Original Article

Subject Categories: Connective Tissue

Journal of Investigative Dermatology (2007) 127, 49–59. doi:10.1038/sj.jid.5700500; published online 17 August 2006

Collagenase-3 (MMP-13) Enhances Remodeling of Three-Dimensional Collagen and Promotes Survival of Human Skin Fibroblasts

Mervi J Toriseva1,2,3,4, Risto Ala-aho1,2,3, Jarkko Karvinen5, Andrew H Baker6, Varpu S Marjomäki7, Jyrki Heino8 and Veli-Matti Kähäri1,2,3

  1. 1Department of Dermatology, University of Turku, Turku, Finland
  2. 2Department of Medical Biochemistry and Molecular Biology, University of Turku, Turku, Finland
  3. 3MediCity Research Laboratory, University of Turku, Turku, Finland
  4. 4Turku Graduate School of Biomedical Sciences, Turku, Finland
  5. 5PerkinElmer Life and Analytical Sciences, Wallac Finland OY, Turku, Finland
  6. 6Departments of Medicine and Therapeutics, University of Glasgow, Glasgow, UK
  7. 7Department of Biological and Environmental Science, University of Jyväskylä, Jyväskylä, Finland
  8. 8Department of Biochemistry and Food Chemistry, University of Turku, Turku, Finland

Correspondence: Dr Veli-Matti Kähäri, Department of Dermatology, University of Turku, P.O.B 52, FI-20521 Turku, Finland. E-mail: veli-matti.kahari@utu.fi

Received 17 January 2006; Revised 24 May 2006; Accepted 8 June 2006; Published online 17 August 2006.

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Abstract

Collagenase-3 (MMP-13) is a matrix metalloproteinase capable of cleaving a multitude of extracellular matrix proteins in addition to fibrillar collagens. Human MMP-13 is expressed by fibroblasts in chronic cutaneous ulcers, but not in normally healing adult skin wounds. However, MMP-13 is produced by fibroblasts in adult gingival and in fetal skin wounds characterized by rapid collagen remodeling and scarless healing. Here, we have examined the role of human MMP-13 in remodeling of three-dimensional (3D) collagenous matrix by primary adult human skin fibroblasts. The high level of human MMP-13 expression by fibroblasts achieved by adenoviral gene delivery resulted in potent enhancement of remodeling and contraction of 3D collagen. Fibroblasts expressing MMP-13 in 3D collagen possessed altered filamentous actin morphology with patch-like actin distribution in cell extensions. The expression of MMP-13 promotes survival and proliferation of fibroblasts in floating collagen gel, and results in activation of Akt and extracellular signal-regulated kinase-1/2 by these cells. The results provide evidence for a novel role for human MMP-13 in regulating dermal fibroblast survival, proliferation, and interaction in 3D collagen, which may be an important survival mechanism for fibroblasts in chronic skin ulcers and contribute to scarless healing of adult gingival and fetal skin wounds.

Abbreviations:

ECM, extracellular matrix; ERK1/2, extracellular signal-regulated kinase1/2; f-actin, filamentous actin; FCS, fetal calf serum; HSF, human skin fibroblast; MMP, matrix metalloproteinase; MOI, multiplicity of infection; rMMP-13, recombinant human MMP-13; TIMP, tissue inhibitor of metalloproteinase; 3D, three dimension

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Introduction

Cutaneous wound repair is a complex physiological process in which various growth factors and cytokines regulate the overlapping phases of healing, that is, inflammation, re-epithelialization, granulation tissue formation, matrix remodeling, and wound contraction. Despite effective remodeling of newly formed extracellular matrix (ECM), the end result of wound healing in skin is usually a relatively acellular and collagenous scar, which obtains about 70% of the original tensile strength of intact skin (Singer and Clark, 1999). The cells responsible for production of new collagenous dermal ECM in wound are fibroblasts, which also remodel new collagenous stroma by producing matrix degrading proteinases (Ravanti and Kähäri, 2000). Matrix metalloproteinases (MMPs) are a family of zinc-dependent endopeptidases, which as a group are capable of cleaving all ECM molecules and numerous non-matrix substrates (Ravanti and Kähäri, 2000; Sternlicht and Werb, 2001). MMPs are involved in several physiological and pathological events, such as embryonal tissue development, angiogenesis, and cancer, as well as in different phases of wound repair by stimulating cell migration and activating growth factors, and other proteinases (Ravanti and Kähäri, 2000; Sternlicht and Werb, 2001).

Fibrillar collagens of types I, II, and III are cleaved by members of the collagenase subgroup of MMPs: collagenase-1 (MMP-1) (Goldberg et al., 1986), collagenase-2 (MMP-8) (Hasty et al., 1990), and collagenase-3 (MMP-13) (Freije et al., 1994). Also gelatinase-A (MMP-2) and membrane-type-1 MMP (MMP-14) are capable of cleaving fibrillar collagens (Aimes and Quigley, 1995; Ohuchi et al., 1997). After dermal wounding, the expression of MMP-1 is temporarily induced in migrating keratinocytes in response to contact with type I collagen of dermis (Saarialho-Kere et al., 1992; Pilcher et al., 1997). In addition, MMP-1 is produced by dermal fibroblasts in normal and chronic wounds (Vaalamo et al., 1997). Other MMPs, including stromelysin-1 (MMP-3), stromelysin-2 (MMP-10), metalloelastase (MMP-12), and MMP-14, as well as MMP-2 and gelatinase-B (MMP-9), are also produced in mammalian wounds by cells participating in re-epithelialization, vascularization, and inflammation (Vaalamo et al., 1999). Accordingly, inhibition of MMP activity suppresses dermal wound healing in vivo (Ågren et al., 2001; Beare et al., 2003).

