2018
DOI: 10.1172/jci.insight.123614
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Elevated circulating MMP-9 is linked to increased COPD exacerbation risk in SPIROMICS and COPDGene

Abstract: BACKGROUND. Matrix metalloprotease 9 (MMP-9) is associated with inflammation and lung remodeling in chronic obstructive pulmonary disease (COPD). We hypothesized that elevated circulating MMP-9 represents a potentially novel biomarker that identifies a subset of individuals with COPD with an inflammatory phenotype who are at increased risk for acute exacerbation (AECOPD). METHODS. We analyzed Subpopulations and Intermediate Outcome Measures in COPD Study (SPIROMICS) and Genetic Epidemiology of COPD (COPDGene) … Show more

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Cited by 65 publications
(50 citation statements)
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“…The levels of MMP-9 in serum and exhaled breath condensate of COPD patients signi cantly increased [39,40]. Some scholars have considered the MMP-9 concentration and the MMP-9/TIMP-1 ratio are the best predictors for emphysema in COPD patients [41,42]. In T0901317 treated 6 week-group, the level of MMP9 was lower compared to the ozone exposure group.…”
Section: Discussionmentioning
confidence: 99%
“…The levels of MMP-9 in serum and exhaled breath condensate of COPD patients signi cantly increased [39,40]. Some scholars have considered the MMP-9 concentration and the MMP-9/TIMP-1 ratio are the best predictors for emphysema in COPD patients [41,42]. In T0901317 treated 6 week-group, the level of MMP9 was lower compared to the ozone exposure group.…”
Section: Discussionmentioning
confidence: 99%
“…Consistent with previous reports (19,24,32), the serum concentration of MMP9 was signi cantly increased in the COPD group in our study. It has been proven that MMP9 was associated with pulmonary function and indicators of small airway disease in COPD (33,34).To further explore whether sestrin2 is related to airway remodeling in COPD, immunohistochemical staining in the airway was done and showed that there was a signi cantly higher expression of sestrin2 in the airway in the COPD group, especially in bronchial epithelial cells full of MMP9. Furthermore, we also found that the serum sestrin2 concentrations were positively correlated with serum MMP9 concentrations.…”
Section: Discussionmentioning
confidence: 99%
“…Emphysema caused by lung instillation of porcine pancreatic elastase has been a disease model widely used in support of the protease-antiprotease imbalance [20]. Many studies found elevated MMPs concentration and increased elastin degradation in chronic obstructive pulmonary diseases [21][22][23]. Neutrophil elastase or matrix metalloproteinases (MMPs) were held culprit [24].…”
Section: Discussionmentioning
confidence: 99%