PMID- 31172218 OWN - NLM STAT- MEDLINE DCOM- 20190729 LR - 20200325 IS - 1420-9071 (Electronic) IS - 1420-682X (Print) IS - 1420-682X (Linking) VI - 76 IP - 16 DP - 2019 Aug TI - MMPs and ADAMs in neurological infectious diseases and multiple sclerosis. PG - 3097-3116 LID - 10.1007/s00018-019-03174-6 [doi] AB - Metalloproteinases-such as matrix metalloproteinases (MMPs) and a disintegrin and metalloproteinases (ADAMs)-are involved in various diseases of the nervous system but also contribute to nervous system development, synaptic plasticity and neuroregeneration upon injury. MMPs and ADAMs proteolytically cleave many substrates including extracellular matrix components but also signaling molecules and receptors. During neuroinfectious disease with associated neuroinflammation, MMPs and ADAMs regulate blood-brain barrier breakdown, bacterial invasion, neutrophil infiltration and cytokine signaling. Specific and broad-spectrum inhibitors for MMPs and ADAMs have experimentally been shown to decrease neuroinflammation and brain damage in diseases with excessive neuroinflammation as a common denominator, such as pneumococcal meningitis and multiple sclerosis, thereby improving the disease outcome. Timing of metalloproteinase inhibition appears to be critical to effectively target the cascade of pathophysiological processes leading to brain damage without inhibiting the neuroregenerative effects of metalloproteinases. As the critical role of metalloproteinases in neuronal repair mechanisms and regeneration was only lately recognized, the original idea of chronic MMP inhibition needs to be conceptually revised. Recently accumulated research urges for a second chance of metalloproteinase inhibitors, which-when correctly applied and dosed-harbor the potential to improve the outcome of different neuroinflammatory diseases. FAU - Muri, Lukas AU - Muri L AD - Neuroinfection Laboratory, Institute for Infectious Diseases, University of Bern, Friedbuhlstrasse 51, 3001, Bern, Switzerland. AD - Graduate School for Cellular and Biomedical Sciences (GCB), University of Bern, Freiestrasse 1, 3012, Bern, Switzerland. FAU - Leppert, David AU - Leppert D AD - Department of Neurology, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland. FAU - Grandgirard, Denis AU - Grandgirard D AD - Neuroinfection Laboratory, Institute for Infectious Diseases, University of Bern, Friedbuhlstrasse 51, 3001, Bern, Switzerland. FAU - Leib, Stephen L AU - Leib SL AUID- ORCID: 0000-0002-1106-6123 AD - Neuroinfection Laboratory, Institute for Infectious Diseases, University of Bern, Friedbuhlstrasse 51, 3001, Bern, Switzerland. stephen.leib@ifik.unibe.ch. LA - eng PT - Journal Article PT - Review DEP - 20190606 PL - Switzerland TA - Cell Mol Life Sci JT - Cellular and molecular life sciences : CMLS JID - 9705402 RN - 0 (Cytokines) RN - EC 3.4.24.- (ADAM Proteins) RN - EC 3.4.24.- (Matrix Metalloproteinases) MH - ADAM Proteins/*metabolism MH - Blood-Brain Barrier/metabolism MH - Cytokines/metabolism MH - Humans MH - Matrix Metalloproteinases/*metabolism MH - Multiple Sclerosis/metabolism/*pathology MH - Nervous System Diseases/metabolism/*pathology MH - Neurons/metabolism MH - Neutrophils/cytology/immunology/metabolism MH - Signal Transduction PMC - PMC7079810 OTO - NOTNLM OT - Bacterial meningitis OT - MMP OT - Metalloproteinase OT - Multiple sclerosis OT - Neuroinfection OT - Neuroinflammation EDAT- 2019/06/07 06:00 MHDA- 2019/07/30 06:00 PMCR- 2020/03/18 CRDT- 2019/06/08 06:00 PHST- 2019/05/23 00:00 [received] PHST- 2019/05/29 00:00 [accepted] PHST- 2019/05/23 00:00 [revised] PHST- 2019/06/07 06:00 [pubmed] PHST- 2019/07/30 06:00 [medline] PHST- 2019/06/08 06:00 [entrez] PHST- 2020/03/18 00:00 [pmc-release] AID - 10.1007/s00018-019-03174-6 [pii] AID - 3174 [pii] AID - 10.1007/s00018-019-03174-6 [doi] PST - ppublish SO - Cell Mol Life Sci. 2019 Aug;76(16):3097-3116. doi: 10.1007/s00018-019-03174-6. Epub 2019 Jun 6.