Collagenase-3 (MMP-13) can cleave a wide selection of substrates, including fibrillar collagens and other ECM components, as well as non-matrix components, such as transforming growth factor-beta (Fosang et al., 1996; Knäuper et al., 1996; Ashworth et al., 1999; D'Angelo et al., 2001). MMP-13 is characterized by limited physiological expression pattern, and it is not expressed by any cells during normal wound healing in adult human skin (Vaalamo et al., 1997). However, MMP-13 is abundantly expressed by fibroblasts in adult gingival wounds (Ravanti et al., 1999b) and fetal skin wounds (Ravanti et al., 2001), which heal with minimal scarring, suggesting a role for MMP-13 in effective remodeling of collagenous granulation tissue resulting in scarless wound repair. Moreover, the expression of MMP-13 by fibroblasts in chronic dermal ulcers suggests a role for MMP-13 in the pathogenesis of chronic ulcers (Vaalamo et al., 1997).

Here, we have examined the role of MMP-13 in fibroblast-mediated remodeling of three-dimensional (3D) collagenous matrix in a floating collagen lattice, a widely used model for dermal wound contraction and matrix reorganization by fibroblasts (Bell et al., 1979). Our results show that adenoviral expression of MMP-13 enhances collagen gel contraction by HSFs and results in altered morphology of their actin-containing extensions. Furthermore, expression of MMP-13 results in activation of Akt and ERK1/2 signaling pathways, and inhibits apoptosis and stimulates proliferation of fibroblasts in 3D collagen. These results suggest a role for MMP-13 in collagen remodeling and contraction by affecting cell interaction with surrounding 3D matrix and increasing cell number in collagen by promoting survival and proliferation.

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Results

MMP-13 enhances collagen gel contraction by skin fibroblasts

MMP-13 is not expressed in normally healing adult human skin wounds (Vaalamo et al., 1997). However, it is produced by fibroblasts in adult gingival wounds (Ravanti et al., 1999b) and in fetal skin wounds (Ravanti et al., 2001), both characterized by rapid healing with minimal scar formation (Häkkinen et al., 2000; Bullard et al., 2003), suggesting a role for MMP-13 in effective remodeling of collagenous tissue involved in scarless healing. To study in detail the role of MMP-13 in fibroblast-mediated collagenous matrix remodeling, we used adenoviral gene delivery to obtain high-level expression of MMP-13 in primary adult human skin fibroblasts (HSFs), which normally express MMP-13 at low level only when cultured within 3D collagen (Ravanti et al., 1999a). HSFs were transduced with adenovirus encoding human MMP-13 (RAdMMP-13) or with empty control adenovirus (RAdpCA3) and subsequently cultured in floating type I collagen gels for 4 days. Transduction with RAdMMP-13 resulted in marked dose-dependent production of proMMP-13 protein by HSFs in collagen (Figure 1a). In comparison, production of MMP-1, the expression of which is highly stimulated in fibroblasts by ligation of alpha2beta1-integrin with type I collagen (Langholz et al., 1995), was not markedly altered by RAdMMP-13-transduced HSFs (Figure 1a). Adenoviral expression of MMP-13 resulted in marked and dose-dependent increase in collagen gel contraction (by up to 60%), as compared to cultures transduced with control virus RAdpCA3 (Figure 1b). Collagen gel contraction by RAdpCA3 and RAdMMP-13-transduced HSFs was first noted after culturing for 24 hours in floating collagen gel and it continued up to 4 days (data not shown).

Figure 1.
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Collagenase-3 (MMP-13) enhances collagen gel contraction by HSFs. (a and b) Adult primary HSFs were infected with recombinant adenovirus RAdMMP-13, encoding human collagenase-3 (MMP-13), or with empty control adenovirus (RAdpCA3) with different MOIs, as indicated, and cultured in floating 3D type I collagen gel for 4 days in the presence of 0.5% FCS. (c and d) HSFs were cultured in floating 3D type I collagen gel with indicated concentrations of human recombinant MMP-13 (rMMP-13) added twice: immediately after preparation of the gel and then 48 hours later. A and B represent two parallel samples. (a and d) The levels of MMP-13 and MMP-1 in the conditioned media were determined by Western immunoblotting. Aliquot of conditioned medium from RAdMMP-13-infected fibroblasts in (a) was used as positive control for rMMP-13. (b and c) The gels were photographed and the gel areas were measured using microcomputer imaging device Image Analysis software (n=2).

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In further experiments, the effect of exogenously added recombinant human MMP-13 (rMMP-13) on collagen gel contraction by HSFs was also examined. Addition of rMMP-13 to culture medium enhanced collagen contraction by HSFs in a dose-dependent manner, the maximal effect noted with a concentration of 600 ng/ml (Figure 1c and d). Production of proMMP-1 by dermal fibroblasts in collagen gel was not altered by rMMP-13 (Figure 1d).

