Dramatic early event in chronic allograft nephropathy: increased but not decreased expression of MMP-9 gene

Dongfeng Gu1, Yanling Shi, Yanan Ding

  • 1Department of Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, People's Republic of China.

Diagnostic Pathology
|January 29, 2013
PubMed
Abstract

Insights

Matrix metalloproteinase 9 (MMP-9) is upregulated in chronic allograft nephropathy (CAN), correlating with mononuclear cell infiltration and smooth muscle cell migration. MMP-9 plays a key role in early CAN pathological changes.

Area of Science:

  • Nephrology
  • Immunology
  • Vascular Biology

Background:

  • Chronic allograft nephropathy (CAN) involves mononuclear cell infiltration and smooth muscle cell (SMC) migration into the vascular intima.
  • The underlying mechanisms of these early pathological changes in CAN remain unclear.

Purpose of the Study:

  • To investigate the role of matrix metalloproteinase 9 (MMP-9) in the early stages of CAN.
  • To explore the interaction between MMP-9, TGF-beta1, tubulointerstitial mononuclear cells, and SMC migration in CAN.

Main Methods:

  • Orthotopic kidney transplantation model in Fisher (F334) rats into Lewis (LEW) recipients.
  • Short-term cyclosporine A treatment to prevent acute rejection.
  • Analysis at 12 weeks post-transplantation using histology, immunohistochemistry, and molecular biology.

Main Results:

  • MMP-9 expression was elevated in the interstitium and vascular wall during early CAN.
  • Upregulated MMP-9 correlated positively with interstitial mononuclear cell infiltration and SMC quantity in arterioles.
  • MMP-9 expression also correlated with increased TGF-beta1 levels in the tubulointerstitium and arteriolar wall.

Conclusions:

  • Matrix metalloproteinase 9 (MMP-9) appears to be significantly involved in the pathological mechanisms of early chronic allograft nephropathy.
  • MMP-9 may contribute to mononuclear cell infiltration and smooth muscle cell migration in CAN.