Matrix metalloproteinase inhibition attenuates early left ventricular enlargement after experimental myocardial

L E Rohde1, A Ducharme, L H Arroyo

  • 1Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Circulation
|June 15, 1999
PubMed
Abstract

Insights

Matrix metalloproteinase (MMP) inhibition reduced early left ventricular dilation after experimental myocardial infarction (MI) in mice. This suggests MMPs play a key role in post-MI cardiac remodeling.

Area of Science:

  • Cardiovascular Research
  • Cardiac Remodeling
  • Pharmacology

Background:

  • Extracellular matrix synthesis and degradation are critical in post-myocardial infarction (MI) morphological changes.
  • Understanding these processes is key to developing treatments for cardiac remodeling.

Purpose of the Study:

  • To investigate if inhibiting matrix metalloproteinases (MMPs) can reduce left ventricular (LV) remodeling following experimental MI.
  • To test the hypothesis that MMP inhibition attenuates adverse LV changes after MI.

Main Methods:

  • Seventy-one male mice underwent coronary artery ligation to induce MI.
  • Survivors were randomized to a broad-spectrum MMP inhibitor (CP-471,474) or placebo.
  • Echocardiography assessed LV dimensions and function before and 4 days after randomization.

Main Results:

  • MMP inhibition significantly reduced increases in LV end-systolic and end-diastolic dimensions and areas.
  • Mice treated with MMP inhibitors showed no decrease in fractional shortening, unlike placebo-treated mice.
  • The beneficial effects of MMP inhibition were most pronounced in mice with greater initial LV dilation.

Conclusions:

  • Administration of an MMP inhibitor attenuates early LV dilation after experimental MI in mice.
  • Further research in genetically modified mice and other models is warranted to fully elucidate the role of MMPs in LV remodeling.

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