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Circulation. 2000;102:2861-2866

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(Circulation. 2000;102:2861.)
© 2000 American Heart Association, Inc.


Basic Science Reports

Remodeling of Carotid Artery Is Associated With Increased Expression of Matrix Metalloproteinases in Mouse Blood Flow Cessation Model

Denis Godin, PhD; Eugen Ivan, MD; Chad Johnson, BS; Richard Magid, MS; Zorina S. Galis, PhD

From the Department of Medicine, Emory University (D.G., E.I., Z.S.G.), and the Georgia Tech/Emory Department of Biomedical Engineering (C.J., R.M., Z.S.G.), Atlanta, Ga.

Correspondence to Zorina S. Galis, PhD, Division of Cardiology, Department of Medicine, Emory University School of Medicine, 1639 Pierce Dr, WMB #319, Atlanta, GA 30322. E-mail zgalis{at}emory.edu


*    Abstract
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*Abstract
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Background—The matrix-degrading activity of matrix metalloproteinases (MMPs), required for cell migration and general tissue reshaping, is thought essential for pathological arterial remodeling in atherosclerosis and restenosis.

Methods and Results—We triggered remodeling of the carotid artery in C57BL/6 mice by blood flow cessation to study the relationship with gelatinases MMP-9 and MMP-2. Ligated and contralateral carotid arteries from ligated and sham-operated mice were harvested fresh, for biochemical analyses, or were perfusion-fixed, for histological studies, at 0, 1, 3, 7, 14, and 28 days after ligation. An early statistically significant (P<0.01) 4- to 5-fold increase in MMP-9 expression detected by SDS-PAGE zymography and Western blotting in tissue homogenates of ligated carotid arteries 1 day after flow cessation was maintained through day 7, after which expression gradually fell. Maximal MMP-9 levels were higher than MMP-2 levels, which became significantly increased 7 days after ligation. Proliferating cells, identified by bromodeoxyuridine incorporation, were detectable at day 1 in the adventitia and subsequently throughout the wall. Neointima was visible in 3-day specimens of ligated arteries. Suggested by morphology and predicted by theoretical considerations, maximal MMP-9 expression coincided with cell migration into the neointima, supporting its enabling role. Morphological measurements also demonstrated positive lumen remodeling up to 7 days after ligation.

Conclusions—MMP-9 induction is associated with the formation of intimal hyperplasia and does not require frank mechanical injury. Our data also show that a significant increase in MMP-9 expression preceded the positive geometrical remodeling of arteries, suggesting a potentially beneficial role for this matrix-degrading enzyme.


Key Words: metalloproteinases • carotid arteries • remodeling


*    Introduction
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Besides direct mechanical injury by surgical vascular interventions,1 pathological vascular remodeling can occur naturally in response to immunologic, biochemical, or hemodynamic stimuli. Artery reaction to vascular injury has become the object of intense research, because of potential clues for human atherosclerotic lesion etiology and because restenosis is a major cause of morbidity in humans. However, remodeling of human vessels can only be captured as snapshots. Longitudinal observations in a variety of experimental models have provided much insight into the evolution of vascular lesions. Observations made in rat and rabbit balloon injury models of arterial remodeling2 3 support the importance of the matrix-degrading action of matrix metalloproteinases (MMPs), especially the gelatinases MMP-2 and MMP-9. These are necessary for general reshaping of the extracellular matrix scaffold of the arterial wall and likely enable migration of vascular smooth muscle cells (SMCs) and adventitial fibroblasts.4 Recently, murine models of vascular remodeling have attracted great interest because of their potential for genetic manipulation. Remodeling of murine arteries has been induced by the insertion of a thin wire,5 electric burning,6 and flow cessation.7 To study gelatinases MMP-9 and MMP-2 in relation to mouse carotid artery remodeling, we chose the flow-cessation model, characterized by rapid and reproducible remodeling with the development of significant intimal thickening.


