Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1999-3-5
pubmed:abstractText
Asthma presents a variable clinical response to corticosteroids (CS). Because CS more likely act on inflammation than on tissue remodeling, the presence of bronchial structural changes in certain asthmatics may explain their limited clinical response to CS. Matrix metalloproteinase-9 (MMP-9) and its inhibitor, tissue inhibitor of metalloproteinase-1 (TIMP-1), are, respectively, involved in tissue inflammatory processes and fibrogenic processes. Previous reports have suggested that MMP-9:TIMP-1 ratio may reflect the balance between these two processes in various diseases. This study evaluated the relation of this ratio and the response to CS in severe asthma. Twenty asthmatics with low baseline FEV1 (59 +/- 4% predicted) and >/= 30 % increase with beta2-agonist were recruited. Serum MMP-9 and TIMP-1 levels were measured and correlated with response to an oral CS trial (methylprenisolone 40 mg/d for 14 d). With oral CS, FEV1 changes (DeltaFEV1) ranged from -15 to +43%. The DeltaFEV1 closely correlated with the MMP-9:TIMP-1 ratios (rho = 0. 79, p = 0.0006). In conclusion, serum MMP-9: TIMP-1 ratio could predict the response of oral CS therapy in asthma. The low MMP-9:TIMP-1 ratio observed in subjects with little or no FEV1 improvement with CS supports the hypothesis that, in these asthmatic subjects, bronchial fibrogenesis predominates over inflammation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1073-449X
pubmed:author
pubmed:issnType
Print
pubmed:volume
159
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
596-602
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:9927378-Adrenergic beta-Agonists, pubmed-meshheading:9927378-Adult, pubmed-meshheading:9927378-Asthma, pubmed-meshheading:9927378-Biological Markers, pubmed-meshheading:9927378-Collagenases, pubmed-meshheading:9927378-Drug Administration Routes, pubmed-meshheading:9927378-Enzyme-Linked Immunosorbent Assay, pubmed-meshheading:9927378-Female, pubmed-meshheading:9927378-Fibrosis, pubmed-meshheading:9927378-Forced Expiratory Volume, pubmed-meshheading:9927378-Gelatinases, pubmed-meshheading:9927378-Glucocorticoids, pubmed-meshheading:9927378-Humans, pubmed-meshheading:9927378-Male, pubmed-meshheading:9927378-Matrix Metalloproteinase 9, pubmed-meshheading:9927378-Prognosis, pubmed-meshheading:9927378-Severity of Illness Index, pubmed-meshheading:9927378-Tissue Inhibitor of Metalloproteinase-1
pubmed:year
1999
pubmed:articleTitle
Serum matrix metalloproteinase-9:Tissue inhibitor of metalloproteinase-1 ratio correlates with steroid responsiveness in moderate to severe asthma.
pubmed:affiliation
Unité de Recherche, Centre de Pneumologie de l'Hôpital Laval, Ste-Foy, PQ, Canada.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Research Support, Non-U.S. Gov't