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Review Question - QID 4468

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QID 4468 (Type "4468" in App Search)
Which of the following is true regarding matrix metaloproteinases (MMPs)?

They are activated by chelating agents

5%

286/5250

They mediate the destruction of cartilage in septic arthritis

77%

4025/5250

Toll-like receptors inhibit the formation of MMPs

6%

336/5250

They have a anabolic effect on cartilage

5%

277/5250

Stromelysin is an indirect antagonist of many MMPs

5%

268/5250

Select Answer to see Preferred Response

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Matrix metalloproteinases have been associated with the destruction of cartilage in septic arthritis.

Matrix metalloproteinases and their inhibitors, tissue inhibitors of metalloproteinases (TIMPs), are crucial to extracellular matrix remodeling in normal tissue development and maintenance. Additionally, their over-expression has been associated with cartilage degradation in diseases such as rheumatoid arthritis, osteoarthritis, and septic arthritis. In septic arthritis, toll-like receptors activate the NF-kB pathway which leads to the production of MMPs and resulting cartilage destruction.

Papathanasiou et al. investigate the role of toll-like receptors in septic arthritic chondrocytes. They demonstrated that TRL-1, 2, and 6 were up-regulated in septic chondrocytes and that TRL-2 directly affects the NF-kB pathway that leads to the production of MMPs.

Illustration A shows the pathway through which MMPs work to destroy cartilage.

Incorrect Answers:
Answer 1: Chelating agents bind to metals that serve to activate MMPs, thus inactivating them.
Answer 3: Toll-like receptors have been linked to the NK-kB pathway, which activates the formation of MMPs.
Answer 4: MMPs have a catabolic effect on cartilage.
Answer 5: Stromelysins are a subgroup of matrix metalloproteinases.

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