*    Methods
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*Methods
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Animal Model
Male C57BL/6J mice (2 months old, 20 to 28 g, Jackson Laboratory, Bar Harbor, Me) were anesthetized by intraperitoneal injection of xylazine (Rompun, Bayer Corp) and ketamine HCl (Abbott Laboratories) (13 mg/kg and 87 mg/kg body weight, respectively). The left common carotid artery was ligated near bifurcation with the use of 5-0 silk (Ethicon).7 In sham-operated animals, the suture was passed under the exposed left carotid artery but not tightened. The wound was sutured, and the animals were allowed to recover on a warming blanket. Two groups of injured or sham-operated animals were processed for morphological and biochemical studies at 1, 3, 7, 14, and 28 days after the procedure. Before they were euthanized (at 12 and 4 hours), the animals from the first group received 2 subcutaneous 2.5-mg injections of the thymidine analogue bromodeoxyuridine (BrdU, Sigma). Animal survival was >95%. A total of 110 mice were used in the final analysis, with 4 or 5 animals per each time point. The Emory University Committee on Institutional Animal Care and Use approved the protocol. For morphological analysis, animals were perfused with normal saline and fixed with 10% phosphate-buffered formalin at physiological pressure for 3 minutes. Left and right carotid arteries were removed in block, further fixed for 16 hours, and paraffin-embedded without further dissection. Because lesion thickness varies longitudinally,7 the entire length of the left and right carotid arteries was sectioned and examined for identification of the apex of the lesion, which displays the smallest lumen. Groups of 5 sections (5 µm) were collected at equally spaced intervals (measured by discarding 15x10-µm-thick slices). The first section in each group was counterstained with hematoxylin-eosin. Within the group selected as the apex for each carotid, the subsequent 4 sections were processed for detection of specific histological features.

Immunostaining
MMP-9 was detected with the use of rabbit anti-mouse MMP-9 polyclonal antibody (generously provided by Drs Senior and Shipley, Washington University, St. Louis, Mo), followed by biotinylated goat anti-rabbit IgG (Fisher Biotech), streptavidin–horseradish peroxidase (Dako), and diaminobenzidine (DAB kit, Vector Laboratories), and counterstained with Gill’s hematoxylin (Fisher Scientific) and Scott’s solution. For negative controls, primary antibody was replaced with nonimmune rabbit serum. Cellular proliferation was detected as nuclear incorporation of BrdU with use of a monoclonal antibody (Cappel), in combination with the M.O.M. kit (Vector), followed by horseradish peroxidase or Texas red–conjugated donkey anti-mouse (Jackson); counterstaining was achieved with 0.5 mg/mL Hoechst (bis-benzimide, Sigma). Images were collected by use of a Zeiss Axioscope microscope.

Morphometric Analysis
Perimeters of the lumen, internal elastic lamina (IEL), and external elastic lamina (EEL) were obtained by tracing the contours on digitized images. Intimal thickness (distance between lumen and IEL), medial thickness (distance between IEL and EEL), and adventitial thickness (distance between EEL and the outer edge between tightly packed and surrounding loose tissue) were automatically calculated by ImagePro Plus 3.0 software (Media Cybernetics) as the mean perpendicular distance between 2 bordering tracings. All the areas were back-calculated with the assumption of circular structures. Proliferation indices were calculated as a percentage of BrdU-positive cells (pink nuclei) of the total number of cells (blue-counterstained nuclei) per arterial cross section.

