Reduction in TIMP‐2 serum levels predicts remission of inflammatory bowel diseases

Background Growing evidence indicates tissue inhibitors of matrix metalloproteinases (TIMPs) as potential players in inflammatory bowel disease (IBD), but, no prospective data are available in IBD remission/relapse. Material & methods In this prospective pilot study, a cohort of IBD patients (n ...

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Veröffentlicht in:European journal of clinical investigation 2018-10, Vol.48 (10), p.e13002-n/a
Hauptverfasser: Carbone, Federico, Bodini, Giorgia, Brunacci, Matteo, Bonaventura, Aldo, Vecchiè, Alessandra, Liberale, Luca, Crespi, Mattia, Baldissarro, Isabella, Dallegri, Franco, Savarino, Vincenzo, Montecucco, Fabrizio, Giannini, Edoardo G.
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container_issue 10
container_start_page e13002
container_title European journal of clinical investigation
container_volume 48
creator Carbone, Federico
Bodini, Giorgia
Brunacci, Matteo
Bonaventura, Aldo
Vecchiè, Alessandra
Liberale, Luca
Crespi, Mattia
Baldissarro, Isabella
Dallegri, Franco
Savarino, Vincenzo
Montecucco, Fabrizio
Giannini, Edoardo G.
description Background Growing evidence indicates tissue inhibitors of matrix metalloproteinases (TIMPs) as potential players in inflammatory bowel disease (IBD), but, no prospective data are available in IBD remission/relapse. Material & methods In this prospective pilot study, a cohort of IBD patients (n = 32) was enrolled and treated with monoclonal anti‐TNF‐α antibodies. Patients were clinically followed up for a median period of 54 weeks. Serum circulating levels of C‐reactive protein (CRP), TIMP‐1 and ‐2, matrix metalloproteinase (MMP)‐9 and ‐8, myeloperoxidase (MPO) and neutrophil elastase (NE) were assessed by ELISA at enrolment and at the end of the treatment. Results The percentage (%) TIMP‐2 reduction from baseline to end of treatment was independently associated with IBD remission at the end of treatment and follow‐up as well. ROC curve analysis further confirmed the good prognostic accuracy of % TIMP‐2 reduction over the treatment period. Conversely, no other change in inflammatory molecule concentrations was able to predict short‐ or long‐term IBD remission. Conclusions This study indicates TIMP‐2 reduction during IBD treatment with monoclonal anti‐TNF‐α antibodies as a potential prognostic parameter of short and long term remission. To understand if TIMP‐2 is an innocent biomarker or an active pathophysiological factor in IBD remains to be clarified.
doi_str_mv 10.1111/eci.13002
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Material &amp; methods In this prospective pilot study, a cohort of IBD patients (n = 32) was enrolled and treated with monoclonal anti‐TNF‐α antibodies. Patients were clinically followed up for a median period of 54 weeks. Serum circulating levels of C‐reactive protein (CRP), TIMP‐1 and ‐2, matrix metalloproteinase (MMP)‐9 and ‐8, myeloperoxidase (MPO) and neutrophil elastase (NE) were assessed by ELISA at enrolment and at the end of the treatment. Results The percentage (%) TIMP‐2 reduction from baseline to end of treatment was independently associated with IBD remission at the end of treatment and follow‐up as well. ROC curve analysis further confirmed the good prognostic accuracy of % TIMP‐2 reduction over the treatment period. Conversely, no other change in inflammatory molecule concentrations was able to predict short‐ or long‐term IBD remission. Conclusions This study indicates TIMP‐2 reduction during IBD treatment with monoclonal anti‐TNF‐α antibodies as a potential prognostic parameter of short and long term remission. To understand if TIMP‐2 is an innocent biomarker or an active pathophysiological factor in IBD remains to be clarified.