Protection of the Transplant Kidney from Preservation Injury by Inhibition of Matrix Metalloproteinases

Matrix metalloproteinases (MMPs), particularly MMP-2 and MMP-9, play an important role in ischemic injury to the heart, yet it is not known if these MMPs are involved in the injury that occurs to the transplant kidney. We therefore studied the pharmacologic protection of transplant kidneys during ma...

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Veröffentlicht in:PloS one 2016-06, Vol.11 (6), p.e0157508-e0157508
Hauptverfasser: Moser, Michael A J, Arcand, Steve, Lin, Han-Bin, Wojnarowicz, Chris, Sawicka, Jolanta, Banerjee, Tamalina, Luo, Yigang, Beck, Gavin R, Luke, Patrick P, Sawicki, Grzegorz
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container_issue 6
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container_title PloS one
container_volume 11
creator Moser, Michael A J
Arcand, Steve
Lin, Han-Bin
Wojnarowicz, Chris
Sawicka, Jolanta
Banerjee, Tamalina
Luo, Yigang
Beck, Gavin R
Luke, Patrick P
Sawicki, Grzegorz
description Matrix metalloproteinases (MMPs), particularly MMP-2 and MMP-9, play an important role in ischemic injury to the heart, yet it is not known if these MMPs are involved in the injury that occurs to the transplant kidney. We therefore studied the pharmacologic protection of transplant kidneys during machine cold perfusion. Human kidney perfusates were analyzed for the presence of injury markers such as cytochrome c oxidase, lactate dehydrogenase, and neutrophil-gelatinase associated lipocalin (NGAL), and MMP-2 and MMP-9 were measured. The effects of MMP inhibitors MMP-2 siRNA and doxycycline were studied in an animal model of donation after circulatory determination of death (DCDD). Markers of injury were present in all analyzed perfusates, with higher levels seen in perfusates from human kidneys donated after controlled DCDD compared to brain death and in perfusate from kidneys with delayed graft function. When rat kidneys were perfused at 4°C for 22 hours with the addition of MMP inhibitors, this resulted in markedly reduced levels of MMP-2, MMP-9 and analyzed injury markers. Based on our study, MMPs are involved in preservation injury and the supplementation of preservation solution with MMP inhibitors is a potential novel strategy in protecting the transplant kidney from preservation injury.
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We therefore studied the pharmacologic protection of transplant kidneys during machine cold perfusion. Human kidney perfusates were analyzed for the presence of injury markers such as cytochrome c oxidase, lactate dehydrogenase, and neutrophil-gelatinase associated lipocalin (NGAL), and MMP-2 and MMP-9 were measured. The effects of MMP inhibitors MMP-2 siRNA and doxycycline were studied in an animal model of donation after circulatory determination of death (DCDD). Markers of injury were present in all analyzed perfusates, with higher levels seen in perfusates from human kidneys donated after controlled DCDD compared to brain death and in perfusate from kidneys with delayed graft function. When rat kidneys were perfused at 4°C for 22 hours with the addition of MMP inhibitors, this resulted in markedly reduced levels of MMP-2, MMP-9 and analyzed injury markers. Based on our study, MMPs are involved in preservation injury and the supplementation of preservation solution with MMP inhibitors is a potential novel strategy in protecting the transplant kidney from preservation injury.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27327879</pmid><doi>10.1371/journal.pone.0157508</doi><orcidid>https://orcid.org/0000-0003-0735-199X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Analysis
Animal models
Animals
Biology and Life Sciences
Biomarkers
Biomarkers - metabolism
Brain
Cytochrome
Cytochrome oxidase
Cytochrome-c oxidase
Delayed Graft Function - enzymology
Delayed Graft Function - pathology
Donations
Doxycycline
Doxycycline - pharmacology
Electron Transport Complex IV - metabolism
Female
Gelatinase
Gelatinase A
Gelatinase B
Health aspects
Heart
Humans
Inhibitors
Injury analysis
Injury prevention
Ischemia
Kidney - drug effects
Kidney - injuries
Kidney - pathology
Kidney - ultrastructure
Kidney Transplantation
Kidneys
L-Lactate dehydrogenase
L-Lactate Dehydrogenase - metabolism
Lactate dehydrogenase
Lactic acid
Lipocalin
Lipocalin-2 - metabolism
Male
Markers
Matrix Metalloproteinase 2 - metabolism
Matrix Metalloproteinase 9 - metabolism
Matrix Metalloproteinase Inhibitors - pharmacology
Matrix metalloproteinases
Matrix Metalloproteinases - metabolism
Medicine and Health Sciences
Middle Aged
Mitochondria - drug effects
Mitochondria - metabolism
Models, Animal
Organ Preservation
Perfusion
Pharmacology
Physiological aspects
Physiology
Preservation
Proteins
Rats
Research and Analysis Methods
Rodents
siRNA
Supplements
Surgery
Transplants & implants
title Protection of the Transplant Kidney from Preservation Injury by Inhibition of Matrix Metalloproteinases
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T14%3A10%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Protection%20of%20the%20Transplant%20Kidney%20from%20Preservation%20Injury%20by%20Inhibition%20of%20Matrix%20Metalloproteinases&rft.jtitle=PloS%20one&rft.au=Moser,%20Michael%20A%20J&rft.date=2016-06-21&rft.volume=11&rft.issue=6&rft.spage=e0157508&rft.epage=e0157508&rft.pages=e0157508-e0157508&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0157508&rft_dat=%3Cgale_plos_%3EA456433938%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1798776926&rft_id=info:pmid/27327879&rft_galeid=A456433938&rft_doaj_id=oai_doaj_org_article_4ed4548915da4c8aa1e4d87879f9ff57&rfr_iscdi=true