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.

Stroke
|July 30, 2005
PubMed
Abstract

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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