PMID- 24641725 OWN - NLM STAT- MEDLINE DCOM- 20141031 LR - 20211021 IS - 1471-2474 (Electronic) IS - 1471-2474 (Linking) VI - 15 DP - 2014 Mar 19 TI - The active form of MMP-3 is a marker of synovial inflammation and cartilage turnover in inflammatory joint diseases. PG - 93 LID - 10.1186/1471-2474-15-93 [doi] AB - BACKGROUND: Matrix metalloproteinase-3 (MMP-3) plays an important role in the pathology of rheumatoid arthritis (RA) and ankylosing spondylitis (AS). Measurement of active MMP-3 in clinical samples could provide information about progression of rheumatoid diseases, and potentially response to treatment. Hence, we aimed to develop a sensitive assay specifically measuring the active form of MMP-3 (act-MMP-3) both in ex vivo models and in human sera. METHODS: A monoclonal antibody against the first 6 amino acids of act-MMP-3 was developed, and the specificity was carefully tested by comparing total and active MMP-3. A technically robust act-MMP-3 ELISA was produced. For biological validation, human synovial membrane and human cartilage explant (HEX) culture models were measured and compared by ELISA and immunoblots. For clinical relevance, the serum levels of act-MMP-3 in AS and RA patients before and after anti-TNF-alpha treatment were evaluated. RESULTS: A highly specific and technically robust ELISA detecting act-MMP-3 in serum was developed. The lower limit of detection was 33.7 pg/mL. The dilution and spiking recovery of human serum was within 100 +/- 20%. The average intra- and inter-assay variations were 3.1% and 13.5% respectively.High levels of act-MMP-3 expression were observed in human synovial membrane culture and oncostatin M and TNF-alpha stimulated human cartilage. In a cross-sectional study of both AS and RA patients, serum act-MMP-3 level was correlated with C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR). In addition, in patients receiving anti-TNF-alpha treatment, the serum level of act-MMP-3 was significantly reduced compared to baseline level reflecting the anti-inflammatory effects of the treatment. CONCLUSION: We have successfully developed an assay measuring act-MMP-3 in human serum showing correlation to inflammatory markers. Further studies are required to clarify, whether act-MMP-3 can serve as a predictive marker for outcome in chronic rheumatoid disorders. FAU - Sun, Shu AU - Sun S AD - Nordic Bioscience Biomarkers and Research, Herlev, Denmark. ssu@nordicbioscience.com. FAU - Bay-Jensen, Anne-Christine AU - Bay-Jensen AC FAU - Karsdal, Morten A AU - Karsdal MA FAU - Siebuhr, Anne Sofie AU - Siebuhr AS FAU - Zheng, Qinlong AU - Zheng Q FAU - Maksymowych, Walter P AU - Maksymowych WP FAU - Christiansen, Thorbjorn G AU - Christiansen TG FAU - Henriksen, Kim AU - Henriksen K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140319 PL - England TA - BMC Musculoskelet Disord JT - BMC musculoskeletal disorders JID - 100968565 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (Biomarkers) RN - 0 (Tumor Necrosis Factor-alpha) RN - 106956-32-5 (Oncostatin M) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Amino Acid Sequence MH - Animals MH - Antibodies, Monoclonal/immunology MH - Antirheumatic Agents/therapeutic use MH - Arthritis, Rheumatoid/*blood/drug therapy/enzymology MH - Biomarkers MH - C-Reactive Protein/analysis MH - Cartilage/drug effects/*enzymology/metabolism MH - Enzyme Activation MH - *Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Inflammation MH - Male MH - Matrix Metalloproteinase 3/*blood/immunology/metabolism MH - Mice MH - Molecular Sequence Data MH - Oncostatin M/pharmacology MH - Organ Culture Techniques MH - Osteoarthritis, Knee/pathology MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Severity of Illness Index MH - Specific Pathogen-Free Organisms MH - Spondylitis, Ankylosing/*blood/drug therapy/enzymology MH - Synovial Membrane/drug effects/*enzymology/metabolism MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha/antagonists & inhibitors/pharmacology PMC - PMC4003863 EDAT- 2014/03/20 06:00 MHDA- 2014/11/02 06:00 PMCR- 2014/03/19 CRDT- 2014/03/20 06:00 PHST- 2013/10/25 00:00 [received] PHST- 2014/03/13 00:00 [accepted] PHST- 2014/03/20 06:00 [entrez] PHST- 2014/03/20 06:00 [pubmed] PHST- 2014/11/02 06:00 [medline] PHST- 2014/03/19 00:00 [pmc-release] AID - 1471-2474-15-93 [pii] AID - 10.1186/1471-2474-15-93 [doi] PST - epublish SO - BMC Musculoskelet Disord. 2014 Mar 19;15:93. doi: 10.1186/1471-2474-15-93.