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Published on: January 10, 2025
Oxygen radicals and matrix metalloproteinases mediate reperfusion liver injury
1Division of Gastroenterology, Department of Internal Medicine, Cheng Hsin General Hospital, Ming Chuan University, Taipei, Taiwan.
Abstract:
Many pathological processes involve the breakdown and remodeling of the extracellular matrix, which is mediated by the family of important enzymes known as matrix metalloproteinases (MMPs). One such process is warm ischemia/reperfusion (I/R) injury, the most important cause of dysfunction of liver allografts. We monitored protein expression of MMP-9 by Western blotting in rat liver after I/R. We also monitored changes in total MMP activity in the serum before and after I/R. Ischemia was induced by clamping the common hepatic artery and portal vein for 40 minutes and reperfusing for 90 minutes. Blood samples collected before ischemia and after reperfusion were analyzed for AST, hydroxyl radical, and tumor necrosis factor (TNFalpha). This protocol resulted in a high level of MMP-9 expression in liver tissue. Total MMP activity in serum was also significantly increased. Levels of AST, hydroxyl radicals, and TNF alpha were concomitantly increased. Ilomastat, an MMP inhibitor, attenuated the I/R-induced liver injury. After administration of the oxygen radical scavenger N-acetylcysteine (NAC), total MMP activity was suppressed, and liver injury was again attenuated. These results indicated that reperfusion liver injury induced an increase in MMP-9 protein expression and in serum MMP activity. The protective effects of an MMP inhibitor and NAC indicate that oxygen radical production is involved in MMP expression and liver injury associated with I/R.
Insights
Warm ischemia/reperfusion injury increases matrix metalloproteinase-9 (MMP-9) expression and activity in rat livers. MMP inhibition and N-acetylcysteine (NAC) reduced liver damage, suggesting oxygen radicals drive MMPs in this injury.
Area of Science:
- Biochemistry
- Pathology
- Enzymology
Background:
- Extracellular matrix remodeling is vital in pathological processes.
- Matrix metalloproteinases (MMPs) mediate extracellular matrix breakdown.
- Warm ischemia/reperfusion (I/R) injury significantly impairs liver allograft function.
Purpose of the Study:
- To investigate the role of MMP-9 in warm I/R liver injury.
- To assess the impact of I/R on MMP activity in rat serum.
- To determine the involvement of oxygen radicals in MMP expression and liver injury.
Main Methods:
- Induction of warm I/R injury in rat livers by clamping hepatic artery and portal vein.
- Monitoring MMP-9 protein expression via Western blotting.
- Measuring total MMP activity, AST, hydroxyl radicals, and TNF-alpha in serum.
- Administering MMP inhibitor (Ilomastat) and N-acetylcysteine (NAC) to assess protective effects.
Main Results:
- I/R significantly increased MMP-9 protein expression in liver tissue.
- Total MMP activity in serum was markedly elevated post-I/R.
- Serum levels of AST, hydroxyl radicals, and TNF-alpha increased concurrently with MMP activity.
- Ilomastat and NAC administration attenuated I/R-induced liver injury and suppressed MMP activity.
Conclusions:
- Reperfusion liver injury is associated with increased MMP-9 expression and serum MMP activity.
- Oxygen radical production plays a critical role in MMP expression and subsequent liver injury.
- MMP inhibition and oxygen radical scavenging offer potential therapeutic strategies for I/R liver injury.
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