Adenovirally produced MMP-13 is activated by fibroblasts

MMPs are generally secreted as latent zymogens and activated in the pericellular space (Ravanti and Kähäri, 2000; Sternlicht and Werb, 2001). To investigate whether proMMP-13 produced by dermal fibroblasts in 3D collagen after adenoviral infection is activated and exerts collagenolytic activity, we used an in vitro assay where MMP-13 was harvested from the sample media with specific antibody and incubated with a Europium- (Eu) and quencher-labeled substrate peptide for MMPs. The substrate peptide was cleaved with high efficiency in a time-dependent manner, when incubated with 4-aminophenylmercuric acetate activated MMP-13 from conditioned medium of RAdMMP-13-infected HSFs. Also, an increase in Eu signal was detected in this medium without external activation of MMP-13, indicating the presence of endogenously activated MMP-13 (Figure 2a). The activated form of MMP-13 in the corresponding sample medium was also detected by Western immunoblot analysis (Figure 2b).

Figure 2.
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Determination of catalytic activity of adenovirally produced collagenase-3 (MMP-13). (a) HSFs were infected with recombinant adenovirus RAdMMP-13, encoding human collagenase-3 (MMP-13), or with control adenovirus (RAdLacZ) encoding E. coli beta-galactosidase (LacZ) (250 MOI) and cultured in floating type I collagen gel for 4 days. MMP-13 was harvested from conditioned media on anti-MMP-13 antibody-coated wells and incubated with Eu- and quencher-labeled substrate peptide resulting in proteolytic cleavage of peptide by active MMP-13 and induction of Eu signal. In a subset of samples, MMP-13 was activated with 4-aminophenylmercuric acetate. (b) Active and latent forms of MMP-13 were detected in the conditioned media of RAdMMP-13-infected fibroblasts cultured in collagen gel by Western immunoblotting. (c) HSFs infected with RAdLacZ and RAdMMP-13 were cultured for 2 days in FITC-labeled type I collagen gel anchored on cover glass, fixed, and stained with tetramethyl rhodamine isothiocyanate-conjugated phalloidin. The f-actin in fibroblasts and FITC-labeled collagen at the same location in samples were visualized using confocal microscope at times 63 magnification. Two representative images from collagen gels with RadLacZ- and RAdMMP-13-transduced fibroblasts are shown.

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To further study the cleavage of fibrillar collagen in 3D matrix by adenovirally produced MMP-13, HSFs were infected with RAdMMP-13 or with a control adenovirus RAdLacZ and cultured in fluorescein-labeled type I collagen gel for 1–2 days. The gels were fixed, the fibroblasts were stained for filamentous actin (f-actin) to visualize the cell shape, and examined with confocal microscopy. After 2 days of incubation, fluorescent collagen had disappeared around the MMP-13-expressing fibroblasts, indicating pericellular collagenolysis by active MMP-13 in RAdMMP-13-infected fibroblast cultures. In the control adenovirus-infected cultures, the fluorescent collagen was not cleaved in significant amounts (Figure 2c). This was further verified by measuring the released fluorescence in cell culture media, which showed about 20% increase (n=6, P<0.005, Mann–Whitney U-test) of fluorescence release in RAdMMP-13-infected fibroblast cultures. The expression levels of MMP-1 were not altered by MMP-13 as detected by Western immunoblot (data not shown).

MMP-13 inhibitor and expression of TIMP-1 inhibit MMP-13-enhanced collagen gel contraction by HSFs

To examine whether MMP-13-enhanced contraction of collagen is related to its actual MMP activity, we infected HSFs with RAdMMP-13 or with control adenovirus RAdLacZ and cultured the cells in floating 3D collagen supplemented with specific MMP-13 inhibitor. MMP-13 inhibitor (2 muM) reduced MMP-13-enhanced collagen gel contraction potently by 60% (P<0.05), whereas the basal contraction by RAdLacZ-infected cells was not markedly affected (Figure 3a). The MMP-13 inhibitor did not interfere with cell viability as detected by nuclear Hoechst staining (data not shown). Inhibition of MMP-13-enhanced collagen contraction by inhibitors of MMP-13 activity was further verified by coinfecting HSFs with adenovirus RAdTIMP-1 for tissue inhibitor of metalloproteinases-1 (TIMP-1) together with RAdMMP-13 or with empty control adenovirus RAdpCA3. MMP-13-enhanced collagen gel contraction was inhibited by adenoviral coexpression of TIMP-1 (Figure 3b). These results indicate that MMP-13 possesses enzymatic activity that augments the contraction process. Transduction of HSFs with RAdMMP-13 and RAdTIMP-1 resulted in potent expression of MMP-13 and TIMP-1, respectively, as detected by Western blot analysis (Figure 3c). The level of endogenous TIMP-1 expression was not altered by MMP-13 inhibitor or by MMP-13. However, the level of endogenous MMP-1 expression was not altered by MMP-13 inhibitor but was slightly downregulated by MMP-13 and TIMP-1 (Figure 3c).

Figure 3.
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MMP-13 inhibitor and expression of TIMP-1 inhibit MMP-13-enhanced collagen gel contraction by HSFs. (a) HSFs were infected with recombinant adenovirus RAdMMP-13 or with control adenovirus (RAdLacZ) encoding E. coli beta-galactosidase (LacZ) (150 MOI) and cultured in floating contractile collagen gel in the presence of 0.5% FCS and in the presence or absence of 2 muM MMP-13 inhibitor pyrimidine-4,6-dicarboxylic acid, bis-(4-fluoro-3-methyl-benzylamide). After 2 days of incubation, the gels were photographed and the gel areas were quantified using microcomputer imaging device Image Analysis software (n=4). Statistical significance was determined by Mann–Whitney U-test: *P<0.05; a, compared to RAdLacZ control; b, compared to RAdMMP-13 control. (b) HSFs were infected with RAdMMP-13 or with empty control adenovirus (RAdpCA3) at MOI 125 and coinfected with adenovirus coding for TIMP-1 (RAdTIMP-1) at MOI 500. Cells were then cultured in floating contractile collagen gel in the presence of 0.5% FCS for 4 days. The gels were photographed and the gel areas were quantified as above (n=2). (c) The levels of MMP-13, MMP-1, and TIMP-1 in the conditioned media were determined by Western immunoblotting.

