Intravitreal plasmin injection activates endogenous matrix metalloproteinase-2 in rabbit and human vitreous

Akiomi Takano1, Akira Hirata, Yasuya Inomata

  • 1Department of Ophthalmology and Visual Science, Kumamoto University Graduate School of Medical Sciences, Honjo, Kumamoto, Japan.

Abstract

Insights

Exogenous plasmin administration activates endogenous matrix metalloproteinase-2 (MMP-2) in the vitreous, potentially inducing posterior vitreous detachment. This study investigated plasmin

Area of Science:

  • Ophthalmology
  • Biochemistry
  • Cell Biology

Background:

  • Matrix metalloproteinase-2 (MMP-2) plays a role in vitreous structure.
  • Understanding MMP-2 activation is crucial for vitreoretinal diseases.

Purpose of the Study:

  • To investigate the effect of exogenous plasmin on endogenous matrix metalloproteinase-2 (MMP-2) activity in rabbit and human vitreous.
  • To explore the association between plasmin-induced MMP-2 activation and posterior vitreous detachment.

Main Methods:

  • Experimental animal study (rabbits) and interventional case series (humans).
  • Exogenous plasmin administration into rabbit eyes.
  • Vitreous sample analysis using gelatin zymography to determine active/pro-MMP-2 ratios.
  • Scanning electron microscopy (SEM) for retinal surface observation.
  • Immunohistochemical analysis for MT1-MMP presence.

Main Results:

  • Plasmin injection significantly increased the active/pro-MMP-2 ratio in rabbit and human vitreous.
  • A dose-dependent smoothing of the retinal surface was observed via SEM in plasmin-treated rabbit eyes.
  • MT1-MMP was detected in the inner retina of rabbits.
  • Elevated MMP-2 activity correlated with time post-plasmin administration.

Conclusions:

  • Exogenous plasmin activates endogenous MMP-2 in the vitreous.
  • Plasmin-induced MMP-2 activation is linked to the induction of posterior vitreous detachment.

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