Cardiac myofibroblasts are pivotal to adaptive remodelling after
myocardial infarction (MI). These normally quiescent cells invade and proliferate as a wound healing response, facilitated by activation of
matrix metalloproteinases, particularly MMP-2. Following MI these reparative events occur under chronically hypoxic conditions yet the mechanisms by which
hypoxia might modulate MMP-2 activation and cardiac myofibroblast invasion have not been investigated. Human cardiac myofibroblasts cultured in
collagen-supplemented medium were exposed to normoxia (20% O(2)) or
hypoxia (1% O(2)) for up to 48 h. Secreted levels of total and active MMP-2 were quantified using
gelatin zymography,
TIMP-2 and membrane-associated
MT1-MMP were quantified with ELISA, whole cell
MT1-MMP by immunoblotting and immunocytochemistry and
MT1-MMP mRNA with real-time RT-PCR. Cellular invasion was assessed in modified Boyden chambers and migration by scratch
wound assay. In the human cardiac myofibroblast,
MT1-MMP was central to MMP-2 activation and activated MMP-2 necessary for invasion, confirmed by gene silencing. MMP-2 activation was substantially attenuated by
hypoxia (P<0.001), paralleled by inhibition of myofibroblast invasion (P<0.05). In contrast, migration was independent of either
MT1-MMP or MMP-2. Reduced membrane expression of
MT1-MMP (P<0.05) was responsible for the hypoxic reduction of MMP-2 activation, with no change in either total MMP-2 or
TIMP-2. In conclusion,
hypoxia reduces MMP-2 activation and subsequent invasion of human cardiac myofibroblasts by reducing membrane expression of
MT1-MMP and may delay healing after MI. Regulation of these
MMPs remains an attractive target for therapeutic intervention.