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Published on: August 24, 2019
[Expression of matrix metalloproteinase-9 in the arachnoid membrane around posterior communicating artery aneurysms]
Wenfeng Feng1, Gang Wang, Guozhong Zhang
1Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Objective:
To investigate the expression of matrix metalloproteinase-9 (MMP-9) in the arachnoid membrane around posterior communicating artery aneurysms.
Methods:
Twelve patients with posterior communicating artery aneurysms undergoing surgical intervention in our hospital between November, 2010 and November, 2011 were enrolled as the case group along with 6 concurrent patients with severely head trauma or epilepsy as controls. The expression of MMP-9 in the aneurysmal walls and the arachnoid membrane was examined in immunohistochemistry, and HE staining and Sirus red staining were performed to examine the pathological changes.
Results:
The perianeurysmal arachnoid membrane showed tissue destruction and disruption of the connections between the membrane and the artery wall with local detachment. Compared with that in the control group, the level of MMP-9 in the arachnoid membrane was significantly higher in the case group (P<0.05), but significantly lower than that in the aneurysm wall within the same sample (P<0.05). No differences were found in the levels of MMP-9 in the aneurysm patients with different ages or Hunt-Hess scale scores.
Conclusion:
MMP-9 is closely related with the formation of posterior communicating artery aneurysms by causing degradation of extracellular matrix of the vascular wall and the arachnoid membrane.
Insights
Matrix metalloproteinase-9 (MMP-9) is elevated in the arachnoid membrane of patients with posterior communicating artery aneurysms. This suggests MMP-9 contributes to aneurysm formation by degrading the extracellular matrix.
Area of Science:
- Neuroscience
- Biochemistry
- Pathology
Context:
- Posterior communicating artery aneurysms are a significant cause of cerebrovascular disease.
- The role of matrix metalloproteinase-9 (MMP-9) in aneurysm pathogenesis is not fully understood.
- Investigating MMP-9 expression in the arachnoid membrane provides insight into aneurysm development.
Purpose:
- To investigate the expression levels of MMP-9 in the arachnoid membrane surrounding posterior communicating artery aneurysms.
- To correlate MMP-9 expression with pathological changes in the arachnoid membrane and aneurysm wall.
Summary:
- Immunohistochemistry revealed significantly higher MMP-9 levels in the perianeurysmal arachnoid membrane of patients with posterior communicating artery aneurysms compared to controls.
- MMP-9 levels were lower in the arachnoid membrane than in the aneurysm wall.
- Pathological examination showed tissue destruction and detachment in the perianeurysmal arachnoid membrane.
Impact:
- MMP-9 is implicated in the degradation of the extracellular matrix of both the vascular wall and the arachnoid membrane.
- Findings suggest MMP-9 plays a crucial role in the formation and progression of posterior communicating artery aneurysms.
- This research contributes to understanding the molecular mechanisms underlying aneurysm development.
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