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The expression of matrix metalloproteinase-11 protein in various types of glomerulonephritis
Lydia Nakopoulou1, Andreas C Lazaris, Ioannis Boletis
1Department of Pathology, The Athens National University Medical School, 75 Mikras Asias str., Goudi, GR-115 27 Athens, Greece. lnakopou@cc.uoa.gr
Background:
Matrix metalloproteinases (MMPs) have been implicated to play important roles in a number of pathological processes such as inflammation. In human glomeruli, the mesangial matrix turnover is controlled by a dynamic equilibrium between synthesis and degradation to which metalloproteinases are known to contribute. Metalloproteinase-11 (MMP-11) was originally discovered as a gene whose expression was associated with tissue remodelling. The aim of this study was to investigate whether MMP-11 protein is expressed in various types of glomerulonephritis and to elucidate the role of this expression.
Methods:
Using standard immunohistochemistry, we analysed MMP-11 expression in renal biopsies from 95 patients with primary glomerulonephritis (n = 44) and secondary, either lupus-associated glomerulonephritis (n = 22) or pauci-immune, ANCA-associated glomerulonephritis due to small vessel vasculitis (n = 23) or Wegener's granulomatosis (n = 6). The examined cases were divided into two groups (proliferative and non-proliferative). Anti-Ki67 and -CD68 immunostaining was also performed in order to estimate cell proliferation and number of macrophages, respectively.
Results:
MMP-11 immunopositivity was detected in the glomeruli of the majority of pathological samples. The highest incidence of MMP-11 immunopositivity (26.3%) was noticed in glomerulonephritides associated with microscopic polyangiitis and Wegener's granulomatosis. Generally, MMP-11 was often expressed in segmental areas of sclerosis, microadhesions, cellular and fibrocellular crescents. Fibrotic crescents and fibrotic glomeruli were constantly MMP-11-immunonegative. In MMP-11 immunoreactive glomeruli, increased numbers of macrophages were often detected in the mesangium (P = 0.001), while no such observation could be made with regard to proliferating cells (P = 0.170).
Conclusions:
MMP-11, like an inflammatory mediator, may exert a chemotactic influence on macrophages which aggregate in the mesangium; MMP-11 is not likely to have a parallel mitogenic or antifibrotic effect in diseased glomeruli.
Insights
Matrix metalloproteinase-11 (MMP-11) is present in diseased glomeruli and may attract macrophages, suggesting an inflammatory role. MMP-11 expression does not appear to promote proliferation or fibrosis in these kidney conditions.
Area of Science:
- Nephrology
- Immunology
- Pathology
Background:
- Matrix metalloproteinases (MMPs) are crucial in tissue remodeling and inflammation.
- Metalloproteinase-11 (MMP-11) is linked to tissue remodeling processes.
- Understanding MMP-11's role in glomerulonephritis is essential for comprehending kidney disease pathogenesis.
Purpose of the Study:
- To investigate the expression of MMP-11 protein in various types of glomerulonephritis.
- To elucidate the functional role of MMP-11 expression in diseased glomeruli.
Main Methods:
- Immunohistochemistry was used to analyze MMP-11 expression in 95 renal biopsies.
- Biopsies included primary glomerulonephritis, lupus-associated, and ANCA-associated glomerulonephritis.
- Cell proliferation (Ki67) and macrophage presence (CD68) were assessed.
Main Results:
- MMP-11 immunopositivity was detected in most pathological glomeruli, notably in ANCA-associated glomerulonephritis.
- MMP-11 expression correlated with sclerosis, microadhesions, and crescents, but not with fibrotic areas.
- MMP-11 immunoreactivity was associated with increased mesangial macrophages (P = 0.001) but not proliferating cells (P = 0.170).
Conclusions:
- MMP-11 may act as an inflammatory mediator, attracting macrophages to the mesangium.
- MMP-11 is unlikely to have significant mitogenic or antifibrotic effects in glomerulonephritis.
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