Matrix Metalloproteinase-9 and Tissue Inhibitor of Matrix Metalloproteinase-1 in Sepsis after Major Abdominal Surgery
Joint Authors
Aleksic, Aleksandra
Gacic, Jasna
Simic-Ogrizovic, Sanja
Bojic, Suzana
Kotur-Stevuljevic, Jelena
Memon, Lidija
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-16
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
The role of matrix metalloproteinase-9 (MMP-9) and tissue inhibitor of matrix metalloproteinase-1 (TIMP-1) in sepsis after major abdominal surgery and sepsis-associated organ dysfunction is unexplored.
Materials and Methods.
Fifty-three patients with sepsis after major abdominal surgery were compared to 50 operated and 50 nonoperated controls.
MMP-9, TIMP-1, biomarkers of inflammation, kidney and liver injury, coagulation, and metabolic disorders were measured daily during 96 h following diagnosis of sepsis and once in controls.
MMP-9/TIMP-1 ratios and disease severity scores were calculated.
Use of vasopressors/inotropes, mechanical ventilation, and survival were recorded.
Results.
Septic patients had lower MMP-9 and MMP-9/TIMP-1 ratios but higher TIMP-1 levels compared to controls.
AUC-ROC for diagnosis of sepsis was 0.940 and 0.854 for TIMP-1 and 0.924 and 0.788 for MMP-9/TIMP-1 ratio (sepsis versus nonoperated and sepsis versus operated controls, resp.).
Lower MMP-9 and MMP-9/TIMP-1 ratio and higher TIMP-1 levels were associated with shorter survival.
MMP-9, TIMP-1, and MMP-9/TIMP-1 ratio correlated with biomarkers of inflammation, kidney and liver injury, coagulation, metabolic disorders, and disease severity scores.
Use of vasopressors/inotropes was associated with higher TIMP-1 levels.
Conclusions.
MMP-9, TIMP-1, and MMP-9/TIMP ratio were good diagnostic or prognostic biomarkers of sepsis after major abdominal surgery and were linked to sepsis-associated organ dysfunction.
American Psychological Association (APA)
Bojic, Suzana& Kotur-Stevuljevic, Jelena& Aleksic, Aleksandra& Gacic, Jasna& Memon, Lidija& Simic-Ogrizovic, Sanja. 2018. Matrix Metalloproteinase-9 and Tissue Inhibitor of Matrix Metalloproteinase-1 in Sepsis after Major Abdominal Surgery. Disease Markers،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1153403
Modern Language Association (MLA)
Bojic, Suzana…[et al.]. Matrix Metalloproteinase-9 and Tissue Inhibitor of Matrix Metalloproteinase-1 in Sepsis after Major Abdominal Surgery. Disease Markers No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1153403
American Medical Association (AMA)
Bojic, Suzana& Kotur-Stevuljevic, Jelena& Aleksic, Aleksandra& Gacic, Jasna& Memon, Lidija& Simic-Ogrizovic, Sanja. Matrix Metalloproteinase-9 and Tissue Inhibitor of Matrix Metalloproteinase-1 in Sepsis after Major Abdominal Surgery. Disease Markers. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1153403
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1153403