PMID- 28756710 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20181202 IS - 1439-7609 (Electronic) IS - 1439-7595 (Linking) VI - 28 IP - 2 DP - 2018 Mar TI - Steroid therapy and renal dysfunction are independently associated with serum levels of matrix metalloproteinase-3 in patients with rheumatoid arthritis. PG - 242-248 LID - 10.1080/14397595.2017.1354431 [doi] AB - OBJECTIVE: This study aimed to evaluate whether the level of serum matrix metalloproteinase-3 (MMP-3), a marker of synovium inflammation, is affected by clinical characteristics of patients in rheumatoid arthritis (RA) patients. METHODS: We analyzed data from 1087 female patients with RA. Pearson's correlation coefficients were calculated to explore associations between variables. Stepwise multiple linear regression analysis was performed to evaluate patient background variables that could potentially affect serum MMP-3 levels. RESULTS: Serum MMP-3 was moderately correlated with C-reactive protein (CRP) (r: 0.478). Factors that independently influenced serum MMP-3 levels were CRP (beta: 0.450), prednisolone (PSL) use (beta: 0.100), estimated glomerular filtration rate (eGFR) (beta: -0.085), swollen joint count assessed on 28 joints (beta: 0.072), and body mass index (beta: -0.061) in female patients with RA. In RA patients with PSL use, factors that independently influenced serum MMP-3 levels were CRP (beta: 0.480), eGFR (beta: -0.175), and PSL dose (beta: 0.171). CONCLUSIONS: Our findings suggest that steroid therapy and renal dysfunction affect serum MMP-3 levels in patients with RA. FAU - Hattori, Yosuke AU - Hattori Y AD - a Orthopaedic Surgery and Rheumatology , National Hospital Organization Nagoya Medical Center , Nagoya , Japan. FAU - Kida, Daihei AU - Kida D AD - a Orthopaedic Surgery and Rheumatology , National Hospital Organization Nagoya Medical Center , Nagoya , Japan. FAU - Kaneko, Atsushi AU - Kaneko A AD - a Orthopaedic Surgery and Rheumatology , National Hospital Organization Nagoya Medical Center , Nagoya , Japan. LA - eng PT - Journal Article DEP - 20170731 PL - England TA - Mod Rheumatol JT - Modern rheumatology JID - 100959226 RN - 0 (Antirheumatic Agents) RN - 0 (Biomarkers) RN - 0 (Glucocorticoids) RN - 9007-41-4 (C-Reactive Protein) RN - 9PHQ9Y1OLM (Prednisolone) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Antirheumatic Agents/*therapeutic use MH - Arthritis, Rheumatoid/*blood/drug therapy/pathology MH - Biomarkers/blood MH - C-Reactive Protein/metabolism MH - Female MH - Glomerular Filtration Rate MH - Glucocorticoids/*therapeutic use MH - Humans MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Prednisolone/*therapeutic use OTO - NOTNLM OT - Rheumatoid arthritis OT - matrix metalloproteinase-3 OT - remission OT - steroid EDAT- 2017/08/02 06:00 MHDA- 2018/07/22 06:00 CRDT- 2017/08/01 06:00 PHST- 2017/08/02 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] PHST- 2017/08/01 06:00 [entrez] AID - 10.1080/14397595.2017.1354431 [doi] PST - ppublish SO - Mod Rheumatol. 2018 Mar;28(2):242-248. doi: 10.1080/14397595.2017.1354431. Epub 2017 Jul 31.