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Circulation Research. 1998;82:482-495

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(Circulation Research. 1998;82:482-495.)
© 1998 American Heart Association, Inc.


Original Contributions

Time-Dependent Changes in Matrix Metalloproteinase Activity and Expression During the Progression of Congestive Heart Failure

Relation to Ventricular and Myocyte Function

Francis G. Spinale, Mytsi L. Coker, Chadwick V. Thomas, Jennifer D. Walker, Rupak Mukherjee, , Latha Hebbar

From the Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC.

Correspondence to Francis G. Spinale, MD, PhD, Division of Cardiothoracic Surgery, Room 418 CSB, 171 Ashley Ave, Medical University of South Carolina, Charleston, SC 29425.

Abstract—The development of congestive heart failure (CHF) is associated with left ventricular (LV) dilation and myocardial remodeling. However, fundamental mechanisms that contribute to this remodeling process with the progression of CHF remain unclear. The matrix metalloproteinases (MMPs) have been demonstrated to play a significant role in tissue remodeling in a number of pathological processes. The present project tested the hypothesis that the LV dilation and remodeling during the progression of CHF is associated with early changes in MMP expression and zymographic activity. LV and myocyte function, collagen content, and MMP expression and zymographic activity were serially measured during the progression of CHF caused by pacing-induced supraventricular tachycardia (SVT) in pigs. After 7 days of SVT, LV end-diastolic dimension and myocyte length both increased by 15% from control values, and LV fractional shortening fell by 20%. At the level of the myocyte, percent shortening fell by 16% after 7 days of SVT, with no change in the steady-state velocity of shortening. Longer durations of SVT caused progressive LV dilation, LV pump failure, and myocyte contractile dysfunction. Specifically, 21 days of SVT resulted in a >50% increase in LV dimension, a 56% fall in LV fractional shortening, and a 33% decline in myocyte velocity of shortening. The decline in LV and myocyte function with 21 days of SVT was accompanied by signs and symptoms of CHF. Thus, SVT causes time-dependent changes in LV geometry and function and the subsequent development of CHF. LV myocardial collagen content and confluence fell by >25% after 7 days of SVT and were accompanied by an 80% increase in LV myocardial MMP zymographic activity against the substrate gelatin. After 14 days of SVT, total LV myocardial collagen content was reduced by 24%, and LV myocardial MMP zymographic activity increased by >100% from control values. Interstitial collagenase (MMP-1), stromelysin (MMP-3), and 72-kD gelatinase (MMP-2) were increased by {approx}2-fold after 7 days of SVT. LV MMP zymographic activity and abundance remained elevated with longer durations of SVT. The results of the present study demonstrated that in this model of CHF, early changes in LV myocardial MMP zymographic activity and protein levels occurred with the initiation and progression of LV dilation and dysfunction. These findings suggest that an early contributory mechanism for the initiation of LV remodeling that occurred in this model of developing CHF is enhanced expression and potentially increased activity of LV myocardial MMPs.


