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Circulation. 1998;98:1728-1734

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(Circulation. 1998;98:1728-1734.)
© 1998 American Heart Association, Inc.


Clinical Investigation and Reports

Differential Expression of Tissue Inhibitors of Metalloproteinases in the Failing Human Heart

Yun You Li, MD, PhD; Arthur M. Feldman, MD, PhD; Yi Sun, MD, PhD; ; Charles F. McTiernan, PhD

From the Cardiovascular Research Laboratories, Division of Cardiology, University of Pittsburgh School of Medicine, Pittsburgh, Pa (Y.Y.L., A.M.F., C.F.M.), and the Department of Molecular Biology, Parke-Davis Pharmaceutical Research, Ann Arbor, Mich (Y.S.).

Correspondence to Charles F. McTiernan, PhD, 1744 BST, Division of Cardiology, University of Pittsburgh School of Medicine, 200 Lothrop St, Pittsburgh, PA 15213. E-mail mctier{at}card2.cath.upmc.edu

Background—Extracellular matrix turnover is regulated by matrix metalloproteinases (MMPs) and a family of tissue inhibitors of metalloproteinases (TIMPs). Together, these proteins may contribute to myocardial remodeling in congestive heart failure. We hypothesized that the expression of MMPs and TIMPs might be differentially regulated in the failing human heart.

Methods and Results—Northern blot analyses were performed with probes to TIMP-1 to -4 and GAPDH with poly A+ mRNA from ventricular tissues of patients with ischemic cardiomyopathy (ICM, n=16) or idiopathic dilated cardiomyopathy (DCM, n=15) and nonfailing control hearts (n=15). TIMP-1 to -4 and MMP-9 proteins were quantified by ELISA and/or Western blot, and the total gelatinolytic activity was studied by gelatin zymography. The results showed that cardiac expression of TIMP-1 and -3 transcripts and proteins was significantly reduced in ICM and DCM. No significant difference was observed in TIMP-2 and -4 transcripts. However, TIMP-4 protein was significantly reduced in ICM myocardium. MMP-9 protein content and total gelatinolytic activity were upregulated in the same samples.

Conclusions—These studies demonstrated a selective downregulation of TIMPs along with upregulation of MMP-9 and gelatinolytic activity in the failing hearts, alterations that favor matrix degradation and turnover. These findings might be of pathophysiological significance and might suggest new therapeutic targets for limiting the ventricular remodeling and dilatation process characteristic of the failing human heart.


