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1 From the Connective Tissue Biology Laboratories, School of Biosciences, Cardiff University, Wales, United Kingdom.
| Abstract |
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| Introduction |
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Age-related vitreous liquefaction is thought to contribute to posterior vitreous detachment (PVD) which, if incomplete, may lead to retinal detachment or formation of macular hole and blindness. PVD is associated with separation of the vitreous cortex from the inner limiting lamina (ILL), suggesting that as well as extracellular matrix degradation within the vitreous body, there may be significant degradation at the periphery resulting in weakened interactions between the vitreous and ILL. Studies have shown that there is loss of adherence of the vitreous cortex to the ILL with increased age.4 Because the vitreous is relatively acellular, degradative enzymes must be produced either by the few hyalocytes found within the vitreous cortex or, alternatively, by exogenous sources, such as the cells of the vitreous base and retina or from compromised vasculature in surrounding tissues.
Enzymes involved in the degradation and remodeling of connective tissues include matrix metalloproteinases (MMPs), cysteine proteases, and serine proteases.5 MMPs are involved in physiological and pathologic extracellular matrix remodeling and both progelatinase A (proMMP-2) and gelatinase B (MMP-9) have been identified previously in human vitreous.6 7 MMP-2 cleaves denatured collagen and a number of native collagens present in the vitreous or surrounding tissues, including types IV, V, VII, and XI. The possible role of MMP-2 in vitreous liquefaction is supported by recent findings that it can cleave the hybrid type V/XI collagen and, in vitro, is capable of liquefying the vitreous gel.8
The concentration of serum proteins in vitreous,9 which may include serine proteases such as plasmin, increases with age. Plasmin can degrade fibronectin, type IV collagen, proteoglycan core protein, and fibrin,5 and evidence for its role in MMP-2 activation has been reported recently.10 It may therefore be speculated that increased levels of plasmin leads to increased activation of endogenous proMMP-2 in vitreous.
In this study, we measured the levels of several proteases in vitreous samples from individuals of less than or more than 50 years of age to test the hypothesis that liquefaction and increased susceptibility to PVD are associated with increased degradative capacity of the vitreous. These findings show increased vitreous proteolytic activity in individuals of more than 50 years of age, suggesting a correlation with the increase in vitreous liquefaction known to occur within this age group.
| Methods |
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By the methods to be described, samples were analyzed in two groups, one of less than and one of more than 50 years of age. These groupings were based on the assumption that increased levels of degradative activity would be associated with the increased levels of vitreous liquefaction observed in older people.2 For all analyses, values obtained were related to unit volumes of vitreous sample, as opposed to vitreal protein concentrations, because the latter may be subject to selective filtration of proteins on the basis of molecular weight, if derived from extravitreal sources.
SDSPolyacrylamide Gel Electrophoresis
Liquefied vitreous samples (15 µl), prepared as described, were
resolved by SDSpolyacrylamide gel electrophoresis
(SDS-PAGE)11
on 10% (wt/vol) polyacrylamide gels.
After electrophoresis, the gels were stained with Coomassie Brilliant
Blue R250 (0.005% wt/vol; Sigma, Poole, UK) in 7.5% (vol/vol)
acetic acid, and 10% (vol/vol) methanol, and subsequently destained in
7.5% (vol/vol) acetic acid and 10% (vol/vol) methanol. To ascertain
the molecular weights of protein species detected after Coomassie blue
staining or substrate gel zymography, a range of prestained molecular
weight standards (7.2205 kDa; BioRad Laboratories, Herts, UK) were
applied to the gels (5 µl per lane).
Gelatin and Casein Substrate Zymography for Protease Activity
MMP and serine proteinase activities were detected by gelatin and
casein zymography respectively, as described previously.12
Gelatin (bovine skin; Sigma) or casein (casein Hammarsten; BDH
Chemicals, Poole, UK), at a final substrate concentration of 0.5 mg/ml,
were incorporated into SDS-polyacrylamide gels containing 10% or 12%
(wt/vol) acrylamide respectively.
Standard volumes of vitreous samples (15 µl), bovine fibroblastconditioned medium (10 µl) known to contain MMP activity, and protein molecular weight standards were loaded onto the gels and resolved by electrophoresis. The gels were agitated in 2.5% (vol/vol) Triton X-100 for 1 hour and subsequently incubated for 16 to 20 hours at 37°C in buffers optimal for proteolysis. Gelatin substrate gels were incubated in 50 mM Tris/HCl (pH 7.8), containing 50 mM CaCl2, 0.5 M NaCl, and 1 mM aminophenylmercuric acetate (APMA). Although SDS activates proMMP-2 and proMMP-9, APMA was included to ensure that they were activated fully. Casein substrate gels were incubated in 100 mM sodium phosphate buffer (pH 6.8), containing 8 mM EDTA and 0.2% (vol/vol) Triton X-100.
