Abstract
Large bone defects represent major clinical problems in the practice of reconstructive orthopedic and craniofacial surgery. The aim of this study was to examine, through immunohistochemistry approach, the involvement of MMP-9 and CD68+ cells during tissue remodeling in response to natural hydroxyapatite (HA) implanted in rat subcutaneous tissue. Before experimentation, forty animals were randomly distributed into two experimental groups: Group-I (Gen-Ox™ micro-granules) and Group-II (Gen-Ox™ macro-granules). Afterwards, the biopsies were collected after 10, 20, 30, and 60 days post-implantation. Our results showed that at 10 days, a low-renewal foreign body type granuloma formation was observed in most of the cases. Macrophage- and fibroblast-like cells were the predominant type of cells positively stained for MMP-9 in both groups. Once macrophage-like cells seemed to be the major source of MMP9, antibody against pan-CD68 epitope was used to correlate these findings. In agreement, MMP-9 and CD68+ cells were distributed at the periphery and the central region of the granuloma in all experimental periods, however no staining was observed in cell contacting to material. Besides macrophages, the lysosomal glycoprotein epitope recognized by CD68 antibodies can be expressed by mast cell granules and sometimes by fibroblasts. Taken together, our results suggest that xenogenic HA promotes extracellular matrix remodeling through induction of MMP-9 activity and presence of CD68+ cells.
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Accorsi-Mendonça T, Zambuzzi WF, Paiva KBS, Lauris JR, Cestari TM, Taga R, Granjeiro JM (2005) Expression of metalloproteinase 2 in the cell response to porous demineralized bovine bone matrix. J Mol Histol 36:311–316
Accorsi-Mendonça T, Paiva KB, Zambuzzi WF, Cestari TM, Lara VS, Sogayar MC, Taga R, Granjeiro JM (2008a) Expression of matrix metalloproteinases-2 and -9 and RECK during alveolar bone regeneration in rat. J Mol Histol 39:201–208
Accorsi-Mendonça T, Conz MB, Barros TC, Sena LA, Soares de GA, Granjeiro JM (2008b) Physicochemical characterization of two deproteinized bovine xenografts. Braz Oral Res 22:5–10
Artzi Z, Tal H, Dayan D (2001) Porous bovine bone mineral in healing of human extraction sockets: 2. Histochemical observations at 9 months. J Periodontol 72:152–159
Cestari TM, Granjeiro JM, de Assis GF, Garlet GP, Taga R (2009) Bone repair and augmentation using block of sintered bovine-derived anorganic bone graft in cranial bone defect model. Clin Oral Implants Res 20:340–350
Coelho PG, Granjeiro JM, Romanos GE, Suzuki M, Silva NR, Cardaropoli G, Thompson VP, Lemons JE (2009) Basic research methods and current trends of dental implant surfaces. J Biomed Mater Res B Appl Biomater 88:579–596
Corotti MV, Zambuzzi WF, Paiva KB, Menezes R, Pinto LC, Lara VS, Granjeiro JM (2009) Immunolocalization of matrix metalloproteinases-2 and -9 during apical periodontitis development. Arch Oral Biol 54:764–771
Coussens LM, Fingleton B, Matrisian LM (2002) Matrix metalloproteinase inhibitors and cancer: trials and tribulations. Science 295:2387–2392
Delaissé JM, Engsig MT, Everts V, del Carmen Ovejero M, Ferreras M, Lund L, Vu TH, Werb Z, Winding B, Lochter A, Karsdal MA, Troen T, Kirkegaard T, Lenhard T, Heegaard AM, Neff L, Baron R (2000) Foged NT (2000) Proteinases in bone resorption: obvious and less obvious roles. Clin Chim Acta. 291:223–234
Dormán G, Kocsis-Szommer K, Spadoni C, Ferdinandy P (2007) MMP inhibitors in cardiac diseases: an update. Recent Pat Cardiovasc Drug Discov 2:186–194
