2007
DOI: 10.1002/art.22844
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Differential regulation of matrix metalloproteinase 2 and matrix metalloproteinase 9 by activated protein C: Relevance to inflammation in rheumatoid arthritis

Abstract: Objective. To investigate the in vitro effect of activated protein C (APC), a natural anticoagulant and novel antiinflammatory agent, on the regulation of the gelatinases matrix metalloproteinase 2 (MMP-2) and MMP-9.Methods. Synovial fibroblasts and peripheral blood monocytes isolated from patients with rheumatoid arthritis (RA) or osteoarthritis (OA) and Mono Mac6 cells were used in this study. After treatment, cells and culture supernatants were collected for zymography, enzyme-linked immunosorbent assay, re… Show more

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Cited by 72 publications
(61 citation statements)
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“…MMP-9 activation mechanisms are largely unknown (for review, see ref. 39), and in other cell types, APC does not induce activation of MMP-9 (12,40), suggesting that it is likely not a direct effect in our cartilage cultures.…”
Section: Discussionmentioning
confidence: 74%
“…MMP-9 activation mechanisms are largely unknown (for review, see ref. 39), and in other cell types, APC does not induce activation of MMP-9 (12,40), suggesting that it is likely not a direct effect in our cartilage cultures.…”
Section: Discussionmentioning
confidence: 74%
“…APC not only increases collagen 1 expression by osteoblasts, 145 liver myofibroblasts, 146 tenocytes, 147 and collagen IV by endothelial cells, 148 but also regulates MMP expression/activation with a stimulatory effect on MMP-2 by skin keratinocyte, fibroblasts, and endothelial cells 148,149 and an inhibitory effect on MMP-9 by rheumatoid synovial fibroblasts. 150 Moreover, our recent data show that APC has the ability to differentially modify the production of TGF-bs (Fig. 4).…”
Section: Apc a Potential Agent To Prevent/ Treat Abnormal Scarring?mentioning
confidence: 89%
“…APC directly activates proMMP-2 (47), and the level of APC is elevated in RA synovial joints, where it colocalizes with MMP-2 (48). In RA fibroblasts and monocytes, APC downregulates proMMP-9 synthesis, reduces tumor necrosis factor ␣ (TNF␣) production, and inhibits NF-B-and p38 mitogen-activated protein kinase activity (49). These observations are dependent on APC binding to its specific receptor, endothelial protein C receptor (EPCR), although this receptor does not signal.…”
Section: Activated Protein C (Apc)mentioning
confidence: 99%