Gels were stained with Coomassie blue as described and areas of proteolysis corresponding to degradative activity were observed as clear, unstained bands. Serine protease activities were identified by their sensitivity to inhibition by 1 mM phenylmethylsulfonyl fluoride (PMSF) and soybean trypsin inhibitor (1 µg/ml). MMP activities were subjected to inhibition by 10 mM EDTA.
Quantification of MMP-2 Activity by Gelatin Zymography
The relative MMP-2 activity in a standard volume (15 µl) of each
vitreous sample was quantified using a linear response curve. Different
loadings of the MMP-2 standard (fibroblast conditioned medium) were
processed by zymography, as described, and the substrate cleared was
measured by scanning densitometry (Umax color scanner [Umax
Systems GMbH, Germany] and Photoshop [Adobe, San Jose, CA] and NIH
Image [National Institutes of Health, Bethesda, MD] imaging
software). The range of enzyme activity that produced a linear
densitometric response as detected by the color scanner, was used to
ascertain the limits of sensitivity of the assay. Vitreous samples, or
dilutions thereof, which produced levels of proteolysis within this
linear range were measured. The absorbance of each gel in areas devoid
of any sample and in areas of proteolysis produced by constant amount
of an internal standard (fibroblast-conditioned medium) were measured
to allow for gel-to-gel variation. The relative activity present within
each undiluted sample was expressed as a percentage of the internal
standard included on each gel.
Detection of Plasmin(ogen) in Vitreous by Western Blot Analysis
Western blot analysis13
was used to confirm the
findings of the casein substrate zymography. Samples (10 µl), protein
molecular weight standards, and plasmin (Sigma) and plasminogen
standards (not shown; Sigma) were resolved on 7.5% (wt/vol)
SDS-polyacrylamide gels and transferred subsequently to polyvinylidene
difluoride membrane (PVDF, Immobilon; Millipore, Bedford, MA).
Nonspecific binding sites on the membrane were blocked by incubation in 3% (wt/vol) skimmed milk powder in Tris-buffered saline (TBS; 0.05 M Tris-HCl, [pH 8.0], containing 0.15 M NaCl). The membrane was incubated sequentially with polyclonal goat antiserum to human plasmin(ogen) and horseradish peroxidase (HRP)conjugated anti-goat IgG (both from Sigma), both diluted in TBS containing 0.2% (vol/vol) Tween 20 (TBS-Tween). The membrane was washed extensively in TBS-Tween between incubations. Specific binding of the anti-plasmin (ogen) was detected using enhanced chemiluminescence reagents (Amersham, Amersham, UK) on film (Hyperfilm-ECL; Amersham).
Quantitative Analysis of Plasmin(ogen) Protein in
Vitreous
Because standard preparations of human plasmin containing known
amounts of the protein were available, values for the plasmin(ogen)
protein present in vitreous could be obtained, irrespective of
measurement of activity. A range of plasmin standards (0.1352.125 ng)
and plasminogen (0.1352.125 ng, not shown) were resolved by
electrophoresis and detected by Western blot analysis as described to
obtain a linear densitometric response curve. This curve, which was
obtained after optimization of amounts loaded, film exposure time, and
scanning parameters, was used to set the limits of detection for the
blot analysis of vitreous samples. Because all samples were detected on
a single film, the baseline values were constant. To account for
variation between gels, a plasmin standard curve was included on each
gel along with the samples. This method for detecting human
plasmin(ogen) levels was further validated using human serum samples
(unrelated to the vitreous samples; not shown).
Statistical Analysis
To compare the proteolytic activities in vitreous samples obtained
from individuals less than and more than 50 years of age, data are
presented as means ± SEM and have been analyzed for significance
(MannWhitney test). Correlation of the proteolytic activities of
individuals with their age was tested using Spearmans rank analysis.
Differences shown by both statistical analyses were considered
significant at P < 0.05.
| Results |
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Identification of Vitreous Serine Protease Activities by Casein
Substrate Zymography
With the use of casein substrate zymography (Fig. 2A
), three additional bands of proteolytic activity were identified. These
proteolytic activities were not inhibited by 10 mM EDTA but were
inhibited by 1 mM PMSF or soybean trypsin inhibitor (1 µg/ml),
confirming their identities as serine proteases.
