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Knockout of Matrix Metalloproteinase 2 Opposes Hypertension- and Diabetes-induced Nephropathy
Takashi Hirata1,2, Fan Fan3, Letao Fan4
1Department of Pharmacology and Toxicology, University of Mississippi Medical Center, Jackson, MS.
Abstract:
The progression of chronic kidney disease results from the accumulation of extracellular matrix leading to end-stage renal disease. We previously demonstrated that a broad-spectrum matrix metalloproteinase (MMP) inhibitor reduced renal injury in rat models of hypertension and diabetes. However, the isoforms and mechanisms involved are unclear. This study examined the role of MMP2 during the development of proteinuria and renal injury after induction of hypertension or diabetes in Dahl salt-sensitive (SS) and MMP2 knockout (KO) rats. Mean arterial pressure rose from 115 ± 2 to 145 ± 2 mm Hg and 116 ± 1 to 152 ± 3 mm Hg in MMP2 KO and SS rats fed a high-salt (8% NaCl) diet for 3 weeks. The degree of proteinuria, glomerular injury, renal fibrosis, and podocyte loss was lower in MMP2 KO rats than in SS rats. Blood glucose and HbA1c levels, and mean arterial pressure rose to the same extent in streptozotocin-treated SS and MMP2 KO rats. However, the degree of proteinuria, glomerulosclerosis, renal fibrosis, renal hypertrophy, glomerular permeability to albumin, and the renal expression of MMP2 and TGFβ1 were significantly reduced in MMP2 KO rats. Glomerular filtration rate fell by 33% after 12 weeks of diabetes in streptozotocin-treated SS rats compared with time-control rats, but glomerular filtration rate only fell by 12% in MMP2 KO rats. These results indicate that activation of MMP2 plays an essential role in the pathogenesis of hypertensive and diabetic nephropathy and suggests that an MMP2 inhibitor might slow the progression of chronic kidney disease.
Insights
Matrix metalloproteinase-2 (MMP2) activation significantly contributes to kidney damage in hypertension and diabetes. Inhibiting MMP2 may slow the progression of chronic kidney disease.
Area of Science:
- Nephrology
- Molecular Biology
- Cardiovascular Research
Background:
- Chronic kidney disease (CKD) progression involves extracellular matrix accumulation, leading to end-stage renal disease.
- Broad-spectrum matrix metalloproteinase (MMP) inhibitors have shown promise in reducing renal injury in preclinical models.
- The specific roles of MMP isoforms, particularly MMP2, in hypertensive and diabetic nephropathy remain unclear.
Purpose of the Study:
- To investigate the role of MMP2 in the development of proteinuria and renal injury in rat models of hypertension and diabetes.
- To compare the effects of high salt intake and streptozotocin-induced diabetes on renal injury in wild-type and MMP2 knockout rats.
Main Methods:
- Dahl salt-sensitive (SS) rats and MMP2 knockout (KO) rats were subjected to a high-salt diet (8% NaCl) or streptozotocin treatment to induce hypertension or diabetes, respectively.
- Evaluated parameters included mean arterial pressure, proteinuria, glomerular injury, renal fibrosis, podocyte loss, glomerulosclerosis, renal hypertrophy, and glomerular albumin permeability.
- Renal expression of MMP2 and transforming growth factor-beta 1 (TGFβ1) was assessed.
Main Results:
- In hypertensive rats, MMP2 KO rats exhibited reduced proteinuria, glomerular injury, renal fibrosis, and podocyte loss compared to SS rats.
- In diabetic rats, MMP2 KO rats showed significantly less proteinuria, glomerulosclerosis, renal fibrosis, renal hypertrophy, and albuminuria despite similar increases in blood glucose and blood pressure.
- Glomerular filtration rate decline was significantly attenuated in diabetic MMP2 KO rats compared to diabetic SS rats.
Conclusions:
- MMP2 activation plays a critical role in the pathogenesis of both hypertensive and diabetic nephropathy.
- Targeting MMP2 may represent a viable therapeutic strategy to slow the progression of chronic kidney disease.
- These findings highlight MMP2 as a key mediator in kidney damage associated with metabolic and hypertensive disorders.
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