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February 6, 2020International Journal of Cardiology HypertensionOpen Access

Matrix metalloproteinase −2, −9 and arterial stiffness in children and adolescents: The role of chronic kidney disease, diabetes, and hypertension

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Key result

In hypertensive children and adolescents, logMMP-2 levels were independently associated with arterial stiffness (PWV z score) (β = 0.744; 95% CI 0.105-2.921; p < 0.05).

Why the study?

Matrix metalloproteinases may contribute to arterial stiffness via extracellular matrix remodeling, but their levels and associations with cardiovascular risk factors and arterial stiffness needed evaluation in pediatric high-risk groups.

Population

33 CKD patients, 18 type 1 diabetes patients, and 24 healthy controls

Comparison

Children with CKD vs type 1 diabetes vs healthy controls

Design

Cross-sectional study

Authors

SSStella StabouliVKVasilios KotsisOMOlga Maliachova

Discussion

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Member takes

Overview

MMP levels may mark vascular risk in pediatric CKD and diabetes; leaves open biomarker utility pending prospective validation.

Study Design

Type

Cross-Sectional (n=75)

Structured PICO

P
Population
75 children and adolescents, including 33 with chronic kidney disease, 18 with type 1 diabetes, and 24 healthy controls.
O
Outcome
MMP-2 and MMP-9 levels, and their association with cardiovascular risk factors and markers of arterial stiffness (carotid-femoral pulse wave velocity)surrogate

Main Result

Effect estimate: β 0.744 (95% CI 0.105 to 2.921)

p-value: p=< 0.05

MMP-2 levels are elevated in children with CKD and associate with arterial stiffness in the presence of hypertension, suggesting a potential role in early vascular remodeling.

Limitations

  • Whether up-regulation of MMPs could predict poor outcomes in young high-risk patient groups need to be confirmed by future studies

Cite This Study

Stabouli et al. (2020) conducted a cross-sectional in Chronic kidney disease and type 1 diabetes (n=75). MMP-2 and MMP-9 levels vs. Healthy controls was evaluated on Arterial stiffness (PWV z score) (β 0.744, 95% CI 0.105 to 2.921, p=< 0.05). In hypertensive children and adolescents, logMMP-2 levels were independently associated with arterial stiffness (PWV z score) (β = 0.744; 95% CI 0.105-2.921; p < 0.05).

synapsesocial.com/papers/6a903cc1e02ba012352da84ahttps://doi.org/10.1016/j.ijchy.2020.100025
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