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MMP‐9 and TIMP‐1 in the cord blood of premature infants developing BPD
Authors:Shinnosuke Fukunaga MD  Takashi Ichiyama MD  Shinji Maeba MD  Masayuki Okuda MD  Masahiko Nakata MD  Norihiro Sugino MD  Susumu Furukawa MD
Affiliation:1. Department of Pediatrics, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan;2. Perinatal Care Center, Yamaguchi University Hospital, Yamaguchi, Japan;3. Department of Environmental Science and Engineering, Yamaguchi University Graduate School of Science and Engineering, Yamaguchi, Japan
Abstract:We investigated matrix metalloproteinase‐9 (MMP‐9) and tissue inhibitor of metalloproteinase 1 (TIMP‐1) levels in the cord blood of 29 premature infants who were <30 weeks gestation. One, 8, and 14 infants developed severe, moderate and mild bronchopulmonary dysplasia (BPD), respectively, and 6 did not. MMP‐9 and TIMP‐1 levels in the cord blood were determined by ELISA. MMP‐9/TIMP‐1 ratios in the cord blood of infants who developed severe or moderate BPD (n = 9) were significantly higher than those who developed mild BPD or did not develop BPD (n = 20; P = 0.015). Multivariate linear regressions demonstrated that MMP‐9 levels and MMP‐9/TIMP‐1 ratios in the cord blood of the premature infants correlated with the oxygen supplementation period (r = 0.58, P = 0.003 and r = 0.41, P = 0.030, respectively). The MMP‐9 levels and MMP‐9/TIMP‐1 ratios correlated with the severity of maternal chorioamnionitis (both trend P = 0.006). The MMP‐9 levels and MMP‐9/TIMP‐1 ratios in the cord blood may be related to the pathogenesis and severity of BPD and maternal chorioamnionitis. Pediatr Pulmonol. 2009; 44:267–272. © 2009 Wiley‐Liss, Inc.
Keywords:bronchopulmonary dysplasia  chorioamnionitis  cord blood  matrix metalloproteinase‐9  tissue inhibitor of metalloproteinase‐1
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