Doxycycline inhibits MMPs via modulation of plasminogen activators in focal cerebral ischemia

Dorothe Burggraf1, Andreas Trinkl, Martin Dichgans

  • 1Department of Neurology, Ludwig-Maximilians University, Klinikum Grosshadern, Marchioninistr. 15, 81377 Munich, Germany.

Neurobiology of Disease
|December 15, 2006
PubMed

Insights

Doxycycline, a tetracycline, reduces brain damage after ischemic stroke by inhibiting matrix metalloproteinases (MMPs) and the urokinase plasminogen activator (uPA) system, protecting cerebral microvessels.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Biochemistry

Background:

  • Tetracyclines, including doxycycline, are known to inhibit matrix metalloproteinases (MMPs).
  • Cerebral ischemia leads to infarction and microvascular damage, partly mediated by MMPs.
  • The role of the urokinase plasminogen activator (uPA) system in cerebral ischemia and its interaction with MMPs requires further elucidation.

Purpose of the Study:

  • To investigate the effect of doxycycline on MMPs and the uPA system in a rat model of cerebral ischemia.
  • To determine if doxycycline's neuroprotective effects involve the plasminogen/plasmin system.
  • To assess doxycycline's impact on cerebral microvascular integrity and blood-brain barrier permeability.

Main Methods:

  • Cerebral ischemia was induced in rats using a suture model (3 hours ischemia, 24 hours reperfusion).
  • Animals received oral doxycycline or water for 10 days prior to and during ischemia.
  • MMP-2, MMP-9, urokinase plasminogen activator (uPA), collagen type IV, and hemoglobin extravasation were measured.

Main Results:

  • Doxycycline significantly decreased MMP-2 and MMP-9 levels.
  • Doxycycline treatment led to a significant reduction in uPA activity.
  • Microvascular damage, collagen type IV loss, and hemoglobin extravasation were significantly reduced in the doxycycline group.

Conclusions:

  • Doxycycline exhibits neuroprotective effects in cerebral ischemia, likely through MMP and uPA inhibition.
  • The mechanism involves protection of cerebral microvessels and the basal lamina.
  • Doxycycline's ability to inhibit the plasminogen system suggests potential as an anti-ischemic therapeutic agent.