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Effects of different antioxidants on MMP-9 protein expression in fetal membrane tissue
Authors:LI Ling  CUI Jin-hui  CHEN Xin-juan  FAN Jian-hui
Institution:Department of Obstetrics, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Abstract:AIM: To find out the influences of different antioxidants on the protein expression of matrix metalloproteinase 9 (MMP-9) in the membrane tissue of premature rupture cultured in vitro. METHODS:Eight pregnant women of premature rupture of membranes (PROM) who had delivered by cesarean section before labor were enrolled in the study and divided into 2 groups: term premature rupture of membranes (TPROM) and preterm premature rupture of membranes (PPROM). The fetal membrane tissues from each case was collected and divided into 3 sub-groups, which were cultured for 24 h with phosphate buffered saline (PBS, control group), 0.5 mmol/L alpha-lipoic acid (α-LA), or 28.8 g/L vitamin C+1.8 g/L vitamin E in vitro. The protein expression of MMP-9 was determined by immunohistochemistry and Western blotting. RESULTS:MMP-9 was located in the chorionic cells and neutrophils in TPROM tissues and there was no significant difference among samples of different treatments. In PPROM tissues, MMP-9 was found not only in the chorionic cells and neutrophils, but also in the amniotic epithelial cells. The integral absorbance values in antioxidant-treated samples were lower than that in PBS-treated samples, and the significant difference between α-LA-treated samples and vitamin C+vitamin E-treated samples was observed. The expression of pro-MMP-9 in TPROM tissues showed no significant difference after treated with different antioxidants, but the active MMP-9 expression was decreased after treated with antioxidants, and the influence of vitamin C+vitamin E was stronger than α-LA. The expression of pro-MMP-9/active MMP-9 in PPROM tissues was decreased after treated with antioxidants, and the influence of vitamin C+vitamin E was stronger than α-LA. CONCLUSION:Antioxidants result in the down-regulation of MMP-9 protein expression, and the influence of vitamin C+vitamin E is stronger than α-LA, indicating that these antioxidants can be used clinically to prevent premature rupture of membranes.
Keywords:Premature rupture of membranes  Alpha-lipoic acid  Vitamin C  Vitamin E  Matrix metalloproteinase 9  
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