Myeloperoxidase and plasminogen activator inhibitor 1 play a central role in ventricular remodeling after myocardial infarction

Left ventricular (LV) remodeling after myocardial infarction (MI) results in LV dilation, a major cause of congestive heart failure and sudden cardiac death. Ischemic injury and the ensuing inflammatory response participate in LV remodeling, leading to myocardial rupture and LV dilation. Myeloperoxi...

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Veröffentlicht in:The Journal of experimental medicine 2003-03, Vol.197 (5), p.615-624
Hauptverfasser: Askari, Arman T, Brennan, Marie-Luise, Zhou, Xiaorong, Drinko, Jeanne, Morehead, Annitta, Thomas, James D, Topol, Eric J, Hazen, Stanley L, Penn, Marc S
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container_end_page 624
container_issue 5
container_start_page 615
container_title The Journal of experimental medicine
container_volume 197
creator Askari, Arman T
Brennan, Marie-Luise
Zhou, Xiaorong
Drinko, Jeanne
Morehead, Annitta
Thomas, James D
Topol, Eric J
Hazen, Stanley L
Penn, Marc S
description Left ventricular (LV) remodeling after myocardial infarction (MI) results in LV dilation, a major cause of congestive heart failure and sudden cardiac death. Ischemic injury and the ensuing inflammatory response participate in LV remodeling, leading to myocardial rupture and LV dilation. Myeloperoxidase (MPO), which accumulates in the infarct zone, is released from neutrophils and monocytes leading to the formation of reactive chlorinating species capable of oxidizing proteins and altering biological function. We studied acute myocardial infarction (AMI) in a chronic coronary artery ligation model in MPO null mice (MPO(-/-)). MPO(-/-) demonstrated decreased leukocyte infiltration, significant reduction in LV dilation, and marked preservation of LV function. The mechanism appears to be due to decreased oxidative inactivation of plasminogen activator inhibitor 1 (PAI-1) in the MPO(-/-), leading to decreased tissue plasmin activity. MPO and PAI-1 are shown to have a critical role in the LV response immediately after MI, as demonstrated by markedly delayed myocardial rupture in the MPO(-/-) and accelerated rupture in the PAI-1(-/-). These data offer a mechanistic link between inflammation and LV remodeling by demonstrating a heretofore unrecognized role for MPO and PAI-1 in orchestrating the myocardial response to AMI.
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Ischemic injury and the ensuing inflammatory response participate in LV remodeling, leading to myocardial rupture and LV dilation. Myeloperoxidase (MPO), which accumulates in the infarct zone, is released from neutrophils and monocytes leading to the formation of reactive chlorinating species capable of oxidizing proteins and altering biological function. We studied acute myocardial infarction (AMI) in a chronic coronary artery ligation model in MPO null mice (MPO(-/-)). MPO(-/-) demonstrated decreased leukocyte infiltration, significant reduction in LV dilation, and marked preservation of LV function. The mechanism appears to be due to decreased oxidative inactivation of plasminogen activator inhibitor 1 (PAI-1) in the MPO(-/-), leading to decreased tissue plasmin activity. MPO and PAI-1 are shown to have a critical role in the LV response immediately after MI, as demonstrated by markedly delayed myocardial rupture in the MPO(-/-) and accelerated rupture in the PAI-1(-/-). 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subjects Animals
Collagen - metabolism
Coronary Circulation
Enzyme Activation
Humans
Inflammation
Leukocyte Common Antigens - metabolism
Leukocytes - metabolism
Matrix Metalloproteinase 2 - metabolism
Matrix Metalloproteinase 9 - metabolism
Mice
Mice, Inbred C57BL
Mice, Knockout
Myocardial Infarction - metabolism
Myocardium - cytology
Myocardium - metabolism
Myocardium - pathology
Oxidation-Reduction
Peroxidase - genetics
Peroxidase - metabolism
Plasminogen Activator Inhibitor 1 - metabolism
Serine Proteinase Inhibitors - metabolism
Survival Rate
Time Factors
Ventricular Remodeling
title Myeloperoxidase and plasminogen activator inhibitor 1 play a central role in ventricular remodeling after myocardial infarction
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