Hanifeh Mohsen, Rajamäki Minna Marjaana, Syrjä Pernilla, Mäkitalo Laura, Kilpinen Susanne, Spillmann Thomas
Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, University of Helsinki, P.O. Box 57, (Viikintie 49), 00014, Helsinki, Finland.
Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Tabriz, 5166616471, Tabriz, Iran.
Acta Vet Scand. 2018 Mar 12;60(1):16. doi: 10.1186/s13028-018-0371-y.
Matrix metalloproteinases (MMPs) 2 and 9 are zinc- and calcium-dependent endopeptidases involved in the breakdown and reconstitution of extracellular matrix under both physiological and pathological conditions. Mucosal MMP-2 and -9 activities have been reported to be upregulated in the intestine of humans with inflammatory bowel disease (IBD), and in animal models of IBD. However, their involvement in the pathogenesis of canine chronic enteropathies (CE) is unknown. This study investigated mucosal pro- and active MMP-2 and -9 activities in dogs with CE and healthy dogs using gelatin zymography, and also to determine the association of their activities in dogs with CE with the canine IBD activity index (CIBDAI), histopathologic findings, the clinical outcome, and hypoalbuminemia. Intestinal mucosal samples from duodenum, ileum, colon, and cecum were collected from 40 dogs with CE and 18 healthy Beagle dogs.
In dogs with CE, the number of samples positive for mucosal pro- and active MMP-2 was significantly higher in the duodenum (P < 0.0001 and P = 0.011, respectively), ileum (P = 0.002 and P = 0.018, respectively), and colon (P < 0.0001 and P = 0.002, respectively), compared with healthy controls. Mucosal pro-MMP-9-positive samples in the duodenum and colon were significantly more frequent in dogs with CE than in healthy dogs (P = 0.0004 and P = 0.001, respectively). Despite the presence of mucosal samples positive for active MMP-9 in the intestinal segments of dogs with CE, the difference compared to healthy controls did not reach statistical significance. None of the intestinal mucosal samples in healthy dogs showed gelatinolytic activity corresponding to the control bands of active MMP-2 and -9. Mucosal active MMP-9 activities displayed a significant positive association with the severity of neutrophil infiltration in the duodenum (P = 00.040), eosinophils in the cecum (P = 00.037), and the CIBDAI score for ileum samples (P = 0.023). There was no significant association of pro- and active MMP-2 and -9 levels with the clinical outcome or hypoalbuminemia.
This study is the first to demonstrate upregulation of mucosal pro- and active MMP-2 and pro-MMP-9 in the intestine of dogs with CE compared to healthy dogs. The results provide supporting evidence for the possible involvement of MMP-2 and -9 in the pathogenesis of canine CE.
基质金属蛋白酶(MMPs)2和9是锌和钙依赖性内肽酶,在生理和病理条件下参与细胞外基质的分解和重构。据报道,炎症性肠病(IBD)患者以及IBD动物模型的肠道中,黏膜MMP-2和-9活性上调。然而,它们在犬慢性肠病(CE)发病机制中的作用尚不清楚。本研究使用明胶酶谱法调查了CE犬和健康犬黏膜前MMP-2和-9以及活性MMP-2和-9的活性,并确定CE犬中它们的活性与犬IBD活动指数(CIBDAI)、组织病理学结果、临床结局和低蛋白血症之间的关联。从40只CE犬和18只健康比格犬收集十二指肠、回肠、结肠和盲肠的肠黏膜样本。
与健康对照相比,CE犬十二指肠(分别为P < 0.0001和P = 0.011)、回肠(分别为P = 0.002和P = 0.018)和结肠(分别为P < 0.0001和P = 0.002)中黏膜前MMP-2和活性MMP-2阳性样本数量显著更高。CE犬十二指肠和结肠中黏膜前MMP-9阳性样本比健康犬更频繁(分别为P = 0.0004和P = 0.001)。尽管CE犬肠道段中有活性MMP-9阳性的黏膜样本,但与健康对照相比差异未达到统计学意义。健康犬的肠黏膜样本均未显示出与活性MMP-2和-9对照条带相对应的明胶酶解活性。黏膜活性MMP-9活性与十二指肠中性粒细胞浸润严重程度(P = 0.040)、盲肠嗜酸性粒细胞浸润严重程度(P = 0.037)以及回肠样本的CIBDAI评分(P = 0.023)呈显著正相关。前MMP-2和-9以及活性MMP-2和-9水平与临床结局或低蛋白血症无显著关联。
本研究首次证明与健康犬相比,CE犬肠道中黏膜前MMP-2和活性MMP-2以及前MMP-9上调。结果为MMP-2和-9可能参与犬CE发病机制提供了支持性证据。