ABSTRACT
Controlled expression of matrix metalloproteinase-9 (MMP9) is vital for normal uterine
physiology, whereas abnormal expression of MMP9 is associated with uterine disease.
Despite the importance of MMP9 within the uterus, its regulation is poorly understood.
In this review, the complex regulation of MMP9 within the uterus is highlighted, and
the potential novel role of microRNAs in the regulation of this protease is discussed.
Emphasis is placed on the necessity to enhance our understanding of the regulation
of MMP9 expression, which may lead to the establishment of novel approaches to counteract
misexpression of this protease and the diseases associated with it.
KEYWORDS
MMP9 - uterus - estrogen - miRNA
REFERENCES
1
Nagase H, Woessner Jr J F.
Matrix metalloproteinases.
J Biol Chem.
1999;
274
21491-21494
2
Sternlicht M D, Werb Z.
How matrix metalloproteinases regulate cell behavior.
Annu Rev Cell Dev Biol.
2001;
17
463-516
3
Birkedal-Hansen H, Moore W G, Bodden M K et al..
Matrix metalloproteinases: a review.
Crit Rev Oral Biol Med.
1993;
4
197-250
4
Gomez D E, Alonso D F, Yoshiji H, Thorgeirsson U P.
Tissue inhibitors of metalloproteinases: structure, regulation and biological functions.
Eur J Cell Biol.
1997;
74
111-122
5
Brew K, Dinakarpandian D, Nagase H.
Tissue inhibitors of metalloproteinases: evolution, structure and function.
Biochim Biophys Acta.
2000;
1477
267-283
6
Yoshida S, Matsumoto K, Tomioka D et al..
Recombinant hepatocyte growth factor accelerates cutaneous wound healing in a diabetic
mouse model.
Growth Factors.
2004;
22
111-119
7
Curry Jr T E, Osteen K G.
The matrix metalloproteinase system: changes, regulation, and impact throughout the
ovarian and uterine reproductive cycle.
Endocr Rev.
2003;
24
428-465
8
Zhang X, Nothnick W B.
The role and regulation of the uterine matrix metalloproteinase system in menstruating
and non-menstruating species.
Front Biosci.
2005;
10
353-366
9
Bany B M, Harvey M B, Schultz G A.
Expression of matrix metalloproteinases 2 and 9 in the mouse uterus during implantation
and oil-induced decidualization.
J Reprod Fertil.
2000;
120
125-134
10
Freitas S, Meduri G, Le Nestour E, Bausero P, Perrot-Applanat M.
Expression of metalloproteinases and their inhibitors in blood vessels in human endometrium.
Biol Reprod.
1999;
61
1070-1082
11
Vincent A J, Malakooti N, Zhang J, Rogers P A, Affandi B, Salamonsen L A.
Endometrial breakdown in women using Norplant is associated with migratory cells expressing
matrix metalloproteinases-9 (gelatinase-B).
Hum Reprod.
1999;
14
807-815
12
Jeziorska M, Nagase H, Salamonsen L A, Woolley D E.
Immunolocalization of the matrix metalloproteinases gelatinase B and stromelysin 1
in human endometrium throughout the menstrual cycle.
J Reprod Fertil.
1996;
107
43-51
13
Rawdanowicz T J, Hampton A L, Nagase H, Woolley D E, Salamonsen L A.
Matrix metalloproteinase production by cultured human endometrial stromal cells: identification
of interstitial collagenase, gelatinase-A, gelatinase-B, and stromelysin-1 and their
differential regulation by interleukin-1 alpha and tumor necrosis factor-alpha.
J Clin Endocrinol Metab.
1994;
79
530-536
14
Salamonsen L A, Woolley D E.
Matrix metalloproteinases in normal menstruation.
Hum Reprod.
1996;
11(Suppl 2)
124-133
15
Stygar D, Wang H, Vladic Y S, Ekman G, Eriksson H, Sahlin L.
Increased level of matrix metalloproteinases 2 and 9 in the ripening process of the
human cervix.
Biol Reprod.
2002;
67
889-894
16
Skinner J L, Riley S C, Gebbie A E, Glasier A F, Critchley H O.
Regulation of matrix metalloproteinase-9 in endometrium during the menstrual cycle
and following administration of intrauterine levonorgestrel.
Hum Reprod.
1999;
14
793-799
17
Hickey M, Higham J, Sullivan M, Miles L, Fraser I S.
Endometrial bleeding in hormone replacement therapy users: preliminary findings regarding
the role of matrix metalloproteinase 9 (MMP9) and tissue inhibitors of MMPs.
Fertil Steril.
2001;
75
288-296
18
Vincent A J, Zhang J, Ostor A et al..
Decreased tissue inhibitor of metalloproteinase in the endometrium of women using
depot medroxyprogesterone acetate: a role for altered endometrial matrix metalloproteinase/tissue
inhibitor of metalloproteinase balance in the pathogenesis of abnormal uterine bleeding?.
Hum Reprod.
2002;
17
1189-1198
19
Galant C, Berliere M, Dubois D et al..
Focal expression and final activity of matrix metalloproteinases may explain irregular
dysfunctional endometrial bleeding.
Am J Pathol.
2004;
165
83-94
20
Chung H W, Wen Y, Chun S H, Nezhat C, Woo B H, Lake Polan M.
Matrix metalloproteinase-9 and tissue inhibitor of metalloproteinase-3 mRNA expression
in ectopic and eutopic endometrium in women with endometriosis: a rationale for endometriotic
invasiveness.
Fertil Steril.
2001;
75
152-159
21
Szamatowicz J, Laudanski P, Tomaszewska I.