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MMP-13 alters actin cytoskeleton and promotes clustering of f-actin in fibroblasts in 3D collagen

Collagen gel contraction by fibroblasts is dependent on the functional structure of cellular f-actin, attachment to surrounding matrix, and to other cells (Cooke et al., 2000; Ehrlich et al., 2000; Grinnell and Ho, 2002). It is regulated by various factors, such as transforming growth factor-beta, lysophosphatidic acid and platelet-derived growth factor, cell number, collagen concentration, and mechanical stress generated by the surrounding matrix (Grinnell and Ho, 2002; Tamariz and Grinnell, 2002). Fibroblasts cultured in floating 3D collagen gel acquire a dendritic phenotype in contrast to myofibroblastic phenotype typical for fibroblasts in mechanically loaded collagen (Grinnell et al., 2003). To examine the morphology of MMP-13-expressing HSFs in more detail, cells were cultured for 2 days in floating collagen gel, fixed, and stained for f-actin with fluorescent-labeled phalloidin. In accordance with the previous data, control fibroblasts showed dendritic morphology with fine and long f-actin containing projections with few stress fiber-like structures (Figure 4a). Similarly, few stress fibers were observed in the presence of MMP-13 (Figure 4b). However, f-actin of MMP-13-expressing HSFs was organized in numerous brush- or hair-like structures reaching from cell body to adjacent cells and surrounding collagen. Compared to actin structures of control cells, these filaments were clearly shorter and often very complex in structure (Figure 4b). With higher magnification, numerous actin-containing patch-like structures were also detected along the cell projections of RAdMMP-13-infected fibroblasts, suggesting altered interaction between the cells and the surrounding collagen, whereas in control cells f-actin was evenly distributed at the cortical areas of the cells (Figure 4c and d). Quantitation of the relative number of fibroblasts with normal and altered f-actin morphology in three corresponding experiments showed that the majority of cells in 3D collagen-expressing MMP-13 displayed altered f-actin morphology, as compared to RAdLacZ-infected control cultures (Table 1). Previous studies have shown that collagen gel contraction by fibroblasts involves collagen receptor integrins alpha1beta1 and alpha2beta1, as well as Arg-Gly-Asp-binding integrin alphaVbeta3 (Gullberg et al., 1990; Schiro et al., 1991; Langholz et al., 1995; Cooke et al., 2000). Incubation with function blocking alpha2 integrin antibody reduced basal contraction by control adenovirus-infected fibroblasts by 20%, whereas MMP-13-enhanced collagen gel contraction was inhibited by up to 40%, indicating that MMP-13-enhanced contraction is dependent on functional cell attachment to collagen via alpha2beta1 integrin (data not shown). The antibody against alpha1-integrin had no effect on collagen contraction at the concentration used. The antibody against alphaV-integrin had no effect on MMP-13-enhanced contraction, whereas it partly inhibited basal collagen contraction. The overall levels of alpha1 and alpha2 integrins were relatively low under both culture conditions and no marked differences were detected in the expression levels of alpha1 or alpha2 integrins at 24–72 hours in cells expressing MMP-13 (data not shown).

Figure 4.
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Expression of collagenase-3 (MMP-13) alters morphology and promotes clustering of f-actin in fibroblasts in 3D collagen. HSFs were infected with recombinant adenovirus RAdMMP-13, encoding human collagenase-3 (MMP-13), or with control adenovirus (RAdLacZ) encoding E. coli beta-galactosidase (LacZ) (250 MOI) and cultured in floating type I collagen gel for 2 days in the presence of 0.5% FCS. The gels were fixed with paraformaldehyde and fibroblasts were stained with tetramethyl rhodamine isothiocyanate-conjugated phalloidin. The staining of f-actin was detected using confocal microscope at (a and b) times 40 and (scan zoom: 2 c and d) times 63 magnification. The arrows in (a and b) identify fibroblast protrusions in collagen gel and arrowheads in (c and d) indicate actin-rich areas at higher magnification. Bar=20 mum.

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MMP-13 promotes survival and proliferation of fibroblasts in 3D collagen

Fibroblasts have been reported to acquire a quiescent phenotype and undergo apoptosis in floating or mechanically unloaded collagen gel (Fluck et al., 1998; Rosenfeldt and Grinnell, 2000; Niland et al., 2001). In this context, we examined the effect of MMP-13 expression on survival and proliferation of HSFs in floating 3D collagen gel. In accordance with the previous observations, numerous apoptotic fibroblasts with fragmented DNA and condensed nuclei were detected with TUNEL and Hoechst staining, respectively, among uninfected and RAdLacZ-infected control cells after culturing in collagen for 48 hours (Figure 5a). In contrast, the RAdMMP-13-infected HSFs showed normal nuclear morphology and minimal number of apoptotic TUNEL-positive cells (Figure 5a).

