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Structural remodelling in heart failure: gelatinase induction

P W Armstrong1, G W Moe, R J Howard

  • 1Department of Medicine, Samuel Nunenfeld Research Institute, University of Toronto, Ontario.

The Canadian Journal of Cardiology
|March 1, 1994
PubMed
Summary
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Matrix metalloproteinase-92 kDa activity increases with severe heart failure, correlating with left ventricular remodeling. This suggests a role in the extracellular matrix disruption during heart failure progression and recovery.

Area of Science:

  • Cardiovascular physiology
  • Biochemistry
  • Extracellular matrix remodeling

Background:

  • Rapid ventricular pacing induces congestive heart failure, characterized by neurohumoral activation and cardiac dysfunction.
  • Heart failure involves left ventricular dilation, thinning, shape changes, and disruption of the collagen network.
  • Matrix metalloproteinases (MMPs) are implicated in tissue remodeling, but their role in pacing-induced heart failure is unclear.

Purpose of the Study:

  • To investigate matrix metalloproteinase activity in a canine model of rapid ventricular pacing-induced heart failure.
  • To determine if specific MMPs, particularly gelatinases, are associated with left ventricular structural changes.

Main Methods:

  • Twenty-one dogs underwent rapid ventricular pacing, categorized into early, severe, and recovered heart failure groups.

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  • Measurements included echocardiographic and hemodynamic parameters, noradrenaline levels, and matrix metalloproteinase activity.
  • Gelatinase activity was quantified using specific molecular weight markers (72 kDa and 92 kDa).
  • Main Results:

    • Normal left ventricular tissue showed predominantly 72 kDa gelatinase activity (85%) with minimal 92 kDa activity (15%).
    • 92 kDa gelatinase activity significantly increased with severe heart failure, becoming over 50% of total gelatinase activity.
    • Elevated 92 kDa gelatinase activity strongly correlated with increased left ventricular systolic and diastolic areas, indicating ventricular remodeling.

    Conclusions:

    • Increased 92 kDa gelatinase activity is associated with left ventricular dilation and shape changes in heart failure.
    • This MMP may play a role in modulating the fibrillar components of the extracellular matrix during heart failure.
    • The findings suggest a potential therapeutic target for managing cardiac remodeling in heart failure.