2026-10-16 · 原文发表于 2026-09-27
MMP-9响应性TIMP1释放系统在糖尿病小鼠创面中显示修复潜力
Zhang Y, Deng J, Cheung MY, Fu T, Qi X, Cai D, Sun J, Lu G, Shi P, Chan WY, Li X, Zhao H.. In Situ Genetic Engineering Facilitates MMP-9-Responsive TIMP1 Release Through Proteolytic Cleavage to Boost Diabetic Wound Healing. Advanced science (Weinheim, Baden-Wurttemberg, Germany). 2026;e24328. doi:10.1002/advs.202524328. PMID:42801572.
查看原始文献(Europe PMC · 创面修复文献)↗研究问题
摘要指出,糖尿病足溃疡愈合困难、复发率高。MMP-9过度表达及其与TIMP1之间的失衡,可通过破坏细胞外基质、影响肉芽组织形成和加重炎症而延缓修复。研究针对的问题是:常规治疗难以随慢性创面中蛋白酶水平的变化作出动态响应。
研究设计
主要发现
如何理解
局限与不确定性
一句话带走
MMP-9响应性TIMP1释放在细胞和糖尿病小鼠实验中显示出保护细胞、改善创面修复的潜力。其对人类糖尿病足溃疡的实际疗效、安全性及相对现有治疗的优势,仍不能由本摘要确定。
术语小注
- MMP-9:
- 基质金属蛋白酶-9,一种可降解细胞外基质的酶;本研究既将其作为抑制对象,也用它触发蛋白释放。
- TIMP1:
- 金属蛋白酶组织抑制因子1,本研究利用其抑制过量MMP-9活性。
- M9RR:
- MMP-9响应性蛋白释放系统,通过MMP-9切断连接短肽,释放原先固定在细胞表面的蛋白。
- db/db糖尿病小鼠:
- 研究采用的糖尿病动物模型,其创面修复结果不能直接等同于人体疗效。
- bFGF:
- 碱性成纤维细胞生长因子,本研究将其与TIMP1 M9RR共同递送。
- 冷冻微针:
- 本研究用于共同递送bFGF与TIMP1 M9RR的微针系统;具体材料及制备方法摘要未说明。
展开原文摘要
Diabetic Foot Ulcer (DFU), a severe chronic diabetes complication with low healing and high recurrence rates, is a major global health challenge. Overexpression of matrix metalloproteinase-9 (MMP-9) and the consequent MMP-9/TIMP1 (tissue inhibitor of metalloproteinase 1) imbalance delays healing by degrading the extracellular matrix, impairing granulation tissue formation, and exacerbating inflammation. Conventional therapies do not dynamically respond to fluctuating protease levels in chronic wounds. This study introduces an MMP-9-responsive protein release system (M9RR), where the therapeutic protein (i.e., TIMP1) is linked to a membrane-anchoring domain at its C-terminus via an MMP-9-cleavable peptide, thereby exposing the fusion protein to the extracellular side of cell membranes. The system enables targeted release of TIMP1 in high-MMP-9 microenvironments, thereby neutralizing excessive MMP-9 activity. In vitro, M9RR demonstrates MMP-9 specificity, broad mammalian cell applicability, and protection of HaCaT keratinocytes and BJ fibroblasts from MMP-9-induced damage. In db/db diabetic mice, the MMP-9-responsive TIMP1 release system (TIMP1 M9RR ) significantly improves wound contraction, granulation tissue formation, epithelial regeneration, and collagen remodeling. Additionally, a cryomicroneedle (CryoMNs)-based co-delivery system for basic fibroblast growth factor (bFGF) and TIMP1 M9RR shows effective diabetic wound healing. This modular M9RR system offers a precise, adaptive therapeutic strategy for DFU and holds promise for other MMP-related diseases.
本站中文摘要:该研究在体外细胞实验和db/db糖尿病小鼠模型中评估了MMP-9响应性TIMP1释放系统(M9RR)。该系统将TIMP1通过MMP-9可切割肽连接至膜锚定结构,使其在高MMP-9微环境中释放;体外实验显示其具有MMP-9特异性,并可保护HaCaT角质形成细胞和BJ成纤维细胞免受MMP-9诱导的损伤。