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Matrix metalloproteinases in brain injury
1Neurology Service, Veterans Administration Medical Center, Albuquerque, New Mexico, USA.
Journal of Neurotrauma
|October 1, 1995
Summary
Matrix metalloproteinases (MMPs) and plasminogen activators degrade extracellular matrix, opening the blood-brain barrier during brain injury. Targeting these proteolytic enzymes offers a therapeutic window for treating secondary brain edema.
Area of Science:
- Biochemistry
- Neuroscience
- Molecular Biology
Background:
- Proteolytic remodeling of the extracellular matrix is crucial in development and pathological conditions like arthritis and tumor metastasis.
- Matrix metalloproteinases (MMPs) and plasminogen activators are key enzymes involved in extracellular matrix degradation.
- The blood-brain barrier can be compromised by specific enzymes like 72-kDa type IV collagenase (gelatinase A) and 92-kDa type IV collagenase (gelatinase B).
Purpose of the Study:
- To investigate the role of specific proteolytic enzymes in blood-brain barrier disruption during brain injury.
- To understand the molecular mechanisms, including gene regulation, underlying the production of these enzymes.
- To identify potential therapeutic targets and windows for treating secondary brain edema.
Main Methods:
- Analysis of gene expression and protein production of MMPs and plasminogen activators in response to brain injury models.
- Investigation of the regulatory elements, such as the phorbol ester responsive region (TRE) and AP-1 binding proteins, in the gelatinase B gene.
- Correlating the timing of enzyme production with the onset of blood-brain barrier opening and edema formation.
Main Results:
- Intracerebral injection of gelatinase A opens the blood-brain barrier.
- Endogenous production of gelatinase B, a late effector gene, occurs 16-24 hours after hemorrhagic brain injury or cytokine injection.
- Urokinase-type plasminogen activator (uPA) is co-produced with gelatinases, working together to degrade basement membranes and open the blood-brain barrier.
- This process contributes to secondary vasogenic brain edema after ischemic and hemorrhagic brain injury.
Conclusions:
- Proteolytic cascade enzymes, including MMPs and plasminogen activators, play a significant role in opening the blood-brain barrier and causing secondary brain edema.
- The delayed production of these enzymes creates a therapeutic window for intervention.
- Interfering with the genes encoding MMPs or inhibiting their activity presents potential treatment strategies for brain injury complications.