Evidence map›Paper›PMID 32164582›Full record

ArticleBMC cardiovascular disorders2020

Plasma levels of matrix metalloproteinase-9 are elevated in individuals with hypertensive crisis.

Flavia Mariana Valente, Days Oliveira de Andrade, Luciana Neves Cosenso-Martin, Cláudia Bernardi Cesarino, Sérgio Mussi Guimarães, Victor Beneditti Guimarães, Riccardo Lacchini, José Eduardo Tanus-Santos, Juan Carlos Yugar-Toledo, José Fernando Vilela-Martin

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Endothelial Function Biomarkers in Hypertension.Current medicinal chemistry · 2025
    Review
  8. Oxidative Stress Biomarkers in Hypertension.Current medicinal chemistry · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. The extracellular matrix mechanics in the vasculature.Nature cardiovascular research · 2023
    Review
  13. Article
  14. MMP-2 and MMP-9 levels in plasma are altered and associated with mortality in COVID-19 patients.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Flavia Mariana ValenteInternal Medicine Department, Hypertension Clinic, State Medical School at Sao Jose do Rio Preto (FAMERP), Ave Brig Faria Lima, 5416, Sao Jose do Rio Preto, SP, 15090-000, Brazil.
Days Oliveira de AndradeInternal Medicine Department, Hypertension Clinic, State Medical School at Sao Jose do Rio Preto (FAMERP), Ave Brig Faria Lima, 5416, Sao Jose do Rio Preto, SP, 15090-000, Brazil.
Luciana Neves Cosenso-MartinInternal Medicine Department, Hypertension Clinic, State Medical School at Sao Jose do Rio Preto (FAMERP), Ave Brig Faria Lima, 5416, Sao Jose do Rio Preto, SP, 15090-000, Brazil.
Cláudia Bernardi CesarinoInternal Medicine Department, Hypertension Clinic, State Medical School at Sao Jose do Rio Preto (FAMERP), Ave Brig Faria Lima, 5416, Sao Jose do Rio Preto, SP, 15090-000, Brazil.
Sérgio Mussi GuimarãesInternal Medicine Department, Hypertension Clinic, State Medical School at Sao Jose do Rio Preto (FAMERP), Ave Brig Faria Lima, 5416, Sao Jose do Rio Preto, SP, 15090-000, Brazil.
Victor Beneditti GuimarãesMedical School FACERES, Sao Jose do Rio Preto, SP, Brazil.
Riccardo LacchiniDepartment of Psychiatric Nursing and Human Sciences, Ribeirao Preto College of Nursing, University of Sao Paulo, R. Prof. Helio Lourenço, Ribeirao Preto, SP, 3900, Brazil.
José Eduardo Tanus-SantosDepartment of Pharmacology, Ribeirao Preto Medical School, University of Sao Paulo, Ave Bandeirantes, Ribeirao Preto, SP, 3900, Brazil.
Juan Carlos Yugar-ToledoInternal Medicine Department, Hypertension Clinic, State Medical School at Sao Jose do Rio Preto (FAMERP), Ave Brig Faria Lima, 5416, Sao Jose do Rio Preto, SP, 15090-000, Brazil.
José Fernando Vilela-MartinInternal Medicine Department, Hypertension Clinic, State Medical School at Sao Jose do Rio Preto (FAMERP), Ave Brig Faria Lima, 5416, Sao Jose do Rio Preto, SP, 15090-000, Brazil. vilelamartin@uol.com.br.
Faculdade de Medicina de São José do Rio Preto · BRUniversidade de São Paulo · BRFaculdade Ceres · BR

Funding

FAPESP 2013/09868-3
6 · The paper itself

Abstract

backgroundMatrix metalloproteinase-9 (MMP-9) participates in the degradation of components of the extracellular matrix and it is involved in vascular remodeling and vasomotor changes. The aim of this study was to investigate the plasma levels of MMP-9 in acute vascular alterations due to hypertensive crisis.

methodsThis cross-sectional study was performed in 40 normotensive (NT) and 58 controlled hypertensive subjects (CHyp) followed up in outpatient clinic. Moreover, 57 patients with hypertensive emergency (HypEmerg) and 43 in hypertensive urgency (HypUrg), seen in emergency department, were also included. Hypertensive crisis was divided into HypEmerg, which was characterized by levels of systolic blood pressure (BP) ≥ 180 mmHg and/or diastolic BP ≥ 120 mmHg complicated with target-organ damage (TOD), and HypUrg, defined by BP elevation without TOD. Univariate and multivariate regression analysis was performed to identify the influence of independent variables on MMP-9 levels. A p-value < 0.05 was considered statistically significant.

resultsThe mean age was 43.5 years in the NT group (11 men); 57.7 years in the CHyp group (29 men); 59.4 years in the HypUrg group (21 men) and 62.4 years in the HypEmerg group (31 men). The age was statistically different in the NT group compared to other 3 groups. The mean BP was 116.5 ± 13.9/72.4 ± 10.6 mmHg for NT, 123.2 ± 12.6/79 ± 9.2 for CHyp, 194.1 ± 24.3/121.4 ± 17.3 for HypUrg and 191.6 ± 34.3/121.7 ± 18.8 mmHg for HypEmerg, respectively (p-value< 0.0001 between groups). MMP-9 levels were statistically different between the HypEmerg (2.31 ± 0.2 ng/mL) and HypUrg groups (2.17 ± 0.3 ng/mL) compared to the NT (1.94 ± 0.3 ng/mL) (p-value < 0.01 and p-value < 0.05, respectively) and CHyp groups (1.92 ± 0.2 ng/mL) (p-value < 0.01). Uric acid was the only independent variable for predicting MMP-9 levels (p-value = 0.001).

conclusionMMP-9 concentrations are significantly higher in the hypertensive crisis groups (urgency and emergency) compared to the control groups. Therefore, MMP-9 may be a biomarker or mediator of pathophysiologic pathways in cases of acute elevations of blood pressure.

Indexed as

Blood PressureAdultAgedAged, 80 and overBiomarkersCase-Control StudiesCross-Sectional StudiesFemaleHumansHypertensionMaleMatrix Metalloproteinase 9Middle AgedPredictive Value of TestsPrognosisUp-RegulationBiomarkersMatrix Metalloproteinase 9MMP9 protein, humanCardiac biomarkersCardiovascular pathophysiologyEmergencyHypertensionMatrix metalloproteinase

Identifiers

PMID32164582
PMCPMC7066730
OpenAlexW3011693166

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.