(Received for publication, October 10, 1996, and in revised form, December 19, 1996)
From the Departments of Anatomical Sciences and
¶ Pathology, University of Oklahoma Health Sciences Center,
Oklahoma City, Oklahoma 73104
Gelatinase A (GL-A) is a matrix metalloproteinase (MMP) involved in both connective tissue remodeling and tumor invasion. GL-A activation is mediated by a membrane-type MMP (MT-MMP) that cleaves the GL-A propeptide. In this study, we examined the role of the actin cytoskeleton in regulating GL-A activation and MT-MMP-1 expression. Human palmar fascia fibroblasts and human fetal lung fibroblasts were cultured on a planar substratum or within different types of collagen lattices. Fibroblasts that formed stress fibers, either on a planar substratum or within an attached collagen lattice, showed reduced GL-A activation compared with fibroblasts lacking stress fibers, within either floating or stress-released collagen lattices. To determine whether changes in the organization of the actin cytoskeleton could promote GL-A activation, fibroblasts with stress fibers were treated with cytochalasin D. Within 24 h after treatment, GL-A activation was dramatically increased. Associated with this GL-A activation was an increase in MT-MMP-1 mRNA as determined by Northern blot analysis. Treatment with nocodazole, which induced microtubule depolymerization and cell shape changes without affecting stress fibers, did not promote GL-A activation. These results suggest that the extracellular matrix and the actin cytoskeleton transduce signals that modulate GL-A activation and regulate tissue remodeling.
MMPs1 are among the key extracellular enzymes involved in turnover of the ECM during normal and pathological processes. Changes in MMP expression by cells in vitro and in vivo occur in response to different environmental cues, but MMPs must become activated in order for them to exert their biochemical functions (1). The latency of MMPs, which are secreted as proenzymes, is conferred by the presence of propeptides which contain a free cysteine residue that is thought to associate with the active-site zinc molecule. Activation of MMPs occurs when this association is disrupted by cleavage of the propeptide or by disruption of the cysteine-zinc bond (1). Recently, a sub-family of MMPs, the MT-MMPs, has been identified as having a potential role in activating GL-A (MMP-2, 72-kDa gelatinase), a MMP previously shown to be refractive to most proteolytic activation mechanisms (1-4). MT-MMPs are unique in that they possess a transmembrane domain that anchors them to the cell surface. In addition, MT-MMPs have a putative activation site cleavable by furin-like intracellular enzymes and may therefore appear on the cell surface already activated (2-4). Thus, GL-A, which is constitutively expressed by many cell types, may be regulated through its interaction with the MT-MMPs, which themselves may be regulated transcriptionally. Expression of MT-MMPs would lead to the subsequent activation of GL-A.
GL-A activation may be regulated, in part, by the physical properties
of the ECM to which cells adhere. Previous studies have demonstrated
that fibroblasts cultured on a planar substratum activate little, if
any, of the secreted GL-A (5). Cellular activation of GL-A by cultured
fibroblasts is promoted by agents which alter the organization of the
actin cytoskeleton, including phorbol esters, concanavalin A, and cyto
D (5-8), suggesting that the actin cytoskeleton plays a role in
regulating GL-A activation. In addition, the binding of type I collagen
fibrils to the surfaces of fibroblasts, possibly through the
2
1 integrin, can promote GL-A activation
(5, 9). However, the three-dimensional organization of the collagen
lattice may be critical to this process, as only fibroblasts cultured
within floating collagen lattices and not on a thin coating of collagen
can promote cellular activation of GL-A (5, 9). MT-MMP-1, the
best-characterized MT-MMP, is known to be up-regulated in cultured
cells by agents which promote cellular activation of GL-A, including
concanavalin A, phorbol esters, and cyto D, suggesting that MT-MMP-1 is
involved in the cellular activation of GL-A (6, 8).
It has previously been demonstrated that the three-dimensional organization of collagen fibers influences the organization of the actin cytoskeleton (10-15). Fibroblasts cultured in mechanically relaxed floating collagen lattices lack bundles of actin; rather, the actin is organized into a cortical meshwork (10, 11, 14, 15). In contrast, fibroblasts cultured on a thin coating of type I collagen or within mechanically stressed, stabilized collagen lattices organize actin into bundles, referred to as stress fibers, terminating at the cell surface into focal adhesions or fibronexus structures (12-15). In this study, using collagen lattice models and cyto D treatment, we demonstrate an inter-relationship between the mechanical properties of the ECM and actin cytoskeleton organization in the regulation of GL-A activation and expression of MT-MMP-1. The mechanical forces which develop in the collagen lattice are demonstrated to be critical regulators of GL-A activation and MT-MMP-1 expression. These results suggest that the mechanical properties of the ECM and the actin cytoskeleton transduce the signals that regulate MT-MMP-1 expression and thereby the activation of GL-A.
