Metalloproteinases As Mediators of Inflammation and the Eyes: Molecular Genetic Underpinnings Governing Ocular Pathophysiology

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Metalloproteinases As Mediators of Inflammation and the Eyes: Molecular Genetic Underpinnings Governing Ocular Pathophysiology Metalloproteinase encoding genes in ocular homeostasis ·Review· Metalloproteinases as mediators of inflammation and the eyes: molecular genetic underpinnings governing ocular pathophysiology Mahavir Singh, Suresh C Tyagi Eye and Vision Science Laboratory, Department of Physiology, are often controlled by their endogenous inhibitors; known University of Louisville School of Medicine, Louisville, KY as tissue inhibitors of metalloproteinases (TIMPs) (Figure 1)[5-6]. 40202, USA Literature survey reveals that MMPs when dysregulated Correspondence to: Mahavir Singh. Eye and Vision Science can participate in a variety of medical conditions since they Laboratory, Department of Physiology, University of serve as crucial players in cell proliferation, differentiation, Louisville School of Medicine, Louisville, KY 40202, USA. angiogenesis, apoptosis, and immune defense[7-8]. Thus, [email protected]; [email protected] functional dysregulation as accompanied by excessive Received: 2016-12-22 Accepted: 2017-06-01 activation of MMPs have been associated with many human diseases[1,7,9-11]. For example, MMP-10 can degrade a broad [12] [13] Abstract spectrum of matrix proteins , and activate MMP-1, 7, 8, and 9 . ● There are many vision threatening diseases of the eye MMPs are present in almost all tissues impacting many aspects affecting millions of people worldwide. In this article, of their unique physiology[14-15]. Like in other organs MMPs we are summarizing potential role of various matrix are also responsible for maintenance and remodeling of ocular metalloproteinases (MMPs); the Zn (2+)-dependent architecture by influencing a wide range of processes in eyes. endoproteases in eye health along with pathogenesis of Their substrates represent a variety of ECM components such prominent ocular diseases such as macular degeneration, as cytokines, chemokines and cell surface molecules. MMPs diabetic retinopathy, and glaucoma via understanding and TIMPs have been shown to co-localize in human inter- MMPs regulation in affected patients, interactions of photoreceptor matrix (IPM)[15] playing an important role in MMPs with their substrate molecules, and key regulatory physiological reconstruction and turnover of IPM. They are functions of tissue inhibitor of metalloproteinases (TIMPs) also responsible during embryogenesis, angiogenesis, and towards maintaining overall homeostasis. ocular wound healing[16]. However, they can be detrimental in ● KEYWORDS: age-related macular degeneration; choroidal breaking apart basement membrane contributing to ulcerations neovascularization; diabetes; glaucoma; metalloproteinases; such as those observed in corneal tissue[17]. tissue inhibitors of metalloproteinases Over the last 30y our lab has been actively studying DOI:10.18240/ijo.2017.08.20 mechanisms that govern maintenance of tissues’ structural integrity[18], post-transcriptional regulation and metabolism Citation: Singh M, Tyagi SC. Metalloproteinases as mediators of of MMPs and TIMPs in human heart failure, atherosclerosis, inflammation and the eyes: molecular genetic underpinnings governing microvascular permeability and vascular diseases[19-24], ocular pathophysiology. Int J Ophthalmol 2017;10(8):1308-1318 involvement of MMPs in diabetes, hypertension, oxidative stress, nephropathy, and autophagy[25-28]. From our experience, INTRODUCTION we know that endogenous TIMPs regulate proteolytic activity atrix metalloproteinases (MMPs) constitute a large by binding tightly to MMPs’ active sites. While TIMPs M family of secreted and membrane associated zinc- can inhibit most if not all MMPs, available data also reveal dependent proteolytic endopeptidases. They are known to tremendous heterogeneity in their affinities of different perform roles in regulation of tissue morphogenesis, motility, TIMP/MMP pairs, and that the structural features which cell growth, response to injury, and extracellular matrix differentiate stronger from weaker complexes are not well (ECM) remodeling not only by degrading matrix related understood. Like MMPs, TIMPs represent multifunctional proteins, but also through well-controlled proteolysis of proteins having activities that are mediated through protein- specific extracellular targets that includes receptors, cytokines, protein interactions (PPIs) with other partners. For example, growth factors, and adhesion molecules[1-2]. Proteolytic TIMP-2 has been reported to inhibit almost all MMPs that activities of MMPs are regulated at various levels and they have been studied[5-6] and as listed in the MEROPS; a peptide are produced mainly as zymogens requiring activation by database[29] including