Identification of MMP-9 as a biomarker for detecting progression of chronic obstructive pulmonary disease.
Chronic obstructive pulmonary disease (COPD) is a complex immunological disease with multiple pathological features that is primarily induced by smoking together with additional genetic risk factors. COPD is frequently underdiagnosed; forced expiratory volume in the first second (FEV1) is considered to be the main diagnostic measure for COPD, yet it is insufficiently sensitive to monitor disease progression. Biomarkers capable of monitoring COPD progression and severity are needed. In this report, we evaluated matrix metalloproteinase-9 (MMP-9) as an early marker for the detection and staging of COPD, by assessing the mRNA levels of MMP-9 in peripheral blood samples collected from 22 COPD patients, 6 asymptomatic smokers, and 5 healthy controls. Our results demonstrate that the mRNA levels of MMP-9 increased more than two-fold in severe COPD relative to non-COPD smokers or moderate COPD groups. Moreover, in the very severe COPD group, MMP-9 mRNA levels showed a 4-fold increase relative to the non-COPD smokers or the moderate COPD groups, while there was a mild increase (∼40%) when compared to the severe COPD group. Taken together, our results suggest that MMP-9 serves as a biomarker for the grade and severity of COPD.
a Department of Biochemistry, Faculty of Science, Ain Shams University, Cairo 11566, Egypt.
Marwa F
MF
Abd El-Fatah
a Department of Biochemistry, Faculty of Science, Ain Shams University, Cairo 11566, Egypt.
Mohamed A
MA
Ghazy
b Poisoning Control Center, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.
Mohamed S
MS
Mostafa
c Chest Department, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.
May M
MM
El-Attar
a Department of Biochemistry, Faculty of Science, Ain Shams University, Cairo 11566, Egypt.
Ahmed
A
Osman
D000328:Adult; D000368:Aged; D015415:Biomarkers / Q000097:blood / Q000378:metabolism; D018450:Disease Progression; D042241:Early Diagnosis; D004790:Enzyme Induction; D005260:Female; D006801:Humans; D007962:Leukocytes / Q000201:enzymology* / Q000276:immunology / Q000378:metabolism; D008297:Male; D020780:Matrix Metalloproteinase 9 / Q000097:blood / Q000235:genetics / Q000378:metabolism*; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis / Q000276:immunology / Q000378:metabolism* / Q000503:physiopathology; D012333:RNA, Messenger / Q000378:metabolism*; D060888:Real-Time Polymerase Chain Reaction; D020133:Reverse Transcriptase Polymerase Chain Reaction; D012720:Severity of Illness Index; D012907:Smoking / Q000009:adverse effects / Q000097:blood / Q000276:immunology
D015415:Biomarkers; D012333:RNA, Messenger; C579270:MMP9 protein, human; D020780:Matrix Metalloproteinase 9
PCR quantitative; SYBR green; biomarker; biomarqueur; chronic obstructive pulmonary disease; expression d’ARNm; mRNA expression; maladie pulmonaire obstructive chronique; matrix metalloproteinase-9; métalloprotéase matricielle-9; quantitative PCR