Human palmar fascia fibroblasts were obtained and cultured, as described previously (13, 14, 16), in complete medium M-199 (Life Technologies, Inc.) supplemented with 10% fetal bovine serum (Irvine Scientific, Santa Ana, CA), 2 mM glutamine, and 1% antibiotic-antimycotic solution (Life Technologies, Inc.). WI-38 fibroblasts were obtained from the American Type Culture Collection (Rockville, MD) and cultured as recommended. For experiments on planar substrata, fibroblasts were plated on 35-mm tissue culture dishes (Falcon, Lincoln Park, NJ) at 50% confluence and grown to 90% confluence. Cultures were briefly washed with serum-free medium and treated with 8 µM cyto D (Sigma), 2 µg/ml nocodazole (Sigma), or 25 nM GM6001 for 24 h, after which conditioned medium or total RNA was collected. For experiments in collagen lattices, stabilized collagen lattices were cultured for 5 days, washed briefly with serum-free medium, and treated as described above. GM6001, a peptide hydroxamic acid-based inhibitor of MMPs (17), was a generous gift of Dr. Richard Galardy.
Preparation of Collagen LatticesFibroblasts were cultured within type I collagen (Upstate Biotechnology Inc., Lake Placid, NY) lattices, as described previously (13, 14, 16), such that the final collagen concentration was 0.65 mg/ml and the cell concentration 1.25 × 105 cells/ml. Floating collagen lattices were prepared by placing a 250-µl drop of the collagen-cell suspension on 35-mm Petri dishes (Falcon). After a 1-h incubation at 37 °C to allow for polymerization of the collagen, 1.5 ml of complete medium was placed over the collagen lattice, which did not adhere to the Petri dishes, but floated freely in the medium. Stabilized collagen lattices were prepared by the identical protocol with the exception that the collagen/cell suspension was placed on a 35-mm tissue culture dish (Falcon). The collagen lattices remained attached to the underlying plastic substratum throughout the culture period. Released collagen lattices were obtained by mechanically releasing the stabilized collagen lattice from the underlying plastic substratum after 5 days in culture (13, 16). Thin layer collagen substrata were prepared by incubating 50 µg of collagen/0.25 ml per 24-well culture dish well for 1 h at 37 °C, followed by a wash with phosphate-buffered saline.
Fluorescence Staining for Actin FilamentsFibroblasts were cultured within floating, stabilized, or released collagen lattices, as described above. Collagen lattices were fixed with 4% paraformaldehyde and stained with the F-actin probe, BODIPYTM phallacidin (Molecular Probes, Eugene, OR), as described previously (13, 14). Briefly, lattices were permeabilized with ice-cold acetone, washed three times with phosphate-buffered saline, incubated with BODIPYTM phallacidin for 30 min at room temperature, and viewed and photographed as whole mounts using an Olympus Vanox microscope equipped with epifluorescence optics.
Electrophoresis and BlottingSerum-free medium conditioned by cells was analyzed by gelatin zymography, as described previously (18). Gels were poured with 1 mg/ml gelatin, and non-reduced samples were electrophoresed as in standard SDS-polyacrylamide gel electrophoresis. Following electrophoretic separation, gels were incubated with 2.5% Triton X-100 to remove SDS, then incubated with substrate buffer. After incubation, gels were stained with Coomassie Brilliant Blue R-250. Areas of non-staining correspond to gelatinolytic activity.
