Measurement of matrix metalloproteinases and tissue inhibitors of metalloproteinases in blood and tissues. Clinical and experimental applications

Ann N Y Acad Sci. 1999 Jun 30;878:212-27. doi: 10.1111/j.1749-6632.1999.tb07687.x.


The balance between production and activation of MMPs and their inhibition by TIMPs is a crucial aspect of cancer invasion and metastasis. On the basis of the concept that MMPs synthesized in tissues seep into the bloodstream, we have examined MMP levels in the plasma of patients with cancer. In colorectal, breast, prostate, and bladder cancer, most patients with aggressive disease have increased plasma levels of gelatinase B. In patients with advanced colorectal cancer, high levels of either gelatinase B or TIMP complex were associated with shortened survival. We propose that these assays may be clinically useful in characterizing metastatic potential in selected kinds of cancer. In rheumatoid arthritis and systemic lupus erythematosus (SLE), serum and plasma levels of stromelysin-1 were approximately 3-5-fold increased. Fluctuating serum stromelysin-1 levels in SLE did not correspond with change in disease activity. In SLE, stromelysin-1 may be a component of the chronic tissue repair process rather than being responsible for inciting tissue damage. On the basis of these observations, we conclude that measurement of plasma/serum MMP and TIMP levels may provide important data for selecting and following patients considered for treatment with drugs that interfere with MMP activity.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Antigens, CD*
  • Antigens, Neoplasm*
  • Basigin
  • Biomarkers, Tumor / analysis*
  • Biomarkers, Tumor / blood
  • Bronchoalveolar Lavage Fluid / chemistry
  • Extracellular Matrix / enzymology
  • Female
  • Humans
  • Inflammation
  • Liver Diseases / blood
  • Liver Diseases / diagnosis
  • Matrix Metalloproteinase 3 / blood
  • Membrane Glycoproteins / analysis
  • Membrane Glycoproteins / metabolism
  • Metalloendopeptidases / analysis*
  • Metalloendopeptidases / blood
  • Metalloendopeptidases / metabolism
  • Neoplasm Invasiveness
  • Neoplasm Staging
  • Neoplasms / blood
  • Neoplasms / diagnosis*
  • Neoplasms / pathology
  • Pregnancy
  • Prognosis
  • Tissue Inhibitor of Metalloproteinases / analysis*
  • Tissue Inhibitor of Metalloproteinases / blood
  • Vascular Diseases / blood
  • Vascular Diseases / diagnosis


  • Antigens, CD
  • Antigens, Neoplasm
  • BSG protein, human
  • Biomarkers, Tumor
  • Membrane Glycoproteins
  • Tissue Inhibitor of Metalloproteinases
  • Basigin
  • Metalloendopeptidases
  • Matrix Metalloproteinase 3