PMID- 29442475 OWN - NLM STAT- MEDLINE DCOM- 20190321 LR - 20190321 IS - 1827-1634 (Electronic) IS - 0391-1977 (Linking) VI - 43 IP - 4 DP - 2018 Dec TI - Association of heterogeneity of the thyroid gland with matrix metalloproteinase-3 in rheumatoid arthritis patients with Hashimoto's thyroiditis. PG - 398-405 LID - 10.23736/S0391-1977.18.02725-6 [doi] AB - BACKGROUND: Hashimoto's thyroiditis (HT) is highly prevalent in patients with rheumatoid arthritis (RA). The aim is to determine their relation, focusing on matrix metalloproteinase-3 (MMP-3), a marker predicting joint destruction and RA activity. METHODS: Fifty-three consecutive RA patients were prospectively separated into two groups based on the presence or absence of HT; those with and without TPO-Ab or Tg-Ab (34.0% and 66.0%, respectively). To estimate the extent of inflammation and destruction of the thyroid gland, Heterogeneity Index (HI) was determined ultrasonographically. RESULTS: While the male/female ratio, TSH and HI were significantly higher in those with HT than in those without (5/13 vs. 7/28, P=0.047, mean+/-SE; 7.25+/-0.69 vs.2.52+/-0.30 mIU/L, P<0.001; 3.8+/-0.2 vs.3.2+/-0.2%, P=0.042, respectively), no differences existed in MMP-3. In those with HT, MMP-3 correlated negatively with FT3 (rho=-0.545, P=0.048) and positively with TPO-Ab and HI (rho=0.735, P=0.02; rho=0.769, P=0.01, respectively). Among them, HI was a significant factor associated positively with MMP-3 (r=0.883, F=31.91). CONCLUSIONS: The present study demonstrated significant increases of HI and an association between HI and MMP-3 in RA patients with HT. These findings suggest that the inflammation and destruction of the thyroid gland might be closely related to the current activity and terminal joint destruction of RA. FAU - Nagasaki, Toshiki AU - Nagasaki T AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan - toshi-n@jg7.so-net.ne.jp. FAU - Nagata, Yuki AU - Nagata Y AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan. FAU - Wakita, Yosuke AU - Wakita Y AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan. FAU - Yamada, Shinsuke AU - Yamada S AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan. FAU - Goto, Hitoshi AU - Goto H AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan. FAU - Imanishi, Yasuo AU - Imanishi Y AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan. FAU - Onoda, Naoyoshi AU - Onoda N AD - Department of Surgical Oncology, Osaka City University, Graduate School of Medicine, Osaka, Japan. FAU - Emoto, Masanori AU - Emoto M AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan. FAU - Inaba, Masaaki AU - Inaba M AD - Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University, Graduate School of Medicine, Osaka, Japan. LA - eng PT - Journal Article DEP - 20180213 PL - Italy TA - Minerva Endocrinol JT - Minerva endocrinologica JID - 8406505 RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Arthritis, Rheumatoid/*genetics/*pathology MH - Female MH - Hashimoto Disease/*genetics/*pathology MH - Humans MH - Joints/pathology MH - Male MH - Matrix Metalloproteinase 3/*genetics MH - Middle Aged MH - Prospective Studies MH - Thyroid Gland/*pathology EDAT- 2018/02/15 06:00 MHDA- 2019/03/22 06:00 CRDT- 2018/02/15 06:00 PHST- 2018/02/15 06:00 [pubmed] PHST- 2019/03/22 06:00 [medline] PHST- 2018/02/15 06:00 [entrez] AID - S0391-1977.18.02725-6 [pii] AID - 10.23736/S0391-1977.18.02725-6 [doi] PST - ppublish SO - Minerva Endocrinol. 2018 Dec;43(4):398-405. doi: 10.23736/S0391-1977.18.02725-6. Epub 2018 Feb 13.