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Published on: March 8, 2019
The elevated expression of TLR4 and MMP9 in human abdominal aortic aneurysm tissues and its implication
Tan Li1, Xintong Li2, Xiaozheng Liu1
1Department of Cardiovascular Ultrasound, the First Hospital of China Medical University, No. 155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, People's Republic of China.
Background:
Toll-like receptor 4 (TLR4) and matrix metalloproteinase 9 (MMP9) have been investigated to play significant roles in the formation of abdominal aortic aneurysm (AAA). But the reports on the expression pattern of TLR4 and MMP9 in human AAA specimens were relatively scant. The aim of this study was to make a detailed analysis of TLR4 and MMP9 expression in situ and their association with clinical parameters involved in human AAA.
Methods:
40 AAA specimens were obtained from full-thickness aneurysmal tissues at the maximal dilation area during the open surgical repair, and 8 non-aneurysmal abdominal aortas from transplant donors served as controls. Expression of TLR4 and MMP9 protein was determined by immunohistochemistry.
Results:
There were increased levels of TLR4 and MMP9 expression in human AAA tissues. Compared with macrophages or SMCs, lymphocytes showed a higher positive rate of TLR4 and MMP9 staining, and an elevated ratio of high MMP9 expression (all P < 0.05). There existed a significant association between TLR4 and MMP9 expression (r = 0.767, P < 0.001), and both TLR4 and MMP9 levels were statistically related to circulating CRP. Moreover, TLR4 expression in situ indicated a positive correlation with its serum level (r = 0.654, P = 0.006). Multiple analysis revealed that high TLR4 expression in situ was associated with the risk of large AAA (OR = 6.211, 95%CI = 1.226-31.480, P = 0.027), while high MMP9 expression was correlated to the presence of thrombus within AAA (OR = 5.494, 95%CI = 1.181-25.562, P = 0.030), separately compared with their low expression.
Conclusions:
This study confirmed the overexpression of TLR4 and MMP9 in human AAA tissues, and their close relationship implying in the pathogenesis of AAA. We further provided evidence that TLR4 had a potential effect on AAA size and MMP9 could influence the occurrence of thrombus within AAA.
Insights
Toll-like receptor 4 (TLR4) and matrix metalloproteinase 9 (MMP9) are overexpressed in human abdominal aortic aneurysm (AAA) tissues. High TLR4 correlates with larger AAA size, while high MMP9 is linked to thrombus formation.
Area of Science:
- Vascular Biology
- Immunology
- Pathology
Background:
- Abdominal aortic aneurysm (AAA) formation involves Toll-like receptor 4 (TLR4) and matrix metalloproteinase 9 (MMP9).
- Limited data exists on TLR4 and MMP9 expression patterns in human AAA specimens.
- Understanding these patterns is crucial for AAA pathogenesis research.
Purpose of the Study:
- To analyze the in situ expression of TLR4 and MMP9 in human AAA tissues.
- To investigate the association between TLR4 and MMP9 expression and clinical parameters in AAA patients.
Main Methods:
- Immunohistochemistry was used to determine TLR4 and MMP9 protein expression.
- 40 human AAA specimens and 8 control aortas were analyzed.
- Expression levels were compared between AAA and control tissues, and correlated with clinical data.
Main Results:
- TLR4 and MMP9 expression were significantly increased in human AAA tissues compared to controls.
- Lymphocytes showed higher TLR4 and MMP9 staining compared to macrophages or smooth muscle cells.
- High TLR4 expression correlated with larger AAA size, and high MMP9 expression with the presence of thrombus.
Conclusions:
- This study confirms the overexpression of TLR4 and MMP9 in human AAA, implicating them in AAA pathogenesis.
- TLR4 expression is associated with AAA size, and MMP9 expression with thrombus formation within the aneurysm.
- These findings highlight the potential roles of TLR4 and MMP9 in AAA development and progression.
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