PMID- 35223694 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220301 IS - 2296-2360 (Print) IS - 2296-2360 (Electronic) IS - 2296-2360 (Linking) VI - 10 DP - 2022 TI - Correlation Between Matrix Metalloproteinases With Coronary Artery Lesion Caused by Kawasaki Disease. PG - 802217 LID - 10.3389/fped.2022.802217 [doi] LID - 802217 AB - This study was designed to clarify the role of matrix metalloproteinases (MMPs) in coronary artery lesions (CAL). Serum samples were acquired from healthy, febrile, and Kawasaki disease (KD) children with or without CAL. Standard blood parameters were examined and enzyme-linked immunosorbent assay (ELISA) was used to assess the levels of MMP-2 and MMP-9. Intravenous immunoglobulin (IVIG) therapy was conducted on the KD patients and the changes of MMPs before and after treatment were compared. The correlations between MMP levels and clinical parameters were also evaluated. Compared to febrile and healthy controls, KD patients demonstrated clinical signs characteristic of abnormal immunoregulation. However, the clinical parameters of KD patients with or without CAL were not significantly different. MMP-2 and MMP-9 levels, however, were significantly higher in KD patients with CAL than those without CAL. IVIG treatment effectively downregulated the levels of MMPs in KD patients, which was more prominent in those with CAL. Significant correlations were found between MMP levels and some clinical parameters of KD, such as fever time, white blood cell count, etc. The upregulation of MMPs significantly correlates with coronary artery aneurysms (CAAs) in KD patients, making it important biomarkers of CAL in KD patients. CI - Copyright (c) 2022 Tian, Ma, Zhao, Ji, Wang, Sun and Jiang. FAU - Tian, Fang AU - Tian F AD - Heart Center of Women and Children Hospital of Qingdao University, Qingdao, China. AD - Department of Pediatric, Maternal and Child Health Hospital, Zibo, China. FAU - Ma, Linxi AU - Ma L AD - Nanchang University Queen Mary School, Nanchang, China. FAU - Zhao, Renbing AU - Zhao R AD - Department of Pediatric, Maternal and Child Health Hospital, Zibo, China. FAU - Ji, Lijuan AU - Ji L AD - Department of Pediatric, Maternal and Child Health Hospital, Zibo, China. FAU - Wang, Xiufen AU - Wang X AD - Department of Pediatric, Maternal and Child Health Hospital, Zibo, China. FAU - Sun, Wenli AU - Sun W AD - Department of Pediatric, Maternal and Child Health Hospital, Zibo, China. FAU - Jiang, Yu AU - Jiang Y AD - Department of Pediatric, Maternal and Child Health Hospital, Zibo, China. LA - eng PT - Journal Article DEP - 20220211 PL - Switzerland TA - Front Pediatr JT - Frontiers in pediatrics JID - 101615492 PMC - PMC8874123 OTO - NOTNLM OT - IVIG therapy OT - KD patients OT - Kawasaki disease OT - coronary artery lesions OT - matrix metalloproteinases COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/03/01 06:00 MHDA- 2022/03/01 06:01 PMCR- 2022/02/11 CRDT- 2022/02/28 05:39 PHST- 2021/11/01 00:00 [received] PHST- 2022/01/17 00:00 [accepted] PHST- 2022/02/28 05:39 [entrez] PHST- 2022/03/01 06:00 [pubmed] PHST- 2022/03/01 06:01 [medline] PHST- 2022/02/11 00:00 [pmc-release] AID - 10.3389/fped.2022.802217 [doi] PST - epublish SO - Front Pediatr. 2022 Feb 11;10:802217. doi: 10.3389/fped.2022.802217. eCollection 2022.