Matrix Metalloproteinases of Epithelial Origin in Facial Sebum of Patients with Acne and their Regulation by Isotretinoin  Eleni Papakonstantinou, Alexios.

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Matrix Metalloproteinases of Epithelial Origin in Facial Sebum of Patients with Acne and their Regulation by Isotretinoin  Eleni Papakonstantinou, Alexios J. Aletras, Evelyn Glass, Panagiotis Tsogas, Alexander Dionyssopoulos, James Adjaye, Sabine Fimmel, Panagiotis Gouvousis, Ralf Herwig, Hans Lehrach, Christos C. Zouboulis, George Karakiulakis  Journal of Investigative Dermatology  Volume 125, Issue 4, Pages 673-684 (October 2005) DOI: 10.1111/j.0022-202X.2005.23848.x Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Gelatinase activity is reduced in sebum of facial acne lesions in a time-dependent manner during therapy with isotretinoin. (a) Representative gelatin zymography in aliquots of sebum (5 μg of protein) during systemic per os (lanes 4–6) and topical (lanes 7–9) treatment with isotretinoin. Arrows indicated pre-stained standard protein molecular weight markers (lane 1): phosphorylase b (97.4 kDa), bovine serum albumin (66.2 kDa), L-glutamic dehydrogenase (55.0 kDa), and ovalbumin (42.7 kDa). Lane 2: migration of purified promatrix metalloproteinase (proMMP)-2 (72 kDa); lane 3: proMMP-9 (92 kDa); lanes 4 and 7: 0 d samples; lanes 5 and 8: 30 d samples; lanes 6 and 9: 60 d samples. (b) Quantitative analysis of gelatinolytic activity in sebum following systemic per os (n=23) or topical (n=36) treatment of acne patients with isotretinoin using a computer-supported image analysis program. Each bar represents the mean±SD from n specimens. Statistical significance: *p<0.05; ***p<0.01 as compared with 0 d samples, which were regarded as 100% gelatinolytic activity. Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Western blot analysis of gelatinases in sebum samples indicates the presence of matrix metalloproteinase (MMP)-9 but not of MMP-2. (a) Representative western blot analysis of sebum during systemic per os treatment with isotretinoin. Analysis was performed using human MMP-2 antiserum: lane 1: purified promatrix metalloproteinase (proMMP)-2 (72.0 kDa), lane 2, 0 d sample; lane 3, 30 d sample, and human MMP-9 antiserum: lane 4, 0 d sample; lane 5, 30 d sample. Arrow on the right indicates the reference sample of proMMP-9 (94.0 kDa), which has been previously fully characterized from human periprosthetic tissue of loose hip endoprostheses. Arrows on the left indicate molecular weight size markers (phosphorylase b, 97.4 kDa; bovine serum albumin, 66.2 kDa; L-glutamic dehydrogenase, 55.0 kDa). (b) Quantitative analysis of western blots of MMP-9 immunoreactive bands of sebum following systemic per os treatment of acne patients (n=23) with isotretinoin for 30 d, using a computer-supported image analysis program. Each bar represents the mean±SD from n specimens. Statistical significance: *p<0.05; ***p<0.01 as compared with 0 d samples. Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 Isotretinoin does not influence gelatinase in vitro. (a) Sebum samples (0 d, corresponding to 5 μg protein) were preincubated with isotretinoin (0–1 mM) for 30 min at room temperature and subjected to gelatin zymography, as described in Materials and Methods. Lane 4, 0 mM; lane 5, 0.01 mM; lane 6, 0.1 mM; lane 7, 1 mM. (b) Commercially available purified promatrix metalloproteinase (proMMP)-2 and proMMP-9 (1 ng protein) were treated as above. ProMMP-2: lane 4, 01 mM; lane 5, 1 mM. ProMMP-9: lane 6, 0.1 mM; lane 7, 1 mM, lane 7. Arrows and lane 1 indicate molecular weight markers: phosphorylase b (97.4 kDa), bovine serum albumin (66.2 kDa), L-glutamic dehydrogenase (55.0 kDa), ovalbumin (42.7 kDa), and aldolase (40.0 kDa). Lane 2: purified proMMP-2 (72 kDa) and lane 3 purified proMMP-9 (92 kDa). Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 Matrix metalloproteinase (MMP)-1 and MMP-13 are expressed in sebum of facial acne lesions, and MMP-13 expression is reduced during isotretinoin treatment. (a) Representative western blot analysis of sebum during topical treatment with isotretinoin using polyclonal antibodies for MMP-1. Lane 1 and arrows on the left: immunoreactive bands from reference samples of promatrix metalloproteinase (proMMP)-1 (52.4 kDa) and MMP-1 (45.0 and 43.5 kDa), which have been fully characterized previously from human periprosthetic tissue of loose hip endoprostheses. Lane 2: immunoreactive bands of 0 d sebum samples. Lane 3: immunoreactive bands of 30 d sebum samples following topical treatment with isotretinoin. Lane 