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Updated: Aug 16, 2026

A Fibrin-Enriched and tPA-Sensitive Photothrombotic Stroke Model
Published on: June 4, 2021
Tissue plasminogen activator promotes matrix metalloproteinase-9 upregulation after focal cerebral ischemia
Kiyoshi Tsuji1, Toshiaki Aoki, Emiri Tejima
1Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Background And Purpose:
Thrombolytic therapy with tissue plasminogen activator (tPA) in ischemic stroke is limited by increased risks of cerebral hemorrhage and brain injury. In part, these phenomena may be related to neurovascular proteolysis mediated by matrix metalloproteinases (MMPs). Here, we used a combination of pharmacological and genetic approaches to show that tPA promotes MMP-9 levels in stroke in vivo.
Methods:
In the first experiment, spontaneously hypertensive rats were subjected to 3 hours of transient focal cerebral ischemia. The effects of tPA (10 mg/kg IV) on ischemic brain MMP-9 levels were assessed by zymography. In the second experiment, wild-type (WT) and tPA knockout mice were subjected to 2 hours of transient focal cerebral ischemia, and MMP-9 levels and brain edema during reperfusion were assessed. Phenotype rescue was performed by administering tPA to the tPA knockout mice.
Results:
In the first experiment, exogenous tPA did not change infarct size but amplified MMP-9 levels in ischemic rat brain at 24 hours. Coinfusion of the plasmin inhibitor tranexamic acid (300 mg/kg) did not ameliorate this effect, suggesting that it was independent of plasmin. In the second experiment, ischemic MMP-9 levels, infarct size, and brain edema in tPA knockouts were significantly lower than WT mice. Administration of exogenous tPA (10 mg/kg IV) did not alter infarction but reinstated the ischemic MMP-9 response back up to WT levels and correspondingly worsened edema.
Conclusions:
These data demonstrate that tPA upregulates brain MMP-9 levels in stroke in vivo, and suggest that combination therapies targeting MMPs may improve tPA therapy.
Insights
Tissue plasminogen activator (tPA) increases matrix metalloproteinase-9 (MMP-9) in ischemic stroke, potentially worsening brain injury. Targeting MMPs alongside tPA may improve stroke treatment outcomes.
Area of Science:
- Neuroscience
- Biochemistry
- Pharmacology
Background:
- Thrombolytic therapy using tissue plasminogen activator (tPA) for ischemic stroke is associated with risks of cerebral hemorrhage and brain injury.
- These adverse effects may stem from neurovascular proteolysis, particularly mediated by matrix metalloproteinases (MMPs).
Purpose of the Study:
- To investigate the role of tissue plasminogen activator (tPA) in regulating matrix metalloproteinase-9 (MMP-9) levels during ischemic stroke.
- To determine if tPA-induced MMP-9 contributes to brain injury and edema following stroke.
Main Methods:
- Transient focal cerebral ischemia was induced in spontaneously hypertensive rats and in wild-type (WT) and tPA knockout mice.
- Matrix metalloproteinase-9 (MMP-9) levels, infarct size, and brain edema were assessed using zymography and other histological methods.
- Pharmacological and genetic approaches, including tPA administration and knockout models, were employed.
Main Results:
- Exogenous tPA administration amplified MMP-9 levels in ischemic rat brains without altering infarct size.
- Mice lacking tPA exhibited significantly lower MMP-9 levels, reduced infarct size, and less brain edema compared to WT mice.
- Administering tPA to tPA knockout mice restored MMP-9 levels to WT levels and exacerbated brain edema.
Conclusions:
- Tissue plasminogen activator (tPA) demonstrably upregulates brain MMP-9 levels in the context of ischemic stroke in vivo.
- These findings suggest that MMP-9 is a key mediator of tPA-induced brain injury and edema.
- Combination therapies targeting MMPs concurrently with tPA may represent a promising strategy to enhance the safety and efficacy of stroke treatment.
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