Vaalamo M, Karjalainen-Lindsberg M L, Puolakkainen P, Kere J, Saarialho-Kere U
Department of Dermatology, Helsinki University Central Hospital, Finland.
Am J Pathol. 1998 Apr;152(4):1005-14.
Programmed expression of matrix metalloproteinases is involved in wound healing in various organs. We have previously demonstrated enhanced expression of collagenase-1, stromelysin-1, matrilysin, and tissue inhibitor of metalloproteinases (TIMP-1) in gastrointestinal ulcerations. To further define the role of matrix-degrading enzymes and their inhibitors in intestinal inflammation and ulcerations, the expression of stromelysin-2 (MMP-10), collagenase-3 (MMP-13), macrophage metalloelastase (HME, MMP-12), and TIMP-3 mRNAs was studied using in situ hybridization and immunohistochemistry in 38 samples representing ulcerative colitis, Crohn's disease, ischemic colitis, and normal intestine. As controls for normally healing intestinal wounds, 12 postoperative samples of rat experimental jejunal anastomoses were also examined. The colitis types studied did not essentially differ in their MMP expression. We found stromelysin-2 mRNA in laminin-5-positive and Ki-67-negative enterocytes bordering the ulcerations. HME was abundantly expressed by macrophages in the vicinity of shedding mucosal epithelium and beneath the necrotic surface of the ulcers. Collagenase-3 and TIMP-3 were expressed by fibroblast-like cells deeper in the remodeling intestinal wall. Expression for stromelysin-2 and collagenase-3 was observed in granulation tissue, but not the epithelium, of the rat anastomoses. Our results suggest a role for stromelysin-2 in epithelial migration and for metalloelastase in macrophage movement and epithelial cell shedding.
基质金属蛋白酶的程序性表达参与了各器官的伤口愈合过程。我们之前已证实在胃肠道溃疡中,胶原酶-1、基质溶解素-1、基质溶素和金属蛋白酶组织抑制剂(TIMP-1)的表达增强。为了进一步明确基质降解酶及其抑制剂在肠道炎症和溃疡中的作用,我们运用原位杂交和免疫组化技术,对38份代表溃疡性结肠炎、克罗恩病、缺血性结肠炎及正常肠组织的样本,研究了基质溶解素-2(MMP-10)、胶原酶-3(MMP-13)、巨噬细胞金属弹性蛋白酶(HME,MMP-12)及TIMP-3 mRNA的表达情况。作为正常愈合肠道伤口的对照,还检测了12份大鼠实验性空肠吻合术后的样本。所研究的各型结肠炎在MMP表达上基本无差异。我们在溃疡边缘的层粘连蛋白-5阳性且Ki-67阴性的肠上皮细胞中发现了基质溶解素-2 mRNA。在脱落的黏膜上皮附近及溃疡坏死表面下方的巨噬细胞中大量表达了HME。在重塑肠壁较深处的成纤维细胞样细胞中表达了胶原酶-3和TIMP-3。在大鼠吻合口的肉芽组织而非上皮中观察到了基质溶解素-2和胶原酶-3的表达。我们的结果提示基质溶解素-2在上皮迁移中发挥作用,而金属弹性蛋白酶在巨噬细胞移动和上皮细胞脱屑中发挥作用。