Key Words: heart failure • metalloproteinase • myocardial remodeling




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Circ. Res., February 7, 2003; 92(2): 177 - 185.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
C. Qun Gao, G. Sawicki, W. L Suarez-Pinzon, T. Csont, M. Wozniak, P. Ferdinandy, and R. Schulz
Matrix metalloproteinase-2 mediates cytokine-induced myocardial contractile dysfunction
Cardiovasc Res, February 1, 2003; 57(2): 426 - 433.
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Am. J. Physiol. Heart Circ. Physiol.Home page
E. E. J. M. Creemers, J. N. Davis, A. M. Parkhurst, P. Leenders, K. B. Dowdy, E. Hapke, A. M. Hauet, P. G. Escobar, J. P. M. Cleutjens, J. F. M. Smits, et al.
Deficiency of TIMP-1 exacerbates LV remodeling after myocardial infarction in mice
Am J Physiol Heart Circ Physiol, January 1, 2003; 284(1): H364 - H371.
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Circ. Res.Home page
J. Peng, D. Gurantz, V. Tran, R. T. Cowling, and B. H. Greenberg
Tumor Necrosis Factor-{alpha}-Induced AT1 Receptor Upregulation Enhances Angiotensin II-Mediated Cardiac Fibroblast Responses That Favor Fibrosis
Circ. Res., December 13, 2002; 91(12): 1119 - 1126.
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T. Tsuruda, G. Boerrigter, B. K. Huntley, J. A. Noser, A. Cataliotti, L. C. Costello-Boerrigter, H. H. Chen, and J. C. Burnett Jr
Brain Natriuretic Peptide Is Produced in Cardiac Fibroblasts and Induces Matrix Metalloproteinases
Circ. Res., December 13, 2002; 91(12): 1127 - 1134.
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CirculationHome page
S. Hein, W. H. Gaasch, and J. Schaper
Giant Molecule Titin and Myocardial Stiffness
Circulation, September 10, 2002; 106(11): 1302 - 1304.
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Eur J Heart FailHome page
B. Schwartzkopff, M. Fassbach, B. Pelzer, M. Brehm, and B. E. Strauer
Elevated serum markers of collagen degradation in patients with mild to moderate dilated cardiomyopathy
Eur J Heart Fail, August 1, 2002; 4(4): 439 - 444.
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Am. J. Physiol. Heart Circ. Physiol.Home page
G. L. Brower, A. L. Chancey, S. Thanigaraj, B. B. Matsubara, and J. S. Janicki
Cause and effect relationship between myocardial mast cell number and matrix metalloproteinase activity
Am J Physiol Heart Circ Physiol, August 1, 2002; 283(2): H518 - H525.
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CirculationHome page
R. Nakamura, K. Egashira, Y. Machida, S. Hayashidani, M. Takeya, H. Utsumi, H. Tsutsui, and A. Takeshita
Probucol Attenuates Left Ventricular Dysfunction and Remodeling in Tachycardia-Induced Heart Failure: Roles of Oxidative Stress and Inflammation
Circulation, July 16, 2002; 106(3): 362 - 367.
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Eur. J. Cardiothorac. Surg.Home page
V. Falk, P.M. Soccal, J. Grunenfelder, G. Hoyt, T. Walther, and R.C. Robbins
Regulation of matrix metalloproteinases and effect of MMP-inhibition in heart transplant related reperfusion injury
Eur. J. Cardiothorac. Surg., July 1, 2002; 22(1): 53 - 58.
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J. Thorac. Cardiovasc. Surg.Home page
F. A. Tibayan, D. T. M. Lai, T. A. Timek, P. Dagum, D. Liang, G. T. Daughters, N. B. Ingels, and D. C. Miller
Alterations in left ventricular torsion in tachycardia-induced dilated cardiomyopathy
J. Thorac. Cardiovasc. Surg., July 1, 2002; 124(1): 43 - 49.
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Am. J. Physiol. Heart Circ. Physiol.Home page
A. L. Chancey, G. L. Brower, and J. S. Janicki
Cardiac mast cell-mediated activation of gelatinase and alteration of ventricular diastolic function
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H2152 - H2158.
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Cardiovasc ResHome page
A. M. Romanic, S. M. Harrison, W. Bao, C. L. Burns-Kurtis, S. Pickering, J. Gu, E. Grau, J. Mao, G. M. Sathe, E. H. Ohlstein, et al.
Myocardial protection from ischemia/reperfusion injury by targeted deletion of matrix metalloproteinase-9
Cardiovasc Res, June 1, 2002; 54(3): 549 - 558.
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Am. J. Physiol. Heart Circ. Physiol.Home page
W. S. Bradham, G. Moe, K. A. Wendt, A. A. Scott, A. Konig, M. Romanova, G. Naik, and F. G. Spinale
TNF-alpha and myocardial matrix metalloproteinases in heart failure: relationship to LV remodeling
Am J Physiol Heart Circ Physiol, April 1, 2002; 282(4): H1288 - H1295.
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Circ. Res.Home page
F. G. Spinale
Matrix Metalloproteinases: Regulation and Dysregulation in the Failing Heart
Circ. Res., March 22, 2002; 90(5): 520 - 530.
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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Y. Li, T. Kadokami, P. Wang, C. F. McTiernan, and A. M. Feldman
MMP inhibition modulates TNF-alpha transgenic mouse phenotype early in the development of heart failure
Am J Physiol Heart Circ Physiol, March 1, 2002; 282(3): H983 - H989.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
W. S. Bradham, B. Bozkurt, H. Gunasinghe, D. Mann, and F. G. Spinale
Tumor necrosis factor-alpha and myocardial remodeling in progression of heart failure: a current perspective
Cardiovasc Res, March 1, 2002; 53(4): 822 - 830.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. Walther, A. Schubert, V. Falk, C. Binner, A. Kanev, S. Bleiziffer, C. Walther, N. Doll, R. Autschbach, and F. W. Mohr
Regression of Left Ventricular Hypertrophy After Surgical Therapy for Aortic Stenosis Is Associated With Changes in Extracellular Matrix Gene Expression
Circulation, September 18, 2001; 104 (2009): I-54 - I-58.
[Abstract] [Full Text] [PDF]