Northern BlotsTotal RNA was isolated from cells according to published methods (19). Samples representing equivalent amounts of total RNA, as determined by spectrophotometry, were separated by denaturing gels, and then RNA was transferred to MSI-NT nylon membranes by capillary action and cross-linked to membranes with UV light. Membranes were incubated for 1 h at 60 °C with prehybridization buffer (500 mM NaPO4, pH 7.4, 7% SDS, 1 mM EDTA). Membranes were then hybridized overnight in prehybridization buffer plus labeled cDNA probe at 60 °C. Probes were 32P-labeled by random priming using a Prime-It II kit (Stratagene, La Jolla, CA), then separated from unincorporated label using ProbeQuant G-50 Micro columns (Pharmacia Biotech, Uppsala, Sweden). Following three low stringency washes (10 min in 40 mM NaPO4, pH 7.2, 5% SDS, 1 mM EDTA, 0.5% bovine serum albumin at room temperature) and two high stringency washes (10 min with 40 mM NaPO4, pH 7.2, 1% SDS, 1 mM EDTA) at room temperature and one 30-min high stringency wash at 60 °C, membranes were exposed to x-ray film adjacent to an enhancing screen. Blots were scanned on a densitometer to detect relative changes in mRNA expression. Human GL-A probe was a 913-base pair PstI-EcoRI fragment derived from the full-length cDNA (p16SPT19-1, from W. Stetler-Stevenson, NCI). Human MT-MMP-1 probe was a 3.3-kilobase full-length cDNA isolated from a placental library (provided by S. Fisher, UCSF) by means of a polymerase chain reaction-derived cDNA fragment spanning the propeptide domain to the zinc-binding site. GAPDH cDNA was from the American Type Culture Collection.
Fibroblasts were cultured within three-dimensional collagen lattices for 5 days in complete medium, after which they were allowed to condition serum-free medium for 24 h. Mechanically relaxed collagen lattices floated in the culture medium and maximally contracted over the initial 5-day period. Mechanically stressed collagen lattices remained attached to underlying culture dishes and developed maximum stress over this time period (12, 13, 15). Parallel cultures of these mechanically stressed collagen lattices were released from the underlying substratum, leading to the rapid contraction of the collagen matrix and the dissipation of mechanical stress, a process termed stress-relaxation (12, 13, 15). Stress-relaxed collagen lattices were cultured for 24 h after release in complete medium to allow for lattice contraction, after which lattices were cultured for an additional 24 h in serum-free medium.
Fig. 1 shows the levels of latent and activated GL-A
after culture of human palmar fibroblasts or WI-38 fibroblasts within three-dimensional collagen lattices. Regardless of the type of collagen
lattice, pro-GL-A was secreted by the fibroblasts, and a portion of
this enzyme was activated, as detected by the appearance of a 60-kDa
band in the zymogram (Fig. 1, Act GL-A). The only major
bands observed by zymography of the conditioned medium were the latent
and activated forms of GL-A. The zymographic ratio of active to latent
GL-A in conditioned media from mechanically relaxed collagen lattices
were higher than from mechanically stressed collagen lattices (Fig. 1).
Stress-relaxation of collagen lattices resulted in a reversal of the
levels of latent and activated GL-A from those observed in the
mechanically stressed collagen lattice. This reversal resulted in a
ratio of activated to latent GL-A similar to that observed in
mechanically relaxed floating collagen lattices (Fig. 1). Similar
changes in levels of latent and activated GL-A in response to the
mechanical properties of the collagen lattices were observed in adult
human palmar fibroblasts, as well as in human fetal lung fibroblasts.
In all the following experiments, both types of fibroblasts were
examined.
Organization of the Actin Cytoskeleton Is Correlated with GL-A Activation and Expression
The organization of the actin
cytoskeleton of fibroblasts cultured within the different
three-dimensional collagen lattices was examined by staining with the
F-actin probe BODIPYTM phallacidin. Palmar fibroblasts
cultured for 5 days within mechanically relaxed collagen lattices had
very few stress fibers. Instead, F-actin was found predominantly in the
cortical regions of the cells (Fig. 2A). In
contrast, palmar fibroblasts cultured for 5 days within mechanically
stressed collagen lattices had prominent stress fibers present
throughout the cell (Fig. 2B). Release of the mechanically
stressed collagen lattices resulted in a loss of stress fibers within
the first 10 min after release (not shown). By 24 h after release,
the actin became organized into a F-actin cortex similar to that
observed in the mechanically relaxed collagen lattice (Fig.
2C). Similar changes in the organization of the actin
cytoskeleton were observed in WI-38 fibroblasts cultured in the
different collagen lattices (not shown).
To test the possible role of the organization of the actin cytoskeleton
in GL-A activation, fibroblasts in mechanically stressed collagen
lattices were treated with either cyto D or nocodazole. Both of these
treatments radically changed the shape of the fibroblasts within
mechanically stressed collagen lattices. Treatment of human palmar
fibroblasts with nocodazole resulted in a shortening of the cell
processes and rounding of the cell body (Fig.
