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Table 5 Secondary Analysis: The addition of hs-CRP into longitudinal models of respiratory outcomes did not substantively change the predictive relationship between MMP-9 and the outcomes examined.

From: Matrix metalloproteinase-9 predicts pulmonary status declines in α1-antitrypsin deficiency

Outcome Measures

MMP-9

Annualized Δ*

(95% CI)

p-value

hs-CRP

Annualized Δ*

(95% CI)

p-value

Spirometry

  

   FEV1, ml

+15 (-4 to +34)

p = 0.12

-25 (-73 to +22)

p = 0.29

   FVC, ml

+72 (+6 to +139)

p = 0.03

-28 (-192 to +136)

p = 0.73

   FEV1/FVC ratio

-0.6%(-1.3% to +0.01%)

p = 0.053

-1.3%(-2.9% to +0.3%)

p = 0.11

Total Lung Capacity, ml

+69 (+10 to +127)

p = 0.02

+17 (-156 to +190)

p = 0.85

Transfer Factor (TLco), mmol/min/kpa

-0.1 (-0.2 to -0.002)

p = 0.047

-0.07 (-0.4 to -0.2)

p = 0.63

CT Densitometry

  

   Adjusted Lung Density

-0.6 (-1.0 to -0.2)

p = 0.006

+0.7 (-0.3 to +1.7)

p = 0.16

Resting Oxygenation Saturation (room air)

-0.4%(-0.6% to -0.2%)

p < 0.001

-0.9% (-1.4 to -0.4)

p = 0.001

Incremental Shuttle Walk Test Distance, meters

-6 (-14 to +3)

p = 0.20

-20 (-42 to +1)

p = 0.07

Acute Exacerbations of COPD, number

+0.26 (+0.08 to +0.45)

p = 0.006

+0.16 (-0.6 to +0.9)

p = 0.67

  1. All analyses included age, gender, race-ethnicity, leukocyte count, tobacco pack-year history, MMP-9 levels, and hs-CRP levels as independent variables in a multivariable model. Analysis of total lung capacity also controlled for method of lung capacity assessment (box plethysmography vs helium dilution).
  2. *Annualized longitudinal change (Δ) predicted by a 25-75th interquartile range higher level of MMP-9 or hs-CRP, respectively.
  3. Measured in Hounsfield Units at the 15th percentile.