Selective matrix metalloproteinase inhibition reduces left ventricular remodeling but does not inhibit angiogenesis after myocardial infarction

Broad inhibition of matrix metalloproteinases (MMPs) attenuates left ventricular remodeling after myocardial infarction (MI). However, it is not clear if selective MMP inhibition strategies will be effective or if MMP inhibition will impair angiogenesis after MI. We used a selective MMP inhibitor (M...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2002-02, Vol.105 (6), p.753-758
Hauptverfasser: LINDSEY, Merry L, GANNON, Joseph, LEE, Richard T, AIKAWA, Masanori, SCHOEN, Frederick J, RABKIN, Elena, LOPRESTI-MORROW, Lori, CRAWFORD, Jamie, BLACK, Shawn, LIBBY, Peter, MITCHELL, Peter G
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container_title Circulation (New York, N.Y.)
container_volume 105
creator LINDSEY, Merry L
GANNON, Joseph
LEE, Richard T
AIKAWA, Masanori
SCHOEN, Frederick J
RABKIN, Elena
LOPRESTI-MORROW, Lori
CRAWFORD, Jamie
BLACK, Shawn
LIBBY, Peter
MITCHELL, Peter G
description Broad inhibition of matrix metalloproteinases (MMPs) attenuates left ventricular remodeling after myocardial infarction (MI). However, it is not clear if selective MMP inhibition strategies will be effective or if MMP inhibition will impair angiogenesis after MI. We used a selective MMP inhibitor (MMPi) that does not inhibit MMP-1 in rabbits, which, like humans but unlike rodents, express MMP-1 as a major collagenase. On day 1 after MI, rabbits were randomized to receive either inhibitor (n=10) or vehicle (n=8). At 4 weeks after MI, there were no differences in infarct size or collagen fractional area. However, MMPi reduced ventricular dilation. The increase in end-diastolic dimension from day 1 to week 4 was 3.1+/-0.5 mm for vehicle versus 1.3+/-0.3 mm for MMPi (P
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However, it is not clear if selective MMP inhibition strategies will be effective or if MMP inhibition will impair angiogenesis after MI. We used a selective MMP inhibitor (MMPi) that does not inhibit MMP-1 in rabbits, which, like humans but unlike rodents, express MMP-1 as a major collagenase. On day 1 after MI, rabbits were randomized to receive either inhibitor (n=10) or vehicle (n=8). At 4 weeks after MI, there were no differences in infarct size or collagen fractional area. However, MMPi reduced ventricular dilation. The increase in end-diastolic dimension from day 1 to week 4 was 3.1+/-0.5 mm for vehicle versus 1.3+/-0.3 mm for MMPi (P&lt;0.01). The increase in end-systolic dimension was 2.8+/-0.5 mm for vehicle and 1.3+/-0.4 mm for MMPi (P&lt;0.05). Furthermore, MMPi reduced infarct wall thinning; the minimal infarct thickness was 0.8+/-0.1 mm for vehicle and 1.6+/-0.3 mm for MMPi (P&lt;0.05). Interestingly, the MMPi group had increased numbers of vessels in the subendocardial layer of the infarct; the number of capillaries was increased in the subendocardial layer (46+/-4 vessels/field versus 17+/-3 vessels/field for vehicle; P&lt;0.001), and the number of arterioles was also increased (4.0+/-0.8 vessels/field versus 2.0+/-0.4 vessels/field for vehicle; P&lt;0.05). MMP inhibition attenuates left ventricular remodeling even when the dominant collagenase MMP-1 is not inhibited; furthermore, this selective MMP inhibition appears to increase rather than decrease neovascularization in the subendocardium.