PMID- 31116709 OWN - NLM STAT- MEDLINE DCOM- 20191206 LR - 20211204 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 25 DP - 2019 May 22 TI - Klotho Protein Reduced the Expression of Matrix Metalloproteinase-1 (MMP-1) and Matrix Metalloproteinase-3 (MMP-3) in Fibroblasts from Patients with Pelvic Organ Prolapse (POP) by Down-Regulating the Phosphorylation of ERK1/2. PG - 3815-3824 LID - 10.12659/MSM.913623 [doi] AB - BACKGROUND Pelvic organ prolapse (POP) is due to age-related atrophy and the weakening of the tissues of the pelvic floor, with degradation of collagen and extracellular matrix (ECM) by metalloproteinases (MMPs). This study aimed to investigates the role of the age-related enzyme klotho, encoded by the KL gene, in cultured fibroblasts obtained from patients with POP and the levels of reactive oxygen species (ROS), interleukin-6 (IL-6), and MMPs. MATERIAL AND METHODS Pelvic floor fibroblasts were obtained from connective tissue from three patients with POP and three normal subjects. Cell proliferation and ROS production were measured using a cell counting kit-8 (CCK-8) assay and flow cytometry. Levels of interleukin-6 (IL-6), klotho, metalloproteinase-1 (MMP-1), MMP-3, extracellular signal-regulated kinases 1/2 (ERK1/2), and p-ERK1/2 were measured by enzyme-linked immunoassay (ELISA), quantitative real-time polymerase chain reaction (qRT-PCR), and Western blot. RESULTS In cultured pelvic floor fibroblasts from patients with POP, the expression of klotho protein and klotho mRNA were significantly down-regulated in fibroblasts from patients with POP compared with normal fibroblasts. Klotho supplementation in cultured fibroblasts for patients with POP included increased cell growth, reduced expression of ROS reduction, and reduced the secretion of IL-6. Using qRT-PCR and Western blot, klotho supplementation of fibroblasts from patients with POP increased cell growth and reduced the levels of IL-6 and ROS in a dose-dependent way. CONCLUSIONS Klotho protein reduced the expression of MMP-1 and MMP-3 in fibroblasts from patients with POP by down-regulating the phosphorylation of ERK1/2. FAU - Qiu, Jun AU - Qiu J AD - Department of Gynecology, The International Peace Maternity and Child Health Hospital of Shanghai Jiaotong University, Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China (mainland). FAU - Qin, Menglu AU - Qin M AD - Department of Gynecology, The International Peace Maternity and Child Health Hospital of Shanghai Jiaotong University, Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China (mainland). FAU - Fan, Bozhen AU - Fan B AD - Department of Gynaecology and Obstetrics, Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China (mainland). FAU - Chen, Xinliang AU - Chen X AD - Department of Gynecology, The International Peace Maternity and Child Health Hospital of Shanghai Jiaotong University, Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, China (mainland). LA - eng PT - Journal Article DEP - 20190522 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (Interleukin-6) RN - 0 (Reactive Oxygen Species) RN - 9007-34-5 (Collagen) RN - EC 3.2.1.31 (Glucuronidase) RN - EC 3.2.1.31 (Klotho Proteins) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - EC 3.4.24.7 (MMP1 protein, human) RN - EC 3.4.24.7 (Matrix Metalloproteinase 1) SB - IM MH - Adult MH - Aged MH - Cells, Cultured MH - China MH - Collagen/metabolism MH - Down-Regulation MH - Extracellular Matrix/metabolism MH - Female MH - Fibroblasts/metabolism MH - Glucuronidase/genetics/*metabolism MH - Humans MH - Interleukin-6/metabolism MH - Klotho Proteins MH - MAP Kinase Signaling System/physiology MH - Matrix Metalloproteinase 1/genetics/*metabolism MH - Matrix Metalloproteinase 3/genetics/*metabolism MH - Middle Aged MH - Pelvic Floor MH - Pelvic Organ Prolapse/*metabolism MH - Phosphorylation MH - Reactive Oxygen Species/metabolism MH - Signal Transduction PMC - PMC6542300 COIS- Conflict of interest None. EDAT- 2019/05/23 06:00 MHDA- 2019/12/18 06:00 PMCR- 2019/05/22 CRDT- 2019/05/23 06:00 PHST- 2019/05/23 06:00 [entrez] PHST- 2019/05/23 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2019/05/22 00:00 [pmc-release] AID - 913623 [pii] AID - 10.12659/MSM.913623 [doi] PST - epublish SO - Med Sci Monit. 2019 May 22;25:3815-3824. doi: 10.12659/MSM.913623.