Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal Vasculopathy

Background: Matrix metalloproteinase 9 (MMP-9) and tissue inhibitor of metalloproteinases 1 (TIMP-1) are regulating enzymes of the extracellular matrix. A systemic imbalance of MMP-9 and TIMP-1, thought to reflect an imbalance of the extracellular matrix homeostasis, is previously associated with po...

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Main Authors: Jakob Ø. Sørensen, Yousif Subhi, Christopher R. Molbech, Marie Krogh Nielsen, Torben L. Sørensen
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Vision
Subjects:
Online Access:https://www.mdpi.com/2411-5150/4/2/27
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author Jakob Ø. Sørensen
Yousif Subhi
Christopher R. Molbech
Marie Krogh Nielsen
Torben L. Sørensen
author_facet Jakob Ø. Sørensen
Yousif Subhi
Christopher R. Molbech
Marie Krogh Nielsen
Torben L. Sørensen
author_sort Jakob Ø. Sørensen
collection DOAJ
description Background: Matrix metalloproteinase 9 (MMP-9) and tissue inhibitor of metalloproteinases 1 (TIMP-1) are regulating enzymes of the extracellular matrix. A systemic imbalance of MMP-9 and TIMP-1, thought to reflect an imbalance of the extracellular matrix homeostasis, is previously associated with polypoidal choroidal vasculopathy (PCV) in Asian patients. Previous studies suggest inter-ethnical differences in the genetic background and etiology of PCV. To further explore this issue, we studied the plasma levels of MMP-9 and TIMP-1 in Caucasian patients with PCV and compared to healthy age-matched controls. Methods: For this prospective case-control study, 60 participants were recruited who were either patients with PCV (<i>n</i> = 26) or healthy controls (<i>n</i> = 34). All participants underwent detailed clinical examination. We sampled fresh venous blood, isolated plasma, and quantified plasma concentrations of the extracellular matrix regulators MMP-9 and TIMP-1 using electrochemiluminescence immunoassays. Results: Plasma levels of MMP-9 (<i>p</i> = 0.4), TIMP-1 (<i>p</i> = 0.9), and MMP-9/TIMP-1 ratio (<i>p</i> = 0.4) did not differ significantly between patients with PCV and healthy controls. No differences appeared after adjusting for influencing co-variates in multivariate analyses. Conclusion: We demonstrate that Caucasian patients with PCV do not have altered levels of plasma MMP-9 or plasma TIMP-1. These findings suggest no strong evidence of a systemic imbalance of the extracellular matrix homeostasis in Caucasian patients with PCV. Our findings are in line with studies of other aspects of PCV that are also subject to significant inter-ethnical differences.
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spelling doaj.art-a65d3294c2a74b029fc1be8f96a4e2bc2023-11-20T00:33:03ZengMDPI AGVision2411-51502020-05-01422710.3390/vision4020027Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal VasculopathyJakob Ø. Sørensen0Yousif Subhi1Christopher R. Molbech2Marie Krogh Nielsen3Torben L. Sørensen4Clinical Eye Research Division, Department of Ophthalmology, Zealand University Hospital, Vestermarksvej 23, DK-4000 Roskilde, DenmarkClinical Eye Research Division, Department of Ophthalmology, Zealand University Hospital, Vestermarksvej 23, DK-4000 Roskilde, DenmarkClinical Eye Research Division, Department of Ophthalmology, Zealand University Hospital, Vestermarksvej 23, DK-4000 Roskilde, DenmarkClinical Eye Research Division, Department of Ophthalmology, Zealand University Hospital, Vestermarksvej 23, DK-4000 Roskilde, DenmarkClinical Eye Research Division, Department of Ophthalmology, Zealand University Hospital, Vestermarksvej 23, DK-4000 Roskilde, DenmarkBackground: Matrix metalloproteinase 9 (MMP-9) and tissue inhibitor of metalloproteinases 1 (TIMP-1) are regulating enzymes of the extracellular matrix. A systemic imbalance of MMP-9 and TIMP-1, thought to reflect an imbalance of the extracellular matrix homeostasis, is previously associated with polypoidal choroidal vasculopathy (PCV) in Asian patients. Previous studies suggest inter-ethnical differences in the genetic background and etiology of PCV. To further explore this issue, we studied the plasma levels of MMP-9 and TIMP-1 in Caucasian patients with PCV and compared to healthy age-matched controls. Methods: For this prospective case-control study, 60 participants were recruited who were either patients with PCV (<i>n</i> = 26) or healthy controls (<i>n</i> = 34). All participants underwent detailed clinical examination. We sampled fresh venous blood, isolated plasma, and quantified plasma concentrations of the extracellular matrix regulators MMP-9 and TIMP-1 using electrochemiluminescence immunoassays. Results: Plasma levels of MMP-9 (<i>p</i> = 0.4), TIMP-1 (<i>p</i> = 0.9), and MMP-9/TIMP-1 ratio (<i>p</i> = 0.4) did not differ significantly between patients with PCV and healthy controls. No differences appeared after adjusting for influencing co-variates in multivariate analyses. Conclusion: We demonstrate that Caucasian patients with PCV do not have altered levels of plasma MMP-9 or plasma TIMP-1. These findings suggest no strong evidence of a systemic imbalance of the extracellular matrix homeostasis in Caucasian patients with PCV. Our findings are in line with studies of other aspects of PCV that are also subject to significant inter-ethnical differences.https://www.mdpi.com/2411-5150/4/2/27polypoidal choroidal vasculopathyplasmabiomarkermatrix metalloproteinase
spellingShingle Jakob Ø. Sørensen
Yousif Subhi
Christopher R. Molbech
Marie Krogh Nielsen
Torben L. Sørensen
Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal Vasculopathy
Vision
polypoidal choroidal vasculopathy
plasma
biomarker
matrix metalloproteinase
title Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal Vasculopathy
title_full Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal Vasculopathy
title_fullStr Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal Vasculopathy
title_full_unstemmed Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal Vasculopathy
title_short Plasma Levels of Matrix Metalloprotease MMP-9 and Tissue Inhibitor TIMP-1 in Caucasian Patients with Polypoidal Choroidal Vasculopathy
title_sort plasma levels of matrix metalloprotease mmp 9 and tissue inhibitor timp 1 in caucasian patients with polypoidal choroidal vasculopathy
topic polypoidal choroidal vasculopathy
plasma
biomarker
matrix metalloproteinase
url https://www.mdpi.com/2411-5150/4/2/27
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