</description><identifier>ISSN: 0014-2972</identifier><identifier>EISSN: 1365-2362</identifier><identifier>DOI: 10.1111/eci.13002</identifier><identifier>PMID: 30011062</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Antibodies ; Antibodies, Monoclonal - therapeutic use ; Area Under Curve ; Biomarkers ; Biomarkers - metabolism ; Elastase ; Enzyme-linked immunosorbent assay ; Female ; Humans ; Immunosuppressive Agents - therapeutic use ; inflammation ; Inflammatory bowel disease ; Inflammatory bowel diseases ; Inflammatory Bowel Diseases - blood ; Inflammatory Bowel Diseases - drug therapy ; Intestine ; Male ; Matrix metalloproteinase ; Matrix metalloproteinases ; Mesalamine - therapeutic use ; Metalloproteinase ; Middle Aged ; Monoclonal antibodies ; Patients ; Peroxidase ; Pilot Projects ; Prospective Studies ; Proteins ; Reduction ; Remission ; Remission Induction ; Serum levels ; tissue inhibitor of matrix metalloproteinase‐2 ; Tissue Inhibitor of Metalloproteinase-2 - metabolism ; Tissue inhibitor of metalloproteinases ; Tumor necrosis factor ; Young Adult</subject><ispartof>European journal of clinical investigation, 2018-10, Vol.48 (10), p.e13002-n/a</ispartof><rights>2018 Stichting European Society for Clinical Investigation Journal Foundation</rights><rights>2018 Stichting European Society for Clinical Investigation Journal Foundation.</rights><rights>Copyright © 2018 Stichting European Society for Clinical Investigation Journal Foundation. 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Material &amp; methods In this prospective pilot study, a cohort of IBD patients (n = 32) was enrolled and treated with monoclonal anti‐TNF‐α antibodies. Patients were clinically followed up for a median period of 54 weeks. Serum circulating levels of C‐reactive protein (CRP), TIMP‐1 and ‐2, matrix metalloproteinase (MMP)‐9 and ‐8, myeloperoxidase (MPO) and neutrophil elastase (NE) were assessed by ELISA at enrolment and at the end of the treatment. Results The percentage (%) TIMP‐2 reduction from baseline to end of treatment was independently associated with IBD remission at the end of treatment and follow‐up as well. ROC curve analysis further confirmed the good prognostic accuracy of % TIMP‐2 reduction over the treatment period. Conversely, no other change in inflammatory molecule concentrations was able to predict short‐ or long‐term IBD remission. 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Material &amp; methods In this prospective pilot study, a cohort of IBD patients (n = 32) was enrolled and treated with monoclonal anti‐TNF‐α antibodies. Patients were clinically followed up for a median period of 54 weeks. Serum circulating levels of C‐reactive protein (CRP), TIMP‐1 and ‐2, matrix metalloproteinase (MMP)‐9 and ‐8, myeloperoxidase (MPO) and neutrophil elastase (NE) were assessed by ELISA at enrolment and at the end of the treatment. Results The percentage (%) TIMP‐2 reduction from baseline to end of treatment was independently associated with IBD remission at the end of treatment and follow‐up as well. ROC curve analysis further confirmed the good prognostic accuracy of % TIMP‐2 reduction over the treatment period. Conversely, no other change in inflammatory molecule concentrations was able to predict short‐ or long‐term IBD remission. Conclusions This study indicates TIMP‐2 reduction during IBD treatment with monoclonal anti‐TNF‐α antibodies as a potential prognostic parameter of short and long term remission. To understand if TIMP‐2 is an innocent biomarker or an active pathophysiological factor in IBD remains to be clarified.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>30011062</pmid><doi>10.1111/eci.13002</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0823-8729</orcidid><orcidid>https://orcid.org/0000-0003-2957-4078</orcidid></addata></record>
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subjects Adult
Antibodies
Antibodies, Monoclonal - therapeutic use
Area Under Curve
Biomarkers
Biomarkers - metabolism
Elastase
Enzyme-linked immunosorbent assay
Female
Humans
Immunosuppressive Agents - therapeutic use
inflammation
Inflammatory bowel disease
Inflammatory bowel diseases
Inflammatory Bowel Diseases - blood
Inflammatory Bowel Diseases - drug therapy
Intestine
Male
Matrix metalloproteinase
Matrix metalloproteinases
Mesalamine - therapeutic use
Metalloproteinase
Middle Aged
Monoclonal antibodies
Patients
Peroxidase
Pilot Projects
Prospective Studies
Proteins
Reduction
Remission
Remission Induction
Serum levels
tissue inhibitor of matrix metalloproteinase‐2
Tissue Inhibitor of Metalloproteinase-2 - metabolism
Tissue inhibitor of metalloproteinases
Tumor necrosis factor
Young Adult
title Reduction in TIMP‐2 serum levels predicts remission of inflammatory bowel diseases
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