TY - JOUR
T1 - Plasma Matrix Metalloproteinases in Patients With Stroke During Intensive Rehabilitation Therapy
AU - Ma, Feifei
AU - Rodriguez, Susana
AU - Buxo, Xavi
AU - Morancho, Anna
AU - Riba-Llena, Iolanda
AU - Carrera, Ana
AU - Bustamante, Alejandro
AU - Giralt, Dolors
AU - Montaner, Joan
AU - Martinez, Carmen
AU - Bori, Immaculada
AU - Rosell, Anna
PY - 2016/11/1
Y1 - 2016/11/1
N2 - © 2016 American Congress of Rehabilitation Medicine Objective To study plasma levels of matrix metalloproteinases (MMPs) as potential markers of recovery during intensive rehabilitation therapy (IRT) after stroke. Design Prospective and descriptive 3-month follow-up study. Setting Rehabilitation unit and research center. Participants Patients with first-ever ischemic stroke (n=15) enrolled to IRT (≥3h/d and 5d/wk) and healthy volunteers (n=15) (N=30). Interventions Not applicable. Main Outcome Measures The primary outcome was to measure plasma MMP3, MMP12, and MMP13 levels and evaluate potential associations with motor/functional scales using a battery of tests (National Institutes of Health Stroke Scale, modified Rankin scale, Barthel Index, Fugl-Meyer Assessment, Functional Ambulation Categories, Medical Research Council scale, Chedoke Arm and Hand Activity Inventory, and the 10-m walk test) before IRT and at 1- and 3-month follow-ups. The secondary outcome was to evaluate the use of these MMPs as biomarkers as predictors of patient's outcome. Results MMP levels remained stable during the study period and were similar to those in the healthy volunteer group. However, baseline MMP12 and MMP13 levels were strongly associated with stroke severity and were found to be elevated in those patients with the poorest outcomes. Interestingly, plasma MMP3 was independent of baseline stroke characteristics but was found to be increased in patients with better motor/functional recovery and in patients with larger improvements during rehabilitation. Conclusions MMPs might act as biologic markers of recovery during rehabilitation therapy related to their roles in both injury and tissue remodeling. Future confirmatory investigations in multicenter studies are warranted by our data.
AB - © 2016 American Congress of Rehabilitation Medicine Objective To study plasma levels of matrix metalloproteinases (MMPs) as potential markers of recovery during intensive rehabilitation therapy (IRT) after stroke. Design Prospective and descriptive 3-month follow-up study. Setting Rehabilitation unit and research center. Participants Patients with first-ever ischemic stroke (n=15) enrolled to IRT (≥3h/d and 5d/wk) and healthy volunteers (n=15) (N=30). Interventions Not applicable. Main Outcome Measures The primary outcome was to measure plasma MMP3, MMP12, and MMP13 levels and evaluate potential associations with motor/functional scales using a battery of tests (National Institutes of Health Stroke Scale, modified Rankin scale, Barthel Index, Fugl-Meyer Assessment, Functional Ambulation Categories, Medical Research Council scale, Chedoke Arm and Hand Activity Inventory, and the 10-m walk test) before IRT and at 1- and 3-month follow-ups. The secondary outcome was to evaluate the use of these MMPs as biomarkers as predictors of patient's outcome. Results MMP levels remained stable during the study period and were similar to those in the healthy volunteer group. However, baseline MMP12 and MMP13 levels were strongly associated with stroke severity and were found to be elevated in those patients with the poorest outcomes. Interestingly, plasma MMP3 was independent of baseline stroke characteristics but was found to be increased in patients with better motor/functional recovery and in patients with larger improvements during rehabilitation. Conclusions MMPs might act as biologic markers of recovery during rehabilitation therapy related to their roles in both injury and tissue remodeling. Future confirmatory investigations in multicenter studies are warranted by our data.
KW - Biomarkers
KW - Matrix metalloproteinases
KW - Rehabilitation
KW - Stroke
U2 - 10.1016/j.apmr.2016.06.007
DO - 10.1016/j.apmr.2016.06.007
M3 - Article
VL - 97
SP - 1832
EP - 1840
IS - 11
ER -