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Matrix metalloproteinase-7 protects against acute kidney injury by priming renal tubules for survival and regeneration.

Abstract
Matrix metalloproteinase-7 (MMP-7) is a secreted endopeptidase that degrades a broad range of substrates. Recent studies have identified MMP-7 as an early biomarker to predict severe acute kidney injury (AKI) and poor outcomes after cardiac surgery; however, the role of MMP-7 in the pathogenesis of AKI is unknown. In this study, we investigated the expression of MMP-7 and the impact of MMP-7 deficiency in several models of AKI. MMP-7 was induced in renal tubules following ischemia/ reperfusion injury or cisplatin administration, and in folic acid-induced AKI. MMP-7 knockout mice experienced higher mortality, elevated serum creatinine, and more severe histologic lesions after ischemic or toxic insults. Tubular apoptosis and interstitial inflammation were more prominent in MMP-7 knockout kidneys. These histologic changes were accompanied by increased expression of FasL and other components of the extrinsic apoptotic pathway, as well as increased expression of pro-inflammatory chemokines. In a rescue experiment, exogenous MMP-7 ameliorated kidney injury in MMP-7 knockout mice after ischemia/reperfusion. In vitro, MMP-7 protected tubular epithelial cells against apoptosis by directly degrading FasL. In isolated tubules ex vivo, MMP-7 promoted cell proliferation by degrading E-cadherin and thereby liberating β-catenin, priming renal tubules for regeneration. Taken together, these results suggest that induction of MMP-7 is protective in AKI by degrading FasL and mobilizing β-catenin, thereby priming kidney tubules for survival and regeneration.
AuthorsHaiyan Fu, Dong Zhou, Haili Zhu, Jinlin Liao, Lin Lin, Xue Hong, Fan Fan Hou, Youhua Liu
JournalKidney international (Kidney Int) Vol. 95 Issue 5 Pg. 1167-1180 (05 2019) ISSN: 1523-1755 [Electronic] United States
PMID30878215 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2019 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.
Chemical References
  • CTNNB1 protein, mouse
  • Fas Ligand Protein
  • Fasl protein, mouse
  • beta Catenin
  • Folic Acid
  • Matrix Metalloproteinase 7
Topics
  • Acute Kidney Injury (chemically induced, pathology)
  • Animals
  • Apoptosis (physiology)
  • Cell Proliferation (physiology)
  • Cell Survival (physiology)
  • Disease Models, Animal
  • Epithelial Cells (metabolism)
  • Fas Ligand Protein (metabolism)
  • Folic Acid (toxicity)
  • Humans
  • Kidney Tubules (blood supply, drug effects, pathology)
  • Matrix Metalloproteinase 7 (genetics, metabolism)
  • Mice
  • Mice, Knockout
  • Proteolysis
  • Regeneration (physiology)
  • Reperfusion Injury (pathology)
  • Signal Transduction (physiology)
  • beta Catenin (metabolism)

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