PMID- 22815495 OWN - NLM STAT- MEDLINE DCOM- 20121024 LR - 20211021 IS - 1529-2401 (Electronic) IS - 0270-6474 (Print) IS - 0270-6474 (Linking) VI - 32 IP - 29 DP - 2012 Jul 18 TI - Matrix metalloprotease 8-dependent extracellular matrix cleavage at the blood-CSF barrier contributes to lethality during systemic inflammatory diseases. PG - 9805-16 AB - Systemic inflammatory response syndrome (SIRS) is a highly mortal inflammatory disease, associated with systemic inflammation and organ dysfunction. SIRS can have a sterile cause or can be initiated by an infection, called sepsis. The prevalence is high, and available treatments are ineffective and mainly supportive. Consequently, there is an urgent need for new treatments. The brain is one of the first organs affected during SIRS, and sepsis and the consequent neurological complications, such as encephalopathy, are correlated with decreased survival. The choroid plexus (CP) that forms the blood-CSF barrier (BCSFB) is thought to act as a brain "immune sensor" involved in the communication between the peripheral immune system and the CNS. Nevertheless, the involvement of BCSFB integrity in systemic inflammatory diseases is seldom investigated. We report that matrix metalloprotease-8 (MMP8) depletion or inhibition protects mice from death and hypothermia in sepsis and renal ischemia/reperfusion. This effect could be attributed to MMP8-dependent leakage of the BCSFB, caused by collagen cleavage in the extracellular matrix of CP cells, which leads to a dramatic change in cellular morphology. Disruption of the BCSFB results in increased CSF cytokine levels, brain inflammation, and downregulation of the brain glucocorticoid receptor. This receptor is necessary for dampening the inflammatory response. Consequently, MMP8(+/+) mice, in contrast to MMP8(-/-) mice, show no anti-inflammatory response and this results in high mortality. In conclusion, we identify MMP8 as an essential mediator in SIRS and, hence, a potential drug target. We also propose that the mechanism of action of MMP8 involves disruption of the BCSFB integrity. FAU - Vandenbroucke, Roosmarijn E AU - Vandenbroucke RE AD - Department for Molecular Biomedical Research, Flanders Institute for Biotechnology, B-9052 Ghent, Belgium. FAU - Dejonckheere, Eline AU - Dejonckheere E FAU - Van Lint, Philippe AU - Van Lint P FAU - Demeestere, Delphine AU - Demeestere D FAU - Van Wonterghem, Elien AU - Van Wonterghem E FAU - Vanlaere, Ineke AU - Vanlaere I FAU - Puimege, Leen AU - Puimege L FAU - Van Hauwermeiren, Filip AU - Van Hauwermeiren F FAU - De Rycke, Riet AU - De Rycke R FAU - Mc Guire, Conor AU - Mc Guire C FAU - Campestre, Cristina AU - Campestre C FAU - Lopez-Otin, Carlos AU - Lopez-Otin C FAU - Matthys, Patrick AU - Matthys P FAU - Leclercq, Georges AU - Leclercq G FAU - Libert, Claude AU - Libert C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Neurosci JT - The Journal of neuroscience : the official journal of the Society for Neuroscience JID - 8102140 RN - 9007-34-5 (Collagen) RN - EC 3.4.24.34 (Matrix Metalloproteinase 8) RN - W980KJ009P (Corticosterone) SB - IM MH - Animals MH - Blood-Brain Barrier/*metabolism MH - Brain/metabolism MH - Choroid Plexus/metabolism MH - Collagen/metabolism MH - Corticosterone/blood MH - Endotoxemia/*metabolism MH - Extracellular Matrix/*metabolism MH - Female MH - Male MH - Matrix Metalloproteinase 8/*metabolism MH - Mice MH - Mice, Knockout MH - Systemic Inflammatory Response Syndrome/*metabolism PMC - PMC6621276 EDAT- 2012/07/21 06:00 MHDA- 2012/10/25 06:00 PMCR- 2013/01/18 CRDT- 2012/07/21 06:00 PHST- 2012/07/21 06:00 [entrez] PHST- 2012/07/21 06:00 [pubmed] PHST- 2012/10/25 06:00 [medline] PHST- 2013/01/18 00:00 [pmc-release] AID - 32/29/9805 [pii] AID - 3786687 [pii] AID - 10.1523/JNEUROSCI.0967-12.2012 [doi] PST - ppublish SO - J Neurosci. 2012 Jul 18;32(29):9805-16. doi: 10.1523/JNEUROSCI.0967-12.2012.