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/hc0602.103674</identifier><identifier>PMID: 11839633</identifier><identifier>CODEN: CIRCAZ</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Animals ; Biological and medical sciences ; Blotting, Western ; Cardiac Volume - drug effects ; Cardiology. Vascular system ; Collagen - metabolism ; Coronary Disease - complications ; Coronary heart disease ; Dilatation, Pathologic - diagnostic imaging ; Dilatation, Pathologic - drug therapy ; Dilatation, Pathologic - pathology ; Disease Models, Animal ; Echocardiography ; Endothelium, Vascular - drug effects ; Endothelium, Vascular - pathology ; Enzyme Inhibitors - administration &amp; dosage ; Enzyme Inhibitors - blood ; Halogenated Diphenyl Ethers ; Heart ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - drug effects ; Heart Ventricles - pathology ; Ligation ; Male ; Matrix Metalloproteinase Inhibitors ; Medical sciences ; Myocardial Infarction - drug therapy ; Myocardial Infarction - etiology ; Myocardial Infarction - metabolism ; Myocardial Infarction - pathology ; Myocardium - metabolism ; Myocardium - pathology ; Neovascularization, Physiologic - drug effects ; Phenyl Ethers - administration &amp; dosage ; Phenyl Ethers - blood ; Rabbits ; Survival Rate ; Ventricular Remodeling - drug effects</subject><ispartof>Circulation (New York, N.Y.), 2002-02, Vol.105 (6), p.753-758</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright American Heart Association, Inc. 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However, it is not clear if selective MMP inhibition strategies will be effective or if MMP inhibition will impair angiogenesis after MI. We used a selective MMP inhibitor (MMPi) that does not inhibit MMP-1 in rabbits, which, like humans but unlike rodents, express MMP-1 as a major collagenase. On day 1 after MI, rabbits were randomized to receive either inhibitor (n=10) or vehicle (n=8). At 4 weeks after MI, there were no differences in infarct size or collagen fractional area. However, MMPi reduced ventricular dilation. The increase in end-diastolic dimension from day 1 to week 4 was 3.1+/-0.5 mm for vehicle versus 1.3+/-0.3 mm for MMPi (P&lt;0.01). The increase in end-systolic dimension was 2.8+/-0.5 mm for vehicle and 1.3+/-0.4 mm for MMPi (P&lt;0.05). Furthermore, MMPi reduced infarct wall thinning; the minimal infarct thickness was 0.8+/-0.1 mm for vehicle and 1.6+/-0.3 mm for MMPi (P&lt;0.05). Interestingly, the MMPi group had increased numbers of vessels in the subendocardial layer of the infarct; the number of capillaries was increased in the subendocardial layer (46+/-4 vessels/field versus 17+/-3 vessels/field for vehicle; P&lt;0.001), and the number of arterioles was also increased (4.0+/-0.8 vessels/field versus 2.0+/-0.4 vessels/field for vehicle; P&lt;0.05). MMP inhibition attenuates left ventricular remodeling even when the dominant collagenase MMP-1 is not inhibited; furthermore, this selective MMP inhibition appears to increase rather than decrease neovascularization in the subendocardium.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blotting, Western</subject><subject>Cardiac Volume - drug effects</subject><subject>Cardiology. Vascular system</subject><subject>Collagen - metabolism</subject><subject>Coronary Disease - complications</subject><subject>Coronary heart disease</subject><subject>Dilatation, Pathologic - diagnostic imaging</subject><subject>Dilatation, Pathologic - drug therapy</subject><subject>Dilatation, Pathologic - pathology</subject><subject>Disease Models, Animal</subject><subject>Echocardiography</subject><subject>Endothelium, Vascular - drug effects</subject><subject>Endothelium, Vascular - pathology</subject><subject>Enzyme Inhibitors - administration &amp; dosage</subject><subject>Enzyme Inhibitors - blood</subject><subject>Halogenated Diphenyl Ethers</subject><subject>Heart</subject><subject>Heart Ventricles - diagnostic imaging</subject><subject>Heart