Matrix Metalloproteinases MMP-1 and MMP-9 and Their Inhibitor TIMP-1 as Markers of Dilated Cardiomyopathy in Patients of Different Age
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Updated: Feb 13, 2026

Detection of Functional Matrix Metalloproteinases by Zymography
Published on: November 8, 2010
I B Antonov1, K L Kozlov1, E M Pal'tseva2
1St. Petersburg Institute of Bioregulation and Gerontology, St. Petersburg, Russia.
Abstract:
We studied the expression of MMP-2, MMP-9, and inhibitor TIMP-1 in myocardial autopsy samples from subjects of different age and in cardiomyocyte cultures in the norm and in dilated cardiomyopathy. In autopsy samples of normal myocardium and in cardiomyocyte cultures, expression of molecules involved in extracellular matrix remodeling did not change during aging. In dilation cardiomyopathy, expression of MMP-2, MMP-9, and TIMP-1 and their ratios in autopsy material and in cultures was elevated by 1.5-9 times. Remodeling of extracellular matrix plays an important role in the pathogenesis of dilated cardiomyopathy. MMP-2, MMP-9, and their inhibitor TIMP-1 and the MMP/TIMP ratios can be regarded as promising predictors of dilated cardiomyopathy and used for evaluation of the effectiveness of treatment of this conditions in patients of different ages.
Insights
Matrix metalloproteinase (MMP)-2, MMP-9, and TIMP-1 expression did not change with aging in normal hearts. Dilated cardiomyopathy significantly elevates these proteins, suggesting their role in disease pathogenesis and potential as biomarkers.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Biochemistry
Background:
- Extracellular matrix (ECM) remodeling is crucial in heart disease.
- Matrix metalloproteinases (MMPs) and their inhibitors (TIMPs) regulate ECM.
- Understanding MMP/TIMP roles in dilated cardiomyopathy (DCM) is vital.
Purpose of the Study:
- To investigate MMP-2, MMP-9, and TIMP-1 expression in aging myocardium and DCM.
- To assess the role of ECM remodeling in DCM pathogenesis.
- To evaluate MMP-2, MMP-9, and TIMP-1 as potential biomarkers for DCM.
Main Methods:
- Analysis of myocardial autopsy samples across different age groups.
- Culturing of cardiomyocytes under normal and DCM-mimicking conditions.
- Quantitative assessment of MMP-2, MMP-9, and TIMP-1 expression and ratios.
Main Results:
- Aging did not alter MMP-2, MMP-9, or TIMP-1 expression in normal myocardium or cardiomyocyte cultures.
- Dilated cardiomyopathy showed a 1.5-9 fold increase in MMP-2, MMP-9, and TIMP-1 levels and their ratios.
- Elevated MMP/TIMP ratios were observed in both autopsy samples and cell cultures from DCM patients.
Conclusions:
- ECM remodeling significantly contributes to the pathogenesis of dilated cardiomyopathy.
- MMP-2, MMP-9, and TIMP-1, along with their ratios, are promising biomarkers for DCM.
- These markers may aid in evaluating treatment efficacy for DCM across various age groups.
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