“…Of the articles included in the database, methods utilized for upregulation quantification included: immunohistochemistry, qPCR, microarray analysis, Western blotting, ELISA, substrate zymography, and fluorogenic MMP substrates. Despite having discovered MMP upregulation in a variety of fluids (pleural effusion fluid[84], serum[85], plasma[86], ascitic fluid[87], sputum[88], pancreatic juices[89], urine[90], fecal material[91], bronchoalveolar lavage fluid[92], nipple aspirate fluids[93], and cerebrospinal fluid[94]), only literature evaluating normal and diseased human tissues was included in the database. Serum and plasma MMP concentrations were not included as upregulated cancer patient serum concentrations are often an order of magnitude lower than tissues obtained from healthy patients[85,95].…”