Matrix metalloproteinases and biochemical dysregulation in pediatric cerebral palsy: a clinical perspective
摘要
Cerebral palsy (CP) frequently results in developmental delays and long-term physical impairment. This study aims to evaluate serum biochemical and extracellular biomarkers, specifically matrix metalloproteinases (MMP-2 and MMP-9), in children with CP as an initial step to investigate their potential involvement in the condition’s etiopathogenesis.
MethodsForty children diagnosed with CP and 20 healthy age-matched study participants were included. Demographic and clinical data were collected using a structured proforma. Serum samples were analyzed for biochemical parameters (ALT, AST, ALP, total protein, albumin, creatinine, uric acid, bilirubin, and electrolytes) and MMP levels.
ResultsStudy revealed significant differences between CP patients and the healthy group. CP patients exhibited lower levels of total protein, albumin, magnesium, and phosphorus but higher levels of creatinine, uric acid, chloride, and total bilirubin. Elevated liver enzyme levels, although observed, showed variable statistical significance. However, the serum level of MMP-9 was markedly elevated in CP patients, highlighting its potential role in blood-brain barrier disruption and tissue damage. The MMP-2 level in CP patients was mildly high, which was statistically non-significant. The demographic analysis indicated higher CP prevalence in rural areas, with parental consanguinity being a notable factor. Mixed CP was the most common subtype observed (57%).
ConclusionThis study highlights the systemic impact of CP on biochemical and extracellular markers, particularly the role of MMP-9 in disease pathology. These findings provide valuable insights into CP’s etiopathogenesis, paving the way for further research and potential therapeutic interventions.