Key Words: heart failure • metalloproteinases • remodeling




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Intracellular Action of Matrix Metalloproteinase-2 Accounts for Acute Myocardial Ischemia and Reperfusion Injury
Circulation, September 17, 2002; 106(12): 1543 - 1549.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
N. Kobayashi, S. Horinaka, S.-i. Mita, S. Nakano, T. Honda, K. Yoshida, T. Kobayashi, and H. Matsuoka
Critical role of Rho-kinase pathway for cardiac performance and remodeling in failing rat hearts
Cardiovasc Res, September 1, 2002; 55(4): 757 - 767.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. G.F Bronzwaer, C. Zeitz, C. A Visser, and W. J Paulus
Endomyocardial nitric oxide synthase and the hemodynamic phenotypes of human dilated cardiomyopathy and of athlete's heart
Cardiovasc Res, August 1, 2002; 55(2): 270 - 278.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
A. M. Romanic, S. M. Harrison, W. Bao, C. L. Burns-Kurtis, S. Pickering, J. Gu, E. Grau, J. Mao, G. M. Sathe, E. H. Ohlstein, et al.
Myocardial protection from ischemia/reperfusion injury by targeted deletion of matrix metalloproteinase-9
Cardiovasc Res, June 1, 2002; 54(3): 549 - 558.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
Y. Iwanaga, T. Aoyama, Y. Kihara, Y. Onozawa, T. Yoneda, and S. Sasayama
Excessive activation of matrix metalloproteinases coincides with left ventricular remodeling during transition from hypertrophy to heart failure in hypertensive rats
J. Am. Coll. Cardiol., April 17, 2002; 39(8): 1384 - 1391.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
F. G. Spinale
Matrix Metalloproteinases: Regulation and Dysregulation in the Failing Heart
Circ. Res., March 22, 2002; 90(5): 520 - 530.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Y. Li, T. Kadokami, P. Wang, C. F. McTiernan, and A. M. Feldman
MMP inhibition modulates TNF-alpha transgenic mouse phenotype early in the development of heart failure
Am J Physiol Heart Circ Physiol, March 1, 2002; 282(3): H983 - H989.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
I. Mayers, T. Hurst, L. Puttagunta, A. Radomski, T. Mycyk, G. Sawicki, D. Johnson, and M. W. Radomski
Cardiac surgery increases the activity of matrix metalloproteinases and nitric oxide synthase in human hearts
J. Thorac. Cardiovasc. Surg., October 1, 2001; 122(4): 746 - 752.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. L. Mann and H. Taegtmeyer
Dynamic Regulation of the Extracellular Matrix After Mechanical Unloading of the Failing Human Heart: Recovering the Missing Link in Left Ventricular Remodeling
Circulation, September 4, 2001; 104(10): 1089 - 1091.
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CirculationHome page
Y. Y. Li, Y. Feng, C. F. McTiernan, W. Pei, C. S. Moravec, P. Wang, W. Rosenblum, R. L. Kormos, and A. M. Feldman
Downregulation of Matrix Metalloproteinases and Reduction in Collagen Damage in the Failing Human Heart After Support With Left Ventricular Assist Devices
Circulation, September 4, 2001; 104(10): 1147 - 1152.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
T. Etoh, C. Joffs, A. M. Deschamps, J. Davis, K. Dowdy, J. Hendrick, S. Baicu, R. Mukherjee, M. Manhaini, and F. G. Spinale
Myocardial and interstitial matrix metalloproteinase activity after acute myocardial infarction in pigs
Am J Physiol Heart Circ Physiol, September 1, 2001; 281(3): H987 - H994.
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Circ. Res.Home page
E. E.J.M. Creemers, J. P.M. Cleutjens, J. F.M. Smits, and M. J.A.P. Daemen
Matrix Metalloproteinase Inhibition After Myocardial Infarction: A New Approach to Prevent Heart Failure?
Circ. Res., August 3, 2001; 89(3): 201 - 210.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. T. Peterson, H. Hallak, L. Johnson, H. Li, P. M. O'Brien, D. R. Sliskovic, T. M. A. Bocan, M. L. Coker, T. Etoh, and F. G. Spinale
Matrix Metalloproteinase Inhibition Attenuates Left Ventricular Remodeling and Dysfunction in a Rat Model of Progressive Heart Failure
Circulation, May 8, 2001; 103(18): 2303 - 2309.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
E. Braunwald
Congestive heart failure: a half century perspective
Eur. Heart J., May 2, 2001; 22(10): 825 - 836.
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Am. J. Physiol. Heart Circ. Physiol.Home page
B. K. Podesser, D. A. Siwik, F. R. Eberli, F. Sam, S. Ngoy, J. Lambert, K. Ngo, C. S. Apstein, and W. S. Colucci
ETA-receptor blockade prevents matrix metalloproteinase activation late postmyocardial infarction in the rat
Am J Physiol Heart Circ Physiol, March 1, 2001; 280(3): H984 - H991.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. J. Woodiwiss, O. J. Tsotetsi, S. Sprott, E. J. Lancaster, T. Mela, E. S. Chung, T. E. Meyer, and G. R. Norton
Reduction in Myocardial Collagen Cross-Linking Parallels Left Ventricular Dilatation in Rat Models of Systolic Chamber Dysfunction
Circulation, January 2, 2001; 103(1): 155 - 160.
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Proc. Natl. Acad. Sci. USAHome page
Y. Y. Li, Y. Q. Feng, T. Kadokami, C. F. McTiernan, R. Draviam, S. C. Watkins, and A. M. Feldman
Myocardial extracellular matrix remodeling in transgenic mice overexpressing tumor necrosis factor alpha can be modulated by anti-tumor necrosis factor alpha therapy
PNAS, November 7, 2000; 97(23): 12746 - 12751.
[Abstract] [Full Text] [PDF]


