Changes in matrix metalloproteinase 2 activities in amniochorions during premature rupture of membranes

Atsuyuki Ota1, Hisashi Yonemoto, Akimasa Someya

  • 1Departments of Obstetrics and Gynecology, Juntendo University School of Medicine, Tokyo, Japan. oota3017@yahoo.co.jp <oota3017@yahoo.co.jp>

Abstract

Insights

Matrix metalloproteinase-2 (MMP-2) activity increases in premature rupture of membranes (PROM). Elevated MT1-MMP and reduced TIMP-1 contribute to MMP-2 activation, degrading fetal membranes and causing PROM.

Area of Science:

  • Reproductive biology
  • Biochemistry
  • Obstetrics

Background:

  • Increased matrix metalloproteinase (MMP) activity, specifically MMP-3 and MMP-9, is linked to premature rupture of membranes (PROM).
  • The role of MMP-2 in PROM remains unclear.

Purpose of the Study:

  • To investigate the involvement of MMP-2 in PROM.
  • To evaluate MMP-2 activity and the expression of related proteins (pro-MMP-2, MT1-MMP, TIMP-1) in PROM.

Main Methods:

  • Amniochorions were collected from women undergoing cesarean section (CS), normal delivery (ND), and PROM.
  • MMP-2 activity was measured using a specific substrate assay.
  • Levels of pro-MMP-2, MT1-MMP, and TIMP-1 were determined via Western immunoblotting.

Main Results:

  • MMP-2 activity was significantly higher in PROM compared to CS and ND groups.
  • Levels of MMP-2 activator MT1-MMP were elevated in PROM, while the inhibitor TIMP-1 was decreased.
  • Pro-MMP-2 levels were increased in both PROM and ND groups compared to CS.

Conclusions:

  • Increased MMP-2 activity in PROM is likely due to elevated pro-MMP-2 and MT1-MMP expression, coupled with decreased TIMP-1.
  • This dysregulation promotes extracellular matrix degradation in fetal membranes, contributing to PROM.