Matrix metalloproteinase-9 and tissue inhibitor of matrix metalloproteinase-1: a possible
role in the pathogenesis of endometriosis.
Hum Reprod.
2002;
17
284-288
22
Collette T, Bellehumeur C, Kats R et al..
Evidence for an increased release of proteolytic activity by the eutopic endometrial
tissue in women with endometriosis and for involvement of matrix metalloproteinase-9.
Hum Reprod.
2004;
19
1257-1264
23
Collette T, Maheux R, Mailloux J, Akoum A.
Increased expression of matrix metalloproteinase-9 in the eutopic endometrial tissue
of women with endometriosis.
Hum Reprod.
2006;
21
3059-3067
24
Inagaki N, Stern C, McBain J, Lopata A, Kornman L, Wilkinson D.
Analysis of intra-uterine cytokine concentration and matrix metalloproteinase activity
in women with recurrent failed embryo transfer.
Hum Reprod.
2003;
18
608-615
25
Inagaki N, Ung L, Otani T, Wilkinson D, Lopata A.
Uterine cavity matrix metalloproteinases and cytokines in patients with leiomyoma,
adenomyosis or endometrial polyp.
Eur J Obstet Gynecol Reprod Biol.
2003;
111
197-203
26
Soini Y, Alarakkola E, Autio-Harmainen H.
Expression of messenger RNAs for metalloproteinases 2 and 9, type IV collagen, and
laminin in non-neoplastic and neoplastic endometrium.
Hum Pathol.
1997;
28
220-226
27
Di Nezza L A, Misajon A, Zhang J et al..
Presence of active gelatinases in endometrial carcinoma and correlation of matrix
metalloproteinase expression with increasing tumor grade and invasion.
Cancer.
2002;
94
1466-1475
28
Lopata A, Agresta F, Quinn M A, Smith C, Ostor A G, Salamonsen L A.
Detection of endometrial cancer by determination of matrix metalloproteinases in the
uterine cavity.
Gynecol Oncol.
2003;
90
318-324
29
Aglund K, Rauvala M, Puistola U et al..
Gelatinases A and B (MMP-2 and MMP9) in endometrial cancer – MMP9 correlates to the
grade and the stage.
Gynecol Oncol.
2004;
94
699-704
30
Kamat A A, Feng S, Agoulnik I U et al..
The role of relaxin in endometrial cancer.
Cancer Biol Ther.
2006;
5
71-77
31
Chantrain C F, Shimada H, Jodele S et al..
Stromal matrix metalloproteinase-9 regulates the vascular architecture in neuroblastoma
by promoting pericyte recruitment.
Cancer Res.
2004;
64
1675-1686
32
Ueno H, Yamashita K, Azumano I, Inoue M, Okada Y.
Enhanced production and activation of matrix metalloproteinase-7 (matrilysin) in human
endometrial carcinomas.
Int J Cancer.
1999;
84
470-477
33
Marbaix E, Donnez J, Courtoy P J, Eeckhout Y.
Progesterone regulates the activity of collagenase and related gelatinases A and B
in human endometrial explants.
Proc Natl Acad Sci U S A.
1992;
89
11789-11793
34
Cornet P B, Galant C, Eeckhout Y, Courtoy P J, Marbaix E, Henriet P.
Regulation of matrix metalloproteinase-9/gelatinase B expression and activation by
ovarian steroids and LEFTY-A/endometrial bleeding-associated factor in the human endometrium.
J Clin Endocrinol Metab.
2005;
90
1001-1011
35
Van den Steen P E, Dubois B, Nelissen I, Rudd P M, Dwek R A, Opdenakker G.
Biochemistry and molecular biology of gelatinase B or matrix metalloproteinase-9 (MMP9).
Crit Rev Biochem Mol Biol.
2002;
37
375-536
36
Zhang X, Christenson L K, Nothnick W B.
Regulation of MMP9 expression and activity in the mouse uterus by estrogen.
Mol Reprod Dev.
2007;
74
321-331
37
Ambros V.
The function of animal microRNAs.
Nature.
2004;
431
350-355
38
Bartel D P.
MicroRNAs: genomics, biogenesis, mechanism and function.
Cell.
2004;
116
281-297
39
He L, Hannon G J.
MicroRNAs: small RNAs with a big role in gene regulation.
Nat Rev Genet.
2004;
5
522-531
40
Valencia-Sanchez M A, Liu J, Hannon G J, Parker R.
Control of translation and mRNA degradation by miRNAs and siRNAs.
Genes Dev.
2006;
20
515-524
41
Iorio M V, Ferracin M, Liu C G et al..
MicroRNA gene expression deregulation in human breast cancer.
Cancer Res.
2005;
65
7065-7070
42
Calin G A, Croce C M.
MicroRNA-cancer connection: the beginning of a new tale.
Cancer Res.
2006;
66
7390-7394
43
Thomson J M, Newman M, Parker J S, Morin-Kensicki E M, Wright T, Hammond S M.
Extensive post-transcriptional regulation of microRNAs and its implications for cancer.
Genes Dev.
2006;
20
2202-2207
44
Saito Y, Liang G, Egger G et al..
Specific activation of microRNA-127 with down regulation of the proto-oncogne BCL6
by chromatin-modifying drugs in human cancer cells.
Cancer Cell.
2006;
9
435-443
Warren B NothnickPh.D.
Associate Professor, Departments of Obstetrics & Gynecology and Molecular & Integrative
Physiology, University of Kansas Medical Center
Mail stop 2028, 3901 Rainbow Boulevard, Kansas City, KS 66160
Email: wnothnic@kumc.edu