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on November 18, 2002

Circulation. 2002
Published online before print November 18, 2002, doi: 10.1161/01.CIR.0000041433.94868.12
A more recent version of this article appeared on December 10, 2002
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Submitted on July 23, 2002
Revised on September 24, 2002
Accepted on September 24, 2002

Increased Expression of Membrane Type 3-Matrix Metalloproteinase in Human Atherosclerotic Plaque. Role of Activated Macrophages and Inflammatory Cytokines

Hiroyasu Uzui MD, PhD, Alice Harpf MD, Ming Liu MD, Terence M. Doherty BA, Arun Shukla MD, Ning-Ning Chai MD, Pinky V. Tripathi BS, Stefan Jovinge MD, PhD, Douglas J. Wilkin PhD, Kamlesh Asotra PhD, Prediman K. Shah MD, and Tripathi B. Rajavashisth PhD*

From the Atherosclerosis Research Center, Division of Cardiology, Department of Medicine, and the Burns and Allen Research Institute, Cedars-Sinai Medical Center and UCLA School of Medicine, Los Angeles, Calif.

* To whom correspondence should be addressed. E-mail: rajavashisth{at}cshs.org.

Background—Matrix metalloproteinases (MMPs) are thought to play a prominent role in atherogenesis and destabilization of plaque. Pericellularly localized membrane-type (MT)-MMPs activate secreted MMPs. We investigated the hypothesis that MT3-MMP is expressed in human atherosclerotic plaques and is regulated by locally produced inflammatory cytokines and oxidized low-density lipoprotein (Ox-LDL).

Methods and Results—Expression and cellular localization of MT3-MMP in normal and atherosclerotic human coronary arteries were examined using specific antibodies. Abundant MT3-MMP expression was noted in medial smooth muscle cells (SMCs) of normal arteries. In atherosclerotic arteries, MT3-MMP expression was observed within complex plaques and colocalized with SMCs and macrophages (M{phi}). Cultured human monocyte-derived M{phi} constitutively expressed MT3-MMP mRNA and proteolytically active protein, as demonstrated by mRNA analyses, immunoblotting, and gelatin zymography, respectively. Ox-LDL, tumor necrosis factor-{alpha}, or macrophage colony-stimulating factor caused dose- and time-dependent increases in steady-state levels of MT3-MMP mRNA in cultured M{phi}. This correlated with a 2- to 4-fold increase in levels of MT3-MMP immunoreactive protein and enzymatic activity in M{phi} membranes. Confocal microscopy and flow cytometry confirmed induction and spatial distribution of MT3-MMP protein from intracellular domains to the M{phi} plasma membrane by Ox-LDL, tumor necrosis factor-{alpha}, or macrophage colony-stimulating factor.

Conclusions—MT3-MMP is expressed by SMCs and M{phi} in human atherosclerotic plaques. Proinflammatory molecules cause a progressive increase in the expression of MT3-MMP in cultured M{phi}. Our results suggest a mechanism by which inflammatory molecules could promote M{phi}-mediated degradation of extracellular matrix and thereby contribute to plaque destabilization.


Key words: metalloproteinases • inflammation • plaque




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