3B), in contrast to cyto D, which left the
cells dendritic and which resulted in a rapid and persistent alteration
in the actin cytoskeleton (Fig. 3A) (20). Cyto D caused the
loss of stress fibers, and the actin filaments appeared to collapse
into aggregates near the cell periphery. In contrast, nocodazole
promoted the loss of microtubules (not shown), but with no loss of
stress fibers (Fig. 3B). Alteration of the actin
cytoskeleton with cyto D resulted in a dramatic increase in the level
of activated GL-A compared with control mechanically stressed collagen
lattices. The levels of latent and activated GL-A in cyto D-treated
lattices were similar to those observed in mechanically relaxed or
stress-relaxed collagen lattices (compare Figs. 4 and
1). In contrast, nocodazole treatment did not alter GL-A activation
levels from control lattices. A similar activation of gelatinase A in
response to cyto D treatment was observed in WI-38 fibroblasts cultured
with mechanically stressed collagen lattices (not shown).
Fibroblasts cultured as a monolayer on plastic also developed prominent
stress fibers (not shown) and did not activate GL-A (Fig.
5). Treatment with cyto D resulted in a dramatic
activation of GL-A, while treatment with nocodazole had no effect (Fig.
5). Thus, alterations in the organization of the actin cytoskeleton, and not cell shape, promoted activation of GL-A by fibroblasts.
GL-A Activation Is MMP-dependent
Because the activation of GL-A has been linked to its enzymatic cleavage by MT-MMPs, we evaluated whether inhibiting the enzymatic activity of MMPs in the fibroblast culture would inhibit activation of GL-A. Fibroblasts were cultured within mechanically stressed collagen lattices or in monolayer, then treated for 18 h with cyto D, both in the presence and absence of the MMP inhibitor GM6001. In both culture conditions, GM6001 completely blocked cyto D-promoted activation of GL-A (Figs. 4 and 5). To control for the possibility that GM6001 present in the culture medium remained bound to GL-A during electrophoresis and subsequently blocked its enzymatic activity in zymographs, conditioned medium from cyto D-treated fibroblasts cultured in monolayer was incubated overnight with GM6001 and subsequently analyzed by gelatin zymography. No obvious reduction in the activated GL-A band occurred after incubation of conditioned medium with GM6001 (not shown).
Binding of Fibroblasts to Collagen Is Not Sufficient for Activation of GL-AActivated GL-A was not observed in medium conditioned by
fibroblasts cultured in a monolayer, similar to other reports (5, 8).
In contrast, activated GL-A was observed in medium conditioned by
fibroblasts cultured within the different collagen lattices. Because
the activation of GL-A observed in the conditioned medium from
fibroblasts cultured within the collagen lattices could be the result
of integrin-mediated signaling through cell binding to the surrounding
collagen matrix (5, 9), we tested whether binding to, and spreading on,
collagen was sufficient to promote activation of GL-A. WI-38
fibroblasts cultured on type I collagen-coated tissue culture plates
formed large stress fibers (not shown), but did not activate GL-A (Fig.
6). A similar response was observed in human palmar
fibroblasts (not shown). These results suggest that the mechanical
properties of the collagen are important in the promotion of gelatinase
A activation.
The Mechanical Properties of Collagen Lattices Regulate MT-MMP-1 and GL-A Expression
Recent studies have suggested that a new
family of MMPs, the MT-MMPs, are responsible for activation of GL-A
(2-4). Northern blot analysis was performed to determine whether
steady state levels of MT-MMP-1 mRNA were increased in collagen
lattices which promoted activation of GL-A. MT-MMP-1 mRNA in human
palmar fibroblasts increased in mechanically relaxed and stress-relaxed
collagen lattices compared with mechanically stressed collagen lattices (Fig. 7). For comparative purposes the ratio of MT-MMP-1
to GAPDH message was analyzed and was found to be 2.5-fold higher and
3.5-fold higher in "floating" and "released" collagen lattices,
as compared to "stabilized" lattices, respectively.
