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A review of the TIMPs, the body's own inhibitors of matrix metalloproteinases

MMP13 biologyReview2010

This 2010 review describes the tissue inhibitors of metalloproteinases (TIMPs). Humans carry four TIMP genes. TIMPs were first known as MMP inhibitors but also block several ADAM and ADAMTS enzymes, so they regulate the enzymes that break down the extracellular matrix. They also have effects that do not depend on blocking enzymes.

Evidence typeReview
Who or what was studiedNot stated in the abstract
Dose and durationNot stated in the abstract

What they did

This is a review of published research, not a new experiment. The authors summarised what was known about the TIMP family: its spread across the animal kingdom, the structures of TIMPs locked onto their target enzymes, efforts to engineer TIMP variants that block selected enzymes, activities that have nothing to do with blocking enzymes, and findings from mice with TIMP genes deleted.

What they found

TIMPs are widely distributed in the animal kingdom, and the human genome has four genes, for TIMP-1 to TIMP-4. They inhibit MMPs and several ADAMs and ADAMTSs, so they regulate the enzymes that degrade the extracellular matrix and shed molecules from cell surfaces. Structural studies show TIMPs bind their targets at several sites, which has let researchers make variants that block selected groups of enzymes, though changes in the TIMP's flexibility on binding complicate this. TIMPs also affect cell growth and differentiation, cell migration, blood vessel growth, cell death and synaptic plasticity. Mice with specific TIMP genes deleted have shown their importance in health and disease.

What it can't tell us

A review adds no new data. The abstract does not single out MMP13 or cartilage, and it does not say which TIMP matters most in joints. It describes how TIMPs work in general, not whether raising them would protect cartilage in people.

Why it matters

MMP13 is not left to run unchecked. The TIMPs are the body's own brakes on it and its relatives, and Knäuper's 1996 study showed TIMP-1, TIMP-2 and TIMP-3 each block MMP13 one to one. Some of the plant-compound studies on this site report a rise in TIMP-1, which only makes sense once you know what TIMPs do.

The paper

  1. Brew K, Nagase H. The tissue inhibitors of metalloproteinases (TIMPs): an ancient family with structural and functional diversity. Biochim Biophys Acta 2010.

Read next

Last reviewed 3 November 2026Every study cited here is indexed on PubMed. How we read the evidence