Division of Nephrology, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Dig Dis Sci. 2011 Feb;56(2):406-16. doi: 10.1007/s10620-010-1296-0. Epub 2010 Jun 19.
Matrix metalloproteinase-2 (MMP-2), a type IV collagenase secreted by activated hepatic stellate cells (HSCs), is upregulated in chronic liver disease and is considered a profibrotic mediator due to its proliferative effect on cultured HSCs and ability to degrade normal liver matrix. Although associative studies and cell culture findings suggest that MMP-2 promotes hepatic fibrogenesis, no in vivo model has definitively established a pathologic role for MMP-2 in the development and progression of liver fibrosis. We therefore examined the impact of MMP-2 deficiency on liver fibrosis development during chronic CCl(4) liver injury and explored the effect of MMP-2 deficiency and overexpression on collagen I expression.
Following chronic CCl(4) administration, liver fibrosis was analyzed using Sirius Red staining with quantitative morphometry and real-time polymerase chain reaction (PCR) in MMP-2-/- mice and age-matched MMP-2+/+ controls. These studies were complemented by analyses of cultured human stellate cells.
MMP-2-/- mice demonstrated an almost twofold increase in fibrosis which was not secondary to significant differences in hepatocellular injury, HSC activation or type I collagenase activity; however, type I collagen messenger RNA (mRNA) expression was increased threefold in the MMP-2-/- group by real-time PCR. Furthermore, targeted reduction of MMP-2 in cultured HSCs using RNA interference significantly increased collagen I mRNA and protein, while overexpression of MMP-2 resulted in decreased collagen I mRNA.
These findings suggest that increased MMP-2 during the progression of liver fibrosis may be an important mechanism for inhibiting type I collagen synthesis by activated HSCs, thereby providing a protective rather than pathologic role.
基质金属蛋白酶-2(MMP-2)是一种由活化的肝星状细胞(HSCs)分泌的 IV 型胶原酶,在慢性肝病中上调,并因其对培养的 HSCs 的增殖作用及其降解正常肝基质的能力而被认为是一种促纤维化介质。尽管关联研究和细胞培养研究结果表明 MMP-2 促进肝纤维化,但没有体内模型明确确定 MMP-2 在肝纤维化的发展和进展中的病理作用。因此,我们研究了 MMP-2 缺乏对慢性 CCl4 肝损伤期间肝纤维化发展的影响,并探讨了 MMP-2 缺乏和过表达对胶原 I 表达的影响。
在 MMP-2-/- 小鼠和年龄匹配的 MMP-2+/+ 对照小鼠中,通过天狼星红染色结合定量形态计量学和实时聚合酶链反应(PCR)分析慢性 CCl4 给药后的肝纤维化。这些研究还补充了对培养的人星状细胞的分析。
MMP-2-/- 小鼠的纤维化程度增加了近两倍,这不是由于肝细胞损伤、HSC 活化或 I 型胶原酶活性的显著差异所致;然而,实时 PCR 显示 MMP-2-/- 组的 I 型胶原信使 RNA(mRNA)表达增加了三倍。此外,使用 RNA 干扰靶向降低培养的 HSCs 中的 MMP-2 显著增加了胶原 I mRNA 和蛋白,而过表达 MMP-2 则导致胶原 I mRNA 减少。
这些发现表明,在肝纤维化进展过程中 MMP-2 的增加可能是通过激活的 HSCs 抑制 I 型胶原合成的重要机制,从而提供保护而非病理作用。