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Published on: August 24, 2019
The prominent expression of plasma matrix metalloproteinase-8 in acute thoracic aortic dissection
Yun Li1, Ai-Zhong Shao, Hai-Tao Jiang
1Medical School of Nanjing University, Nanjing, Jiangsu, China.
Background:
The relationship between elastolytic matrix metalloproteinases (MMPs) (such as MMP-2, MMP-9) and thoracic aortic dissection (TAD) has been described, but little is known regarding the role of collagenolytic MMPs in thoracic aortic dissection. The aim of this study was to determine the role of MMP-8 in acute thoracic aortic dissection.
Materials And Methods:
Forty-five patients affected by TAD and 40 with acute myocardial infarction (AMI) were recruited into this study. Blood samples within 72 h of the onset of symptoms were available for all the 85 patients. Healthy individuals were selected from the out-patients who complained of chest pain but in whom no cardiovascular diseases were found. Plasma levels of MMP-1, -8, -13 were measured by enzyme-linked immunosorbent assay (ELISA) technique in all subjects. Aortic tissue samples obtained during surgery were evaluated by Western blot for MMP-8 and tissue inhibitor of metalloproteinase-1 (TIMP-1) expression.
Results:
Plasma MMP-8 levels in patients affected by TAD and AMI were both higher than that in healthy subjects (284.35 ± 96.32 ng/mL and 88.57 ± 26.71 ng/mL versus 75.39 ± 23.36 ng/mL). The difference of the MMP-8 level between TAD patients and healthy subjects was significant (P = 0.000). No significant differences were found in MMP-1 and MMP-13 plasma levels among the three groups.
Conclusions:
The acute phase of TAD is characterized by a prominent increase of MMP-8 plasma level, which may play a key role in the occurrence of TAD. MMP-8 could be involved in the acute inflammatory reaction and may be a useful marker for the diagnosis of acute TAD.
Insights
Elevated matrix metalloproteinase-8 (MMP-8) levels are linked to acute thoracic aortic dissection (TAD). This finding suggests MMP-8 may be a diagnostic marker for TAD and involved in its inflammatory process.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Medical Diagnostics
Background:
- While elastolytic matrix metalloproteinases (MMPs) are known players in thoracic aortic dissection (TAD), the role of collagenolytic MMPs remains unclear.
- This study investigates the specific role of matrix metalloproteinase-8 (MMP-8) in the context of acute thoracic aortic dissection.
Purpose of the Study:
- To determine the role of MMP-8 in acute thoracic aortic dissection (TAD).
- To assess plasma levels of MMP-1, MMP-8, and MMP-13 in TAD patients and compare them to acute myocardial infarction (AMI) patients and healthy individuals.
Main Methods:
- Plasma samples from 45 TAD patients, 40 AMI patients, and healthy controls were analyzed for MMP-1, -8, and -13 levels using ELISA.
- Aortic tissue samples from TAD patients were examined for MMP-8 and TIMP-1 expression via Western blot.
Main Results:
- Plasma MMP-8 levels were significantly elevated in both TAD and AMI patients compared to healthy subjects (P = 0.000 for TAD vs. healthy).
- No significant differences were observed in plasma MMP-1 and MMP-13 levels among the three groups.
- Aortic tissue analysis provided further insights into MMP-8 expression in TAD.
Conclusions:
- The acute phase of TAD is associated with a significant increase in plasma MMP-8 levels.
- MMP-8 may play a crucial role in the pathogenesis of TAD, potentially through its involvement in acute inflammatory responses.
- Elevated MMP-8 levels could serve as a valuable diagnostic marker for acute TAD.
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