PMID- 33488296 OWN - NLM STAT- MEDLINE DCOM- 20211103 LR - 20231110 IS - 1466-1861 (Electronic) IS - 0962-9351 (Print) IS - 0962-9351 (Linking) VI - 2021 DP - 2021 TI - MMP-9 Concentration in Peritoneal Fluid Is a Valuable Biomarker Associated with Endotoxemia in Equine Colic. PG - 9501478 LID - 10.1155/2021/9501478 [doi] LID - 9501478 AB - The purpose of the study was to compare the results of sepsis scoring (clinical examination and clinical pathology) to the concentrations of matrix-metalloproteinases (MMPs) -2, -8, and -9; tissue-inhibitor of metalloproteinases (TIMPs) -1 and -2; and inflammatory chemokines interleukin (IL) 1beta and tumor-necrosis-factor-alpha (TNF-alpha) in plasma and peritoneal fluid of equine colic patients. A modified sepsis scoring including general condition, heart and respiratory rate, rectal temperature, mucous membranes, white blood cell count (WBC), and ionized calcium was applied in 47 horses presented with clinical signs of colic. Using this scoring system, horses were classified as negative (n = 32, /=10/19 points) for sepsis. MMPs, TIMPs, IL-1beta, and TNF-alpha concentrations were evaluated in plasma and peritoneal fluid using species-specific sandwich ELISA kits. In a linear discriminant analysis, all parameters of sepsis scoring apart from calcium separated well between sepsis severity groups (P < 0.05). MMP-9 was the only biomarker of high diagnostic value, while all others remained insignificant. A significant influence of overall sepsis scoring on MMP-9 was found for peritoneal fluid (P = 0.005) with a regression coefficient of 0.092, while no association was found for plasma (P = 0.085). Using a MMP-9 concentration of >113 ng/ml in the peritoneal fluid was found to be the ideal cutoff to identify positive sepsis scoring (>/=10/19 points; sensitivity of 83.3% and specificity of 82.9%). In conclusion, MMP-9 was found to be a biomarker of high diagnostic value for sepsis and endotoxemia in equine colic. The evaluation of peritoneal fluid seems preferable in comparison to plasma. As abdominocentesis is commonly performed in the diagnostic work-up of equine colic, a pen-side assay would be useful and easy-to-perform diagnostic support in the decision for therapeutic intervention. CI - Copyright (c) 2021 Ann Kristin Barton et al. FAU - Barton, Ann Kristin AU - Barton AK AUID- ORCID: 0000-0002-3333-9647 AD - Equine Clinic, Freie Universitaet Berlin, Berlin, Germany. FAU - Richter, Ina-Gabriele AU - Richter IG AD - Research Centre of Medical Technology and Biotechnology, Bad Langensalza, Germany. FAU - Ahrens, Tanja AU - Ahrens T AD - Equine Clinic, Freie Universitaet Berlin, Berlin, Germany. FAU - Merle, Roswitha AU - Merle R AUID- ORCID: 0000-0002-8688-2926 AD - Institute for Veterinary Epidemiology, Freie Universitaet Berlin, Berlin, Germany. FAU - Alalwani, Abdollah AU - Alalwani A AD - Equine Clinic, Freie Universitaet Berlin, Berlin, Germany. FAU - Lilge, Svenja AU - Lilge S AD - Equine Clinic, Freie Universitaet Berlin, Berlin, Germany. FAU - Purschke, Katrin AU - Purschke K AD - Equine Clinic, Freie Universitaet Berlin, Berlin, Germany. FAU - Barnewitz, Dirk AU - Barnewitz D AD - Research Centre of Medical Technology and Biotechnology, Bad Langensalza, Germany. FAU - Gehlen, Heidrun AU - Gehlen H AUID- ORCID: 0000-0001-5451-4232 AD - Equine Clinic, Freie Universitaet Berlin, Berlin, Germany. LA - eng PT - Journal Article DEP - 20210105 PL - United States TA - Mediators Inflamm JT - Mediators of inflammation JID - 9209001 RN - 0 (Biomarkers) RN - 0 (Interleukin-1beta) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 0 (Tumor Necrosis Factor-alpha) RN - 127497-59-0 (Tissue Inhibitor of Metalloproteinase-2) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) RN - EC 3.4.24.34 (Matrix Metalloproteinase 8) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Animals MH - Ascitic Fluid/*chemistry MH - Biomarkers/*metabolism MH - Colic/*metabolism MH - Endotoxemia/*metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Horses MH - Interleukin-1beta/metabolism MH - Leukocyte Count MH - Male MH - Matrix Metalloproteinase 2/metabolism MH - Matrix Metalloproteinase 8/metabolism MH - Matrix Metalloproteinase 9/*metabolism MH - Sepsis/blood MH - Tissue Inhibitor of Metalloproteinase-1/metabolism MH - Tissue Inhibitor of Metalloproteinase-2/metabolism MH - Tumor Necrosis Factor-alpha PMC - PMC7803393 COIS- The authors declare that none of them have conflicts of interest. EDAT- 2021/01/26 06:00 MHDA- 2021/11/04 06:00 PMCR- 2021/01/05 CRDT- 2021/01/25 05:38 PHST- 2020/07/20 00:00 [received] PHST- 2020/12/03 00:00 [revised] PHST- 2020/12/28 00:00 [accepted] PHST- 2021/01/25 05:38 [entrez] PHST- 2021/01/26 06:00 [pubmed] PHST- 2021/11/04 06:00 [medline] PHST- 2021/01/05 00:00 [pmc-release] AID - 10.1155/2021/9501478 [doi] PST - epublish SO - Mediators Inflamm. 2021 Jan 5;2021:9501478. doi: 10.1155/2021/9501478. eCollection 2021.