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Matrix Metalloproteinases and Their Inhibitors in Connective
Matrix Metalloproteinases and Their Inhibitors in Connective
Matrix Metalloproteinases and Their Inhibitors in Connective
tissue remodeling
J. FREDERICK WOESSNER, JR.1
Department of Biochemistry and Molecular Biology, University of Miami School of Medicine, Miami Florida 33101, USA
ABSTRACT Matrix metalloproteinases are an impor- important disease processes such as joint destruction in rheu-
tant group of zinc enzymes responsible for degradation of matoid and osteoarthritis, tumor invasion, and periodontitis.
the extracellular matrix components such as collagen and The history of this field has been reviewed by Birkedal-
proteoglycans in normal embryogenesis and remodeling Hansen (3) and brief general reviews have appeared that em-
and in many disease processes such as arthritis, cancer, phasize the enzymology (4) and molecular biology of the
periodontitis, and osteoporosis. A matrixin family is metalloproteinases (5, 6).
defined, comprising at least seven members that range in In the 28 years since collagenase was discovered there has
size from Mr 28000 to 92000 and are related in gene se- been a burgeoning of this field, which culminated in the First
quence to collagenase. All family members are secreted as International Symposium on Matrix Metalloproteinases
zymogens that lose peptides of about 10,000 daltons upon held at Destin, Florida, in September of 1989. The proceed-
activition. Latency is due to a conserved cysteine that ings will appear as a supplement to the journal Matrix
binds to zinc at the active center. Latency is overcome by (7). In the bibliography I prepared for this issue there
physical (chaotropic agents), chemical (HOC1, mercurials), were 2700 references to metalloproteinases and their inhibi-
and enzymatic (trypsin, plasmin) treatments that separate tors. Obviously this vast material cannot be covered in de-
the cysteine residue from the zinc. Expression of the tail. Rather, I will review the properties of the proteinases
metalloproteinases is switched on by a variety of agents and their inhibitors with particular attention to the mecha-
acting through regulatory elements of the gene, particu- nisms that have arisen for the control of these enzymes. It is
larly the AP-1 binding site. A family of protein inhibitors easy to appreciate the potential danger to the organism that
of Mr 28,500 or less binds strongly and stoichiometri- might ensue upon secretion of proteinases that can digest its
cally in noncovalent fashion to inhibit members of the supporting framework. Therefore, there is strict regulation
family. The serum protein a2-macroglobulin and rela- of secretion, which occurs only at moments of need; there are
tives are also strongly inhibitory.-Woessner, J. F., Jr. multistep activation processes for the zymogen forms, and
Matrix metalloproteinases and their inhibitors in con- there are multiple tissue and blood inhibitors to check pro-
nective tissue remodeling. FASEBJ. 5: 2145-2154; 1991. teinase action before it goes too far.
Foa A TUMOR CELL TO METASTASIZE, IT must break away from The chief characteristics of the matrix metalloproteinases
its neighbors, force its way through the surrounding stroma, are:
and penetrate the basement membrane in order to enter the
circulation. When it arrives at its destination, these steps #{149}
The catalytic mechanism depends on zinc at the active
must be repeated in reverse order. These steps require exten- center.
sive degradation of the extracellular matrix components in- #{149}
The proteinases are secreted in zymogen form.
cluding interstitial collagens, basement membrane collagen #{149}
The zymogens can be activated by proteinases or by or-
(type IV), fibronectin, laminin, and various proteoglycans ganomercurials.
(1). The cell is able to accomplish this task because it is #{149}
Activation is accompanied or followed by a loss of Mr of
provided with a battery of metalloendopeptidases that are about 10,000.
secreted from the cell and are able to digest a wide range of #{149}
The cDNA sequences all show homology to that of col-
proteins of the extracellular matrix. However, such capabil- lagenase.
ity is not a peculiar property of tumor cells, but is almost #{149}
The enzymes cleave one or more components of the extra-
universally distributed among mesenchymal cells of all types cellular matrix.
