Matrix metalloproteinases (
MMPs) act in diverse physiological and pathological conditions such as
tumor growth and angiogenesis by cleaving extracellular matrix and nonmatrix substrates.
MMPs with
gelatinase/
collagenase activity have not yet been studied in juvenile
angiofibroma, a unique fibrovascular
tumor with prominent
collagen expression. Quantitative real-time polymerase chain reaction studies, Western blot analysis, immunofluorescence studies, gel zymography, and in situ zymography were used to analyze MMP-1, MMP-2, MMP-9, MMP-13, MMP-14,
TIMP-1, and
TIMP-2 in 9 juvenile
angiofibromas and 2 inferior nasal turbinate specimens. Quantitative real-time polymerase chain reaction found significantly elevated expression of MMP-2, MMP-9, and MMP-14 (P < .05) in
tumor tissue compared with the inferior nasal turbinate specimens. Western blot analysis detected more prominent MMP-1, MMP-2, and MMP-9
protein levels in juvenile
angiofibromas compared with inferior nasal turbinates, but not MMP-13, MMP-14,
TIMP-1, and
TIMP-2. Immunofluorescent staining proved a mainly stromal localization of the analyzed
MMPs. Only MMP-9 and MMP-14 were also detected in vessel walls. MMP-1, MMP-2, and MMP-13 also stained mast cells. Gel zymography indicated increased MMP-2 and MMP-9
gelatinase activity in juvenile
angiofibromas compared with inferior nasal turbinates. Finally, in situ zymography detected very high stromal
gelatinase/
collagenase activity. This study indicates significant expression of
MMPs with
gelatinase/
collagenase activity in juvenile
angiofibromas with evidence of a disturbed balance of
MMPs to TIMPs toward enhanced
MMP activity. These
MMPs are assumed to be involved in
tumor pathology with an influence on
tumor growth and angiogenesis.