Importance of tear volume for positivity of tear matrix metalloproteinase-9 immunoassay.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2020
Historique:
received: 02 12 2019
accepted: 15 06 2020
entrez: 11 7 2020
pubmed: 11 7 2020
medline: 10 9 2020
Statut: epublish

Résumé

The tear matrix metalloproteinase-9 (MMP-9) immunoassay (Inflammadry) exhibits variable results in dry eye (DE) patients. We investigated if the tear volume in DE patients affects the results of MMP-9 immunoassay in clinical and in vitro settings. This cross-sectional study enrolled 188 eyes of 188 DE patients. The clinical symptoms and signs of DE were assessed using the Ocular Surface Disease Index and visual analog scale, strip meniscometry, tear break-up time, and tear meniscus height (TMH), area (TMA), and depth (TMD) using swept-source optical coherence tomography and corneal and conjunctival staining scores. For quantitative evaluation, the bands produced by the InflammaDry test were analyzed with ImageJ. DE subjects were grouped according to MMP-9 positivity and TMH. The InflammaDry-positive group showed greater TMH, TMA, and TMD than the MMP-9-negative group (p < 0.05). InflammaDry test band density in the high TMH group was significantly greater than that in the low and normal TMH groups (p < 0.05). InflammaDry test band density correlated positively with TMH, TMA, and TMD (all p < 0.05). InflammaDry test results were influenced by tear volume. Low tear volume in aqueous tear-deficient DE may induce false-negative results, and reflex tearing during the test may induce false-positive results.

Identifiants

pubmed: 32649686
doi: 10.1371/journal.pone.0235408
pii: PONE-D-19-33332
pmc: PMC7351366
doi:

Substances chimiques

Matrix Metalloproteinase 9 EC 3.4.24.35

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0235408

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Jong Hwa Jun (JH)

Department of Ophthalmology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

You Hyun Lee (YH)

Department of Ophthalmology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Myeong Jin Son (MJ)

Department of Ophthalmology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Harim Kim (H)

Department of Ophthalmology, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

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Classifications MeSH