Biochemical Analyses
Fresh carotid arteries were collected separately, pulverized under liquid nitrogen, and extracted with the use of ice-cold lysis buffer (10 mmol/L sodium phosphate, pH 7.2, containing 150 mmol/L NaCl [PBS], and 1% Triton X-100, 0.1% SDS, 0.5% sodium deoxycholate, and 0.2% sodium azide) for 1 hour at 4°C; centrifugation was at 10 000g for 5 minutes. For detection of MMP-2 and MMP-9, equal amounts of tissue extract protein (20 µg), assayed by using the DC protein assay (Bio-Rad), were loaded on each lane and run in parallel with prestained molecular weight markers (Bio-Rad) in 10% SDS-PAGE gels containing 1% gelatin, as described in detail previously.8 The optical volume-density product of individual lytic bands in Coomassie blue–stained gels was quantified by use of the Molecular Analyst (Bio-Rad). A single value was derived for MMP-9 and for MMP-2 by adding the bands associated with both pro and activated forms.

For Western blotting, samples (20 µg protein) were loaded on 10% SDS-PAGE mini gels and transferred onto nitrocellulose with use of a SemiDry system (Bio-Rad). MMP-9 was detected with rabbit anti-mouse MMP-9 polyclonal antibodies, followed by enhanced chemiluminescence (ECL kit, Amersham). Signals on x-ray films were quantified by use of the Multi-Analyst (BioRad).

Data Analysis
Average values were obtained per time point from image analysis of the apex section of each of the 4 or 5 carotid arteries. Densitometric data from Western blotting and SDS-PAGE zymography were generated through analysis of 4 or 5 individual carotid arteries per each time point. Comparisons were made by ANOVA followed by the Tukey protected t test to compare the means of multiple groups. Means were considered significantly different at P<0.05.


*    Results
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General Features of Vascular Remodeling in Flow Cessation Murine Model
The ligated carotid artery underwent rapid remodeling, as previously reported.7 A neointima was visible at day 3 and was well developed by 7 days. By 28 days, neointima accounted for >30% of the total wall thickness. Morphometric analysis (Figure 1Down) showed that compared with the sham-operated artery, the ligated carotid artery lumen initially undergoes a statistically significant enlargement, followed later by a significant decrease. Measurement of individual layer and total wall thickness showed both neointima development and overall wall shrinkage. The neointimal layer steadily increased throughout 28 days (Figure 2Down). Medial and adventitial layer thickness increased until day 14 but decreased thereafter. Cell number over time paralleled the layer thickness, suggesting that cell dynamics, the net result of cell turnover and migration between layers, is a major determinant of vascular remodeling in this model.



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Figure 1. Graphic representation of ligated and sham-operated murine carotid artery remodeling after flow cessation. Actual average values obtained from measurements of 4 different carotid arteries per each time point were used for graphic representation of lumen (hatched area), intimal (solid black), medial (white), and adventitial (gray) layer dimensions. All layers were considered to be circular. Ligated carotid artery lumen experiences significant (*P<0.01) enlargement throughout day 7 and then becomes significantly smaller.



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Figure 2. Evolution of thickness and total cell number of 3 layers (intimal, medial, and adventitial) and total wall in ligated artery remodeling. For each time point, 4 carotid arteries were analyzed. Thickness of intimal layer showed steady increase, whereas medial and adventitial layers peaked at 14 days. Note that all slopes of total cell numbers mimic those of thickness, suggesting that cells are the major constituent of murine carotid artery wall and that cell dynamics likely determines remodeling in this model. Sham-operated arteries, illustrated by dotted lines for total wall thickness and cell number, did not show remodeling.

