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Matrix metalloproteinase-9 in lung remodeling
Jeffrey J Atkinson1, Robert M Senior
1Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine at Barnes-Jewish Hospital, St. Louis, Missouri 63110, USA.
Abstract:
Matrix metalloproteinase (MMP)-9 (Gelatinase B, 92-kD type IV collagenase, EC 3.4.24.35) is an MMP that is present in low quantities in the healthy adult lung, but much more abundant in several lung diseases, including asthma, idiopathic pulmonary fibrosis (IPF), and chronic obstructive pulmonary disease (COPD). Despite numerous reports of MMP-9 in these and other lung diseases, whether MMP-9 is causal in lung remodeling or part of the inflammatory and reparative response remains to be determined. Many intrinsic lung cells can be stimulated to produce MMP-9, but much of the information regarding MMP-9 in the lung deals with MMP-9 from inflammatory cells. The multiple locations and cell types producing MMP-9 are consistent with multiple functions in different microenvironments. In addition to digestion of structural proteins and antiproteases, MMP-9 can modify cellular function by regulation of cytokines and matrix-bound growth factors. Determining the role of MMP-9 in health and disease will be important, because broad spectrum and specific inhibitors will soon be available to enable conversion of the bench knowledge to bedside practice. This review addresses the current understanding of MMP-9 in human asthma, IPF, and COPD, and in animal models of these conditions.
Insights
Matrix metalloproteinase-9 (MMP-9) is elevated in lung diseases like asthma, IPF, and COPD. Its exact role in lung remodeling and disease progression requires further investigation for potential therapeutic targeting.
Area of Science:
- Pulmonary Medicine
- Biochemistry
- Cell Biology
Background:
- Matrix metalloproteinase-9 (MMP-9) is significantly upregulated in the lungs of patients with asthma, idiopathic pulmonary fibrosis (IPF), and chronic obstructive pulmonary disease (COPD) compared to healthy individuals.
- While MMP-9 is produced by various lung cells, its specific contribution to lung remodeling versus its role in inflammatory and reparative processes remains unclear.
- MMP-9 has diverse functions, including the degradation of structural proteins and antiproteases, and can modulate cellular activities through cytokine and growth factor regulation.
Purpose of the Study:
- To review the current understanding of MMP-9's role in human asthma, IPF, and COPD.
- To explore MMP-9's involvement in both human diseases and relevant animal models.
- To highlight the importance of determining MMP-9's function for future therapeutic interventions.
Main Methods:
- Literature review of studies investigating MMP-9 in human lung diseases and animal models.
- Analysis of existing data on MMP-9 production by intrinsic lung cells and inflammatory cells.
- Synthesis of information regarding MMP-9's enzymatic and regulatory functions in the lung microenvironment.
Main Results:
- MMP-9 is abundant in several lung diseases, suggesting a significant role beyond its low levels in healthy lungs.
- Multiple cell types contribute to MMP-9 production, indicating varied functions depending on the microenvironment.
- MMP-9's dual capacity to degrade matrix components and regulate cellular signaling underscores its complex involvement in lung pathology.
Conclusions:
- Further research is crucial to elucidate whether MMP-9 is a driver of lung remodeling or a component of the body's response to lung injury.
- Understanding MMP-9's precise role is essential for the development of targeted therapies, as specific inhibitors are nearing clinical application.
- This review consolidates current knowledge on MMP-9 in major human lung diseases, paving the way for future clinical translation.
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