2010
DOI: 10.1620/tjem.222.319
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Increased Urinary Lipocalin-2 Reflects Matrix Metalloproteinase-9 Activity in Chronic Hepatitis C with Hepatic Fibrosis

Abstract: Hepatic fibrosis is characterized by excessive accumulation of extracellular matrix. Matrix metalloproteinases (MMPs) play an important role in the remodeling of the extracellular matrix during hepatic fibrosis. Lipocalin-2 (LCN2) forms complexes with MMP-9 and can be detected in the urine of patients with several types of cancers. The objective of this study was to examine the relationship between urinary LCN2 levels and MMP-9 activity with respect to the stage of liver fibrosis in patients with chronic hepat… Show more

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Cited by 21 publications
(23 citation statements)
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References 58 publications
(80 reference statements)
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“…Some inflammatory liver diseases such as chronic hepatitis C infection are characterized by increased urinary excretion of Lcn2 (32) . Unfortunately, the role of Ron receptor as well as pyrin, in hepatitis or other liver inflammatory diseases in humans is not known and needs further characterization.…”
Section: Discussionmentioning
confidence: 99%
“…Some inflammatory liver diseases such as chronic hepatitis C infection are characterized by increased urinary excretion of Lcn2 (32) . Unfortunately, the role of Ron receptor as well as pyrin, in hepatitis or other liver inflammatory diseases in humans is not known and needs further characterization.…”
Section: Discussionmentioning
confidence: 99%
“…Hepatocyte-derived LCN2 plays an important role in inhibiting bacterial infection and promoting liver regeneration [63] Mouse Partial hepatectomy Mice were subjected to partial hepatectomy LCN2 expression is dramatically induced in livers and sera of mice after partial hepatectomy, whereas liver LCN2-receptor expression was decreased LCN2, although massively induced in mice after partial hepatectomy, is not relevant in murine hepatic regeneration [64] Mouse Acetaminophen intoxication, Human Hepatitis C-induced fibrosis/cirrhosis 18 patients with mild and 24 patients with severe fibrosis/cirrhosis Urine LCN2 levels (normalized to urine creatinine) were higher in patients with severe fibrosis/ cirrhosis showing a positive correlation with urine MMP-9/ MMP-2 activity ratios Urinary LCN2 is a marker of hepatic fibrosis that correlates to urine MMP-9 activity [68] Human Acute-on-chronic liver failure, acute liver failure, chronic hepatic failure Very small cohort of patients with acute-on-chronic liver failure, acute liver failure (n = 8) and chronic hepatic failure (n = 14)…”
Section: Mousementioning
confidence: 99%
“…Moreover, the demonstration that the application of a single-dose irradiation on liver results in an intense increase of LCN2 in serum within the first 6 h suggests LCN2 as a candidate biomarker suitable for detection of early phase hepatic damage induced by radiation [61]. From the diagnostic site, the previous finding that LCN2 is detectable as a complex with metalloproteinase 9 (MMP-9) in urine of cancer patients and that the urinary LCN2/MMP-9 ratio correlates with the fibrotic stage in HCC patients is extremely interesting [68]. A diagnostic classification of respective patients that is simply based on urinary LCN2 and MMP-9 would be a significant add on to existing noninvasive and invasive tests.…”
Section: Normal Livermentioning
confidence: 99%
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