Abstract
Hypoxia-ischemia (HI) and excitotoxicity are validated causes of neonatal brain injuries and tissue plasminogen activator (t-PA) participates in the processes through proteolytic and receptor-mediated pathways. Brain microvascular endothelial cells from neonates in culture, contain and release more t-PA and gelatinases upon glutamate challenge than adult cells. We have studied t-PA to gelatinase (MMP-2 and MMP-9) activity links in HI and excitotoxicity lesion models in 5 day–old pups in wild type and in t-PA or its inhibitor (PAI-1) genes inactivated mice. Gelatinolytic activities were detected in SDS-PAGE zymograms and by in situ fluorescent DQ-gelatin microscopic zymographies. HI was achieved by unilateral carotid ligature followed by a 40 min hypoxia (8%O2). Excitotoxic lesions were produced by intra parenchymal cortical (i.c.) injections of 10 µg ibotenate (Ibo). Gel zymograms in WT cortex revealed progressive extinction of MMP-2 and MMP-9 activities near day 15 or day 8 respectively. MMP-2 expression was the same in all strains while MMP-9 activity was barely detectable in t-PA−/− and enhanced in PAI-1−/− mice. HI or Ibo produced activation of MMP-2 activities 6 hours post-insult, in cortices of WT mice but not in t-PA−/− mice. In PAI-1−/− mice, HI or vehicle i.c. injection increased MMP-2 and MMP-9 activities. In situ zymograms using DQ-gelatin revealed vessel associated gelatinolytic activity in lesioned areas in PAI-1−/− and in WT mice. In WT brain slices incubated ex vivo, glutamate (200 µM) induced DQ-gelatin activation in vessels. The effect was not detected in t-PA−/−mice, but was restored by concomitant exposure to recombinant t-PA (20 µg/mL). In summary, neonatal brain lesion paradigms and ex vivo excitotoxic glutamate evoked t-PA-dependent gelatinases activation in vessels. Both MMP-2 and MMP-9 activities appeared t-PA-dependent. The data suggest that vascular directed protease inhibition may have neuroprotection potential against neonatal brain injuries.
Highlights
Neonatal brain injuries are strongly associated to neonatal death or later disability in children
Ontogeny of Brain Gelatinase during Development Gelatinolytic activity decreases with age in WT neonatal brain
matrix metalloproteinase-2 (MMP-2) activity progressively decreased from birth to become hardly detectable from P15 onwards
Summary
Neonatal brain injuries are strongly associated to neonatal death or later disability in children. Besides a wide range of genetic defects, cerebral lesions acquired after hypoxia-ischemia and/or intracranial hemorrhage in the perinatal period predominates in at term and preterm infants, respectively. In Europe, the incidence of cerebral palsy vary in range from 1.5 to 2.5 per 1000 live births with little variation depending on state [1,2]. Despite progress in the fields of obstetrics and neonatology, the rates of neurological disabilities in at term or preterm infants in the 1990s were comparable to those observed in the early 1960s [3]. The development of therapies is difficult because lesions occur while brain maturation is still ongoing in this period and maturity is different depending on brain regions. Therapeutic interventions could interfere with developmental processes in brain as well as periphery
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