1996
DOI: 10.1164/ajrccm.154.2.8756805
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Matrix metalloproteinases and TIMP in acute respiratory distress syndrome.

Abstract: To investigate the implication of extracellular matrix proteinases in acute respiratory distress syndrome (ARDS), we determined 92 kD gelatinase (92 G'ase) and its natural antagonist, the tissue inhibitor of metalloproteinases-1 (TIMP) in bronchoalveolar lavage fluid (BALF) and plasma of 33 intensive care unit (ICU) patients presenting with trauma or septic shock. Eleven of these patients developed short-course ARDS, nine developed prolonged ARDS, and 13 did not progress to ARDS. Ten non-ICU patients served as… Show more

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Cited by 181 publications
(112 citation statements)
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“…It has been reported that the activity of this enzyme markedly increases after experimental lung injury induced by endotoxin (41), pancreatitis (24), or mechanical ventilation (14). Likewise, MMP-9 levels have been found to be elevated in patients with acute respiratory distress syndrome (13,40). Our results show an increase in MMP-9 activity and MMP-8 levels after high-pressure ventilation in lung homogenates and BAL fluid, whereas MMP-2 increases substantially only in the latter.…”
Section: Discussionsupporting
confidence: 52%
See 1 more Smart Citation
“…It has been reported that the activity of this enzyme markedly increases after experimental lung injury induced by endotoxin (41), pancreatitis (24), or mechanical ventilation (14). Likewise, MMP-9 levels have been found to be elevated in patients with acute respiratory distress syndrome (13,40). Our results show an increase in MMP-9 activity and MMP-8 levels after high-pressure ventilation in lung homogenates and BAL fluid, whereas MMP-2 increases substantially only in the latter.…”
Section: Discussionsupporting
confidence: 52%
“…Among them, MMP-9 (gelatinase B) has gained some attention in different models of lung injury (39,42) including VILI (14,25). The levels of MMP-9 have also been found to be raised in patients with acute lung injury (13,40,50). MMP-9 is stored in neutrophil granules, being rapidly released after cellular activation (36).…”
mentioning
confidence: 99%
“…This involves pro-and anti-inflammatory cytokines [122,123]. Other molecules such as oxygen radicals, platelet activating factor and metabolites of arachidonic acid, proteases, coagulation cascade and complement play an important role in the inflammatory response [124,125]. These factors can be produced by the various cells of the alveolar structure.…”
Section: Management Of Lung Diseases In Childrenmentioning
confidence: 99%
“…The progression of BPD is characterized by extensive tissue remodeling of the ECM as well as the disruption of the basement membrane, resulting in increased vascular permeability and edema in the early stage. Although the local MMP-2 and MMP-9 activities were variable as sampled from the bronchoalveolar fluid (20), the respective plasma concentrations were not examined. Intracranial hemorrhage is a common complication in preterm infants (11) and involves both vascular and platelet lesions as well as hypoxia-reoxygenation injury (19).…”
mentioning
confidence: 99%