Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in Diabetes

Patients with diabetes suffer from poor fracture healing. Molecular reasons are not fully understood and our previous gene expression microarray analyses of regenerating bones from mice with type 2 diabetes (db<sup>−</sup>/db<sup>−</sup>) revealed accelerated activation of pa...

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Main Authors: Johannes Maximilian Wagner, Felix Reinkemeier, Christoph Wallner, Mehran Dadras, Stephanie Dittfeld, Marius Drysch, Alexander Sogorski, Maxi von Glinski, Marcus Lehnhardt, Björn Behr, Mustafa Becerikli
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/12/2/134
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author Johannes Maximilian Wagner
Felix Reinkemeier
Christoph Wallner
Mehran Dadras
Stephanie Dittfeld
Marius Drysch
Alexander Sogorski
Maxi von Glinski
Marcus Lehnhardt
Björn Behr
Mustafa Becerikli
author_facet Johannes Maximilian Wagner
Felix Reinkemeier
Christoph Wallner
Mehran Dadras
Stephanie Dittfeld
Marius Drysch
Alexander Sogorski
Maxi von Glinski
Marcus Lehnhardt
Björn Behr
Mustafa Becerikli
author_sort Johannes Maximilian Wagner
collection DOAJ
description Patients with diabetes suffer from poor fracture healing. Molecular reasons are not fully understood and our previous gene expression microarray analyses of regenerating bones from mice with type 2 diabetes (db<sup>−</sup>/db<sup>−</sup>) revealed accelerated activation of pathways concerning matrix metalloproteases (MMPs). Thus, we picked out the pathological MMP acceleration as a target for profound gene expression analyses and additional therapeutic intervention in the present study. In the first part, gene expression of ECM degrading proteinases and inhibitors was investigated three and seven days postoperatively. <i>Mmp3</i>, <i>Mmp9</i>, <i>Mmp13</i> and gene expression of MMP inhibitor <i>Timp2</i> was significantly higher in regenerating bone fractures of db<sup>−</sup>/db<sup>−</sup> compared to wild type animals. <i>Timp1</i> and metalloproteinase <i>AdamTS4</i> showed no differences. In the second part, we locally applied a single dose (1 µL of 5 µM solution) of the broad-spectrum molecular MMP inhibitor Marimastat on tibial defects in db<sup>−</sup>/db<sup>−</sup>. We performed immunohistochemical and histological stainings seven days post operation. Impaired bone healing, collagen content, angiogenesis, and osteoclast invasion in db<sup>−</sup>/db<sup>−</sup> were restored significantly by application of Marimastat compared to PBS controls (<i>n</i> = 7/group). Hence, local intervention of bone defects by the molecular MMP inhibitor Marimastat might be an alternative therapeutic intervention for bone healing in diabetes.
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spelling doaj.art-6a07295f57ec4ae4839a67cf51eb1d322023-11-23T20:44:36ZengMDPI AGLife2075-17292022-01-0112213410.3390/life12020134Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in DiabetesJohannes Maximilian Wagner0Felix Reinkemeier1Christoph Wallner2Mehran Dadras3Stephanie Dittfeld4Marius Drysch5Alexander Sogorski6Maxi von Glinski7Marcus Lehnhardt8Björn Behr9Mustafa Becerikli10Department of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyDepartment of Plastic and Reconstructive Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44789 Bochum, GermanyPatients with diabetes suffer from poor fracture healing. Molecular reasons are not fully understood and our previous gene expression microarray analyses of regenerating bones from mice with type 2 diabetes (db<sup>−</sup>/db<sup>−</sup>) revealed accelerated activation of pathways concerning matrix metalloproteases (MMPs). Thus, we picked out the pathological MMP acceleration as a target for profound gene expression analyses and additional therapeutic intervention in the present study. In the first part, gene expression of ECM degrading proteinases and inhibitors was investigated three and seven days postoperatively. <i>Mmp3</i>, <i>Mmp9</i>, <i>Mmp13</i> and gene expression of MMP inhibitor <i>Timp2</i> was significantly higher in regenerating bone fractures of db<sup>−</sup>/db<sup>−</sup> compared to wild type animals. <i>Timp1</i> and metalloproteinase <i>AdamTS4</i> showed no differences. In the second part, we locally applied a single dose (1 µL of 5 µM solution) of the broad-spectrum molecular MMP inhibitor Marimastat on tibial defects in db<sup>−</sup>/db<sup>−</sup>. We performed immunohistochemical and histological stainings seven days post operation. Impaired bone healing, collagen content, angiogenesis, and osteoclast invasion in db<sup>−</sup>/db<sup>−</sup> were restored significantly by application of Marimastat compared to PBS controls (<i>n</i> = 7/group). Hence, local intervention of bone defects by the molecular MMP inhibitor Marimastat might be an alternative therapeutic intervention for bone healing in diabetes.https://www.mdpi.com/2075-1729/12/2/134bone regenerationdiabetesgene expressionMMPMarimastat
spellingShingle Johannes Maximilian Wagner
Felix Reinkemeier
Christoph Wallner
Mehran Dadras
Stephanie Dittfeld
Marius Drysch
Alexander Sogorski
Maxi von Glinski
Marcus Lehnhardt
Björn Behr
Mustafa Becerikli
Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in Diabetes
Life
bone regeneration
diabetes
gene expression
MMP
Marimastat
title Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in Diabetes
title_full Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in Diabetes
title_fullStr Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in Diabetes
title_full_unstemmed Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in Diabetes
title_short Inhibition of Pathological Increased Matrix Metalloproteinase (MMP) Activity for Improvement of Bone Regeneration in Diabetes
title_sort inhibition of pathological increased matrix metalloproteinase mmp activity for improvement of bone regeneration in diabetes
topic bone regeneration
diabetes
gene expression
MMP
Marimastat
url https://www.mdpi.com/2075-1729/12/2/134
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