Figure 5.
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Expression of collagenase-3 (MMP-13) promotes survival and proliferation of HSFs in 3D collagen. HSFs were infected with recombinant adenovirus RAdMMP-13, encoding human collagenase-3 (MMP-13), or with control adenovirus (RAdLacZ) encoding E. coli beta-galactosidase (LacZ) (MOI 125) or left uninfected, and cultured in floating type I collagen gel. (a) After culturing for 48 hours, the gels were fixed with paraformaldehyde and stained with TUNEL and Hoechst 33258 to detect apoptotic cells. The figure shows TUNEL (left) and Hoechst staining (right) at the same location in the collagen gel sample. The average proportion of apoptotic nuclei plusminusSD are presented on the right (uninfected: n=38, n=38; RAdLacZ: n=45, n=37; RAdMMP-13: n=36, n=36, n=45). (b) To quantify DNA synthesis, BrdU was added in culture media 24 hours after seeding fibroblasts in collagen gel, and cultures were incubated for 24 hours. Fibroblasts were released from gels by treatment with bacterial collagenase and analyzed for incorporation of BrdU into DNA using colorimetric immunoassay. Data represent meanplusminusSD. Statistical significance was determined using Mann–Whitney test (n=5). (c) Fibroblasts were harvested from collagen gels at indicated time points, as in (b), and cell lysates were analyzed for the levels of phospho-Akt (p-Akt), phospho-ERK1/2 (p-ERK1/2), and phospho-p38 (p-p38), and total Akt, ERK1/2, p38, and beta-actin with Western immunoblotting.

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To determine, whether increased survival of MMP-13-expressing fibroblasts in collagen gel resulted in increased cell proliferation, we determined DNA synthesis by BrdU labeling. The results showed that MMP-13 expression also resulted in increased DNA synthesis of HSFs by over 20% (P<0.01) (Figure 5b), indicating enhanced cell proliferation and increased cell number in the gels. There was no alteration in DNA synthesis when fibroblasts correspondingly infected with control adenovirus or with RAdMMP-13 were cultured in monolayer on plastic cell culture wells (data not shown).

To further study the mechanism of enhanced cell survival and proliferation by MMP-13, we analyzed phosphorylation of Akt, extracellular signal-regulated kinase1/2 (ERK1/2), and p38, signal molecules involved in the regulation of cell survival and proliferation (Franke et al., 1997; Chang and Karin, 2001). Immunoblot analysis of cell lysates of MMP-13-expressing HSFs showed marked increase in the levels of phosphorylated (serine 473) Akt, indicating activation of PI3K pathway enhancing cell survival in 3D collagen (Figure 5c). In addition, expression of MMP-13 resulted in phosphorylation and activation of ERK1/2, associated with increased cell proliferation. In contrast, phosphorylation of p38 MAPK was unaltered (Figure 5c).

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Discussion

Fibroblast-mediated contraction of collagenous ECM is an important phase of normal wound healing in adult skin, and it accelerates wound closure by bringing wound edges closer to each other (Tomasek et al., 2002). Furthermore, contraction contributes to remodeling of newly formed collagenous dermal matrix, in which collagen molecules secreted by fibroblasts are assembled into fibrils and oriented in a direction that provides sufficient tensile strength to skin (Prockop and Kivirikko, 1995; Tomasek et al., 2002). Collagen remodeling by fibroblasts is regulated by various factors such as fibroblast–myofibroblast transformation (Tomasek et al., 2002), transforming growth factor-beta, platelet-derived growth factor, lysophosphatidic acid, mechanical stimulus by the surrounding matrix as well as by cell number in collagen (Grinnell and Ho, 2002; Tamariz and Grinnell, 2002). There is plenty of evidence indicating that collagen remodeling is also dependent on the function of MMPs. This is demonstrated in vitro and in vivo using wide-spectrum chemical MMP inhibitors, which reduced fibroblast-mediated collagen contraction and wound contraction (Scott et al., 1998; Phillips et al., 2003; Mirastschijski et al., 2004). In addition, mice lacking MMP-3 show reduced wound contraction (Bullard et al., 1999) and mice with targeted mutation in collagenase cleavage site in mouse type I collagen alpha1 chain display impaired contraction and re-epithelialization of the skin wounds (Beare et al., 2003). Furthermore, reports showing elevated levels of several MMPs relative to TIMP expression in scarless healing of wounds in fetal mouse skin (Dang et al., 2003) and increased activation of MMP-2 and collagen gel contraction by oral fibroblasts (Stephens et al., 2001) emphasize the role of MMPs in efficient collagen remodeling.

We have previously noted that human fetal skin fibroblasts express MMP-13 during wound healing (Ravanti et al., 2001), and that MMP-13 is also expressed by fibroblasts during wound repair in adult human gingiva (Ravanti et al., 1999b). Both types of wounds are characterized by rapid closure, efficient remodeling of newly formed collagenous dermis, and scarless healing. In addition, the expression of MMP-13 by human gingival and fetal skin fibroblasts is potently upregulated by transforming growth factor-beta, whereas adult HSFs normally express MMP-13 at low level only when cultured within 3D collagen (Ravanti et al., 1999a, 1999b, 2001). In the present study, we noted that primary adult HSFs expressing high levels of MMP-13, as a result of adenoviral MMP-13 gene delivery, remodel collagen matrix with high efficiency demonstrated by potent collagen gel contraction. Increased collagen gel remodeling was also noted after addition of rMMP-13 to the culture medium of fibroblasts. However, collagen gel remodeling induced by rMMP-13 was not as potent as that achieved by adenovirally produced MMP-13. It is hypothesized that MMP-13 enhances collagen contraction primarily and ultimately by partial cleavage of collagen fibers, although it is possible that other mechanisms, for example, activation of other factors, may be involved. Our results show that restricted collagenolysis by adenovirally expressed MMP-13 takes place in the proximity of the cell. It is therefore possible that exogenously added latent rMMP-13 is not distributed in high enough concentration to the pericellular areas to be activated and cleave collagen as potently as MMP-13 produced by the fibroblasts.

