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Published on: November 21, 2025
TIMP2 and TIMP3 have divergent roles in early renal tubulointerstitial injury
Zuocheng Wang1, Konrad Famulski2, Jiwon Lee3
11] Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada [2] Mazankowski Alberta Heart Institute, University of Alberta, Edmonton, Alberta, Canada.
Abstract:
Tissue inhibitors of metalloproteinases (TIMPs) are endogenous inhibitors of matrix metalloproteinases (MMPs). While TIMP2 and TIMP3 inhibit MMPs, TIMP3 also inhibits activation of pro-MMP2, whereas TIMP2 promotes it. Here we assessed the differential role of TIMP2 and TIMP3 in renal injury using the unilateral ureteral obstruction model. Gene microarray assay showed that post obstruction, the lack of TIMP3 had a greater impact on gene expression of intermediate, late injury- and repair-induced transcripts, kidney selective transcripts, and solute carriers. Renal injury in TIMP3(-/-), but not in TIMP2(-/-), mice increased the expression of collagen type I/III, connective tissue growth factor, transforming growth factor-β, and the downstream Smad2/3 pathway. Interestingly, ureteral obstruction markedly increased MMP2 activation in the kidneys of TIMP3(-/-) mice, which was completely blocked in the kidneys of TIMP2(-/-) mice. These changes are consistent with enhanced renal tubulointerstitial fibrosis in TIMP3(-/-) and its reduction in TIMP2(-/-) mice. The activities of tumor necrosis factor-α-converting enzyme, caspase-3, and mitogen-activated kinases were elevated in the kidneys of TIMP3(-/-) mice but not TIMP2(-/-) mice, suggesting enhanced activation of apoptotic and pathological signaling pathways only in the obstructed kidney of TIMP3(-/-) mice. Thus, TIMP2 and TIMP3 play differential and contrasting roles in renal injury: TIMP3 protects from damage, whereas TIMP2 promotes injury through MMP2 activation.
Insights
Tissue inhibitors of metalloproteinases (TIMPs) play contrasting roles in kidney injury. TIMP3 protects against renal damage, while TIMP2 exacerbates injury by promoting MMP2 activation.
Area of Science:
- Nephrology
- Molecular Biology
- Biochemistry
Background:
- Tissue inhibitors of metalloproteinases (TIMPs) regulate matrix metalloproteinases (MMPs).
- TIMP2 and TIMP3 have distinct effects on MMP activity and pro-MMP2 activation.
- The specific roles of TIMP2 and TIMP3 in renal injury remain to be fully elucidated.
Purpose of the Study:
- To investigate the differential roles of TIMP2 and TIMP3 in renal injury using a unilateral ureteral obstruction model.
- To compare the effects of TIMP3 deficiency versus TIMP2 deficiency on kidney gene expression and pathological pathways.
Main Methods:
- Utilized a unilateral ureteral obstruction mouse model.
- Performed gene microarray assays to assess global gene expression changes.
- Analyzed collagen expression, fibrotic markers, and key signaling pathways (Smad2/3, TNF-α, caspase-3, MAPK).
- Measured matrix metalloproteinase-2 (MMP2) activation.
Main Results:
- TIMP3 deficiency significantly impacted injury- and repair-related gene expression.
- Renal injury in TIMP3(-/-) mice showed increased collagen, CTGF, TGF-β, and Smad2/3 pathway activation.
- TIMP3(-/-) kidneys exhibited elevated MMP2 activation, caspase-3, and MAPK activity, indicating enhanced apoptosis and pathology.
- TIMP2(-/-) kidneys showed reduced fibrosis and blocked MMP2 activation during obstruction.
Conclusions:
- TIMP3 plays a protective role in renal injury, mitigating fibrosis and apoptosis.
- TIMP2 promotes renal injury, partly through the activation of MMP2.
- TIMP2 and TIMP3 exhibit opposing functions in the context of kidney damage and repair.
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