Evidence map›Paper›PMID 41649759›Full record

Observational studyClinical rheumatology2026

Elevated serum MMP3 levels as a potential biomarker of disease activity in primary Sjögren's syndrome: a prospective observational study.

Kunzhan Dong, Man Li, Hongling Ye, Zhiye Xu, Xinyu Tian, Xuejing Xu, Sen Wang

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Kunzhan DongDepartment of Clinical Laboratory Medicine, The Affiliated Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210000, China.
Man LiDepartment of Clinical Laboratory Medicine, The Affiliated Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210000, China.
Hongling YeDepartment of Clinical Laboratory Medicine, The Affiliated Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210000, China.
Zhiye XuDepartment of Clinical Laboratory Medicine, The Affiliated Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210000, China.
Xinyu TianDepartment of Clinical Laboratory Medicine, The Affiliated Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210000, China. jipinxinyu@163.com.
Xuejing XuDepartment of Clinical Laboratory Medicine, The Affiliated Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210000, China. 81597109@qq.com.
Sen WangDepartment of Clinical Laboratory Medicine, The Affiliated Drum Tower Hospital, Nanjing University Medical School, 321 Zhongshan Road, Nanjing, 210000, China. njwangsen@163.com.ORCID http://orcid.org/0009-0004-5249-8434

Funding

Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University 2022-LCYJ-PY-40
6 · The paper itself

Abstract

objectiveThe present study investigated the relationship between serum Matrix metalloproteinase-3 (MMP3) levels in Primary Sjögren's syndrome (pSS) patients and disease activity, clinical parameters, and different clinical manifestations of pSS.

methodsSerum samples were obtained from 77 pSS patients and 77 healthy controls (HC). MMP3 levels were detected using a biochemical analyzer. Disease activity was assessed using the Sjögren's Syndrome Disease Activity Index (SSDAI) and the EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI). Pearson correlation analysis was employed to evaluate the relationship between MMP3 levels and clinical parameters.

resultsSerum MMP3 levels in pSS patients were significantly elevated compared to HC (P < 0.0001). Serum MMP3 levels were significantly positively correlated with WBC counts (r = 0.564, P < 0.0001), neutrophil counts (r = 0.5225, P < 0.0001), and serum LDH levels (r = 0.459, P < 0.0001). Moreover, MMP3 levels were significantly positively correlated with both SSDAI scores (r = 0.407, P = 0.002) and ESSDAI scores (r = 0.3061, P = 0.0068).

conclusionSerum MMP3 levels are significantly elevated in pSS patients and show significant positive correlations with both SSDAI and ESSDAI scores, as well as key inflammatory parameters (WBC, neutrophil counts, LDH). In conclusion, these consistent associations suggest the potential of serum MMP3 as a biomarker for tracking disease activity in pSS. Key Points • Serum MMP3 levels were significantly elevated in pSS patients. • Serum MMP3 levels showed strong associations with disease activity, WBC counts and neutrophil counts. • MMP3 may serve as a biomarker for tracking pSS activity.

Indexed as

Matrix Metalloproteinase 3Sjogren's SyndromeAdultAgedBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexBiomarkersMatrix Metalloproteinase 3MMP3 protein, humanESSDAIMMP3pSSSSDAI

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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.