4.7 Article

Matrix Metalloproteinase Inhibition in a Murine Model of Cavitary Tuberculosis Paradoxically Worsens Pathology

期刊

JOURNAL OF INFECTIOUS DISEASES
卷 219, 期 4, 页码 633-636

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OXFORD UNIV PRESS INC
DOI: 10.1093/infdis/jiy373

关键词

Tuberculosis; matrix metalloproteinases; cavities; cipemastat; mouse

资金

  1. National Institutes of Health [R01-EB-020539, DP2-OD-006492]

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Matrix metalloproteinases (MMPs) degrade extracellular matrix and are implicated in tuberculosis pathogenesis and cavitation. In particular, MMP-7 is induced by hypoxia and highly expressed around pulmonary cavities of Mycobacterium tuberculosis-infected C3HeB/FeJ mice. In this study, we evaluated whether administration of cipemastat, an orally available potent inhibitor of MMP-7, could reduce pulmonary cavitation in M. tuberculosis-infected C3HeB/FeJ mice. We demonstrate that, compared with untreated controls, cipemastat treatment paradoxically increases the frequency of cavitation (32% vs 7%; P =.029), immunopathology, and mortality. Further studies are needed to understand the role of MMP inhibitors as adjunctive treatments for pulmonary tuberculosis.

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