Elevated Plasma Matrix Metalloproteinase 8 Associates With Sputum Culture Positivity in Pulmonary Tuberculosis.

N F Walker, F Karim, M Y S Moosa, S Moodley, M Mazibuko, K Khan, T R Sterling, Y F van der Heijden, A D Grant, P T Elkington, A Pym, A Leslie
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Abstract

Current methods for tuberculosis treatment monitoring are suboptimal. We evaluated plasma matrix metalloproteinase (MMP) and procollagen III N-terminal propeptide concentrations before and during tuberculosis treatment as biomarkers. Plasma MMP-1, MMP-8, and MMP-10 concentrations significantly decreased during treatment. Plasma MMP-8 was increased in sputum Mycobacterium tuberculosis culture-positive relative to culture-negative participants, before (median, 4993 pg/mL [interquartile range, 2542-9188] vs 698 [218-4060] pg/mL, respectively; P = .004) and after (3650 [1214-3888] vs 720 [551-1321] pg/mL; P = .008) 6 months of tuberculosis treatment. Consequently, plasma MMP-8 is a potential biomarker to enhance tuberculosis treatment monitoring and screen for possible culture positivity.

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肺结核患者血浆基质金属蛋白酶8升高与痰培养阳性相关。
目前的结核病治疗监测方法并不理想。我们评估了肺结核治疗前后血浆基质金属蛋白酶(MMP)和前胶原III n端前肽浓度作为生物标志物。治疗期间血浆MMP-1、MMP-8和MMP-10浓度显著降低。结核分枝杆菌培养阳性患者的血浆MMP-8较培养阴性患者升高(中位数分别为4993 pg/mL[四分位数间距,2542-9188]和698 [218-4060]pg/mL;P = 0.004)和之后(3650 [1214-3888]vs 720 [551-1321] pg/mL;P = 0.008)治疗6个月。因此,血浆MMP-8是一种潜在的生物标志物,可以加强结核病治疗监测和筛查可能的培养阳性。
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