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Reduction in TIMP-2 serum levels predicts remission of inflammatory bowel diseases

Title: Reduction in TIMP-2 serum levels predicts remission of inflammatory bowel diseases
Authors: Carbone, Federico; Bodini, Giorgia; Brunacci, Matteo; Bonaventura, Aldo; Vecchiè, Alessandra; Liberale, Luca; CRESPI, MATTIA; Baldissarro, Isabella; Dallegri, Franco; Savarino, Vincenzo; Montecucco, Fabrizio; Giannini, Edoardo G
Contributors: Carbone, Federico; Bodini, Giorgia; Brunacci, Matteo; Bonaventura, Aldo; Vecchiè, Alessandra; Liberale, Luca; Crespi, Mattia; Baldissarro, Isabella; Dallegri, Franco; Savarino, Vincenzo; Montecucco, Fabrizio; Giannini, Edoardo G
Publisher Information: Wiley
Publication Year: 2018
Collection: Università degli Studi di Genova: CINECA IRIS
Subject Terms: matrix metalloproteinases; tissue inhibitor of matrix metalloproteinase-2; inflammatory bowel diseases; inflammation; monoclonal antibodies
Description: BACKGROUND: Growing evidence indicates tissue inhibitors of matrix metalloproteinases (TIMPs) as potential players in inflammatory bowel disease (IBD), but, no prospective data are available in IBD remission/relapse. MATERIAL & METHODS: In this prospective pilot study, a cohort of IBD patients (n=32) was enrolled and treated with monoclonal anti-TNF-α antibodies. Patients were clinically followed up for a median period of 54 weeks. Serum circulating levels of C-reactive protein (CRP), TIMP-1 and -2, matrix metalloproteinase (MMP)-9 and -8, myeloperoxidase (MPO) and neutrophil elastase (NE) were assessed by ELISA at enrollment and at the end of the treatment. RESULTS: The percentage (%) TIMP-2 reduction from baseline to end of treatment was independently associated with IBD remission at the end of treatment and follow-up as well. ROC curve analysis further confirmed the good prognostic accuracy of % TIMP-2 reduction over the treatment period. Conversely, no other change in inflammatory molecule concentrations was able to predict short- or long-term IBD remission. CONCLUSIONS: This study indicates TIMP-2 reduction during IBD treatment with monoclonal anti-TNF-α antibodies as a potential prognostic parameter of short and long term remission. To understand if TIMP-2 is an innocent biomarker or an active pathophysiological factor in IBD remains to be clarified.
Document Type: article in journal/newspaper
File Description: ELETTRONICO
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/30011062; info:eu-repo/semantics/altIdentifier/wos/WOS:000446165100004; volume:48(10):e13002; firstpage:1; lastpage:8; numberofpages:8; journal:EUROPEAN JOURNAL OF CLINICAL INVESTIGATION; info:eu-repo/grantAgreement/EC/FP7/602114; https://hdl.handle.net/11567/927688
DOI: 10.1111/eci.13002
Availability: https://hdl.handle.net/11567/927688; https://doi.org/10.1111/eci.13002
Rights: info:eu-repo/semantics/closedAccess
Accession Number: edsbas.7A6C373C
Database: BASE