It has been well documented that fibroblasts cultured in mechanically non-stressed, freely floating collagen gel do not acquire myofibroblastic phenotype characterized by expression of alpha-smooth muscle actin and stress fibers, but they exhibit dendritic morphology with long and thin cell protrusions (Grinnell et al., 2003). Several studies have shown that these fibroblasts are still able to promote collagen remodeling, resulting in collagen gel contraction (Grinnell, 1994). In the present study, staining of HSFs in fluorescent-labeled collagen attached on cover glasses for f-actin revealed numerous stress fibers generated by mechanically loaded matrix. In accordance with the previous observations (Grinnell, 1994), no obvious stress fibers were detected in fibroblasts cultured in floating collagen gel. However, f-actin staining of HSFs expressing MMP-13 revealed that the extensions of these cells were generally shorter and structurally more complex than in control fibroblasts, possibly owing to exposure of cryptic binding sites from collagen by MMP-13 for cell adhesion and active retraction of the extended protrusions.

Interestingly, f-actin of the control fibroblasts cultured in 3D gel was evenly distributed in the dendritic cell protrusions, whereas f-actin of MMP-13-expressing HSFs was condensed to patch-like structures located along the cell extensions, suggesting altered cell contact to surrounding collagen cleaved by MMP-13. Resembling these structures, fibroblasts cultured on a rigid substrate generate focal adhesion sites, in which integrins are clustered on cell membrane together with cellular signaling proteins and cytoskeletal components to integrate intracellular compartment with ECM (Petit and Thiery, 2000). However, when fibroblasts are cultured in mechanically unloaded matrix (e.g. floating collagen gel), the large focal adhesions are absent, and focal adhesion complex proteins, focal adhesion kinase (FAK), talin, paxillin, and p130cas are downregulated (Wang et al., 2003). It remains to be elucidated whether the actin-containing clusters detected at the cell extensions of MMP-13-expressing HSFs can be distinguished as focal adhesions. However, these structures were detected already after culturing HSFs in collagen gel for 2 days, when the degree of collagen contraction was not yet very extensive, making it unlikely that focal adhesions were formed as a result of increased rigidity of the strongly remodeled collagen. Furthermore, the cell surface levels of collagen receptor integrins alpha1beta1 and alpha2beta1, which mediate collagen contraction and are recruited to focal adhesion sites (Schiro et al., 1991; Ivaska et al., 1999), were not altered by MMP-13 expression of HSFs cultured in floating 3D collagen.

A number of studies have demonstrated that fibroblasts in floating or in attached and released collagen gels acquire quiescence involving disruption in ERK signaling (Rosenfeldt and Grinnell, 2000; Fringer and Grinnell, 2003) and subsequent apoptosis (Fluck et al., 1998; Niland et al., 2001; Tian et al., 2002; Xia et al., 2004). Cell surface integrins function as mechanoreceptors for cells in 3D collagen, and focal adhesion kinase and Akt are phosphorylated as a result of collagen ligation with beta1 integrin (Carlson et al., 2004; Xia et al., 2004). However, during contraction of collagen gel, alpha2beta1 integrin appears to serve as a receptor for alterations in mechanical stimulus generated by surrounding collagen and it initiates a signaling cascade leading to dephosphorylation of Akt and subsequent apoptosis (Ivaska et al., 2002; Tian et al., 2002; Carlson et al., 2004; Xia et al., 2004). This process may also involve activation of the function of p53 (Carlson et al., 2004). In contrast to alpha2beta1 integrin, alphaV-integrin, which binds to Arg-Gly-Asp motif in denatured collagen, has been shown to promote survival of melanoma cells in 3D collagen via inactivation of p53 and activation of MEK1 and ERK1/2 pathway (Bao and Strömblad, 2004).

Here, we show that adenoviral expression of human MMP-13 by HSFs promotes their escape from cell quiescence and apoptosis induced by contractile floating collagen gel, and despite simultaneous enhancement of collagen gel contraction increases their survival and proliferation. This is expected to result in increased number of HSFs in 3D collagen, and efficiently augment collective collagen gel contraction. We detected a potent phosphorylation of Akt in HSFs expressing MMP-13, suggesting disrupted signaling via mechanoreceptor alpha2beta1-integrin. This could be owing to a shift of collagen ligation via alpha2beta1-integrin to alphaV-integrin, or altered out-side-in signaling initiated by reduced affinity of alpha2beta1 to cleaved and denatured type I collagen. In accordance with increased proliferative activity, we also observed activation of ERK1/2 in HSFs expressing human MMP-13. ERK1/2 signaling pathway can be influenced by cell adhesion, cell shape, and cytoskeletal organization (Huang and Ingber, 1999).

To conclude, our results demonstrate a multifunctional role for human MMP-13 in remodeling of collagenous ECM, an important process in normal acute wound healing. Our results show that MMP-13 expression potently enhances collagen gel contraction by adult skin fibroblasts in a cell culture model, which mimics dermal compartment of skin. We also detected various phenotypic chances in these fibroblasts providing mechanisms how human MMP-13 promotes matrix remodeling. We provide evidence showing that MMP-13-mediated collagenolysis promotes escape of fibroblasts from cell quiescence and apoptosis normally induced by floating and contractile collagen gel. This may be an important survival mechanism for dermal fibroblasts embedded in fibrotic collagen in chronic dermal ulcers (Vaalamo et al., 1997). Finally, our results suggest that human MMP-13 may also enhance wound contraction in vivo and promote scarless healing of adult gingival and fetal skin wounds by enhancing matrix remodeling.