Elenitsas R, Schuchter LM (1998) The role of the pathologist in the diagnosis of melanoma. Curr Opin Oncol 10:162–169
Garrett AP, Wenham RM, Sheets EE (2002) Monsel’s solution: a brief history. J Low Genit Tract Dis 6:225–227
Gonçalves F, Granjeiro JM, Cestari TM, Taga R, Oliveira RC, Zanetti RV, Zanetti AL (2005) Ridge Augmentation by using xenogenic materials: case report. Implant News 2:491–497
Hannas AR, Pereira JC, Granjeiro JM, Tjäderhane L (2007) The role of matrix metalloproteinases in the oral environment. Acta Odontol Scand 65:1–13
Heikkilä P, Teronen O, Moilanen M, Konttinen YT, Hanemaaijer R, Laitinen M, Maisi P, van der Pluijm G, Bartlett JD, Salo T, Sorsa T (2002) Bisphosphonates inhibit stromelysin-1 (MMP-3), matrix metalloelastase (MMP-12), collagenase-3 (MMP-13) and enamelysin (MMP-20), but not urokinase-type plasminogen activator, and diminish invasion and migration of human malignant and endothelial cell lines. Anti-Cancer Drug 13:245–254
Keibel A, Singh V, Sharma MC (2009) Inflammation, microenvironment, and the immune system in cancer progression. Curr Pharm Des 15:1949–1955
Kneser U, Schaefer DJ, Polykandriotis E, Horch RE (2006) Tissue engineering of bone: the reconstructive surgeon’s point of view. J Cell Mol Med 10:7–19
Kunisch E, Fuhrmann R, Roth A, Winter R, Lungershausen W, Kinne RW (2004) Macrophage specificity of three anti-CD68 monoclonal antibodies (KP1, EBM11, and PGM1) widely used for immunohistochemistry and flow cytometry. Ann Rheum Dis 63(7):774–784
Laquerrier P, Grandjean-Laquerrier A, Addadi-Rebbah S, Jallot E, Laurent-Maquin D, Frayssinet P, Guenounou M (2004) MMP-2, MMP-9 and their inhibitors TIMP-2 and TIMP-1 production by human monocytes in vitro in the presence of different forms of hydroxyapatite particles. Biomaterials 5:2515–2524
Makowiski GS, Ramsby ML (2003) Zymographic analysis of latent and activated forms of matrix metalloproteinase-2 and -9 in synovial fluid: correlation to polymorphonuclear leukocyte infiltration and in response to infection. Clin Chim Acta 329:77–81
McCawley LJ, Matrisian LM (2001) Matrix Metalloproteinases: they are not just for matrix anymore! Curr Opin Cell Biol 13:534–540
Mellonig JT (1999) Human Histologic evaluation of a bovine-derived bone xenograft in the treatment of periodontal osseous defects. Int J Periodontics Restorative Dent 20:19–29
Menezes R, Bramante CM, Silva Paiva KB, Letra A, Carneiro E, Fernando Zambuzzi W, Granjeiro JM (2006) Receptor activator NFkappaB-ligand and osteoprotegerin protein expression in human periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:404–409
Morgan MP, Cooke MM, Christopherson PA, Westfall PR, McCarthy GM (2001) Calcium hydroxyapatite promotes mitogenesis and matrix metalloproteinase expression in human breast cancer cell lines. Mol Carcinog 32:111–117
Muroski ME, Roycik MD, Newcomer RG, Van den Steen PE, Opdenakker G, Monroe HR, Sahab ZJ, Sang QX (2008) Matrix metalloproteinase-9/gelatinase B is a putative therapeutic target of chronic obstructive pulmonary disease and multiple sclerosis. Curr Pharm Biotechnol 9:34–46
Nakata H, Ohtsuki T, Sisido M (2009) A protease inhibitor discovery method using fluorescence correlation spectroscopy with position-specific labeled protein substrates. Anal Biochem 390:121–125
Nickoloff BJ, Griffiths CE (1989) The spindle-shaped cells in cutaneous Kaposi’s sarcoma. Histologic simulators include factor XIIIa dermal dendrocytes. Am J Pathol 135:793–800
Oliveira RC, Menezes R, Cestari TM, Taga EM, Taga R, Buzalaf MAR, Granjeiro JM (2004) Tissue response to a membrane of demineralized bovine cortical bone implanted in the subcutaneous tissue of rats. Braz Dent J 15:3–8