The results obtained with gelatin zymography, a semi-quantitative
technique, suggested that total amounts of latent and activated GL-A
had increased under conditions that promoted GL-A activation (Figs. 1,
4, and 5). Northern blot analysis was performed to determine whether
steady state levels of GL-A mRNA had increased under conditions which promoted its activation. GL-A mRNA in human palmar
fibroblasts increased in mechanically relaxed and stress-relaxed
collagen lattices compared with mechanically stressed collagen lattices (Fig. 8). The GL-A:GAPDH ratio was increased 1.3-fold in
mechanically relaxed and 1.5-fold in stress-relaxed collagen lattices
compared with mechanically stressed collagen lattices. Similar changes in MT-MMP-1 mRNA and GL-A mRNA levels were observed in WI-38
fibroblasts (not shown).
Changes in the Organization of the Actin Cytoskeleton Regulate GL-A and MT-MMP-1 Expression
Next we evaluated whether the steady
state levels of MT-MMP-1 and GL-A mRNA increased after cyto D
treatment, conditions which disrupt the actin cytoskeleton. The
MT-MMP-1:GAPDH mRNA ratio increased 6.2-fold in cyto D-treated
human palmar fibroblasts cultured in monolayer compared with untreated
control cells (Fig. 9). Similarly, The GL-A:GAPDH
mRNA ratio increased 3.2-fold in cyto D-treated human palmar
fibroblasts cultured in monolayer compared with untreated control cells
(Fig. 9). Similar changes in MT-MMP-1 and GL-A mRNA levels were
observed in WI-38 fibroblasts (not shown).
Using three-dimensional collagen lattices that differ only in their mechanical properties, we examined the effects of mechanical forces on the cellular activation of GL-A, which is thought to occur through its interaction with MT-MMPs (1-7). Fibroblasts in mechanically relaxed or stress-relaxed collagen lattices had high levels of GL-A activation and MT-MMP-1 mRNA levels compared to fibroblasts in mechanically stressed collagen lattices. Treatment of mechanically stressed fibroblasts with cyto D, which causes the disruption of stress fibers and which models mechanical relaxation, also resulted in increased levels of GL-A activation and MT-MMP-1 mRNA. GL-A activation could be blocked by the peptide hydroxamic acid-based inhibitor GM6001 (17), consistent with the proposal that GL-A activation is MMP-mediated. In addition, levels of GL-A mRNA increased in mechanically relaxed compared to mechanically stressed collagen lattices. These results suggest that as cells lose mechanical stress they regulate GL-A activation by increasing the expression of MT-MMP-1, as well as increasing the expression of GL-A.
While it has been proposed that the three-dimensional organization of the collagen matrix, as well as cell binding to collagen, regulates GL-A activation (5, 9), we found that mechanical stress, and not matrix organization, may regulate this activation. Mechanically stressed collagen lattices, when compared with mechanically relaxed lattices, showed a marked reduction in GL-A activation and MT-MMP-1 expression, even though fibroblasts were surrounded by a three-dimensional collagen matrix in both cases. Fibroblasts cultured on a thin layer of collagen or in a monolayer activate little or no GL-A. All cells in such cultures contain stress fibers. That virtually no activation of GL-A occurs on a thin layer of collagen suggests that more than just binding of collagen is required for GL-A activation. Fibroblasts in mechanically stressed collagen lattices always activate some GL-A, which may be accounted for by the presence of some cells which lack stress fibers (13). This suggests that it is not just the three-dimensional organization of the collagen lattice, but rather the mechanical forces present in the lattice, that regulate cellular activation of GL-A, presumably by regulating the expression of MT-MMP-1.
The changes in activity and expression of GL-A and MT-MMP-1 observed in collagen lattices, while significant, are not as dramatic as those observed after treatment with cyto D. Fibroblasts in floating and released collagen lattices are heterologous with respect to the amount of mechanical stress they experience. For example, some of the fibroblasts at the periphery of floating or stress-relaxed collagen lattices contain stress fibers (14) and would be expected to express less GL-A and MT-MMP-1 than cells in the center of the lattice. Treatment of cultures with cyto D models loss of mechanical stress and involves the entire cell population. Not surprisingly, cyto D treatment yields larger changes in GL-A and MT-MMP-1 levels (Fig. 9). Thus, while cyto D is not as relevant physiologically as are collagen lattices, it does provide an experimental model that may be useful for studying the role of the actin cytoskeleton in gene regulation.
