Inhibition of gelatinase B (matrix metalloprotease-9) activity reduces cellular inflammation and restores function of transplanted pancreatic islets.

Inhibition of gelatinase B (matrix metalloprotease-9) activity reduces cellular inflammation and restores function of transplanted pancreatic islets.
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DOI:
10.2337/db11-1143
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发表时间:
2012-08
期刊:
影响因子:
7.7
通讯作者:
Linn T
Linn T
中科院分区:
医学1区
文献类型:
--
作者:
Lingwal N;Padmasekar M;Samikannu B;Bretzel RG;Preissner KT;Linn T

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胰岛移植为1型糖尿病患者提供了一种补偿胰岛素生成细胞损失的方法。然而,门静脉内移植途径与移植物的即时炎症反应和随后的胰岛破坏有关。虽然基质金属蛋白酶(MMP)-2和-9参与细胞外基质的重塑和白细胞迁移,但它们对胰岛移植结果的影响尚未明确。我们在对照组和移植组小鼠中观察到相似的MMP-2 mRNA表达,而胰岛移植后MMP-9 mRNA和蛋白表达水平升高。对表达CD11b (Mac-1)的白细胞(巨噬细胞、中性粒细胞)和Ly6G(中性粒细胞)的免疫染色显示,在MMP-9敲除受体中,炎症细胞向胰岛移植肝脏的迁移显著减少。此外,与对照组相比,明胶酶抑制导致移植胰岛胰岛素含量显著增加,巨噬细胞和中性粒细胞内流减少。这些结果表明,胰岛移植后MMP-9表达和活性的增加与白细胞迁移的增强直接相关,抑制MMP-9(明胶酶B)活性可改善胰岛移植早期存活。
Islet transplantation provides an approach to compensate for loss of insulin-producing cells in patients with type 1 diabetes. However, the intraportal route of transplantation is associated with instant inflammatory reactions to the graft and subsequent islet destruction as well. Although matrix metalloprotease (MMP)-2 and -9 are involved in both remodeling of extracellular matrix and leukocyte migration, their influence on the outcome of islet transplantation has not been characterized. We observed comparable MMP-2 mRNA expressions in control and transplanted groups of mice, whereas MMP-9 mRNA and protein expression levels increased after islet transplantation. Immunostaining for CD11b (Mac-1)-expressing leukocytes (macrophage, neutrophils) and Ly6G (neutrophils) revealed substantially reduced inflammatory cell migration into islet-transplanted liver in MMP-9 knockout recipients. Moreover, gelatinase inhibition resulted in a significant increase in the insulin content of transplanted pancreatic islets and reduced macrophage and neutrophil influx compared with the control group. These results indicate that the increase of MMP-9 expression and activity after islet transplantation is directly related to enhanced leukocyte migration and that early islet graft survival can be improved by inhibiting MMP-9 (gelatinase B) activity.
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