Expression of Gelatinases During Mouse Carotid Artery Remodeling
MMP gelatinolytic activity in the carotid artery was increased after ligation (Figure 3Down). At day 1, MMP-9 activity had already increased 4- to 5-fold (P<0.01) in the ligated arteries. MMP-9 activity was detected also in sham-operated arteries at day 1 (this activity was likely stimulated by the surgical injury) and then returned to baseline levels but remained significantly elevated in ligated arteries through day 7. In contrast, activity corresponding to MMP-2 apparent molecular weight became significantly increased only after 7 days and remained lower than absolute MMP-9 levels. Pro-MMP-2 activation was detectable in 14- and 28-day specimens. Immunoblotting confirmed significant MMP-9 protein upregulation in ligated arteries up to 7 days after ligation (Figure 4Down). By immunocytochemistry, MMP-9 was not detectable in normal mouse carotid arteries and had very low levels in sham-operated arteries at all time points. In contrast, MMP-9 expression was clearly detectable by day 3 in many adventitial and medial cells of ligated arteries. MMP-9–positive cells appeared to be engaged in migration (Figure 5Down, inset). Scattered MMP-9–positive cells were detected in contralateral arteries as well. By day 7, intense MMP-9 staining was visible in the well-developed neointima of ligated arteries. Neointimal cells remained highly positive for MMP-9 in the ligated arteries harvested at day 28. Adventitial MMP-9 expression was also maintained.



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Figure 3. Gelatinolytic activity in murine carotid artery is increased after flow cessation. Equal amounts of tissue homogenate extracted from ligated (+) and sham-operated (-) left carotid arteries were loaded on SDS-PAGE gels containing gelatin. Gelatinolytic activity associated with MMP-9 was induced as early as 1 day after ligation and was detectable at all time points investigated. MWM indicates molecular weight marker. Lytic bands corresponding to apparent molecular weights of MMP-9 and MMP-2 were quantified by densitometry (bottom graph). Average values were obtained from 4 or 5 different carotid arteries. Statistically significant (**P<0.01) increases were observed for MMP-9 as early as 1 day and for MMP-2 at 7 days after ligation.



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Figure 4. MMP-9 protein expression in ligated (+) and sham-operated (-) mouse carotid arteries after intervention (immunoblotting). Levels quantified by densitometry are represented as averages of 4 or 5 individual carotid artery homogenates per time point (**P<0.01).



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Figure 5. Immunocytochemical detection of MMP-9 expression and proliferating cells in murine carotid artery. Initially undetectable, expression of MMP-9 increased after flow cessation (top 4 panels, bar=50 µm). Neointimal cell proliferation (inset) was detected by colocalization (revealed by pink color) of positive BrdU staining (Texas red) of the nuclei (blue-counterstained with Hoechst). Cell proliferation also occurred throughout vessel wall of ligated arteries (14 days, inset). At 28 days, representative specimens illustrate different morphology of left ligated or sham-operated carotid artery and right contralateral artery (middle and bottom, 4 large panels, bar=100 µm). Ligated artery has massive neointima with many MMP-9–positive cells. MMP-9 is also expressed by medial cells, which appear to be engaged in migration (inset, arrows) across IEL (arrowhead), and by adventitial cells. Sham-operated arteries do not present morphological changes or MMP-9 expression. Contralateral arteries are visibly enlarged. Low levels of MMP-9 were detected mostly in their adventitial layer. Lower right corner presents ligated artery processed by replacing anti–MMP-9 serum with nonimmune rabbit serum as control for immunostaining.

We analyzed the dynamics of cell accumulation and proliferation within the 3 layers of the ligated artery. BrdU-positive cells were detected throughout the wall (Figure 5Up). For each time point, average individual layer proliferation indices (intimal, medial, and adventitial) and the average overall arterial wall index were calculated (Figure 6Down). The proliferation index was maximal at day 1 in the adventitia, where it subsequently decreased sharply. Up to 14 days, proliferation slowly increased in both intimal and medial layers and then decreased in the medial layer, while being sustained in the intimal layer. Comparison of total cell counts (Figure 2Up) and proliferation index data (Figure 6Down) produces a picture of cell dynamics within different layers. In the intima, the total cell count continued to increase throughout day 28, consistent with the increased proliferation index. In contrast, the total medial cell number initially modestly increased and then tapered off, in spite of sustained proliferation. Similarly, the adventitial cell number initially increased and then decreased after 14 days. The decrease observed in the outer 2 layers is compatible with cells migrating into the intimal layer.



