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American Journal of Respiratory Cell and Molecular Biology. Vol. 28, pp. 12-24, 2003
© 2003 American Thoracic Society
DOI: 10.1165/rcmb.2002-0166TR


Translational Review

Matrix Metalloproteinase-9 in Lung Remodeling

Jeffrey J. Atkinson and Robert M. Senior

Pulmonary and Critical Care Medicine, Department of Medicine, and the Department of Cell Biology and Physiology, Washington University School of Medicine at Barnes-Jewish Hospital, St. Louis, Missouri

Address correspondence to: Robert M. Senior, M.D., Barnes-Jewish Hospital (North), 216 South Kingshighway, St. Louis, MO, 63110. E-mail: seniorr{at}msnotes.wustl.edu

Matrix metalloproteinase (MMP)-9 (Gelatinase B, 92-kD type IV collagenase, EC 3.4.24.35) is an MMP that is present in low quantities in the healthy adult lung, but much more abundant in several lung diseases, including asthma, idiopathic pulmonary fibrosis (IPF), and chronic obstructive pulmonary disease (COPD). Despite numerous reports of MMP-9 in these and other lung diseases, whether MMP-9 is causal in lung remodeling or part of the inflammatory and reparative response remains to be determined. Many intrinsic lung cells can be stimulated to produce MMP-9, but much of the information regarding MMP-9 in the lung deals with MMP-9 from inflammatory cells. The multiple locations and cell types producing MMP-9 are consistent with multiple functions in different microenvironments. In addition to digestion of structural proteins and antiproteases, MMP-9 can modify cellular function by regulation of cytokines and matrix-bound growth factors. Determining the role of MMP-9 in health and disease will be important, because broad spectrum and specific inhibitors will soon be available to enable conversion of the bench knowledge to bedside practice. This review addresses the current understanding of MMP-9 in human asthma, IPF, and COPD, and in animal models of these conditions.

Abbreviations: bronchoalveolar lavage fluid, BALF • bronchiolitis obliterans organizing pneumonia, BOOP • chronic obstructive pulmonary disease, COPD • extracellular matrix, ECM • enzyme linked immunoabsorbant assay, ELISA • forced expiratory volume at one second, FEV1 • interleukin, IL • interstitial pulmonary fibrosis, IPF • matrix metalloproteinase, MMP • reverse transcriptase–polymerase chain reaction, RT-PCR • tissue inhibitor of matrix metalloproteinase, TIMP • transforming growth factor, TGF • tumor necrosis factor, TNF




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