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Materials and Methods

Cell cultures and reagents

Primary adult HSFs were established from a skin punch biopsy obtained from the arm of a healthy male volunteer (age 27 years). All studies were approved by the ethical committee of the University of Turku. Participants gave their written informed consent, and the study was conducted according to the Declaration of Helsinki Principles. HSFs were cultured in DMEM (Flow Laboratories, Irvine, UK) supplemented with 10% fetal calf serum (FCS), 2 mM L-glutamine, 100 IU/ml penicillin G, and 100 mug/ml streptomycin. HSFs were used between passages 6 and 15. MMP-13 inhibitor pyrimidine-4,6-dicarboxylic acid, bis-(4-fluoro-3-methyl-benzylamide) was purchased from Calbiochem (Merck Biosciences, Darmstadt, Germany). Function blocking antibodies against alpha1- and alpha2-integrins (SR-84 and AK-7, respectively) were purchased from BD Biosciences Pharmingen (San Diego, CA). Hybridoma cell line producing function blocking mAb L230 against alphaV-integrin was obtained from ATCC (Manassus, VA). The FITC-conjugated type I collagen from bovine skin (D-12060) was obtained from Molecular Probes Inc. (Eugene, OR).

Production of rMMP-13

The recombinant baculovirus for human proMMP-13 was generated using the Bac-To-Bac baculovirus expression system (GIBCO BRL, Gaithersburg, MD). To produce the recombinant pFastBAC1 donor plasmid, the region corresponding to nucleotides 10–1,429 of MMP-13 cDNA, originally derived from TNF-alpha-treated human SCC cells (Ala-aho et al., 2002), in pCI-neo vector was amplified using PCR by simultaneously introducing NheI and SpeI sites at the 5' and 3' ends, correspondingly. Tev protease consensus sequence (ENLYFQS) and the myc tag sequence (EQKLISEEDL) were introduced to the 3' SpeI site by primer annealing and ligation proceeded by T4 kinase treatment of the primers. The sequence was verified by sequencing. The recombinant baculovirus was generated according to the manufacturer's instructions. For production of proMMP-13, recombinant baculovirus was added in Sf9 cell cultures (ATCC CRL 1711) in SF-900 II SFM serum-free culture medium (GIBCO BRL), supplemented with 0.5 times PSN antibiotic mixture (GIBCO BRL) for 3 days at 27°C in a shaker at 125 r.p.m. The cells were pelleted by centrifugation (1,000 times g, 5 minutes) and the supernatant was analyzed by Western blotting for proMMP-13 production using myc and MMP-13-specific antibodies. Catalytic activity of MMP-13 was analyzed by radioactive collagen cleavage assay following activation by ammonium polymethacrylate (Ala-aho et al., 2002). The concentration of MMP-13 in the supernatant was determined using Biotrak™ ELISA system according to the manufacturer's instructions (Amersham Pharmacia Biotech, UK).

Adenoviral infection of primary skin fibroblasts

Recombinant replication-deficient adenovirus RAdLacZ (Wilkinson and Akrigg, 1992), which contains the E. coli beta-galactosidase (lacZ) gene under the regulation of the cytomegalovirus immediate early (CMV IE) promoter has been described previously (Wilkinson and Akrigg, 1992). The construction of control adenovirus RAdpCA3 and recombinant adenoviruses for human MMP-13 (RAdMMP-13) and TIMP-1 (RAdTIMP-1) has been described previously (Wilkinson and Akrigg, 1992; Baker et al., 1996; Ala-aho et al., 2002; Leivonen et al., 2002). HSFs were infected in suspension with adenoviruses at multiplicity of infection (MOI) 50–500 for 16 hours in the presence of 0.5% FCS. Thereafter, culture medium was replaced with fresh DMEM containing 0.5% FCS and HSFs were incubated for an additional 24 hours, detached with trypsin, and suspended into collagen gel.

Construction of 3D collagen gels and analysis of collagen gel contraction

3D collagen gels were prepared from native bovine dermal collagen containing 95% type I collagen and 5% type III collagen (Cellon, Strassen, France) as described previously (Ravanti et al., 1999a). Briefly, acid-soluble Cellon was neutralized by mixing 8 volumes of Cellon with 1 volume of 10 times concentrated DMEM and 1 volume of NaOH in 0.2 M HEPES buffer (pH 7.4) to obtain a final collagen concentration of 2.4 mg/ml. To examine the effect of MMP-13 and TIMP-1 expression on collagen gel remodeling by HSFs, uninfected or adenovirus-infected fibroblasts (5 times 105) were trypsinized and re-suspended into 600 mul of neutralized Cellon gel, suspension was cast on pre-solidified Cellon in 24-well plates, and incubated at 37°C for collagen polymerization. Thereafter, the gels were detached from the wells and 600 mul of 0.5% FCS DMEM was added. In certain experiments, recombinant human proMMP-13 was added to the medium twice: immediately after collagen gel preparation and 48 hours later. A chemical inhibitor of MMP-13 or vehicle was added to 3D cell cultures simultaneously with medium in 2 muM concentration. In experiments with function-blocking antibodies against alpha2- and alpha1-integrins, 1 mug of either antibody was administered to cell suspension before addition of collagen and 2 mug of antibody was added simultaneously with culture medium in final concentration 5 mug/ml. For alphaV-integrin, 5 mug of antibody was added to cell suspension before collagen addition and 10 mug simultaneously with culture medium to get the final concentration of 25 mug/ml. Collagen gel contraction by HSFs was observed for 1–4 days, the gels were photographed and their areas were measured using microcomputer imaging device Image Analysis software (Imaging Research Inc., St Catharines, Ontario, Canada).