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Figure 6. Analysis of cellular proliferation in 3 layers and throughout wall of remodeled carotid artery. Left, Proliferation index data obtained by image analysis of specimens processed for detection of proliferating cells (BrdU incorporation, 4 animals per time point). Right, Contribution of cell migration revealed by comparison between total cell number measured in neointimal layer at different time points and values predicted by model assuming that proliferation was solely responsible for remodeling. Graphs present 2 different doubling time values. C indicates predicted cell number; Co, initial cell number.

The murine carotid artery does not contain intimal SMCs under normal conditions; thus, cell migration is an absolute requirement for neointimal development. MMP-9–positive cells appeared to be engaged in migration, which is thought to require MMP activity. However, such an in situ association remains circumstantial, inasmuch as to date there are no definitive markers of cell migration. The number of neointimal cells is also influenced by the rate of cell proliferation and cell loss. To gain further insight regarding the specific contribution of migration to neointimal formation, we made some theoretical considerations. With the use of data recorded from cell proliferation analysis, for the intimal layer these data were fit to a log curve (Figure 6Up) with the following equation: r=-0.015+0.032 ln(t), where r is the proliferation rate, and t is daysxdoublings per day. The cell number, plotted with use of actual neointimal proliferation rates (Figure 6Up), and doubling times reported for mouse cells9 were compared with the actual neointimal cell numbers counted in the specimens (Figure 2Up). Because of the simplicity of our model, we limited calculations to early proliferation rates (up to 7 days). We confirmed that the actual cell number detected in the neointima up to day 7 was higher than what was possible solely through proliferation, indicating that additional cells had to have migrated from other wall layers. The time course obtained is similar to that of MMP-9, which is consistent with MMP-9 contribution to cell migration.


*    Discussion
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*Discussion
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On the basis of the requirement that cells have a matrix-degrading capacity to free themselves from the matrix cage to move and proliferate and to reshape the tissues, we and others have hypothesized that MMPs play a key role in tissue remodeling associated with vascular lesion progression. After activation by soluble mediators, SMCs increase their secretion of matrix-degrading enzymes, including MMP-9.8 Previous studies support the role of MMP-9 in SMC migration and proliferation in vitro10 11 and in situ after carotid balloon angioplasty injury in rat and rabbit models.2 3 Data available for the mouse from studies of remodeling after perivascular femoral artery electric burning, another type of frank injury, also show increased MMP-9 expression.12 In the present study, we investigated the expression of gelatinases during vascular remodeling of the murine carotid artery induced by flow cessation.7 Low flow is thought to contribute to the development of human vascular lesions and was previously reported to upregulate MMP expression in a rabbit model of carotid artery remodeling.13 Like other experimental models, the murine flow cessation model is an obvious departure from the human situation. However, through emphasizing in vivo formation of intimal hyperplasia, a major contributor to pathological vascular remodeling of injured human arteries, this murine model has become the preferred choice for studying different aspects of vascular remodeling in wild-type mice14 and several transgenic mice.15 16 We also favored flow-induced remodeling because of its practical advantages, namely, producing a reproducible injury through a relatively easy surgical procedure and allowing us to obtain a fair amount of arterial tissue for biochemical analysis.

As in the case of healthy human carotid and coronary arteries,17 we found in normal murine carotid arteries that the gelatinolytic activity likely associated with MMP-2 was constitutively expressed, whereas MMP-9–associated activity was undetectable in uninjured vessels. However, both activities were significantly upregulated during injury-induced remodeling. Levels of MMP-9, quickly induced by flow cessation, were higher than levels of MMP-2, as revealed by gelatin zymography. This detected difference is likely underestimated, inasmuch as MMP-2 digests gelatin twice as fast as does MMP-9.18 As expected, we found that flow cessation rapidly induced the formation of a neointima. Maximal upregulation of MMP-9 preceded and then occurred along with cell migration and positive arterial remodeling. Similarly, although not examined in detail, the late increase in MMP-2 activity may be associated with carotid artery shrinkage.

