PMID- 9706420 OWN - NLM STAT- MEDLINE DCOM- 19981023 LR - 20220409 IS - 0392-856X (Print) IS - 0392-856X (Linking) VI - 16 IP - 4 DP - 1998 Jul-Aug TI - Increased levels of matrix metalloproteinase-3 in sera from patients with active lupus nephritis. PG - 409-15 AB - OBJECTIVE: To determine the matrix metalloproteinase-3 (MMP-3) levels in sera from patients with systemic lupus erythematosus (SLE) and to analyse the relationships between MMP-3 and clinical and laboratory features. METHODS: Serum MMP-3 levels were measured by an enzyme immunoassay in 124 patients with SLE and 237 patients with other systemic rheumatic diseases. RESULTS: The frequencies of patients with high MMP-3 levels were 76% in SLE and 82% in rheumatoid arthritis (RA). The level of MMP-3 in the SLE patients was 193.0 +/- 171.5 ng/ml (mean +/- SD) and was almost equal to the level in the RA patients (259.5 +/- 255.6 ng/ml). The MMP-3 levels were significantly higher in SLE patients who had a history of the following abnormalities: persistent proteinuria, cellular casts, anti-double stranded DNA antibodies, decreased C3, decreased creatinine clearance (p < 0.001), circulating immune complex (p < 0.01), malar rash, hypoalbuminemia, or decreased C4 (p < 0.05). The serum MMP-3 level in patients with SLE at admission showed direct correlations with serum uric acid, total cholesterol (p < 0.001), triglyceride, the white blood cell count, and the neutrophil count (p < 0.05), as well as inverse correlations with the total protein (p < 0.01), and IgG (p < 0.05). In SLE patients with active renal disease, the median MMP-3 level at admission and that at 6 months after admission were significantly higher than that at 6 months before admission. CONCLUSIONS: The increased level of serum MMP-3 in SLE is closely associated with clinical features relevant to lupus nephritis, suggesting that it plays a role in the pathogenesis of this condition. FAU - Kotajima, L AU - Kotajima L AD - Division of Clinical Immunology, Clinical Research Institute, Tokyo, Japan. FAU - Aotsuka, S AU - Aotsuka S FAU - Fujimani, M AU - Fujimani M FAU - Okawa-Takatsuji, M AU - Okawa-Takatsuji M FAU - Kinoshita, M AU - Kinoshita M FAU - Sumiya, M AU - Sumiya M FAU - Obata, K AU - Obata K LA - eng PT - Comparative Study PT - Journal Article PL - Italy TA - Clin Exp Rheumatol JT - Clinical and experimental rheumatology JID - 8308521 RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adolescent MH - Adult MH - Diagnostic Tests, Routine MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Lupus Nephritis/blood/*enzymology/pathology MH - Male MH - Matrix Metalloproteinase 3/*blood MH - Middle Aged MH - Regression Analysis MH - Retrospective Studies MH - Rheumatic Diseases/blood/enzymology/pathology EDAT- 1998/08/26 00:00 MHDA- 1998/08/26 00:01 CRDT- 1998/08/26 00:00 PHST- 1998/08/26 00:00 [pubmed] PHST- 1998/08/26 00:01 [medline] PHST- 1998/08/26 00:00 [entrez] PST - ppublish SO - Clin Exp Rheumatol. 1998 Jul-Aug;16(4):409-15.