Different roles of matrix metalloproteinases-2 and-9 after human ischaemic stroke

被引:112
作者
Lucivero, V. [1 ]
Prontera, M. [1 ]
Mezzapesa, D. M. [1 ]
Petruzzellis, M. [1 ]
Sancilio, M. [1 ]
Tinelli, A. [1 ]
Di Noia, D. [1 ]
Ruggieri, M. [1 ]
Federico, F. [1 ]
机构
[1] Univ Bari, Dept Neurol & Psychiat Sci, I-70124 Bari, Italy
关键词
matrix metalloproteinases; acute ischaemic stroke;
D O I
10.1007/s10072-007-0814-0
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Accumulating data suggest that matrix metalloproteinases (MMPs), in particular MMP-2 and MMP-9, are deleterious after acute ischaemic stroke. A beneficial effect of MMPs in the repairing phases of cerebral ischaemia has also been proposed. This study investigated the relationship between MMP-2 and MMP-9 and stroke subtypes, clinical recovery and haemorrhagic transformation (HT). We measured MMP-9 and MMP-2 plasma levels in 29 patients with ischaemic stroke at days one and seven. MMP-2 levels increased only in lacunar strokes, whilst MMP-9 increased only in patients with more severe stroke. Basal MMP-2 levels were higher in patients with stable or recovering symptoms whilst MMP-9 values at day seven were correlated with worse clinical outcome. No differences related to the presence of HT were found. This study sustains a different behaviour of MMPs after ischaemic stroke. MMP-2 seems to be expressed early and related to better outcome, whilst MMP-9 seems to be late and related to more severe stroke.
引用
收藏
页码:165 / 170
页数:6
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