Summary: During cerebral ischemia blood-brain barrier (BBB) disruption is a critical event leading to vasogenic edema and secondary brain injury. Gelatinases A and B are matrix metalloproteinases (MMP) able to open the BBB, The current study analyzes by zymography the early gelatinases expression and activation during permanent ischemia in mice (n = 15).ProMMP-9 expression was significantly (P < 0.001) increased in ischemic regions compared with corresponding contralateral regions after '1 hours of ischemia (mean 694.7 arbitrary units[AU], SD ± 238.4 versus mean 107.6 AU, SD ± 15.6) and remained elevated until 24 hours (mean 745,7 AU, SD ± 157.4). Moreover, activated MMP-9 was observed 4 hours after the initiation of ischemia. At the same time as the appearance Blood-brain barrier (BBB) integrity protects the neu ronal microenvironment (Cserr and Bundgaard, 1986). When this integrity is lost, inflammatory cells and fluid penetrate the brain, causing edema and cell death (Fish man, 1975), Impermeability of the BBB is maintained by microvascular endothelial cells through their tight junc tions (Siflinger-Birnboim et aI., 1987) and basal lamina. The latter is composed of type IV collagen, fibronectin, Received October 20, 1998; final revision received January 19, 1999; accepted January 20, 1999. Supported by National Institutes of Health grants NS 25372, NS 14543, NS 36147 and NOI NS 82386. Y. Gasche is a research fellow supported by the Geneva University Hospital Fund. P.H. Chan is a recipient of the Jacob Javits Neuroscience Investigator Award.Address correspondence and reprint requests to Dr. Pak H. Chan, Neurosurgical Laboratories, Stanford University, 701B Welch Road, Room 148, Palo Alto, CA 94304, U.S.A.Abbreviations used: BBB, blood-brain barrier; EDTA, ethylenedi amine tetraacetic acid; MMP, metalloproteinase; MMP-2, gelatinase A; MMP-9, gelatinase B; PBS, phosphate-buffered saline; pMCAO, per manent middle cerebral artery occlusion; ROS, reactive oxygen spe cies; SDS, sodium dodecyl sulfate; TIMP, tissue inhibitor of metallo proteinase; tMCAO, transient middle cerebral artery occlusion; TNCA, Tris HCI-NaCI-CaCI2• 1020 of activated MMP-9, we detected by the Evan's blue extrava sation method a clear increase of BBB permeability, Tissue inhibitor of metalloproteinase-1 was not modified during per manent ischemia at any time. The ProMMP-2 was significantly (P < 0.05) increased only after 24 hours of permanent ischemia (mean 213.2 AU, SD ± 60.6 versus mean 94.6 AU, SD ± 13.3), and no activated form was observed. The appearance of acti vated MMP-9 after 4 hours of ischemia in correlation with BBB permeability alterations suggests that MMP-9 may play an active role in early vasogenic edema development after stroke.