PMID- 24011160 OWN - NLM STAT- MEDLINE DCOM- 20131118 LR - 20130909 IS - 1007-8738 (Print) IS - 1007-8738 (Linking) VI - 29 IP - 9 DP - 2013 Sep TI - [Clinical value of serum matrix metalloproteinase-3 in evaluating joint destruction and therapeutic effect in rheumatoid arthritis patients]. PG - 966-9 AB - OBJECTIVE: To assess the clinical value of serum matrix metalloproteinase-3 (MMP-3) in evaluating joint destruction and therapeutic effect in rheumatoid arthritis (RA) patients. METHODS: The study included 109 RA patients and 23 healthy volunteers. Serum MMP3, C-reactive protein (CRP), rheumatoid factor (RF) and anti-cyclic citrullinated peptide (CCP) antibody levels were detected. All relevant clinical information of RA patients were recorded. RESULTS: Serum RF, anti-CCP antibodies and MMP3 concentrations in RA patients were markedly higher than those in healthy controls, and serum anti-CCP antibodies and MMP3 levels significantly increased in active RA as compared with those in stable RA (P<0.05). Serum CRP, anti-CCP antibodies and MMP3 levels gradually rose with the progress of joint destruction, but only the increase of serum MMP3 was significant statistically (P<0.05). Serum MMP3 level was found positively correlated with serum CRP or RF levels or joint injury. After the combination treatment of TNF antagonist and methotrexate, DAS28 score, serum CRP, anti-CCP antibodies and MMP3 levels were markedly reduced (P<0.05), and the decrease of MMP3 level was the most obvious. CONCLUSION: Serum MMP3 was a good laboratory index to evaluate the joint injury status and therapeutic effect, which is superior to other traditional and routine laboratory indexes. FAU - Li, Lixin AU - Li L AD - Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China. FAU - Cai, Bei AU - Cai B FAU - Liao, Jingyu AU - Liao J FAU - Yang, Bin AU - Yang B FAU - Huang, Zhuochun AU - Huang Z FAU - Wang, Lanlan AU - Wang L LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi JT - Xi bao yu fen zi mian yi xue za zhi = Chinese journal of cellular and molecular immunology JID - 101139110 RN - 0 (Peptides, Cyclic) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (cyclic citrullinated peptide) RN - 9007-41-4 (C-Reactive Protein) RN - 9009-79-4 (Rheumatoid Factor) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Arthritis, Rheumatoid/drug therapy/*enzymology/pathology MH - C-Reactive Protein/analysis MH - Female MH - Humans MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Peptides, Cyclic/immunology MH - Rheumatoid Factor/blood MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors EDAT- 2013/09/10 06:00 MHDA- 2013/11/19 06:00 CRDT- 2013/09/10 06:00 PHST- 2013/09/10 06:00 [entrez] PHST- 2013/09/10 06:00 [pubmed] PHST- 2013/11/19 06:00 [medline] PST - ppublish SO - Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2013 Sep;29(9):966-9.