Interestingly, our analysis revealed that the ligated mouse carotid artery undergoes initially positive and then late negative remodeling, another nice feature of this model, reminiscent of the evolution of the human restenotic artery. Arterial lumen stenosis after mechanical injury was shown to be a combination of intimal thickening and a reduction in the total wall circumference. Expression of matrix components and integrins characteristic of wound healing suggests that tissue contraction contributes to lumen constriction at sites of arterial reconstruction.19 Recent reexamination of angiographic studies of human lesions20 and of deep vascular injury in animal models21 suggests that negative geometrical remodeling may be of greater importance in arterial lumen narrowing than the development of intimal mass.

The potential implications of the obvious adventitial upregulation of MMP-9 expression during mouse carotid artery remodeling are several. Recent observations support the participation of differentiated adventitial myofibroblasts to the formation of intimal thickening through migration across the wall,22 23 especially in vessels in which the EEL has been compromised24 or is lacking.25 MMP-9 could provide the elastolytic activity26 necessary for the migration of cells through the elastic laminae. Whether adventitial cells actually migrate into the developing neointima in the flow cessation model, in which carotid artery integrity is not compromised, has yet to be determined, along with such adventitial contribution to the formation of intimal hyperplasia in human arteries. The extensive perivascular fibrosis leading to wall shrinkage during pathological vascular remodeling may also be related to the regulation of adventitial MMP-9. Recently reported actions of MMP-9 include proteolytic modification of biological activity of important nonmatrix substrates, such as interleukin-1ß and several inhibitors of serine proteases,27 which in turn modulate vascular cells, suggesting that MMP-9 may influence vascular remodeling beyond matrix degradation.

Our present study of murine carotid artery remodeling suggests that MMP-9 participates in positive remodeling, an initial beneficial phase after vascular injury. Additionally supporting this finding was the result of analysis of contralateral carotid arteries, which experience increased blood flow after ligation. We found that MMP-9 gelatinolytic activity was also doubled in contralateral arteries 1 day after ligation (not shown). After 7 days, the lumen of arteries contralateral to ligated arteries had increased on average by 30% (P<0.01), and the total wall areas increased >50% (P<0.05) compared with arteries contralateral to sham-operated carotid arteries. The potential role of MMP-9 in positive remodeling is of great interest, inasmuch as therapeutic inhibition of vascular MMPs is currently contemplated in restenosis. Currently available strategies, including the administration of chemical or biological MMP inhibitors28 and the overexpression of TIMPs,29 suffer from inescapable limitations, such as poor efficiency or tissue access, and also from nonspecific effects. A definitive confirmation of the role of MMP-9 in vascular remodeling proposed by the present and previous studies awaits the development and utilization of better experimental tools, including the recent availability of MMP-deficient animals.


*    Acknowledgments
 
Funding for these studies was provided through an American Heart Association Grant-in-Aid (No. 9650798). Dr Galis is an Established Investigator of the American Heart Association (award No. 0040087N). Dr Ivan was supported through a National Research Service Award training grant (No. T32 HL-07745-06). C. Johnson was supported through a National Science Foundation grant (No. EEC-9731643). The advice of Dr Volkard Lindner was invaluable in establishing the murine flow cessation model in our laboratory. The authors wish to acknowledge the excellent and enthusiastic assistance of Lisa Thacher, supported by a National Science Foundation Research Experience for Undergraduates summer scholarship (award No. EEC-9731643).

Received April 7, 2000; revision received June 12, 2000; accepted June 30, 2000.