The mechanical forces in the ECM may transduce intracellular signals through integrin-mediated focal adhesion complexes (21). It is well known that integrins induce formation of a specialized focal adhesion complex at the site of cell-ECM binding due to specific binding interactions between integrins, actin-associated molecules, and actin (22). The assembly of actin stress fibers and focal adhesion complexes leads to the activation of signal transduction mediators such as pp125 focal adhesion kinase (23). Fibroblasts in mechanically stressed collagen lattices form fibronexus-type focal adhesion complexes at their surfaces; in contrast, fibroblasts in mechanically relaxed or stress-relaxed collagen lattices lack these cell surface complexes (13-15). Although the mechanism remains to be elucidated, such matrix-mediated signaling could lead to regulation of MT-MMP-1 and GL-A expression observed in this study. In this study we have demonstrated that the lack or loss of stress fibers in response to altered mechanical forces in collagen lattices or to cyto D treatment is associated with increased activation of GL-A. Recently, cyto D treatment of rat mesangial cells cultured on a planar substratum was shown to increase GL-A activation and MT-MMP-1 mRNA (8). These results suggest that signals generated by mechanical stress in the ECM are transduced by the actin cytoskeleton and play an important role in regulating GL-A activation. Interstitial collagenase levels have also been demonstrated to be regulated by the organization of the actin cytoskeleton (24). Reorganization of the polymerized actin cytoskeleton, either by release of collagen lattices or by cytochalasin B treatment, promoted increased levels of secreted interstitial collagenase in rabbit synovial fibroblasts. These increased levels of collagenase were not due to cell shape changes, since treatment with colchicine, which disrupted the microtubule organization and changed the cell shape but not the actin cytoskeleton, had no effect on collagenase levels (24). In the present study, we found that disruption of microtubules and changes in cell shape by treatment with nocodazole had no effect on GL-A activation.
Previous studies have demonstrated that both urokinase and its inhibitor, plasminogen activator inhibitor-1, are induced by cyto D promoted cytoskeletal reorganization (25-27). It has been speculated that urokinase induction follows the activation of c-Jun, which then participates in transcriptional activation through interactions with the AP-1 site within the urokinase promoter (25). MT-MMP-1, which is induced by phorbol esters, may have an AP-1 site within its promoter, although no sequence data have been published (6). Similarly, the collagenase gene has an AP-1 site within its promoter (1). These MMPs could be regulated by similar transcription factors responsive to mechanical stress and the organization of the actin cytoskeleton. The GL-A promoter has no AP-1 site within the published 1.6-kilobase sequence and is not responsive to phorbol esters or most cytokines or growth factors (28-30). Indeed, GL-A appears to be constitutively expressed in most tissues, and its promoter is TATA-less, similar to many so-called "housekeeping" genes. Thus, the mechanism by which mechanical stress and actin organization regulates transcription of GL-A may be different from that proposed for MT-MMP-1.
Mechanical forces may play an important role in regulating the expression and assembly of ECM macromolecules (15). Mechanical stress will promote the assembly of fibronectin into fibrils at the cell surface (14), as well as an increase in the expression of type I collagen (31). These results have led to the proposal that mechanical stress induces a matrix-depositing fibroblast phenotype (15). Our results demonstrating that mechanical stress results in decreased activation of GL-A are consistent with this proposal. Interstitial collagenase, as well as plasminogen activators, may be similarly regulated by mechanical stress (25-27, 31). These results suggest that, opposite to the matrix-depositing phenotype promoted by mechanical stress, a mechanically relaxed environment may promote a "proteolytic" phenotype favoring matrix turnover. Thus, the mechanical forces described here in the in vitro collagen lattice models may also play an important role in vivo during wound healing and pathological contractures. Fibroblasts in granulation tissue exert tension on the ECM, develop stress, and contract the matrix, thereby bringing the wound margins closer together (15, 32, 33). Once the wound defect is closed by a combination of contraction and new matrix synthesis, the fibroblast population regresses and ECM remodeling begins. Our studies suggest that, while the wound is under tension and depositing a new ECM, little MMP activity would be present. Once the new matrix replaces the wound and the tissue becomes mechanically relaxed, MMP expression and activation would occur, promoting ECM remodeling. Consistent with this proposal is the observation that increased skin tension contributes to increased scarring after surgery (34), as well as the presence of the contractile myofibroblast in many fibrotic conditions (15).
We thank Ben Han for help in the preparation of the figures and Elizabeth Bullen and Shelley Pierson for technical assistance.