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96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...

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DO-101<br />

Histopathological analysis of proteases in abdominal aortic<br />

aneurysm wall<br />

J . Pelisek 1 , M . Rudelius 2 , C . Reeps 1 , F . Lohoefer 1 , C . Lipp 1 , H .-H . Eckstein 1<br />

1 Klinikum rechts <strong>der</strong> Isar <strong>der</strong> TU München, Clinic of Vascular Surgery,<br />

München, 2 Klinikum rechts <strong>der</strong> Isar <strong>der</strong> TU München, Institute of Pathology,<br />

München<br />

Aims. Abdominal aortic aneurysm (AAA) wall is characterised by degradation<br />

of extracellular matrix through plethora of proteases. In contrast<br />

to the already well explored matrix metalloproteinases (MMPs), little is<br />

known about other groups, such as ADAM family of metalloproteases<br />

(a disintegrin and metalloprotease) or cathepsins. The aim of the study<br />

was therefore a detailed analysis of expression of selected ADAMs<br />

and cathepsins with known proteolytic activity of relevant extracellular<br />

components of the vessel wall and their inhibitors in specimens of patients<br />

with AAA.<br />

Methods. Tissue samples of vessel wall of 35 AAA patients and 10 organ<br />

donors were analysed by immunohistochemistry for expression of<br />

MMP-1, -2, -3, -7, -8, -9, -12, -13, ADAM 8, 9, 10, 12, 15, 17, and cathepsin B,<br />

D, K, L, S in all cells located within AAA. In addition, the known inhibitors<br />

of these proteases TIMP-1, -3, and cystatin C were analysed.<br />

Results. Endothelial cells (ECs) were positive for MMP-1, -3, -9, neovessels<br />

expressed all MMPs tested except for MMP-13. Aortic medial<br />

smooth muscle cells (SMCs) expressed MMP-1,-2,-3,-9. Inflammatory<br />

infiltrates expressed all MMPs tested except for MMP-2, macrophages<br />

expressed all MMPs. ADAMs were expressed in both AAA and control<br />

aorta without any significant differences between the groups. SMCs,<br />

neovessels, and macrophages were positive for all ADAMs tested. ECs of<br />

AAA were positive for cathepsin D and partially for cathepsin B, K, and<br />

S. Macrophages, neovessels and SMCs were positive for all cathepsins<br />

tested. Inflammatory infiltrates expressed all cathepsins in the following<br />

manner: D>B=S>K

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