PMID- 22934840 OWN - NLM STAT- MEDLINE DCOM- 20131111 LR - 20181202 IS - 1943-3670 (Electronic) IS - 0022-3492 (Linking) VI - 84 IP - 5 DP - 2013 May TI - Matrix metalloproteinases, tissue inhibitors of matrix metalloproteinases, and inflammation in cyclosporine A-induced gingival enlargement: a pilot in vitro study using a three-dimensional model of the human oral mucosa. PG - 634-40 LID - 10.1902/jop.2012.120224 [doi] AB - BACKGROUND: It has been suggested that cyclosporine A (CsA) induces gingival enlargement by promoting an increase in the gingival extracellular matrix (ECM). Nonetheless, the variable occurrence of CsA-induced gingival enlargement in patients receiving this medication indicates a multifactorial pathogenesis. Clinical observations suggest that local inflammation is associated with the development and severity of CsA-induced gingival enlargement. Therefore, the purpose of this study is to investigate the effects of CsA and inflammation on the production of ECM homeostatic mediators. METHODS: The effects of CsA and inflammation (as assessed using interleukin [IL]-1beta) on the secretion of mediators involved in ECM homeostasis were determined using fibroblast monolayers and three-dimensional (3D) models of the human oral mucosa. Fibroblast monolayers and 3D cultures were treated with CsA alone or in combination with IL-1beta for up to 72 hours, and the secretion of matrix metalloproteinases (MMPs) 1, 2, 3, 8, 9, 10, and 13 and tissue inhibitors of MMPs (TIMPs) 1, 2, and 4 into the culture medium was assessed using enzyme-linked immunoassay-based antibody arrays. RESULTS: Fibroblast monolayers responded to CsA with no changes in the secretion of ECM mediators. Conversely, 3D cultures responded to CsA treatment with a reduction in MMP-10 secretion. IL-1beta alone triggered higher secretory levels of MMPs in both fibroblast monolayers (MMP-3 and MMP-10) and 3D cultures (MMP-9 and MMP-10). Importantly, fibroblast monolayers and 3D cultures treated with a combination of IL-1beta and CsA showed a decrease in the MMP-1/TIMP-1 ratio. CONCLUSIONS: These data support the hypothesis that inflammation may alter the pathogenesis of CsA-induced gingival enlargement by promoting a synergistic decrease in the MMP-1/TIMP-1 ratio. FAU - Johanson, Matthew AU - Johanson M AD - Department of Periodontics, The University of Texas Health Science Center, San Antonio, TX, USA. FAU - Zhao, Xiang R AU - Zhao XR FAU - Huynh-Ba, Guy AU - Huynh-Ba G FAU - Villar, Cristina C AU - Villar CC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120830 PL - United States TA - J Periodontol JT - Journal of periodontology JID - 8000345 RN - 0 (Extracellular Matrix Proteins) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 83HN0GTJ6D (Cyclosporine) RN - EC 3.4.24.- (Matrix Metalloproteinases) RN - EC 3.4.24.7 (Matrix Metalloproteinase 1) SB - IM MH - Analysis of Variance MH - Cells, Cultured MH - Cyclosporine/adverse effects MH - Extracellular Matrix Proteins/metabolism MH - Gingiva/cytology/metabolism MH - Gingival Overgrowth/*chemically induced/*enzymology/etiology MH - Humans MH - Inflammation/*complications/metabolism MH - Intercellular Signaling Peptides and Proteins/metabolism MH - Matrix Metalloproteinase 1/*metabolism MH - Matrix Metalloproteinases/*metabolism MH - Models, Anatomic MH - Mouth Mucosa/cytology/*enzymology MH - Pilot Projects MH - Statistics, Nonparametric MH - Tissue Inhibitor of Metalloproteinase-1/*metabolism MH - Tissue Inhibitor of Metalloproteinases/*metabolism EDAT- 2012/09/01 06:00 MHDA- 2013/11/12 06:00 CRDT- 2012/09/01 06:00 PHST- 2012/09/01 06:00 [entrez] PHST- 2012/09/01 06:00 [pubmed] PHST- 2013/11/12 06:00 [medline] AID - 10.1902/jop.2012.120224 [doi] PST - ppublish SO - J Periodontol. 2013 May;84(5):634-40. doi: 10.1902/jop.2012.120224. Epub 2012 Aug 30.