Advances in Clinical and Experimental Medicine
2009, vol. 18, nr 3, May-June, p. 303–309
Publication type: review article
Language: English
The Role of Metalloproteinases in the Pathogenesis of Chronic Obstructive Pulmonary Disease
Rola metaloproteinaz w patogenezie przewlekłej obturacyjnej choroby płuc
1 Department of Pulmonary Diseases and Pulmonary Neoplasms, Wroclaw Medical University, Poland
2 Department of Internal Medicine and Allergology, Wroclaw Medical University, Poland
Abstract
Chronic obstructive pulmonary disease (COPD) is a tobacco−related lung disease with an excessive and persistent inflammatory response. There is much evidence that the alterations within the extracellular matrix (ECM) evoked by connective tissue cell dysfunctions play a crucial role in the pathogenesis of COPD. Matrix metalloproteinases (MMPs) are believed to play a crucial role in the degradation of almost all extracellular matrix protein components. This effect may be responsible for the complete destruction of the alveolar walls and the formation of abnormal spaces evolving into larger bullae. Tissue inhibitors of metalloproteinases (TIMPs) regulate the synthesis, secretion, and activity of MMPs. The decreased secretion of TIMPs in COPD patients can favor increased elastolysis in the lung. The causes of the imbalance between MMPs and TIMPs in COPD are yet not clear. The development of new COPD therapies directed against specific MMPs and TIMPs should be the target of future research.
Streszczenie
Przewlekła obturacyjna choroba płuc (p.o.ch.p.) jest schorzeniem tytoniozależnym, w którym istotną rolę odgrywają mechanizmy zapalne. Prowadzą między innymi do zmian składu macierzy pozakomórkowej. Kluczową rolę w tym procesie odgrywają metaloproteinazy macierzy (MMPs – matrix metallproteinases). Jest to grupa enzymów powodująca trawienie niemal wszystkich białek macierzy pozakomórkowej, co prowadzi do zniszczenia ścian pęcherzyków płucnych i tworzenia dużych pęcherzy rozedmowych. Tkankowe inhibitory metaloproteinaz (TIMPs – tissue inhibitors of metalloproteinases) regulują syntezę, wydzielanie oraz aktywację MMPs. Zaburzenie równowagi MMPs/TIMPs na korzyść MMPs, obserwowane u chorych na p.o.ch.p., może sprzyjać nasileniu procesów elastolizy w płucach. Czynniki zaburzające homeostazę składników macierzy pozakomórkowej nie są dobrze poznane. Niezbędne są dalsze badania nad nowymi metodami terapii p.o.ch.p. skierowanymi na swoiste białka MMPs i TIMPs.
Key words
chronic obstructive pulmonary disease, extracellular matrix, metalloproteinases, tissue inhibitors of metalloproteinases
Słowa kluczowe
przewlekła obturacyjna choroba płuc, macierz pozakomórkowa, metaloproteinazy, tkankowy inhibitor metaloproteinaz
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