and is also found in certain epithelial and endothelial cell #{149}
Activity is inhibited by tissue inhibitor of metallopro-
types. teinases (TIMP).2
The first member of the metalloproteinase family, col-
lagenase, was discovered by Gross and Lapi#{232}re (2) in 1962 in
the tail of the metamorphosing tadpole. Here the enzyme
was critical for the normal resorption of the tail connective ‘To whom correspondence should be sent, at: Department of Bio-
chemistry and Molecular Biology, R-127, University of Miami
tissue that accompanies maturation of the frog. Since that in-
School of Medicine, P.O. Box 016960, Miami, FL 33101, USA.
itial discovery a number of matrix metalloendopeptidases
2Abbreviations: AP-1, activator protein-l; IL 1, interleukin 1,
have been described. These are involved in many normal
MMP, matrix metalloproteinase; pump 1, putative metallopro-
remodeling processes such as embryonic development, post- teinase 1; T3F, transforming growth factor; TIMP, tissue inhibitor
partum involution of the uterus, bone and growth plate of metalloproteinase; TNF, tumor necrosis factor; TPA, 12-0-tetra-
remodeling, ovulation, and wound healing as well as in some decanoylphorbol-13-acetate; TRE, TPA responsive element.
This table presents recommended names for the matrixins, together with synonyms. The molecular weights are those deduced from cDNA (minus
the signal peptide) and those of the secreted form (variably glycosylated) and active forms (or forms). Minor forms are in parentheses.
ST4ELYSIN
ElI 82 c’II 112
213
El 1 i c’I I 113
1601
Figure 1. Domain structure of the matrixins of human origin. The number of amino acid residues is shown within each domain. Where
domains are deleted, the connection of remaining domains is indicated by a single line. C indicates the approximate position of the cysteine
switch. Sequence data may be found in ref 5.
sin and related microbial proteinases (20). It is seen that agents can cause the peptide containing the cysteine to fold
there are two His residues in the highly conserved consensus back, breaking the cysteine-zinc contact. In either event, the
sequence: Ala-Ala-His-Glu-hydrophobe-Gly-His (Table 2). enzyme can then attack this peptide autolytically and cleave
The recent review of zinc proteins by Vallee and Auld (20) it (by both intra- and intermolecular mechanisms). It is
emphasizes the importance of such a pair of His residues in likely that in vivo activation proceeds most frequently by
zinc binding. However, the third ligand in other zinc pro- proteolysis. Thus, enzymes such as plasmin may cleave to
teins is typically 13-160 residues distant. For example, in the left of the cysteine but still remove sufficient length of
thermolysin, this third ligand is Glu, separated by 19 resi- peptide so that the cysteine is no longer held in tight apposi-
dues from His in the COOH-terminal direction. Nothing tion to the zinc atom. Autolysis again ensues to produce the
comparable has been found in the matrixins; some suspicion cleaved, permanently active form of the enzyme.
may attach to the third conserved His residue six residues to As an illustration, collagenase is considered in more detail
the right (Table 2), but this residue is preceded by a highly (22). A partial sequence is shown for the region of interest:
variable residue.
R RN S !T LXV M Q PR C’3C VP DV A Q’#{176}P
V L TX C
It has long been a puzzle as to how collagenase (and other
matrixins) can be activated by so many different agents:
aminophenylmercuric acetate, HOd, sodium dodecyl sul-
fate, chaotropic agents, and various proteinases such as tryp- If one mixes latent collagenase from human rheumatoid
sin and plasmin. It appeared that a relatively inaccessible fibroblasts with human plasma kallikrein, the earliest
sulfhydryl group was involved. The sequence data (Table 2) cleavage is seen to the right of Arg35 or Arg36; trypsin (23)
reveal that there is a highly conserved cysteine residue in the and plasmin cleave at position 2. After this step, the active
proenzyme domain of each enzyme. Van Wart’s group (21) center of collagenase becomes exposed and produces an auto-
has proposed a cysteine switch model that is illustrated in lytic cleavage at position 3. The resultant collagenase is now
Fig. 2. It is believed that the conserved cysteine is coordi- active, but not fully so. Full activity is achieved only after
nated to the zinc atom at the active center, thereby excluding further cleavage beyond the Cys73 residue at position 5, ex-
water, which must be the fourth substituent in the active en- posing an NH2-terminal Phe group. This cleavage is
zyme (20). Various reagents can react with this cysteine, con- produced only by addition of stromelysin (MMP-3), which
verting it to a nonbinding form. Alternatively, chaotropic is therefore postulated to be important in the in vivo activa-
TABLE 2. Amino acid sequence of putative zinc binding region and cysteine switch region of matrix m#{128}talloproteinases
MMP-# Source and enzyme Cysteine switch region Putative zinc binding region Reference
Residues numbers from N-end of proenzyme, omitting signal peptide. Identities shown in boldface.
