Screening of novel matrix metalloproteinases (MMPs) in human fetal membranes

Stephen J Fortunato1, Ramkumar Menon

  • 1The Perinatal Research Center of The Women's Health Research and Education Foundation, Nashville, Tennessee 37203, USA. fortunat@edge.net

Abstract

Insights

Human fetal membranes express matrix metalloproteinase (MMP) genes in preterm premature rupture of membranes (pPROM) and during labor. This confirms a functional MMP system in the amniochorion.

Area of Science:

  • Reproductive biology
  • Biochemistry
  • Genetics

Background:

  • Endogenous matrix metalloproteinases (MMPs) in human fetal membranes are implicated in membrane weakening, leading to preterm premature rupture of membranes (pPROM), and in labor initiation.
  • Previous studies have investigated the source and function of specific MMPs.

Purpose of the Study:

  • To document the expression patterns of various matrix metalloproteinases (MMPs) in the amniochorion.
  • To compare MMP expression during preterm premature rupture of membranes (pPROM), term pregnancy without labor, and term labor.

Main Methods:

  • Human placentas were collected from women experiencing PROM, undergoing C-sections without labor, and delivering vaginally.
  • Amniochorion tissues were isolated, and reverse transcription-polymerase chain reaction (RT-PCR) was used to analyze the expression of MMP15, MMP16, MMP17, MMP18, MMP20, MMP23, MMP24, MMP25, and MMP26.

Main Results:

  • A differential expression pattern was observed for several novel MMPs in the human fetal membranes.
  • Messenger RNA (mRNA) for most investigated MMPs was expressed by the amniochorion.
  • MMP16 (membrane type metalloproteinase 3), MMP20 (enamelysin), and MMP26 (matrilysin) were notably not expressed.

Conclusions:

  • The amniochorion expresses multiple matrix metalloproteinase (MMP) genes during preterm premature rupture of membranes (pPROM), at term without labor, and during active labor.
  • These findings support the hypothesis that the amniochorion possesses a fully functional MMP system.
  • Previous research on other MMPs and their inhibitors further supports their potential role in PROM.