Ventricles - drug effects</subject><subject>Heart Ventricles - pathology</subject><subject>Ligation</subject><subject>Male</subject><subject>Matrix Metalloproteinase Inhibitors</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Myocardial Infarction - etiology</subject><subject>Myocardial Infarction - metabolism</subject><subject>Myocardial Infarction - pathology</subject><subject>Myocardium - metabolism</subject><subject>Myocardium - pathology</subject><subject>Neovascularization, Physiologic - drug effects</subject><subject>Phenyl Ethers - administration &amp; dosage</subject><subject>Phenyl Ethers - blood</subject><subject>Rabbits</subject><subject>Survival Rate</subject><subject>Ventricular Remodeling - drug effects</subject><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0c9LHDEUB_BQWupWe-y1hEJ7G82PSTJzFKlWEDyo5yGbvKyRTKJJRvSv6L9slt0i9BQe7_NeEr4IfaPkmFJJT-4NkYQdU8Kl6j-gFRWs73rBx49oRQgZO8UZO0BfSnlopeRKfEYHlA58lJyv0N8bCGCqfwY865r9C56h6hDSY04VfNQFsI_3fu2rTxFnsIuBggO4ip8htgmzBJ1bY04Wgo8bvF4qtqmhmOq_WazjxqcNRCi-YO0qZDy_JqOz9To05XQ22xuO0CenQ4Gv-_MQ3Z3_vj37011dX1yenV51pmeydoPTbGzfV0JxaSQfBCG076WzsmdqVCAla8Woh4ERxqxVqjWZUFZwrhzhh-jXbm_759MCpU6zLwZC0BHSUiZFezFytoU__oMPacmxvW1ilCkmFVUNdTtkciolg5ses591fp0ombYxTbuYpl1MzX_fL13WM9h3vc-lgZ97oIvRwWUdjS_vjgvKqJL8DRDVnCs</recordid><startdate>20020212</startdate><enddate>20020212</enddate><creator>LINDSEY, Merry L</creator><creator>GANNON, Joseph</creator><creator>LEE, Richard T</creator><creator>AIKAWA, Masanori</creator><creator>SCHOEN, Frederick J</creator><creator>RABKIN, Elena</creator><creator>LOPRESTI-MORROW, Lori</creator><creator>CRAWFORD, Jamie</creator><creator>BLACK, Shawn</creator><creator>LIBBY, Peter</creator><creator>MITCHELL, Peter G</creator><general>Lippincott Williams &amp; Wilkins</general><general>American Heart Association, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20020212</creationdate><title>Selective matrix metalloproteinase inhibition reduces left ventricular remodeling but does not inhibit angiogenesis after myocardial infarction</title><author>LINDSEY, Merry L ; GANNON, Joseph ; LEE, Richard T ; AIKAWA, Masanori ; SCHOEN, Frederick J ; RABKIN, Elena ; LOPRESTI-MORROW, Lori ; CRAWFORD, Jamie ; BLACK, Shawn ; LIBBY, Peter ; MITCHELL, Peter G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-8fa2916175736c6385001446fd642797e6626fd9a882022dd7746f257d5337f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Blotting, Western</topic><topic>Cardiac Volume - drug effects</topic><topic>Cardiology. Vascular system</topic><topic>Collagen - metabolism</topic><topic>Coronary Disease - complications</topic><topic>Coronary heart disease</topic><topic>Dilatation, Pathologic - diagnostic imaging</topic><topic>Dilatation, Pathologic - drug therapy</topic><topic>Dilatation, Pathologic - pathology</topic><topic>Disease Models, Animal</topic><topic>Echocardiography</topic><topic>Endothelium, Vascular - drug effects</topic><topic>Endothelium, Vascular - pathology</topic><topic>Enzyme Inhibitors - administration &amp; dosage</topic><topic>Enzyme Inhibitors - blood</topic><topic>Halogenated Diphenyl Ethers</topic><topic>Heart</topic><topic>Heart Ventricles - diagnostic imaging</topic><topic>Heart Ventricles - drug effects</topic><topic>Heart Ventricles - pathology</topic><topic>Ligation</topic><topic>Male</topic><topic>Matrix Metalloproteinase Inhibitors</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - drug therapy</topic><topic>Myocardial Infarction - etiology</topic><topic>Myocardial Infarction - metabolism</topic><topic>Myocardial Infarction - pathology</topic><topic>Myocardium - metabolism</topic><topic>Myocardium - pathology</topic><topic>Neovascularization, Physiologic - drug effects</topic><topic>Phenyl Ethers - administration &amp; dosage</topic><topic>Phenyl Ethers - blood</topic><topic>Rabbits</topic><topic>Survival Rate</topic><topic>Ventricular Remodeling - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LINDSEY, Merry L</creatorcontrib><creatorcontrib>GANNON, Joseph</creatorcontrib><creatorcontrib>LEE, Richard T</creatorcontrib><creatorcontrib>AIKAWA, Masanori</creatorcontrib><creatorcontrib>SCHOEN, Frederick J</creatorcontrib><creatorcontrib>RABKIN, Elena</creatorcontrib><creatorcontrib>LOPRESTI-MORROW, Lori</creatorcontrib><creatorcontrib>CRAWFORD, Jamie</creatorcontrib><creatorcontrib>BLACK, Shawn</creatorcontrib><creatorcontrib>LIBBY, Peter</creatorcontrib><creatorcontrib>MITCHELL, Peter G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LINDSEY, Merry L</au><au>GANNON, Joseph</au><au>LEE, Richard T</au><au>AIKAWA, Masanori</au><au>SCHOEN, Frederick J</au><au>RABKIN, Elena</au><au>LOPRESTI-MORROW, Lori</au><au>CRAWFORD, Jamie</au><au>BLACK, Shawn</au><au>LIBBY, Peter</au><au>MITCHELL, Peter G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Selective matrix metalloproteinase inhibition reduces left ventricular remodeling but does not inhibit angiogenesis after myocardial infarction</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2002-02-12</date><risdate>2002</risdate><volume>105</volume><issue>6</issue><spage>753</spage><epage>758</epage><pages>753-758</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>Broad inhibition of matrix metalloproteinases (MMPs) attenuates left ventricular remodeling after myocardial infarction (MI). 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Interestingly, the MMPi group had increased numbers of vessels in the subendocardial layer of the infarct; the number of capillaries was increased in the subendocardial layer (46+/-4 vessels/field versus 17+/-3 vessels/field for vehicle; P&lt;0.001), and the number of arterioles was also increased (4.0+/-0.8 vessels/field versus 2.0+/-0.4 vessels/field for vehicle; P&lt;0.05). MMP inhibition attenuates left ventricular remodeling even when the dominant collagenase MMP-1 is not inhibited; furthermore, this selective MMP inhibition appears to increase rather than decrease neovascularization in the subendocardium.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>11839633</pmid><doi>10.1161/hc0602.103674</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals
subjects Animals
Biological and medical sciences
Blotting, Western
Cardiac Volume - drug effects
Cardiology. Vascular system
Collagen - metabolism
Coronary Disease - complications
Coronary heart disease
Dilatation, Pathologic - diagnostic imaging
Dilatation, Pathologic - drug therapy
Dilatation, Pathologic - pathology
Disease Models, Animal
Echocardiography
Endothelium, Vascular - drug effects
Endothelium, Vascular - pathology
Enzyme Inhibitors - administration & dosage
Enzyme Inhibitors - blood
Halogenated Diphenyl Ethers
Heart
Heart Ventricles - diagnostic imaging
Heart Ventricles - drug effects
Heart Ventricles - pathology
Ligation
Male
Matrix Metalloproteinase Inhibitors
Medical sciences
Myocardial Infarction - drug therapy
Myocardial Infarction - etiology
Myocardial Infarction - metabolism
Myocardial Infarction - pathology
Myocardium - metabolism
Myocardium - pathology
Neovascularization, Physiologic - drug effects
Phenyl Ethers - administration & dosage
Phenyl Ethers - blood
Rabbits
Survival Rate
Ventricular Remodeling - drug effects
title Selective matrix metalloproteinase inhibition reduces left ventricular remodeling but does not inhibit angiogenesis after myocardial infarction
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