Is metalloproteinase-7 specific for idiopathic pulmonary fibrosis?

Is metalloproteinase-7 specific for idiopathic pulmonary fibrosis?
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DOI:
10.1378/chest.07-2116
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发表时间:
2008-05-01
期刊:
影响因子:
9.6
通讯作者:
Kim, Kyu Rae
Kim, Kyu Rae
中科院分区:
医学1区
文献类型:
--
作者:
Huh, Jin Won;Kim, Dong Soon;Kim, Kyu Rae

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背景资料:基质金属蛋白酶(MMP)-7是特发性肺纤维化(IPF)发病机制中的一个关键分子。然而,MMP-7在其他类型的特发性间质性肺炎(HP)中的作用尚未确定。本研究旨在通过比较MMP-7在普通型间质性肺炎(UIP)和隐源性机化性肺炎(COP)中的表达,探讨MMP-7在IIP中的作用。比较正常对照组(n = 5)、IPF组(n = 6)和COP组(n = 11)BALF中MMP和TIMP-1的水平及其在肺组织中的表达结果:UIP和COP之间的BAL液MMP-7水平无显著差异,尽管与正常对照组相比,这两种疾病中的MMP-7水平均较高。结论:MMP-7在IPF和COP的发病机制中均起重要作用,可能不是决定IIP预后或可逆性的关键因素。
Background: Matrix metalloproteinase (MMP)-7 was reported to be a key molecule in the pathogenesis of idiopathic pulmonary fibrosis (IPF) based on the result of microarray analysis and knockout mice. However, the role of MMP-7 has not been determined in other types of idiopathic interstitial pneumonia (HP). The aim of this study was to investigate the role of MMP-7 in IIP by comparing its expression in usual interstitial pneumonia (UIP) and cryptogenic organizing pneumonia (COP).Methods: Levels of MMP and tissue inhibitors of metalloproteinase in BAL fluid and their expression on lung tissues were compared between normal control subjects (n = 5) and the patients with IPF (n = 6) and COP (n = 11).Results: There was no significant difference in BAL fluid MMP-7 levels between UIP and COP, although it was higher in both diseases compared to normal control subjects. Furthermore, the pattern and the degree of MMP-7 expression in lung tissues were also similar in both IPF and COP, whereas MMP-2 level was higher in COP and MMP-9 level was higher in IPF.Conclusion: MMP-7 seems to play an important role in the pathogenesis of not only IPF but also COP; therefore, it may not be the key factor determining the prognosis or reversibility of IIPs.