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Quantitative Measurement of Plasmin in Vitreous by Western Blot
Analysis
Western blot analysis and detection of bound antibody by enhanced
chemiluminescence and scanning is linear over only a narrow range. The
range of standard plasmin(ogen) that gave a linear densitometric
response curve was determined to be 0.1 to 2.2 ng (Fig. 2C
, inset). For
analysis of the vitreous samples, the volumes loaded were adjusted, by
dilution, to fall within this linear range (Fig. 2C , main picture).
Plasmin(ogen) concentrations (in nanograms per unit volume of vitreous)
from the older age group (3.12 ± 0.42 ng) were calculated to be
significantly higher (P = 0.001) than concentrations in
the younger age group (1.179 ± 0.13 ng). As for the proMMP-2
data, the values obtained for plasmin concentrations were spread over a
much greater range in the older group, with some individuals again
expressing very high levels.
Correlation Analysis
To determine whether enzyme levels correlated linearly to the age
of individual donors, Spearmans rank correlation analysis was
performed (Fig. 3)
. Plasmin was found to be correlated both to the age
and to the proMMP-2 levels obtained for each individual. However, there
was no linear correlation between age and proMMP-2 levels. It is
interesting to note that the individuals expressing high levels of
proMMP-2 were also expressing high levels of plasmin and therefore had
an increased degradative capacity overall.
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| Discussion |
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MMP-9 has been identified in vitreous from patients with diabetes6 or after rhegmatogenous retinal detachment.15 Our data, and that of Plantner et al.7 suggest that MMP-9 is also a component of vitreous in the absence of ocular disease. The presence of this enzyme suggests potential degradative capacity but, because neither the presence nor level of MMP-9 expression is age dependent, it is unlikely that MMP-9 contributes to age-related liquefaction. Nevertheless, regional variation in the expression of MMP-9 around the periphery of the vitreous cortex could be a predisposing factor in nonuniform detachment and vitreoretinal pathogenesis in some individuals.
Although proMMP-2 did not increase significantly with age, the data showed a trend toward increased spread between individuals with age, with some individuals in the older group expressing particularly high levels. A study of MMP activity in Bruchs membrane and choroid revealed a similar trend16 indicating generalized accumulation of proteolytic activities within ocular tissues with age. The increase in plasmin(ogen) concentrations with age is particularly interesting, because this enzyme is probably derived from surrounding vasculature. Vitreous plasmin(ogen) levels may reflect degeneration of vasculature in surrounding tissues such as the retina. Plasmin cooperates with the membrane type (MT) MMP-1 in the activation of proMMP-2.10 Because the present study identified a trend toward increased proMMP-2 and a significant increase in plasmin with age, we speculate that degradative cascades underlie age-related liquefaction of the vitreous.
PVD may also be driven by enzymes derived from tissues surrounding the vitreous. Degradation of vitreous and ILL components, such as type V/XI collagen and type IV collagen, would lead to loss of interactions at the vitreoretinal interface. As for MMP-9, regional variations in the expression or release of these enzymes in the vitreous cortex could lead to disease. Coexpression of proMMPs and plasmin may result in very little increase of active enzyme within the vitreous overall, as our data suggest, whereas locally, in the vicinity of cells expressing membrane-bound MT-MMP-1, increase of active MMP-2 may be substantial. The interactions between extracellular matrix, MT-MMP-1, and MMPs may result in temporal and spatial extracellular matrix degradation, even in the presence of high concentrations of inhibitors.17
In conclusion, we have identified age-related changes in the expression of degradative enzymes within the vitreous and variations between individuals. In studies of pathologic vitreous, it is therefore important that these variations be taken into account. However, these changes may also be indicative of underlying degeneration of ocular tissues and susceptibility to age-related diseases in a large proportion of the population. Further study is needed to elucidate whether such elevations of proteolytic activities in individuals precede and result in disease.
| Acknowledgements |
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| Footnotes |
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Supported by The Wellcome Trust, London, United Kingdom.
Submitted for publication February 1, 2000; revised June 19, 2000; accepted July 5, 2000.
Commercial relationships policy: N.
Corresponding author: Anne VaughanThomas, Connective Tissue Biology Laboratories, School of Biosciences, Cardiff University, Museum Avenue, Cardiff CF1 3US, Wales, UK. vaughan-thomas{at}cardiff.ac.uk
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