Matrix metalloproteinase 2 is suppressed by trapidil, a CD40-CD40 ligand pathway inhibitor, in human abdominal aortic

Hirotaka Nagashima1, Yoshikazu Aoka, Yasunari Sakomura

  • 1Department of Cardiology, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan. mnagasih@hij.twmu.ac.jp

Abstract

Insights

Trapidil, an inhibitor of the CD40-CD40 ligand pathway, reduced matrix metalloproteinase-2 (MMP-2) in abdominal aortic aneurysm (AAA) tissues. This suggests trapidil may be a potential therapy for preventing or treating AAA.

Area of Science:

  • Vascular Biology
  • Inflammation Research
  • Drug Discovery

Background:

  • Abdominal aortic aneurysm (AAA) pathogenesis involves inflammatory cell activation and matrix metalloproteinase (MMP) production.
  • The antiplatelet agent trapidil inhibits MMP expression via the CD40-CD40 ligand (CD40-CD40L) pathway.
  • Clinical studies suggest trapidil possesses functions beyond its antiplatelet activity.

Purpose of the Study:

  • To investigate the effect of trapidil on MMP production in human AAA tissues.
  • To evaluate trapidil's potential as a therapeutic agent for AAA.

Main Methods:

  • Immunohistochemical analysis and semiquantitative reverse transcription-polymerase chain reaction were used.
  • Organ cultures of aortic tissues from AAA patients and controls were treated with trapidil or an anti-CD40L antibody.
  • MMP-2 and MMP-9 protein production and mRNA expression were assessed.

Main Results:

  • MMP-2 and MMP-9 concentrations were significantly higher in AAA walls compared to controls.
  • Trapidil and anti-CD40L antibody suppressed MMP-2 protein production and mRNA expression.
  • Neither agent inhibited MMP-9 production; MMP-2 was macrophage-derived, while MMP-9 was from macrophages and neutrophils.

Conclusions:

  • Trapidil inhibits MMP-2 production in AAA tissues by targeting the CD40-CD40L pathway.
  • These findings suggest trapidil as a potential therapeutic strategy for AAA prevention or treatment.