PMID- 23690656 OWN - NLM STAT- MEDLINE DCOM- 20131203 LR - 20211021 IS - 1466-1861 (Electronic) IS - 0962-9351 (Print) IS - 0962-9351 (Linking) VI - 2013 DP - 2013 TI - Serum matrix metalloproteinase-3 in comparison with acute phase proteins as a marker of disease activity and radiographic damage in early rheumatoid arthritis. PG - 183653 LID - 10.1155/2013/183653 [doi] LID - 183653 AB - Matrix metalloproteinase-3 (MMP-3) is involved in the immunopathogenesis of rheumatoid arthritis (RA), but little is known about its relationship to genetic susceptibility and biomarkers of disease activity, especially acute phase reactants in early RA. MMP-3 was measured by ELISA in serum samples of 128 disease-modifying, drug-naive patients and analysed in relation to shared epitope genotype, a range of circulating chemokines/cytokines, acute phase reactants, autoantibodies, cartilage oligomeric protein (COMP), and the simplified disease activity index (SDAI). MMP-3 was elevated >1.86 ng/ml in 56.25% of patients (P < 0.0001), correlated with several biomarkers, notably IL-8, IL-6, IFN gamma , VEGF and COMP (r values = 0.22-0.33, P < 0.014-0.0001) and with CRP and SAA levels (r = 0.40 and 0.41, resp., P < 0.0000) and SDAI (r = 0.29, P < 0.0001), but not with erosions or nodulosis. However, the correlations of CRP and SAA with SDAI were stronger (respective values of 0.63 and 0.54, P < 0.001 for both). COMP correlated with smoking, RF, and MMP-3. MMP-3 is significantly associated with disease activity, inflammatory mediators and cartilage breakdown, making it a potential biomarker of disease severity, but seemingly less useful than CRP and SAA as a biomarker of disease activity in early RA. FAU - Ally, Mahmood M T M AU - Ally MM AD - Department of Internal Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria 0001, South Africa. tar@up.ac.za FAU - Hodkinson, Bridget AU - Hodkinson B FAU - Meyer, Pieter W A AU - Meyer PW FAU - Musenge, Eustasius AU - Musenge E FAU - Tikly, Mohammed AU - Tikly M FAU - Anderson, Ronald AU - Anderson R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130407 PL - United States TA - Mediators Inflamm JT - Mediators of inflammation JID - 9209001 RN - 0 (Acute-Phase Proteins) RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (Matrilin Proteins) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Acute-Phase Proteins/*metabolism MH - Arthritis, Rheumatoid/*blood/*diagnostic imaging/pathology MH - Autoantibodies/blood MH - Biomarkers/*blood MH - Enzyme-Linked Immunosorbent Assay MH - Humans MH - Matrilin Proteins/blood MH - Matrix Metalloproteinase 3/*blood MH - Radiography MH - Smoking/blood PMC - PMC3649689 EDAT- 2013/05/22 06:00 MHDA- 2013/12/16 06:00 PMCR- 2013/04/07 CRDT- 2013/05/22 06:00 PHST- 2012/12/10 00:00 [received] PHST- 2013/02/26 00:00 [accepted] PHST- 2013/05/22 06:00 [entrez] PHST- 2013/05/22 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] PHST- 2013/04/07 00:00 [pmc-release] AID - 10.1155/2013/183653 [doi] PST - ppublish SO - Mediators Inflamm. 2013;2013:183653. doi: 10.1155/2013/183653. Epub 2013 Apr 7.