Assessment of the clinical significance of serum matrix metalloproteinases MMP-2 and MMP-9 in patients with various chronic liver diseases and hepatocellular carcinoma

Summary Matrix metalloproteinases (MMPs) have the ability to degrade basement membranes and may thus play an important role in extracellular matrix turnover in liver fibrosis and carcinogene-sis. Serum levels of MMPs have been suggested as diagnostic markers in these processes. We measured serum MMP...

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Veröffentlicht in:Thrombosis and haemostasis 2003-04, Vol.89 (4), p.718-725
Hauptverfasser: Kuyvenhoven, Johan Ph, van Hoek, Bart, Blom, Eric, van Duijn, Wim, Hanemaaijer, Roeland, Verheijen, Jan H., Lamers, Cornelis B.H.W., Verspaget, Hein W.
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container_end_page 725
container_issue 4
container_start_page 718
container_title Thrombosis and haemostasis
container_volume 89
creator Kuyvenhoven, Johan Ph
van Hoek, Bart
Blom, Eric
van Duijn, Wim
Hanemaaijer, Roeland
Verheijen, Jan H.
Lamers, Cornelis B.H.W.
Verspaget, Hein W.
description Summary Matrix metalloproteinases (MMPs) have the ability to degrade basement membranes and may thus play an important role in extracellular matrix turnover in liver fibrosis and carcinogene-sis. Serum levels of MMPs have been suggested as diagnostic markers in these processes. We measured serum MMP-2 and MMP-9 by ELISA in 91 patients with chronic liver disease, including 25 patients with hepatocellular carcinoma (HCC), and in 60 controls. MMP-2 was significantly higher in patients with chronic liver disease compared to controls, and increased with Child-Pugh class. There was a significant correlation between MMP-2 and liver function (bilirubin, albumin, and prothrombin time), and a strong opposite correlation between MMP-9 and these parameters. MMP-2 levels in patients with HCC were significantly higher than in controls, but comparable to patients with chronic liver disease without this malignancy. MMP-9 yielded no significant differences between patients with or without HCC and controls. Serum MMP-2 and to a lesser extent MMP-9 correlate with the severity of liver disease and may reflect changes in extracellular matrix remodeling. Due to a considerable overlap in patients with chronic liver disease with or without HCC, MMP-2 and MMP-9 can not be used as a diagnostic marker for HCC. Theme paper: Part of this paper was originally presented at the joint meetings of the 16th International Congress of the International Society of Fibrinolysis and Proteolysis (ISFP) and the 17th International Fibrinogen Workshop of the International Fibrinogen Research Society (IFRS) held in Munich, Germany, September, 2002.
doi_str_mv 10.1055/s-0037-1613578
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Serum levels of MMPs have been suggested as diagnostic markers in these processes. We measured serum MMP-2 and MMP-9 by ELISA in 91 patients with chronic liver disease, including 25 patients with hepatocellular carcinoma (HCC), and in 60 controls. MMP-2 was significantly higher in patients with chronic liver disease compared to controls, and increased with Child-Pugh class. There was a significant correlation between MMP-2 and liver function (bilirubin, albumin, and prothrombin time), and a strong opposite correlation between MMP-9 and these parameters. MMP-2 levels in patients with HCC were significantly higher than in controls, but comparable to patients with chronic liver disease without this malignancy. MMP-9 yielded no significant differences between patients with or without HCC and controls. Serum MMP-2 and to a lesser extent MMP-9 correlate with the severity of liver disease and may reflect changes in extracellular matrix remodeling. Due to a considerable overlap in patients with chronic liver disease with or without HCC, MMP-2 and MMP-9 can not be used as a diagnostic marker for HCC. 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Due to a considerable overlap in patients with chronic liver disease with or without HCC, MMP-2 and MMP-9 can not be used as a diagnostic marker for HCC. Theme paper: Part of this paper was originally presented at the joint meetings of the 16th International Congress of the International Society of Fibrinolysis and Proteolysis (ISFP) and the 17th International Fibrinogen Workshop of the International Fibrinogen Research Society (IFRS) held in Munich, Germany, September, 2002.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - blood</subject><subject>Carcinoma, Hepatocellular - diagnosis</subject><subject>Cellular Proteolysis and Oncology</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver - pathology</subject><subject>Liver Diseases - blood</subject><subject>Liver Diseases - diagnosis</subject><subject>Liver Neoplasms - blood</subject><subject>Liver Neoplasms - diagnosis</subject><subject>Liver. Biliary tract. Portal circulation. 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source MEDLINE; Thieme Connect Journals
subjects Adult
Biological and medical sciences
Carcinoma, Hepatocellular - blood
Carcinoma, Hepatocellular - diagnosis
Cellular Proteolysis and Oncology
Enzyme-Linked Immunosorbent Assay
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver - pathology
Liver Diseases - blood
Liver Diseases - diagnosis
Liver Neoplasms - blood
Liver Neoplasms - diagnosis
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Matrix Metalloproteinase 2 - blood
Matrix Metalloproteinase 9 - blood
Medical sciences
Middle Aged
Tumors
title Assessment of the clinical significance of serum matrix metalloproteinases MMP-2 and MMP-9 in patients with various chronic liver diseases and hepatocellular carcinoma
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