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The Many Faces of Matrix Metalloproteinase-7 in Kidney Diseases
Zhao Liu1, Roderick J Tan2, Youhua Liu1,3
1State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Abstract:
Matrix metalloproteinase-7 (MMP-7) is a secreted zinc-dependent endopeptidase that is implicated in regulating kidney homeostasis and diseases. MMP-7 is produced as an inactive zymogen, and proteolytic cleavage is required for its activation. MMP-7 is barely expressed in normal adult kidney but upregulated in acute kidney injury (AKI) and chronic kidney disease (CKD). The expression of MMP-7 is transcriptionally regulated by Wnt/β-catenin and other cues. As a secreted protein, MMP-7 is present and increased in the urine of patients, and its levels serve as a noninvasive biomarker for predicting AKI prognosis and monitoring CKD progression. Apart from degrading components of the extracellular matrix, MMP-7 also cleaves a wide range of substrates, such as E-cadherin, Fas ligand, and nephrin. As such, it plays an essential role in regulating many cellular processes, such as cell proliferation, apoptosis, epithelial-mesenchymal transition, and podocyte injury. The function of MMP-7 in kidney diseases is complex and context-dependent. It protects against AKI by priming tubular cells for survival and regeneration but promotes kidney fibrosis and CKD progression. MMP-7 also impairs podocyte integrity and induces proteinuria. In this review, we summarized recent advances in our understanding of the regulation, role, and mechanisms of MMP-7 in the pathogenesis of kidney diseases. We also discussed the potential of MMP-7 as a biomarker and therapeutic target in a clinical setting.
Insights
Matrix metalloproteinase-7 (MMP-7) is a key enzyme in kidney health and disease. This review explores MMP-7
Area of Science:
- Nephrology
- Molecular Biology
- Biochemistry
Background:
- Matrix metalloproteinase-7 (MMP-7) is a secreted enzyme crucial for kidney homeostasis.
- MMP-7 expression is low in healthy kidneys but elevated in acute kidney injury (AKI) and chronic kidney disease (CKD).
- Its regulation involves Wnt/β-catenin signaling and other factors.
Purpose of the Study:
- To review recent advances in understanding MMP-7's regulation and role in kidney disease pathogenesis.
- To discuss MMP-7's potential as a noninvasive biomarker and therapeutic target.
Main Methods:
- Literature review of studies on MMP-7 in kidney physiology and pathology.
- Analysis of MMP-7's substrates and downstream cellular effects.
- Evaluation of MMP-7's diagnostic and therapeutic potential.
Main Results:
- MMP-7 cleaves extracellular matrix components and other substrates like E-cadherin and nephrin.
- It influences cell proliferation, apoptosis, epithelial-mesenchymal transition, and podocyte injury.
- MMP-7 has dual roles: protective in AKI but detrimental in CKD fibrosis and proteinuria.
Conclusions:
- MMP-7's function in kidney disease is complex and context-dependent.
- Urinary MMP-7 levels can serve as a biomarker for AKI prognosis and CKD monitoring.
- MMP-7 presents a potential therapeutic target for kidney diseases.
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