Matrix metalloproteinase-9 delays wound healing in a murine wound model.
Matrix metalloproteinase-9 delays wound healing in a murine wound model.
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DOI:
10.1016/j.surg.2009.10.016
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发表时间:
2010-02
期刊:
影响因子:
3.8
通讯作者:
Garner, Warren L.
中科院分区:
文献类型:
--
作者:
Reiss, Matthew J.;Han, Yan-Ping;Garcia, Edwin;Goldberg, Mytien;Yu, Hong;Garner, Warren L.
Metalloproteinase-9 (MMP-9) is a type IV Collagenase found at elevated levels in chronic wounds. As wounds heal, MMP-9 diminishes. In this study, we investigated whether MMP-9 directly contributes to chronic wound pathogenesis. Recombinant proMMP-9 was prepared using immortalized keratinocytes transduced by a lentivirus. ProMMP-9 was purified from cell culture media and activated using 4-aminophenylmercuric acetate. Active MMP-9 was then suspended in Xanthan Gum to a concentration paralleling that found in human chronic wounds. Two parallel 6mm punch biopsies were made on the backs of C57BL mice. Wounds were treated daily with MMP-9 or vehicle. Wound areas were measured and tissues examined by densitometry, real-time RT-PCR, histology, and immunohistochemistry at days 7, 10 and 12. Exogenous MMP-9, at the level found within chronic wounds, delayed wound healing in this animal model. By 7 days, wounds in the MMP-9-injected group were 12% larger than control wounds (p=0.008). By day 12, wounds in the MMP-9-injected group were 25% larger than those of the control group (p=0.03). Histologic examination shows that high levels of active MMP-9 impaired epithelial migrating tongues (p=0.0008). Moreover, consistent with elevated MMP-9, the collagen IV in the leading edge of the epithelial tongue was diminished. MMP-9 appears to directly delay wound healing. Our data suggests that this may occur through interference with re-epithelialization. We propose that MMP-9 interferes with the basement membrane protein structure, which in turn impedes keratinocyte migration, attachment, and the reestablishment of the epidermis.
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