/ml): MS 6.59 +/-3.18, C 4.78 +/-2.91; CRP (mg/dl): MS 2.18 +/-2.04, C 1,26 +/-1.35; TIMP-1 (ng/ml): MS 265.5 +/-2.9, C 205.4 +/-72.6; MMP-9 (ng/ml): MS 198.2 +/-138.6, C 138.6 +/-116.1. Statistically significant correlations were also found between TIMP-1 and the following factors: BMI (R = 0.400, p < 0.001), waist/hip ratio (WHR) (R = 0.278, p < 0.05), waistline (R = 0.417, p < 0.001), FGL (R = 0.290, p < 0.05), HDL cholesterol (R = -0.253, p < 0.05) and triglycerides (R = 0.269, p < 0.05).There were positive correlations of MMP-9 with FGL (R = 0.446, p < 0.001) and waistline (R = 0.260, p < 0.05); MMP-8 with FGL (R = 0.308, p < 0.05); and CRP with BMI (R = 0.370, p < 0.01), WHR (R = 0.325, p < 0.01) and waistline (R = 0.368, p < 0.01). CONCLUSIONS: Metabolic syndrome is connected with higher activity of cytokines (TNF-alpha), inflammatory markers (CRP) and matrix enzymes (MMP-9, MMP-8, TIMP-1). FAU - Mieczkowska, Jolanta AU - Mieczkowska J AD - Chair and Department of Internal Medicine, Medical University of Lublin, Poland. FAU - Mosiewicz, Jerzy AU - Mosiewicz J FAU - Barud, Wojciech AU - Barud W FAU - Kwasniewski, Wojciech AU - Kwasniewski W LA - eng PT - Journal Article DEP - 20110902 PL - Poland TA - Arch Med Sci JT - Archives of medical science : AMS JID - 101258257 PMC - PMC3258777 OTO - NOTNLM OT - atherosclerosis OT - cytokines OT - metabolic syndrome OT - metalloproteinase OT - tissue inhibitors of metalloproteinases EDAT- 2012/02/01 06:00 MHDA- 2012/02/01 06:01 PMCR- 2011/10/01 CRDT- 2012/02/01 06:00 PHST- 2009/11/20 00:00 [received] PHST- 2010/01/15 00:00 [revised] PHST- 2010/03/24 00:00 [accepted] PHST- 2012/02/01 06:00 [entrez] PHST- 2012/02/01 06:00 [pubmed] PHST- 2012/02/01 06:01 [medline] PHST- 2011/10/01 00:00 [pmc-release] AID - AMS-7-4-634 [pii] AID - 10.5114/aoms.2011.24133 [doi] PST - ppublish SO - Arch Med Sci. 2011 Aug;7(4):634-41. doi: 10.5114/aoms.2011.24133. Epub 2011 Sep 2.