2011
DOI: 10.1253/circj.cj-11-0640
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Matrix Metalloproteinase-9 for the Earliest Stage Acute Coronary Syndrome - Comparison With High-Sensitivity Troponin T -

Abstract: Background: Matrix metalloproteinase-9 (MMP-9) is regarded as a biomarker of plaque rupture or vulnerability and is elevated in patients with acute coronary syndrome (ACS). The aim of the present study was to evaluate the diagnostic value of MMP-9 for early ACS (≤4 h of onset) and late ACS (>4 h after onset), compared with high-sensitivity troponin T (hs-TnT). Methods and Results:MMP-9 and hs-TnT were measured in 200 patients with ST elevation ACS (STEACS; 115 early STEACS and 85 late STEACS patients), and 66 … Show more

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Cited by 40 publications
(40 citation statements)
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References 30 publications
(24 reference statements)
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“…10 Such a thin fibrous cap has been reported to have extracellular matrix proteins degraded by proteolytic enzymes such as neutrophil elastase, plasminogen activators, and matrix metalloproteinases secreted from such activated inflammatory cells as macrophages and neutrophils, 17 and be characterized by infiltration of those activated inflammatory cells. 18 During such a condition of inflammation, they have been also shown to secrete myeloperoxidase (MPO), which catalyzes the conversion of chloride and hydrogen peroxide to hypochlorous acid (HOCl).…”
Section: Discussionmentioning
confidence: 99%
“…10 Such a thin fibrous cap has been reported to have extracellular matrix proteins degraded by proteolytic enzymes such as neutrophil elastase, plasminogen activators, and matrix metalloproteinases secreted from such activated inflammatory cells as macrophages and neutrophils, 17 and be characterized by infiltration of those activated inflammatory cells. 18 During such a condition of inflammation, they have been also shown to secrete myeloperoxidase (MPO), which catalyzes the conversion of chloride and hydrogen peroxide to hypochlorous acid (HOCl).…”
Section: Discussionmentioning
confidence: 99%
“…14,15 Therefore, local inflammatory activity is thought to have some impact on early clinical presentation. However, no studies have addressed the impact of in vivo local inflammatory activities on the early clinical presentation in patients with acute MI.…”
Section: Nishiguchi Et Almentioning
confidence: 99%
“…This study indicates that plasma levels of MMP-9 increase approximately 80 minutes after the onset of ACS and sustain for 24 h thereafter. On the other hand, serum levels of hs-TnT peaked at 12-24 h after ACS onset [52].…”
Section: Inokubo Et Al Also Reportedmentioning
confidence: 97%