Increased TIMP/MMP ratio in varicose veins: a possible explanation for extracellular matrix accumulation

Primary varicose veins are functionally characterized by venous back‐flow and blood stagnation in the upright position. Dilatation and tortuosity provide evidence for progressive venous wall remodelling, with disturbance of smooth muscle cell/extracellular matrix organization. Affected areas are not...

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Veröffentlicht in:The Journal of pathology 2000-09, Vol.192 (1), p.105-112
Hauptverfasser: Badier-Commander, Cécile, Verbeuren, Tony, Lebard, Christian, Michel, Jean-Baptiste, Jacob, Marie-Paule
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creator Badier-Commander, Cécile
Verbeuren, Tony
Lebard, Christian
Michel, Jean-Baptiste
Jacob, Marie-Paule
description Primary varicose veins are functionally characterized by venous back‐flow and blood stagnation in the upright position. Dilatation and tortuosity provide evidence for progressive venous wall remodelling, with disturbance of smooth muscle cell/extracellular matrix organization. Affected areas are not uniformly distributed, some areas being hypertrophic, whereas others are atrophic or unaffected. In 12 varicose veins and ten control veins, the proteolytic enzyme/inhibitor balance which may participate in the remodelling of the venous wall was investigated. For this purpose, the presence and enzymatic activity of matrix metalloproteinases (MMP‐2, MMP‐9), tissue inhibitors of MMPs (TIMP‐1, TIMP‐2), urokinase‐type (uPA) and tissue‐type (tPA) plasminogen activators (PAs), and plasminogen activator inhibitor‐1 (PAI‐1) were quantified by western blot and gelatin or plasminogen–casein zymography. In addition, MMP‐2, TIMP‐1, TIMP‐2, and PAI‐1 levels were measured by ELISA. A high TIMP‐1 level and a low MMP‐2 level/activity were found in varicose veins (p
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Dilatation and tortuosity provide evidence for progressive venous wall remodelling, with disturbance of smooth muscle cell/extracellular matrix organization. Affected areas are not uniformly distributed, some areas being hypertrophic, whereas others are atrophic or unaffected. In 12 varicose veins and ten control veins, the proteolytic enzyme/inhibitor balance which may participate in the remodelling of the venous wall was investigated. For this purpose, the presence and enzymatic activity of matrix metalloproteinases (MMP‐2, MMP‐9), tissue inhibitors of MMPs (TIMP‐1, TIMP‐2), urokinase‐type (uPA) and tissue‐type (tPA) plasminogen activators (PAs), and plasminogen activator inhibitor‐1 (PAI‐1) were quantified by western blot and gelatin or plasminogen–casein zymography. In addition, MMP‐2, TIMP‐1, TIMP‐2, and PAI‐1 levels were measured by ELISA. 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Pathol</addtitle><description>Primary varicose veins are functionally characterized by venous back‐flow and blood stagnation in the upright position. Dilatation and tortuosity provide evidence for progressive venous wall remodelling, with disturbance of smooth muscle cell/extracellular matrix organization. Affected areas are not uniformly distributed, some areas being hypertrophic, whereas others are atrophic or unaffected. In 12 varicose veins and ten control veins, the proteolytic enzyme/inhibitor balance which may participate in the remodelling of the venous wall was investigated. For this purpose, the presence and enzymatic activity of matrix metalloproteinases (MMP‐2, MMP‐9), tissue inhibitors of MMPs (TIMP‐1, TIMP‐2), urokinase‐type (uPA) and tissue‐type (tPA) plasminogen activators (PAs), and plasminogen activator inhibitor‐1 (PAI‐1) were quantified by western blot and gelatin or plasminogen–casein zymography. 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For this purpose, the presence and enzymatic activity of matrix metalloproteinases (MMP‐2, MMP‐9), tissue inhibitors of MMPs (TIMP‐1, TIMP‐2), urokinase‐type (uPA) and tissue‐type (tPA) plasminogen activators (PAs), and plasminogen activator inhibitor‐1 (PAI‐1) were quantified by western blot and gelatin or plasminogen–casein zymography. In addition, MMP‐2, TIMP‐1, TIMP‐2, and PAI‐1 levels were measured by ELISA. A high TIMP‐1 level and a low MMP‐2 level/activity were found in varicose veins (p&lt;0.005), resulting in a three‐fold increase in the TIMP‐1/MMP‐2 ratio in varicose versus control veins. Levels of PAs (uPA and tPA) as well as PAI‐1 were both lower in varicose veins (p&lt;0.005), with minimal change in the PAI/PA ratio. These results demonstrate that varicose veins are characterized by a higher than normal TIMP/MMP ratio, which may facilitate extracellular matrix accumulation in the diseased venous wall. Copyright © 2000 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>10951407</pmid><doi>10.1002/1096-9896(2000)9999:9999&lt;::AID-PATH670&gt;3.0.CO;2-1</doi><tpages>8</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Blood and lymphatic vessels
Blotting, Western
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Extracellular Matrix - enzymology
Extracellular Matrix - metabolism
Female
human
Humans
Male
Matrix Metalloproteinase 2 - metabolism
Matrix Metalloproteinase 9 - metabolism
Matrix Metalloproteinases - metabolism
Medical sciences
Middle Aged
MMP
Plasminogen Activators - metabolism
Plasminogen Inactivators - metabolism
TIMP
Tissue Inhibitor of Metalloproteinase-1 - metabolism
Tissue Inhibitor of Metalloproteinase-2 - metabolism
Tissue Inhibitor of Metalloproteinases - metabolism
varicose veins
Varicose Veins - enzymology
Varicose Veins - metabolism
title Increased TIMP/MMP ratio in varicose veins: a possible explanation for extracellular matrix accumulation
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