completely abolished the collagenase response. Recently, a lntegrin receptor antibody Interleukin Ia,
Iron (4) Platelet-derived growth factor
binding site for the transcription factor PEA3 has been
Phagocytosis Tumor necrosis factor a (4)
shown nine bases upstream from the AP-l site in the col- Polyhydroxyethylmethacrylate
lagenase gene; this protein acts synergistically with AP-i Other:
after phorbol induction. This regulatory unit has been Chemical agents: Viral transformation, oncogenes
dubbed TORU (TPA and oncogene responsive unit (60). For Cyclic AMP Autocrine agents (64)
the rabbit collagenase gene, Brinckerhoff (61) has shown the Colchicine (63) Aging of fibroblasts (65)
Cytochalasin B, D
presence of regulatory elements that respond positively to Lipopolysaccharide (63) Repressive factors:
phorbol esters and heat shock and negatively to dexametha- Mitomycin C Retinoic acid
sone and retinol. Response to TPA is enhanced only 14-fold Pentoxifylline (4) Glucocorticoids (63)
when 250 bp are present in the 5-flanking region, but Phorbol diesters Adenovirus-5 EIA gene (66)
39-fold when 1200 bp are present. This indicates the exis- Prostaglandin E (63) Estrogen (63)
tence of further modulation well upstream from the TRE Trifluoperazine Progesterone (63)
site.
Transforming growth factor fi (63)
5’-Flanking sequences are also known for stromelysin,
72-kDa gelatinase, and rat transin I and 2 (reviewed in ref “Unless otherwise indicated, factors are referenced in Frisch and Werb
62). The 5-flanking region of MMP-2 does not show a (62).
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preparation for tissue remodeling that may accompany ratios of 1:10 stromelysin:collagenase as well as fairly high
growth. Recently Brinckerhoff (64) has shown that fibro- levels of enzyme (22). No one has yet recovered active col-
blasts produce two protein autocrine factors related to serum lagenase from any tissue to determine the amino group ex-
amyloid and /32-microglobulin that regulate MMP-1 pro- posed.
duction.
Repressive factors that inhibit production of matrixins in-
clude retinoids, glucocorticoids, and TGF-13; the latter is par- BIOLOGICAL ROLE OF THE MATRIXINS
ticularly repressive when given in combination with a
stimulatory agent such as IL 1 (67). It has recently been A number of biological systems have been studied in great
shown (68-70) that glucocorticoids inhibit collagenase syn- detail. There is space here only to point to reviews of these
thesis by interfering with AP I activity through a mechanism topics. The central role of matrixins in basement membrane
that does not involve protein synthesis or binding of the hor- and matrix breakdown in tumor invasion and angiogenesis
mone receptor to DNA. Rather, mutual binding of the re- has been reviewed by Moscatelli and Rifkin (1). The rela-
ceptor protein and the c-jun protein prevents either one from tionships of collagenase to bone resorption during normal
binding to DNA. growth and turnover and in various disease states has been
detailed by Sakamoto and Sakamoto (74), who also cover
uterine involution, tadpole metamorphosis, ovulation,
IN VITRO VS. IN VIVO STUDIES OF THE wound healing, and periodontal disease. Destruction of ar-
METALLOPROTEINASES ticular cartilage by metalloproteinases is an important fea-
ture of both rheumatoid and osteoarthritis. Dean et at. (75)
Few studies have concerned activities of the matrixins in review the concept of an imbalance of metalloproteinases
vivo, and for an important reason. Tissue metalloproteinases and TIMP as contributing to the pathogenesis of osteoar-
are normally found only in tissues undergoing remodeling or thritis; this is an important concept in many disease pro-
breakdown, and then only in low levels on the order of 1-10 cesses. Closely allied to this topic is the involvement of metal-
ig per gram wet tissue. Moreover, the enzymes are difficult loproteinases in cartilage breakdown preparatory to calcifi-
to extract. Because the enzymes are not dislodged by deter- cation of the epiphyseal growth plate (76). Matrisian (6) has
gents, it was thought that they might be bound to matrix discussed the role of metalloproteinases in blastula implanta-
components such as collagen. I developed a method of ex- tion in the uterus and in embryogenesis of organs and tis-
traction based on the concept of melting the collagen at 60#{176}C sues. Tissue destruction by neutrophils is reviewed by
and dislodging collagenase with 0.1 M CaCl2 (71). Recently, Weiss (24).