Oliveira RC, Carneiro E, Cestari TM, Taga R, Granjeiro JM (2006) Dynamics of subcutaneous tissue response to the implantation of tetracycline-treated or untreated membrane of demineralized bovine cortical bone in rats. J Biomater Appl 21:167–178
Paiva KB, Zambuzzi WF, Accorsi-Mendonça T, Taga R, Nunes FD, Sogayar MC, Granjeiro JM (2009) Rat forming incisor requires a rigorous ECM remodeling modulated by MMP/RECK balance. J Mol Histol 40:201–207
Pilling D, Fan T, Huang D, Kaul B, Gomer RH (2009) Identification of markers that distinguish monocyte-derived fibrocytes from monocytes, macrophages, and fibroblasts. PLoS One 4:e7475
Rittenberg B, Partridge E, Baker G, Clokie C, Zohar R, Dennis JW, Tenenbaum HC (2005) Regulation of BMP-induced ectopic bone formation by Ahsg. J Orthop Res 23:653–662
Stavropoulos A, Kostopoulos L, Nyengaard JR, Karring T (2003) Deproteinized bovine bone (Bio-Oss) and bioactive glass (Biogran) arrest bone formation when used as an adjunct to guided tissue regeneration (GTR): an experimental study in the rat. J Clin Periodontol 30:636–643
Urist MR (1970) Quantitation of new bone formation in intramuscular implants of bone matrix in babbits. Clin Orthop 68:279–293
Valleala H, Hanemaaijer R, Mandelin J, Salminen A, Teronen O, Mönkkönen J, Konttinen YT (2003) Regulation of MMP-9 (gelatinase B) in activated human monocyte/macrophages by two different types of bisphosphonates. Life Sci 73:2413–2420
van Heest A, Swiontkowski M (1999) Bone-Graft Substitutes. Lancet 353:28–29
Vasikaran SD (2001) Bisphosphonates: an overview with special reference to alendronate. Ann Clin Biochem 38:608–623
Welker P, Grabbe J, Zuberbier T, Guhl S, Henz BM (2000) Mast cell and myeloid marker expression during early in vitro mast cell differentiation from human peripheral blood mononuclear cells. J Invest Dermatol 114(1):44–50
Woessner JF, Nagase H (2000) Matrix Metalloproteinases and TIMPs. Oxford Univ Press, New York
Zambuzzi WF, Oliveira RC, Alanis D, Menezes R, Letra A, Cestari TM, Taga R, Granjeiro JM (2005) Tissue response to porous microgranular bovine inorganic bone implanted in rat subcutaneous tissue. J Appl Oral Sci 13:382–386
Zambuzzi WF, Oliveira RC, Pereira FL, Cestari TM, Taga R, Granjeiro JM (2006a) Rat subcutaneous tissue response to macrogranular porous anorganic bovine bone graft. Braz Dent J 17:274–278
Zambuzzi WF, Oliveira RC, Piozzi R, Cestari TM, Taga R, Buzalaf MAR, Granjeiro JM (2006b) Histological evaluation of acellular and demineralized fetal bovine bone in the subcutaneous of rats. Rev Bras Ortop 41:227–232
Zambuzzi WF, Yano CL, Cavagis AD, Peppelenbosch MP, Granjeiro JM, Ferreira CV (2009a) Ascorbate-induced osteoblast differentiation recruits distinct MMP-inhibitors: RECK and TIMP-2. Mol Cell Biochem 322:143–150
Zambuzzi WF, Paiva KB, Batista AC, Lara VS, Granjeiro JM (2009b) Immunohistochemical approach reveals involvement of inducible nitric oxide synthase in rat late development. J Mol Histol 40:235–240
Acknowledgments
We would like to thank Tania M. Cestari and Danielle S. Ceolin for exceptional technician support. This work was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (W.F.Z., 08/53003-9).
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Zambuzzi, W.F., Paiva, K.B.S., Menezes, R. et al. MMP-9 and CD68+ cells are required for tissue remodeling in response to natural hydroxyapatite. J Mol Hist 40, 301–309 (2009). https://doi.org/10.1007/s10735-009-9241-2
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DOI: https://doi.org/10.1007/s10735-009-9241-2