Expression of matrix metalloproteinase (MMP-1) and tissue inhibitor of MMP in serosal tissue of intraperitoneal organs and adhesions

被引:42
作者
Chegini, N [1 ]
Kotseos, K [1 ]
Zhao, Y [1 ]
Ma, CF [1 ]
McLean, F [1 ]
Diamond, MP [1 ]
Holmdahl, L [1 ]
Burns, J [1 ]
机构
[1] Univ Florida, Dept Obstet & Gynecol, Inst Wound Res, Gainesville, FL 32610 USA
关键词
MMP-1; TIMP-1; mRNA; protein; serosal tissue; peritoneal adhesion;
D O I
10.1016/S0015-0282(01)02875-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To compare expression of matrix metalloproteinase (MMP-1) and tissue inhibitor of MMP (MMP-1) in serosal tissue of intraperitoneal organs and adhesions. Design: Prospective and cross-sectional study. Setting: Academic research centers. Patient(s): Patients undergoing abdominal or pelvic surgery. Intervention(s): MMP-1 and TIMP-1 expression. Main Outcome Measure(s): Expression of messenger ribonucleic acid (mRNA) and protein was measured by using quantitative reverse transcription polymerase chain reaction (RT-PCR) and enzyme-linked immunosorbent assay. Result(s): Serosal tissue of intraperitoneal organs and adhesions express MMP-1 and TIMP-1 mRNA and protein at levels that are consistently varied with 10- to 10.000-fold and 2- to 10-fold higher TIMP, rnRNA and protein, respectively. Parietal peritoneum, fallopian tubes and ovaries express higher MMP-1 mRNA levels compared with uterus and adhesions; the lowest expression is found in small and large bowels, subcutaneous tissue. and omentum. Expression of TIMP-1 mRNA was less variable; the highest level was found in the uterus and the lowest in subcutaneous tissue and small bowels. There was less variability in MMP-1 and TIMP-1 protein content than mRNA expression; ovaries and adhesions contained the highest MMP-1 and TIMP-1 levels, respectively, and peritoneum contained the lowest. The MMP-1 and TIMP-1 content and ratios further indicate limited MMP-1 proteolytic activity. Although tissues from premenopausal women express more MMP-1 and TIMP-1, expression did not differ by sex or age. Conclusion(s): Because MMP-1 and TIMP-1 expression varies consistently among the serosal tissues of peritoneal organs and adhesions. and because tissue injury alters their expression, site-specific variations in expression of these substances may predispose a particular organ to develop more adhesions. (C) 2001 by American Society for Reproductive Medicine.
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页码:1212 / 1219
页数:8
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