Reich A, Simsa Maziel S, Ashkenazi Z, Monsonego Ornan E. Involvement of matrix metalloproteinases in the growth plate response to physiological mechanical load. J Appl Physiol 108: 172-180, 2010. First published October 22, 2009 doi:10.1152/japplphysiol.00821.2009.-Enzymes from the matrix metalloproteinase (MMP) family play a crucial role in growth-plate vascularization and ossification via proteolytic cleavage and remodeling of the extracellular matrix. Their regulation in the growth plate is crucial for normal matrix assembly. Endochondral ossification, which takes place at the growth plates, is influenced by mechanical loading. Using an in vivo avian model for mechanical loading, we have found increased blood penetration into the growth plates of loaded chicks. The purpose of this work was to study the involvement of MMP-2, -3, -9, -13, and -16 in the growth plate's response to loading and in the catch-up growth resulting from load release. We found that mechanical loading, as well as release from load, upregulated MMP-2, -9, and -13 expressions. In contrast, MMP-3, associated with cartilage injuries, and its associated protein connective tissue growth factor (CTGF), were downregulated by the load. However, after release from load, MMP-3 was upregulated and CTGF levels were elevated and caught up with the control. MMP-3 and CTGF were also downregulated after 60 min of mechanical stretching in vitro. These results demonstrate the central role of MMPs in the growth plate's response to mechanical loading, as well as in the catch-up growth followed load release.connective tissue growth factor; chondrocyte; extracellular matrix; matrix metalloproteinase THE LONG BONES OF THE FETAL skeleton develop through the process of endochondral ossification, in which cartilage serves as the initial skeletal element and is later replaced by bone (9). After birth, longitudinal growth occurs in the growth plates (57), which contain chondrocytes at different stages of differentiation, organized into several zones: resting, proliferative, prehypertrophic, and hypertrophic (16). During endochondral ossification, the cartilage, an avascular tissue, is gradually converted into a highly vascularized tissue, bone (42). This process is accompanied by changes in extracellular matrix (ECM) synthesis and remodeling mediated mainly by enzymes from the matrix metalloproteinase (MMP) family.The MMPs are a family of zinc-dependent proteases (4) that include collagenases, stromelysins, and gelatinases (54). Their substrates are the ECM proteins (32, 37), and they are involved in proteolytic cleavage and remodeling of the cartilage (59) and regulation of angiogenesis (48). Twenty-four distinct MMPs have been cloned in humans, but only MMP