Exp Mol Med.  2014 May;46(5):e95. 10.1038/emm.2014.20.

Quantitative expression and localization of cysteine and aspartic proteases in human abdominal aortic aneurysms

Affiliations
  • 1Department of Vascular and Endovascular Surgery, Klinikum rechts der Isar der Technischen Universitaet Muenchen, Munich, Germany. J.Pelisek@lrz.tum.de
  • 2Institute of Pathology, Klinikum rechts der Isar der Technischen Universitaet Muenchen, Munich, Germany.
  • 3Department of Surgery, Klinikum rechts der Isar der Technischen Universitaet Muenchen, Munich, Germany.

Abstract

Cysteine and aspartic proteases possess high elastolytic activity and might contribute to the degradation of the abdominal aortic aneurysm (AAA) wall. The aim of this study was to analyze, in detail, the proteases (cathepsins B, D, K, L and S, and inhibitor cystatin C) found in human AAA and healthy aortic tissue samples. The vessel walls from AAA patients (n=36) and nonaneurysmal aortae (n=10) were retrieved using conventional surgical repair and autopsy methods. Serum samples from the same AAA patients and 10 healthy volunteers were also collected. Quantitative expression analyses were performed at the mRNA level using real-time reverse transcriptase-PCR (RT-PCR). Furthermore, analyses at the protein level included western blot and immunoprecipitation analyses. Cellular sources of cysteine/aspartic proteases and cystatin C were identified by immunohistochemistry (IHC). All cysteine/aspartic proteases and cystatin C were detected in the AAA and control samples. Using quantitative RT-PCR, a significant increase in expression was observed for cathepsins B (P=0.021) and L (P=0.018), compared with the controls. Cathepsin B and cystatin C were also detected in the serum of AAA patients. Using IHC, smooth muscle cells (SMCs) and macrophages were positive for all of the tested cathepsins, as well as cystatin C; in addition, the lymphocytes were mainly positive for cathepsin B, followed by cathepsins D and S. All cysteine/aspartic proteases analyzed in our study were detected in the AAA and healthy aorta. The highest expression was found in macrophages and SMCs. Consequently, cysteine/aspartic proteases might play a substantial role in AAA.

Keyword

abdominal aortic aneurysms; cysteine and aspartic proteases; degradation of extracellular matrix

MeSH Terms

Aged
Aorta/enzymology
Aortic Aneurysm, Abdominal/*enzymology
Aspartic Acid Proteases/genetics/*metabolism
Case-Control Studies
Cathepsins/genetics/metabolism
Cysteine Proteases/genetics/*metabolism
Humans
Lymphocytes/enzymology
Macrophages/enzymology
Middle Aged
Myocytes, Smooth Muscle/enzymology
RNA, Messenger/genetics/metabolism
Aspartic Acid Proteases
Cathepsins
Cysteine Proteases
RNA, Messenger
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