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Updated: Apr 24, 2026

Scanning Electron Microscopy of Macerated Tissue to Visualize the Extracellular Matrix
Published on: June 14, 2016
[Matrix metalloproteinases and hypertrophic cardiomyopathy]
Insights
Matrix metalloproteinases (MMPs) influence hypertrophic cardiomyopathy (HCMP) progression. Specific MMP-3 gene variants and altered MMP/TIMP-1 levels correlate with disease severity and cardiac remodeling in HCMP patients.
Area of Science:
- Cardiovascular Biology
- Genetics
- Biochemistry
Context:
- Hypertrophic cardiomyopathy (HCMP) prognosis is linked to clinical presentation.
- Matrix metalloproteinases (MMPs) are implicated in cardiac fibroformation and remodeling.
- Gene polymorphisms regulating MMPs may affect HCMP clinical course.
Purpose:
- To investigate the impact of MMPs and their polymorphisms on HCMP progression.
- To analyze the association between MMP-3 gene polymorphism (rs3025058) and clinical variants in HCMP.
- To evaluate markers of fibroformation (MMP-3, TIMP-1, TIMP-2, collagen IV) in HCMP patients.
Summary:
- An unfavorable MMP-3 1171 allele variant was linked to interventricular septum hypertrophy.
- TIMP-1 levels were significantly lower in HCMP patients compared to controls.
- Elevated MMP-3 concentrations were observed in HCMP patients with atrial fibrillation, correlating with cardiac structural changes.
Impact:
- Findings confirm the role of the MMP system in hypertrophic remodeling in HCMP.
- Identifies potential genetic markers (MMP-3 polymorphism) for predicting HCMP clinical course.
- Highlights MMPs and TIMP-1 as potential therapeutic targets for managing HCMP progression.
Abstract:
Prognosis of patients with hypertrophic cardiomyopathy (HCMP) to a great extent is determined by clinical variant of the disease. As the system of matrix metalloproteinases (MMPs) plays an important role in development and progression of the processes of fibroformation and tissue remodeling polymorphisms of modifier genes regulating its components can influence clinical course of HCMP. Among possible markers of prognostication of the course of cardiovascular diseases the role of MMPs and their tissue inhibitors has been discussed. With the aim of studying effects of MMPs on the course of HCMP we conducted this investigation in which we included 58 patients and a group of healthy volunteers (control group) with comparable sex and age. In all participants (n=112) we determined polymorphism of MMP-3 - rs3025058 and markers of fibroformation (MMP-3, TIMP-1, TIMP-2, and collagen IV). We found that unfavorable allele variant MMP-3 1171 was associated with hypertrophy of interventricular septum. We also established that levels of TIMP-1 in the group of patients with HCMP were significantly lowered in comparison with those in control group. Concentration of marker MMP-3 was elevated in the group of patients with variant "atrial fibrillation" compared with groups of stable course and progressing course. We revealed medium degree reverse correlation between MMP-3 marker and thickness of left ventricular posterior wall and direct correlation of this parameter with coefficient of asymmetry. Polymorphism MMP-3 - 1171 produced an impact on the level of TIMP-1 marker. The data obtained by us confirm effect of the system of MMPs on formation of hypertrophic remodeling of the heart in HCMP.
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