Analysis of collagenolytic activity

Proteolytic activity of MMP-13 in the conditioned media of HSFs cultured in 3D collagen was analyzed in vitro. Briefly, equal aliquots of conditioned media were incubated in the 96-well plate coated with anti-MMP-13 antibody (clone 181-15A12; Calbiochem, San Diego, CA). After extensive washing, the specifically bound MMP-13 was incubated at room temperature with Eu- and quencher-labeled peptide containing a cleavage site for MMPs. In a subset of samples, MMP-13 was activated with 1 mM 4-aminophenylmercuric acetate for 30 minutes in 37°C. The time-resolved Eu signal produced by peptide cleavage was detected with Victor2™ 1423 Multilabel Counter (Perkin-Elmer Life and Analytical Sciences, Wallac Finland OY, Turku, Finland).

To detect the collagenolytic activity in situ in cell cultures in 3D collagen, RAdLacZ-, and RAdMMP-13-infected fibroblasts were seeded in type I collagen gel containing 3% of fluorescein-conjugated collagen, cast on sterile cover glasses, and cultured for 2 days anchored on glass in the presence of DMEM containing 0.5% FCS. The gels were then fixed with 4% paraformaldehyde at 37°C overnight, and degradation of fluorescein-conjugated collagen from the pericellular areas was detected with Zeiss LSM 510 confocal microscope. Released fluorescence (485/535 nm) in the cell culture media was quantified using Victor2™ 1423 Multilabel Counter (Perkin-Elmer Life and Analytical Sciences, Wallac Finland OY, Turku, Finland).

Staining of f-actin and detection of apoptotic cells

The fibroblast-containing collagen gels were washed with phosphate-buffered saline at 37°C and fixed with 4% paraformaldehyde at 37°C overnight. The gels were permeabilized with 1% Triton X-100 in phosphate-buffered saline. For actin staining, the gels were washed and incubated with tetramethyl rhodamine isothiocyanate-conjugated phalloidin (P-1951, Sigma Chemical Co., St Louis, MO) at concentration 1 mug/ml overnight at 4°C. After washing with phosphate-buffered saline, the gels were mounted on object glasses with Mowiol solution and examined and photographed with the Zeiss LSM 510 confocal microscope. To detect the apoptotic cells, the permeabilized cells were stained with Hoechst 33258 and with TUNEL kit (Roche, Mannheim, Germany) according to the manufacturer's instructions, mounted on object glasses, and visualized with fluorescence microscope.

Immunoblot analysis

HSFs were released from collagen by short treatment with bacterial collagenase (type II; Sigma Chemical Co., St Louis, MO) 0.2 mg/ml in phosphate-buffered saline (pH 7.4) containing 1 mM CaCl2, pelleted, and lysed with SDS sample buffer. Equal aliquots of cell culture media or cell lysates were fractionated electrophoretically in SDS-PAGE and transferred to nitrocellulose membranes. To detect the human MMP-13 and MMP-1 in the media by immunoblotting, mouse mAb against human MMP-13 (181-15A12; Calbiochem, San Diego, CA) and rabbit polyclonal antibody against MMP-1 (AB806; Chemicon International Inc., Temecula, CA) at 0.2 mug/ml concentrations were used. To determine the levels of TIMP-1 in the medium, aliquots of conditioned media were reduced with 5% beta-mercaptoethanol before electrophoretic fractionation and analyzed by Western blotting with rabbit polyclonal antibody (AB800, 0.2 mug/ml) (Chemicon International Inc., Temecula, CA). For analyzing cell lysates, polyclonal antibody against beta-actin (A1978) was purchased from Sigma Chemical Co (St Louis, MO), and for phospho-ERK1/2, ERK1/2, phospho-p38, p38, and phospho-Akt (Ser473) from Cell Signaling Technology (Beverly, MA). Anti-Akt antibody was purchased from Santa Cruz Biotechnology Inc. (sc-1618, Santa Cruz, CA). The specific binding of primary antibodies was detected with peroxidase-conjugated secondary antibodies and visualized by enhanced chemiluminescence (Amersham Biosciences).

Analysis of DNA synthesis

DNA synthesis was measured with colorimetric immunoassay quantifying the incorporation of BrdU into DNA according to the manufacturer's instructions (Roche, Mannheim, Germany). BrdU was added in culture media 24 hours after casting fibroblasts in collagen gel or when cultured in monolayer on plastic cell culture wells, 24 hours after infection, and incubated for 24 hours. For analysis, the fibroblasts were released from gels with bacterial collagenase treatment as described above.

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Conflict of Interest

The authors state no conflict of interest.

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Acknowledgments

The expert technical assistance of Sari Pitkänen, Johanna Markola, and Marjo Hakkarainen is gratefully acknowledged. This work has been supported by grants from the Academy of Finland (project 45996), Sigrid Jusélius Foundation, The Cancer Research Foundation of Finland, Turku University Central Hospital (project 13336), European Union Framework Programme 6 (CANCERDEGRDOME, LSHC-CT-2003-503297), Turku Graduate School of Biomedical Sciences, Turku University Foundation, and by Farmos Research and Science Foundation.

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