PMID- 16707552 OWN - NLM STAT- MEDLINE DCOM- 20061031 LR - 20200930 IS - 0363-6143 (Print) IS - 0363-6143 (Linking) VI - 291 IP - 4 DP - 2006 Oct TI - Loss of flow induces leukocyte-mediated MMP/TIMP imbalance in dynamic in vitro blood-brain barrier model: role of pro-inflammatory cytokines. PG - C740-9 AB - There is substantial evidence linking blood-brain barrier (BBB) failure during cerebral ischemia to matrix metalloproteinases (MMP). BBB function may be affected by loss of shear stress under normoxia/normoglycemia, as during cardiopulmonary bypass procedures. The present study used an in vitro flow-perfused BBB model to analyze the individual contributions of flow, cytokine levels, and circulating blood leukocytes on the release/activity of MMP-9, MMP-2, and their endogenous inhibitors, the tissue inhibitors of MMPs (TIMPs), TIMP-1, and TIMP-2. The presence of circulating blood leukocytes under normoxic/normoglycemic flow cessation/reperfusion significantly increased the luminal levels of MMP-9 and activity of MMP-2, accompanied by partial reduction of TIMP-1, complete reduction of TIMP-2 and increased BBB permeability. These changes were not observed during constant flow with circulating blood leukocytes, or after normoxic/normoglycemic or hypoxic/hypoglycemic flow cessation/reperfusion without circulating blood leukocytes. The addition of anti-IL-6 or anti-TNF-alpha antibody in the lumen before reperfusion suppressed the levels of MMP-9 and activity of MMP-2, had no effect on TIMP-1, and completely restored TIMP-2 and BBB integrity. Injection of TIMP-2 in the lumen before reperfusion prevented the activation of MMP-2 and BBB permeability. These data indicate that blood leukocytes and loss of flow are major factors in the activation of MMP-2, and that cytokine-mediated differential regulation of TIMP-1 and TIMP-2 may contribute significantly to BBB failure. FAU - Krizanac-Bengez, Ljiljana AU - Krizanac-Bengez L AD - Cerebrovascular Research Center, Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. bengezl@ccf.org FAU - Hossain, Mohammed AU - Hossain M FAU - Fazio, Vince AU - Fazio V FAU - Mayberg, Marc AU - Mayberg M FAU - Janigro, Damir AU - Janigro D LA - eng GR - HL-51614/HL/NHLBI NIH HHS/United States GR - NS-38195/NS/NINDS NIH HHS/United States GR - NS-43284/NS/NINDS NIH HHS/United States GR - NS-46513/NS/NINDS NIH HHS/United States GR - NS-49514/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20060517 PL - United States TA - Am J Physiol Cell Physiol JT - American journal of physiology. Cell physiology JID - 100901225 RN - 0 (Inflammation Mediators) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 127497-59-0 (Tissue Inhibitor of Metalloproteinase-2) RN - EC 3.4.24.- (Matrix Metalloproteinases) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Animals MH - *Blood Physiological Phenomena MH - Blood-Brain Barrier/drug effects/*metabolism MH - Capillary Permeability/drug effects MH - Cells, Cultured MH - Enzyme Activation/drug effects MH - Enzyme-Linked Immunosorbent Assay MH - Inflammation Mediators/*physiology MH - Injections MH - Leukocytes/*physiology MH - Matrix Metalloproteinase 2/metabolism MH - Matrix Metalloproteinase 9/metabolism MH - Matrix Metalloproteinases/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Stress, Mechanical MH - Tissue Inhibitor of Metalloproteinase-1/metabolism MH - Tissue Inhibitor of Metalloproteinase-2/administration & dosage/metabolism/pharmacology MH - Tissue Inhibitor of Metalloproteinases/*metabolism EDAT- 2006/05/19 09:00 MHDA- 2006/11/01 09:00 CRDT- 2006/05/19 09:00 PHST- 2006/05/19 09:00 [pubmed] PHST- 2006/11/01 09:00 [medline] PHST- 2006/05/19 09:00 [entrez] AID - 00516.2005 [pii] AID - 10.1152/ajpcell.00516.2005 [doi] PST - ppublish SO - Am J Physiol Cell Physiol. 2006 Oct;291(4):C740-9. doi: 10.1152/ajpcell.00516.2005. Epub 2006 May 17.