PMID- 33337838 OWN - NLM STAT- MEDLINE DCOM- 20210527 LR - 20210527 IS - 1433-6510 (Print) IS - 1433-6510 (Linking) VI - 66 IP - 12 DP - 2020 Dec 1 TI - Associations of Changes in Serum Inflammatory Factors, MMP-3, 25(OH)D and Intestinal Flora with Osteoporosis and Disease Activity in Rheumatoid Arthritis Patients. LID - 10.7754/Clin.Lab.2020.200242 [doi] AB - BACKGROUND: To explore the associations of changes in serum inflammatory factors, matrix metalloproteinase-3 (MMP-3), 25-hydroxy vitamin D [25(OH)D], and intestinal flora with osteoporosis and disease activity in rheumatoid arthritis (RA) patients, so as to provide references for clinical diagnosis and treatment. METHODS: A total of 98 RA patients were selected as the objects of study (RA group), and divided into active-stage group (n = 56) and remission-stage group (n = 42) according to the disease activity score (DAS28). Another 50 healthy people receiving physical examination in our hospital during the same period were selected as the control group. The changes in serum inflammatory factors, MMP-3, 25(OH)D, and intestinal flora were compared among the three groups, and the osteoporosis of the subjects was analyzed in each group. Moreover, the associations of changes in serum inflammatory factors, MMP-3, 25(OH)D, and intestinal flora with osteoporosis and disease activity in RA patients were analyzed using the Pearson's method. RESULTS: Compared with those in the control group, the levels of serum MMP-3, interleukin-6 (IL-6), IL-10, and C-reactive protein (CRP). The Escherichia coli count were significantly increased, while the level of serum 25(OH)D, bone mineral density (BMD), and Lactobacillus and Bifidobacterium counts were significantly decreased in the active-stage group and remission-stage group, more obviously in active-stage group (p < 0.05). The osteoporosis and disease activity in RA patients were positively correlated with serum IL-6, IL-10, CRP, MMP-3, Escherichia coli and BMD, but negatively correlated with 25(OH)D, Lactobacillus and Bifidobacterium (p < 0.05), and not correlated with the sharp score (p > 0.05). CONCLUSIONS: There are certain associations of changes in serum inflammatory factors, MMP-3, 25(OH)D, and in-testinal flora with osteoporosis and disease activity in RA patients, showing certain value in clinical application. FAU - Yong, Wang AU - Yong W FAU - Hongbin, Li AU - Hongbin L FAU - Jing, Wang AU - Jing W FAU - Jing, Zhao AU - Jing Z FAU - Ning, Tie AU - Ning T FAU - Lijie, Bai AU - Lijie B LA - eng PT - Journal Article PL - Germany TA - Clin Lab JT - Clinical laboratory JID - 9705611 RN - 1406-16-2 (Vitamin D) RN - A288AR3C9H (25-hydroxyvitamin D) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - *Arthritis, Rheumatoid/diagnosis MH - *Gastrointestinal Microbiome MH - Humans MH - *Matrix Metalloproteinase 3/blood MH - *Osteoporosis/diagnosis/genetics/microbiology MH - Vitamin D/*analogs & derivatives/blood EDAT- 2020/12/19 06:00 MHDA- 2021/05/28 06:00 CRDT- 2020/12/18 16:32 PHST- 2020/12/18 16:32 [entrez] PHST- 2020/12/19 06:00 [pubmed] PHST- 2021/05/28 06:00 [medline] AID - 10.7754/Clin.Lab.2020.200242 [doi] PST - ppublish SO - Clin Lab. 2020 Dec 1;66(12). doi: 10.7754/Clin.Lab.2020.200242.