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up arrowIntroduction
up arrowMethods
up arrowResults
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*References
 

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J Am Coll CardiolHome page
Y. S. Chatzizisis, A. U. Coskun, M. Jonas, E. R. Edelman, C. L. Feldman, and P. H. Stone
Role of Endothelial Shear Stress in the Natural History of Coronary Atherosclerosis and Vascular Remodeling: Molecular, Cellular, and Vascular Behavior
J. Am. Coll. Cardiol., June 26, 2007; 49(25): 2379 - 2393.
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Cardiovasc ResHome page
A. C. Newby
Matrix metalloproteinases regulate migration, proliferation, and death of vascular smooth muscle cells by degrading matrix and non-matrix substrates
Cardiovasc Res, February 15, 2006; 69(3): 614 - 624.
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Cardiovasc ResHome page
O. D. Defawe, R. D. Kenagy, C. Choi, S. Y.C. Wan, C. Deroanne, B. Nusgens, N. Sakalihasan, A. Colige, and A. W. Clowes
MMP-9 regulates both positively and negatively collagen gel contraction: A nonproteolytic function of MMP-9
Cardiovasc Res, May 1, 2005; 66(2): 402 - 409.
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HeartHome page
G Arno, J C Kaski, D A Smith, J P Akiyu, S E Hughes, and C Baboonian
Matrix metalloproteinase-9 expression is associated with the presence of Chlamydia pneumoniae in human coronary atherosclerotic plaques
Heart, April 1, 2005; 91(4): 521 - 525.
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HypertensionHome page
C. Bouvet, L.-A. Gilbert, D. Girardot, D. deBlois, and P. Moreau
Different Involvement of Extracellular Matrix Components in Small and Large Arteries During Chronic NO Synthase Inhibition
Hypertension, March 1, 2005; 45(3): 432 - 437.
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Proc. Natl. Acad. Sci. USAHome page
J. A. Spencer, S. L. Hacker, E. C. Davis, R. P. Mecham, R. H. Knutsen, D. Y. Li, R. D. Gerard, J. A. Richardson, E. N. Olson, and H. Yanagisawa
Altered vascular remodeling in fibulin-5-deficient mice reveals a role of fibulin-5 in smooth muscle cell proliferation and migration
PNAS, February 22, 2005; 102(8): 2946 - 2951.
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Arterioscler. Thromb. Vasc. Bio.Home page
Yasmin, S. Wallace, C. M. McEniery, Z. Dakham, P. Pusalkar, K. Maki-Petaja, M. J. Ashby, J. R. Cockcroft, and I. B. Wilkinson
Matrix Metalloproteinase-9 (MMP-9), MMP-2, and Serum Elastase Activity Are Associated With Systolic Hypertension and Arterial Stiffness
Arterioscler. Thromb. Vasc. Biol., February 1, 2005; 25(2): 372 - 378.
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Physiol. Rev.Home page
A. C. Newby
Dual Role of Matrix Metalloproteinases (Matrixins) in Intimal Thickening and Atherosclerotic Plaque Rupture
Physiol Rev, January 1, 2005; 85(1): 1 - 31.
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Arterioscler. Thromb. Vasc. Bio.Home page
A.-C. Jonsson-Rylander, T. Nilsson, R. Fritsche-Danielson, A. Hammarstrom, M. Behrendt, J.-O. Andersson, K. Lindgren, A.-K. Andersson, P. Wallbrandt, B. Rosengren, et al.
Role of ADAMTS-1 in Atherosclerosis: Remodeling of Carotid Artery, Immunohistochemistry, and Proteolysis of Versican
Arterioscler. Thromb. Vasc. Biol., January 1, 2005; 25(1): 180 - 185.
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Am. J. Respir. Crit. Care Med.Home page
T. Tazaki, K. Minoguchi, T. Yokoe, K. T. R. Samson, H. Minoguchi, A. Tanaka, Y. Watanabe, and M. Adachi
Increased Levels and Activity of Matrix Metalloproteinase-9 in Obstructive Sleep Apnea Syndrome