4 and arrows on the right indicate protein molecular weight markers: bovine serum albumin (66.2 kDa), ovalbumin (42.7 kDa), and soybean trypsin ihibitor (21.5 kDa). (b) Representative western blot analysis of sebum during topical treatment with isotretinoin using polyclonal antibodies for MMP-13. Lane 1 and arrows on the left indicate protein molecular weight markers: bovine serum albumin (66.2 kDa), ovalbumin (42.7 kDa) and soybean trypsin ihibitor (21.5 kDa). Lane 2: immunoreactive bands of 0 d sebum samples. Lane 3: immunoreactive bands of 30 d sebum samples following topical treatment with isotretinoin. Lane 4 and arrows on the right: immunoreactive bands from reference samples of proMMP-13 (65.0 kDa) and MMP-13 (52.0 kDa) from human periprosthetic tissue. (c) Aliquots of sebum samples were assessed for MMP-1 and MMP-13 by ELISA, prior to and following per os (n=23) and topical (n=36) treatment of acne patients with isotretinoin, for 30 and 60 d. Each bar represents the mean±SD of triplicate determinations from n samples. Statistical significance: **p<0.02 as compared with 0 d sample. Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 5 Tissue inhibitor of matrix metalloproteinase (TIMP)-1 and -2 are expressed in sebum samples of facial acne lesions but are not influenced during isotretinoin treatment. TIMP were measured by ELISA in aliquots of sebum specimens (2 μg of protein) during per os treatment of 23 acne patients and topical treatment of 36 acne patients with isotretinoin for 0, 30, and 60 d. Each bar represents the mean±SD of triplicate determinations from n specimens. Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 6 HaCaT keratinocytes and SZ95 sebocytes secrete promatrix metalloproteinase pro(MMP)-2 and -9, which are upregulated by arachidonic acid and downregulated by isotretinoin. Representative gelatin zymographies from the cell culture medium of HaCaT keratinocytes (a) and SZ95 sebocytes (c), incubated for 24 h. Lanes 1: untreated (control), lanes 2: arachidonic acid (AA; 10-4 M), lanes 3: isotretinoin (Iso; 10-8 M), lanes 4: isotretinoin (10-7 M), lanes 5: arachidonic acid (10-4 M)+isotretinoin (10-8 M), lanes 6: AA (10-4 M)+isotretinoin (10-7 M), lanes 7: untreated (control), lanes 8: N-ethyl-maleimide (NEM, 5 mM), lanes 9: Na2EDTA (EDTA, 20 mM), and lanes 10: 1,10-phenanthroline (Phen, 4 mM). Arrows indicate proMMP-9 (92 kDa), proMMP-2 (72 kDa), and MMP-2 (64 kDa). Quantitative analysis of the gelatinolytic activity present in the culture media from cell cultures of HaCaT keratinocytes (b) and SZ95 sebocytes (d). Each bar represents the mean±SD from 4 zymograms. Statistical significance: *p<0.05; **p<0.02, ***p<0.01, as compared with control (untreated cells) (), or with AA alone []. Iso, isotretinoin; AA, (10-4 M). Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 7 Matrix metalloproteinase (MMP)-1 is secreted by HaCaT keratinocytes and upregulated by arachidonic acid. Aliquots of supernatants from HaCaT keratinocytes incubated for 12–48 h were assessed for MMP-1 by ELISA. Each bar represents the mean±SD of triplicate determinations from four assays. Iso, isotretinoin, AA, arachidonic acid (10-4 M). Statistical significance: *p<0.05; **p<0.02, as compared with control (untreated cells). Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 8 HaCaT keratinocytes express mRNA for matrix metalloproteinase (MMP) and tissue inhibitor of matrix metalloproteinase (TIMP)-1, and isotretinoin inhibits MMP-9 and MMP-13 de novo and arachidonic acid-induced mRNA. Quantitative analysis of chemiluminescence of RT-PCR analyses of HaCaT keratinocytes incubated in the absence or in the presence of isotretinoin (10-7 M, 24 h) using primers for MMP-1, MMP-9, MMP-13, and TIMP-1, as described under “Materials and Methods”. Each bar represents the mean±SD from four assays. Statistical significance: *p<0.05; AA, arachidonic acid, 10-4 M; Iso, isotretinoin, 10-7 M. Inset: Representative analysis of chemiluminescence of RT-PCR analyses of HaCaT keratinocytes incubated in the absence or in the presence of isotretinoin (10-7 M, 24 h) using primers for MMP-13. GAPDH of expected size 263 bp was used as an internal standard. The expected size of the reaction product for MMP-13 is indicated by the arrow. Lane 1, DNA ladder (100 bp); lane 2, untreated; lane 3, AA (10-4 M); lane 4, isotretinoin (10-7 M); and lane 5, AA (10-4 M) and isotretinoin (10-7 M). Journal of Investigative Dermatology 2005 125, 673-684DOI: (10.1111/j.0022-202X.2005.23848.x) Copyright © 2005 The Society for Investigative Dermatology, Inc Terms and Conditions