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CirculationHome page
B. H. Lorell and B. A. Carabello
Left Ventricular Hypertrophy : Pathogenesis, Detection, and Prognosis
Circulation, July 25, 2000; 102(4): 470 - 479.
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Circ. Res.Home page
D. A. Siwik, D. L.-F. Chang, and W. S. Colucci
Interleukin-1{beta} and Tumor Necrosis Factor-{alpha} Decrease Collagen Synthesis and Increase Matrix Metalloproteinase Activity in Cardiac Fibroblasts In Vitro
Circ. Res., June 23, 2000; 86(12): 1259 - 1265.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
Y. Y. Li, C. F. McTiernan, and A. M. Feldman
Interplay of matrix metalloproteinases, tissue inhibitors of metalloproteinases and their regulators in cardiac matrix remodeling
Cardiovasc Res, May 1, 2000; 46(2): 214 - 224.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
F. G Spinale, M. L Coker, B. R Bond, and J. L Zellner
Myocardial matrix degradation and metalloproteinase activation in the failing heart: a potential therapeutic target
Cardiovasc Res, May 1, 2000; 46(2): 225 - 238.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
H. Li, H. Simon, T. M.A. Bocan, and J.T. Peterson
MMP/TIMP expression in spontaneously hypertensive heart failure rats: the effect of ACE- and MMP-inhibition
Cardiovasc Res, May 1, 2000; 46(2): 298 - 306.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J.T. Peterson, H. Li, L. Dillon, and J. W. Bryant
Evolution of matrix metalloprotease and tissue inhibitor expression during heart failure progression in the infarcted rat
Cardiovasc Res, May 1, 2000; 46(2): 307 - 315.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. W. Olson, M. M. Bernardo, M. Pietila, D. C. Gervasi, M. Toth, L. P. Kotra, I. Massova, S. Mobashery, and R. Fridman
Characterization of the Monomeric and Dimeric Forms of Latent and Active Matrix Metalloproteinase-9. DIFFERENTIAL RATES FOR ACTIVATION BY STROMELYSIN 1
J. Biol. Chem., January 28, 2000; 275(4): 2661 - 2668.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Nagatomo, B. A. Carabello, M. L. Coker, P. J. McDermott, S. Nemoto, M. Hamawaki, and F. G. Spinale
Differential effects of pressure or volume overload on myocardial MMP levels and inhibitory control
Am J Physiol Heart Circ Physiol, January 1, 2000; 278(1): H151 - H161.
[Abstract] [Full Text] [PDF]


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Eur J Heart FailHome page
P. Rouet-Benzineb, J.-M. Buhler, P. Dreyfus, A. Delcourt, R. Dorent, J. Perennec, B. Crozatier, A. Harf, and C. Lafuma
Altered balance between matrix gelatinases (MMP-2 and MMP-9) and their tissue inhibitors in human dilated cardiomyopathy: potential role of MMP-9 in myosin-heavy chain degradation
Eur J Heart Fail, December 17, 1999; 1(4): 337 - 352.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
J. H. McElmurray III, R. Mukherjee, R. B. New, A. C. Sampson, M. K. King, J. W. Hendrick, A. Goldberg, T. J. Peterson, H. Hallak, M. R. Zile, et al.
Angiotensin-Converting Enzyme and Matrix Metalloproteinase Inhibition with Developing Heart Failure: Comparative Effects on Left Ventricular Function and Geometry
J. Pharmacol. Exp. Ther., November 1, 1999; 291(2): 799 - 811.
[Abstract] [Full Text]


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CirculationHome page
D. L. Mann
Mechanisms and Models in Heart Failure : A Combinatorial Approach
Circulation, August 31, 1999; 100(9): 999 - 1008.
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Cardiovasc ResHome page
Y. Y. Li, C. F. McTiernan, and A. M. Feldman
Proinflammatory cytokines regulate tissue inhibitors of metalloproteinases and disintegrin metalloproteinase in cardiac cells
Cardiovasc Res, April 1, 1999; 42(1): 162 - 172.
[Abstract] [Full Text] [PDF]


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CirculationHome page
D. L. Mann and F. G. Spinale
Activation of Matrix Metalloproteinases in the Failing Human Heart : Breaking the Tie That Binds
Circulation, October 27, 1998; 98(17): 1699 - 1702.
[Full Text] [PDF]