Am. J. Respir. Crit. Care Med., December 15, 2004; 170(12): 1354 - 1359.
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Arterioscler. Thromb. Vasc. Bio.Home page
S. M. Lessner, D. E. Martinson, and Z. S. Galis
Compensatory Vascular Remodeling During Atherosclerotic Lesion Growth Depends on Matrix Metalloproteinase-9 Activity
Arterioscler. Thromb. Vasc. Biol., November 1, 2004; 24(11): 2123 - 2129.
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Cardiovasc ResHome page
N. von Offenberg Sweeney, P. M Cummins, Y. A Birney, J. P Cullen, E. M Redmond, and P. A Cahill
Cyclic strain-mediated regulation of endothelial matrix metalloproteinase-2 expression and activity
Cardiovasc Res, September 1, 2004; 63(4): 625 - 634.
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Am. J. Pathol.Home page
S.-H. Kim, S. M. Lessner, Y. Sakurai, and Z. S. Galis
Cyclophilin A as a Novel Biphasic Mediator of Endothelial Activation and Dysfunction
Am. J. Pathol., May 1, 2004; 164(5): 1567 - 1574.
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Am. J. Pathol.Home page
N. Ferri, N. O. Carragher, and E. W. Raines
Role of Discoidin Domain Receptors 1 and 2 in Human Smooth Muscle Cell-Mediated Collagen Remodeling: Potential Implications in Atherosclerosis and Lymphangioleiomyomatosis
Am. J. Pathol., May 1, 2004; 164(5): 1575 - 1585.
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Circ. Res.Home page
C. Johnson, H.-J. Sung, S. M. Lessner, M. E. Fini, and Z. S. Galis
Matrix Metalloproteinase-9 Is Required for Adequate Angiogenic Revascularization of Ischemic Tissues: Potential Role in Capillary Branching
Circ. Res., February 6, 2004; 94(2): 262 - 268.
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CirculationHome page
J. J. Khatri, C. Johnson, R. Magid, S. M. Lessner, K. M. Laude, S. I. Dikalov, D. G. Harrison, H.-J. Sung, Y. Rong, and Z. S. Galis
Vascular Oxidant Stress Enhances Progression and Angiogenesis of Experimental Atheroma
Circulation, February 3, 2004; 109(4): 520 - 525.
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Arterioscler. Thromb. Vasc. Bio.Home page
C. Johnson and Z. S. Galis
Matrix Metalloproteinase-2 and -9 Differentially Regulate Smooth Muscle Cell Migration and Cell-Mediated Collagen Organization
Arterioscler. Thromb. Vasc. Biol., January 1, 2004; 24(1): 54 - 60.
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Arterioscler. Thromb. Vasc. Bio.Home page
V. A. Korshunov and B. C. Berk
Flow-Induced Vascular Remodeling in the Mouse: A Model for Carotid Intima-Media Thickening
Arterioscler. Thromb. Vasc. Biol., December 1, 2003; 23(12): 2185 - 2191.
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Am. J. Physiol. Endocrinol. Metab.Home page
M. Potier, M. Karl, S. J. Elliot, G. E. Striker, and L. J. Striker
Response to sex hormones differs in atherosclerosis-susceptible and -resistant mice
Am J Physiol Endocrinol Metab, December 1, 2003; 285(6): E1237 - E1245.
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Am. J. Pathol.Home page
J. Perree, T. G. van Leeuwen, R. Kerindongo, J. A. E. Spaan, and E. VanBavel
Function and Structure of Pressurized and Perfused Porcine Carotid Arteries: Effects of in Vitro Balloon Angioplasty
Am. J. Pathol., November 1, 2003; 163(5): 1743 - 1750.
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CirculationHome page
M. Kuzuya, S. Kanda, T. Sasaki, N. Tamaya-Mori, X. W. Cheng, T. Itoh, S. Itohara, and A. Iguchi
Deficiency of Gelatinase A Suppresses Smooth Muscle Cell Invasion and Development of Experimental Intimal Hyperplasia
Circulation, September 16, 2003; 108(11): 1375 - 1381.
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