MMP-1, 2, 3, 7, 8, 9, 10, 13, 19, MT1- dedicated proteases[3-4]. And once activated, MMPs’ activities MMP, MT2-MMP, MT3-MMP, MT4-MMP, and MT6-MMP, 1308 Int J Ophthalmol, Vol. 10, No. 8, Aug.18, 2017 www.ijo.cn Tel:8629-82245172 8629-82210956 Email:[email protected] Figure 1 A simple schematic highlighting the effects of MMPs on ocular ECM metabolism During disease conditions the homeostatic balance between MMPs and TIMPs gets disturbed leading to degradation of ECM normal architecture in the eyes of the affected patients. as well as ADAM12[30]. As far as physical nature of their Information About Diseases in Detail partnerships goes the respective inhibition constants (Ki) for Matrix metalloproteinases in macular degeneration Age- their interactions vary widely from 0.6 fmol/L for full-length related macular degeneration (AMD) leads to adverse vascular MMP-2[31] to 5.8 nmol/L for MMP-10’s catalytic domain[32]. changes and is the most common cause of irreversible Also, TIMP-2 can interact with α3β1 integrin molecule and vision loss in elderly people globally. It may result from regulate cell cycle progression and angiogenesis process via degeneration of rods and cones in the macular region of MMP-independent mechanisms[5-6,33]. The general structural central retina which is responsible for high acuity vision. basis for inhibition of MMPs by TIMPs was successfully Death of photoreceptors appears to be a direct consequence revealed in crystal structures of MMP-3/TIMP-1[34] and MT1- of degeneration of neighboring retinal pigment epithelium MMP/TIMP-2 complexes[35], and subsequently expanded (RPE) cells. Drusen formation; abnormal deposits in ECM, with later structures of MMP-13/TIMP-2[36] and MMP-10/ is an important hallmark of AMD disease. Typically, drusen TIMP-1 complexes[32], along with complexes of MMP-1 lie between RPE basement membrane and inner collagenous layer of Bruch's membrane (BM) and contain ECM along and MT1-MMP with N-terminal domain of TIMP-1, which [37-38] with other molecules. It is hypothesized that drusen may result makes majority of intermolecular contacts . At a given from the failure to dispose off RPE-derived molecules such time in healthy tissue, MMPs and TIMPs levels are found in as ECM, or it may be the result of dysregulated inflammatory the stoichiometric ratio of 1:1. Whenever there is an excess immune mediators. Proinflammatory cytokines were recently MMP it can lead to tissue degradation and the same is true reported to decrease the expression of genes that are critical for about excess amount of TIMP which may result into ECM normal functioning of RPE[41-42]. MMP-9 has been shown to accumulation. Thus, the balance needs to be maintained for participate in the development of choroidal neovascularization the proper functioning of the tissue otherwise it may result [43-45] (CNV) as part of AMD pathogenesis . Although the into an altered regulation of ECM remodeling (such as [44,46-47] etiology of AMD is multifactorial but a significant scarring). In short, MMPs’ activities are carefully controlled role is played by MMP-1, 2, 9, 14 and TIMP-3. It became by TIMPs, and ultimately balance between MMPs and TIMPs evident that a continuous rebuilding of ECM occurs in the determines the final outcomes in a particular tissue (Figure 1). early and advanced AMD disease simultaneously with the In glaucoma patients, there seems to be an imbalance between combined malfunctioning of RPE and endothelial cells. MMPs and TIMPs in the eye’s chamber angle playing a role Pathological degradation or accumulation of ECM structural in the pathogenesis of the disease itself. Similarly, imbalance components are usually caused by impairment or hyperactivity in TIMPs’ favor can promote initiation of fibrosis leading to of specific MMPs/TIMPs interactions, and is also influenced tissue remodeling as seen in case of MMP-9 which was shown by genetic and environmental factors. Fiotti et al[48] observed [39] to be important in corneal stromal remodeling in humans a relationship between polymorphisms in MMP-9 and and at the same time its involvement in corneal injury as CNV. More recently, it was shown that MMP-9 rs3918242 reported in a study which was conducted on rats[40]. This study (C>T) single nucleotide polymorphism (SNP) was found to attempts to review an ever-expanding literature on molecular play a role in AMD development, and the effect was more genetics aspects of MMPs and their related biology along pronounced in patients who were less than 65 years of age with a select description in important ocular diseases such as (Table 1)[49-53]. macular degeneration, diabetic retinopathy (DR) and glaucoma Interestingly, circulating MMPs and TIMPs have been that affect millions of people around the world. suggested to participate in a variety of vascular remodeling and 1309 Metalloproteinase encoding genes in ocular homeostasis
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