other enzymes such as MMP-3 (72) and MMP-7 (14) were However, there are other ways to degrade extracellular
found to be extracted by the same regimen, although there matrix in addition to digestion by matrixins (74). Thus, the
is no reason to believe they would bind to collagen. Possibly neutrophil has a battery of enzymes such as elastase and
there are matrix receptors for the matrixins that have yet to cathepsin G (serine proteinases) that can degrade much of
be identified. If so, their interaction with the active form of the matrix. In tissues such as the involuting uterus there is
MMP-7 would suggest that the binding site on the various extensive phagocytosis of collagen and other matrix compo-
enzymes would lie within the minimal 19,000-dalton nents by macrophage-like cells that continue digestion intra-
domain. cellularly within the lysosomal system. Intracellular diges-
Although a great deal of information on MMP stimulation tion of collagen is important in osteoclastic remodeling of
and repression has been gathered, as illustrated in Table 3, bone as well.
this pertains in almost every case to cells and tissues in cul-
ture. Whether the same effects occur in living animals re-
mains to be explored in most cases. A cautionary example is FUTURE PROSPECTS
provided by the involuting postpartum uterus of the rat (73).
Collagenase production has been studied by direct assay in A vast amount of work remains to be done in this field. One
vivo and in cells cultured from this organ. In both cases, col- of the first requirements is for X-ray diffraction crystal struc-
lagenase was found to be produced in significant amounts tures. This will permit us to see the active center, the location
during the involution process. However, hormonal respon- of the zinc atom, the origin of latency, and the mode of bind-
sivity was quite different: estradiol suppressed the in vivo ing to TIMP. More important, it will facilitate the design
levels of collagenase and retarded collagen loss from the of inhibitors. At present only interstitial collagenase has been
uterus whereas it had no effect on cultured uterine cells. crystallize#{231}l. However, resolution has been disappointing
Progesterone, on the other hand, strikingly inhibited col- (about 4 A, ref 77) presumably because of partial autolysis
lagenase production in cultured uterine smooth muscle cells of the protein. A great deal remains to be learned about en-
but had little effect in vivo. Such differences might be due to zyme specificities: are the higher-numbered collagens IV
differences in hormone receptors on cultured cells vs. cells in and above cleaved in helical regions, are there peptide sub-
vivo or to further metabolism of hormones in either situation. strates that will distinguish among the various matrixins,
How do the matrixins become activated in vivo? Although what are the specificities for any of the enzymes besides cot-
organomercurials and trypsin will not be present in the tis- lagenase? This in turn could lead to the rational design of in-
sues, plasminogen may be expected to enter from the blood hibitors that would be useful in treating diseases such as
vessels and the mesenchymal cells can produce plasminogen cancers and the arthritides.
activators. Activation by plasmin is possible, but whether this Almost nothing is known about the evolution of the
is the pathway actually followed or there are other activating matrixin family. Collagen first makes its appearance in the
proteinases remains to be proven. A further question is coelenterates. Collagenase has not yet been observed in
whether the full activity of collagenase is reached in vivo by forms lower than the frog, although the sea urchin hatching
action of stromelysin. Is stromelysin present in sufficiently protease shows considerable homology with collagenase and
high concentration in the tissue to react with collagenase in stromelysin (78). Is collagenase to be expected in the lower
a reasonable time frame? The in vitro experiments used forms, or if not, what mechanisms exist for the breakdown
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