Local and Systemic Expression Pattern of MMP-2 and MMP-9 in Complex Regional Pain Syndrome
| Autor: | Frank Birklein, Eva Vlčková, Fabiola Escolano-Lozano, Violeta Dimova, Eva Gries, Simone König, Panoraia Baka, Tanja Schlereth |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Biopsy Inflammation Matrix metalloproteinase Severity of Illness Index Gastroenterology 03 medical and health sciences 0302 clinical medicine Expression pattern 030202 anesthesiology Internal medicine medicine Humans Skin business.industry Quantitative sensory testing Healthy subjects Middle Aged medicine.disease Serum samples Pathophysiology Anesthesiology and Pain Medicine Complex regional pain syndrome Matrix Metalloproteinase 9 Neurology Matrix Metalloproteinase 2 Female Neurology (clinical) medicine.symptom business Complex Regional Pain Syndromes 030217 neurology & neurosurgery |
| Zdroj: | The Journal of Pain. 22:1294-1302 |
| ISSN: | 1526-5900 |
| DOI: | 10.1016/j.jpain.2021.04.002 |
| Popis: | Matrix metalloproteinases (MMP)-2 and MMP-9 play important roles in inflammation as well as in pain processes. For this reason, we compared the concentrations of these enzymes in skin and serum of patients with complex regional pain syndrome (CRPS), other pain diseases and healthy subjects. We analyzed ipsi- and contralateral skin biopsies of 18 CRPS patients, as well as in 10 pain controls and 9 healthy subjects. Serum samples were analyzed from 20 CRPS, 17 pain controls and 17 healthy subjects. All samples were analyzed with ELISA. Concentrations were then compared to clinical data as well as to quantitative sensory testing data.MMP-2 was increased in both ipsi- and contralateral skin biopsies of CRPS patients compared to healthy subjects. While low ipsilateral MMP-2 was associated with trophic changes, contralateral MMP-2 inversely correlated with the CRPS severity. MMP-9 was also locally increased in ipsilateral CRPS skin, and higher ipsi- and contralateral MMP-9 levels correlated with CRPS severity. We conclude that MMP-2 and MMP-9 are differently expressed depending on the clinical phenotype in CRPS. PERSPECTIVE: This article describes an upregulation of MMPs in CRPS and pain controls and shows different expression of MMP-2 and -9 depending on clinical phenotype in CRPS. These results provide evidence that MMP-2 and -9 play a key role in CRPS pathophysiology. |
| Databáze: | OpenAIRE |
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