Gjertsson I, Innocenti M, Matrisian L M, Tarkowski A
Department of Rheumatology and Inflammation Research, Göteborg University, Guldhedsgatan 10A, SE 413 46 Göteborg, Sweden.
Microb Pathog. 2005 Feb-Mar;38(2-3):97-105. doi: 10.1016/j.micpath.2004.12.005.
Septic arthritis induced by Staphylococcus aureus causes a rapid destruction of joint cartilage and periarticular bone. The mechanisms behind this phenomenon are not fully understood. Earlier studies have shown that cytokines and metalloproteinases are of importance in bone metabolism. Matrix metalloproteinase-7 (MMP-7) has pleiotropic function including facilitating migration of both macrophages and neutrophils. The aim of this study has been to investigate the significance of MMP-7 expression in septic arthritis. MMP-7 deficient mice and congeneic controls were intravenously inoculated with an arthritogenic dose of S. aureus LS-1. This study shows that MMP-7 deficient mice exposed to S. aureus developed significantly less severe arthritis both clinically and histologically. Despite this finding, bacterial growth in the deficient animals was significantly increased. In vitro responses to staphylococcal antigens and superantigens did not differ between MMP-7(+/+) and MMP-7(-/-) mice with respect to cytokine production and if anything increased the production of certain chemokines. In addition MMP-7(-/-) mice exhibited decreased numbers of peripheral blood mononuclear cells before and one day after bacterial inoculation, but increased numbers of peripheral granulocytes on day 1. In conclusion, MMP-7 contributes to the development of a destructive course of septic arthritis despite decreased bacterial load. In addition, expression of MMP-7 is of importance for the distribution of peripheral leukocytes.
金黄色葡萄球菌引起的化脓性关节炎会导致关节软骨和关节周围骨骼迅速破坏。这一现象背后的机制尚未完全明确。早期研究表明,细胞因子和金属蛋白酶在骨代谢中具有重要作用。基质金属蛋白酶-7(MMP-7)具有多种功能,包括促进巨噬细胞和中性粒细胞的迁移。本研究的目的是探讨MMP-7表达在化脓性关节炎中的意义。将MMP-7基因缺陷小鼠和同基因对照小鼠静脉注射致关节炎剂量的金黄色葡萄球菌LS-1。本研究表明,暴露于金黄色葡萄球菌的MMP-7基因缺陷小鼠在临床和组织学上发生的关节炎严重程度明显较低。尽管有这一发现,但缺陷动物体内的细菌生长显著增加。在对葡萄球菌抗原和超抗原的体外反应方面,MMP-7(+/+)和MMP-7(-/-)小鼠在细胞因子产生方面没有差异,而且某些趋化因子的产生反而增加。此外,MMP-7(-/-)小鼠在细菌接种前和接种后一天外周血单核细胞数量减少,但在第1天外周粒细胞数量增加。总之,尽管细菌载量降低,但MMP-7有助于化脓性关节炎破坏性病程的发展。此外,MMP-7的表达对外周白细胞的分布具有重要意义。