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Published on: March 8, 2018
Matrix metalloproteinase-10 plays an active role in microvascular complications in type 1 diabetic patients
Aims/Hypothesis:
The role of metalloproteinase-10 (MMP-10) in type 1 diabetes is not known. We hypothesise that it plays a role in the onset and progression of diabetic nephropathy and retinopathy.
Methods:
Serum MMP-10 levels from 269 patients with type 1 diabetes were measured, and their association with microvascular complications was analysed. We also studied whether knocking out the Mmp10 gene influenced the extent of renal injury and retinal damage in a streptozotocin-induced diabetic mouse model.
Results:
The risk of nephropathy and proliferative retinopathy associated with the highest vs the lowest MMP-10 tertile was increased three to four times independently of the classical risk factors. Accordingly, renal function and morphology were better preserved in diabetic Mmp10 −⁄− mice than in their Mmp10 +/+ counterparts. There were more kidney-infiltrating macrophages in diabetic Mmp10+/+ mice, suggesting that MMP-10 contributes to the inflammatory response leading to microvascular complications. The loss of neuronal cells in the retinas of diabetic Mmp10 +/+ mice was higher than in Mmp10 −⁄− mice. Retinal inflammation was decreased in Mmp10 −⁄− mice, as indicated by their reduced retinal caspase-1 levels.
Conclusions/Interpretation:
MMP-10 is involved in the development of microvascular complications in type 1 diabetes and emerges as a potential therapeutic target for slowing down the evolution of diabetic nephropathy and retinopathy.
Insights
Metalloproteinase-10 (MMP-10) is linked to diabetic nephropathy and retinopathy in type 1 diabetes. Lowering MMP-10 may slow the progression of these microvascular complications.
Area of Science:
- Endocrinology
- Immunology
- Ophthalmology
Background:
- The role of metalloproteinase-10 (MMP-10) in type 1 diabetes remains unclear.
- MMP-10 is a proteinase implicated in tissue remodeling and inflammation.
Purpose of the Study:
- To investigate the association between serum MMP-10 levels and microvascular complications in type 1 diabetes.
- To determine the role of MMP-10 in diabetic nephropathy and retinopathy using a mouse model.
Main Methods:
- Serum MMP-10 levels were measured in 269 type 1 diabetes patients.
- The impact of MMP-10 gene knockout on renal and retinal damage was assessed in a streptozotocin-induced diabetic mouse model.
Main Results:
- Higher MMP-10 levels correlated with increased risk of nephropathy and proliferative retinopathy, independent of traditional risk factors.
- Diabetic mice lacking Mmp10 showed better renal preservation and reduced retinal neuronal loss and inflammation compared to wild-type counterparts.
- MMP-10 appears to promote inflammation, evidenced by increased kidney macrophages in wild-type diabetic mice.
Conclusions:
- MMP-10 plays a significant role in the development of microvascular complications in type 1 diabetes.
- MMP-10 is a potential therapeutic target for mitigating diabetic nephropathy and retinopathy progression.
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