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CirculationHome page
Y. Y. Li, Y. Feng, C. F. McTiernan, W. Pei, C. S. Moravec, P. Wang, W. Rosenblum, R. L. Kormos, and A. M. Feldman
Downregulation of Matrix Metalloproteinases and Reduction in Collagen Damage in the Failing Human Heart After Support With Left Ventricular Assist Devices
Circulation, September 4, 2001; 104(10): 1147 - 1152.
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Circ. Res.Home page
E. E.J.M. Creemers, J. P.M. Cleutjens, J. F.M. Smits, and M. J.A.P. Daemen
Matrix Metalloproteinase Inhibition After Myocardial Infarction: A New Approach to Prevent Heart Failure?
Circ. Res., August 3, 2001; 89(3): 201 - 210.
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Am. J. Physiol. Heart Circ. Physiol.Home page
M. L. Coker, J. R. Jolly, C. Joffs, T. Etoh, J. R. Holder, B. R. Bond, and F. G. Spinale
Matrix metalloproteinase expression and activity in isolated myocytes after neurohormonal stimulation
Am J Physiol Heart Circ Physiol, August 1, 2001; 281(2): H543 - H551.
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Am. J. Physiol. Heart Circ. Physiol.Home page
S. M. Dolgilevich, F. M. Siri, S. A. Atlas, and C. Eng
Changes in collagenase and collagen gene expression after induction of aortocaval fistula in rats
Am J Physiol Heart Circ Physiol, July 1, 2001; 281(1): H207 - H214.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. T. Peterson, H. Hallak, L. Johnson, H. Li, P. M. O'Brien, D. R. Sliskovic, T. M. A. Bocan, M. L. Coker, T. Etoh, and F. G. Spinale
Matrix Metalloproteinase Inhibition Attenuates Left Ventricular Remodeling and Dysfunction in a Rat Model of Progressive Heart Failure
Circulation, May 8, 2001; 103(18): 2303 - 2309.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
M.H. Yacoub
A novel strategy to maximize the efficacy of left ventricular assist devices as a bridge to recovery
Eur. Heart J., April 1, 2001; 22(7): 534 - 540.
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Am. J. Physiol. Heart Circ. Physiol.Home page
G. L. Brower and J. S. Janicki
Contribution of ventricular remodeling to pathogenesis of heart failure in rats
Am J Physiol Heart Circ Physiol, February 1, 2001; 280(2): H674 - H683.
[Abstract] [Full Text] [PDF]


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CirculationHome page
A. J. Woodiwiss, O. J. Tsotetsi, S. Sprott, E. J. Lancaster, T. Mela, E. S. Chung, T. E. Meyer, and G. R. Norton
Reduction in Myocardial Collagen Cross-Linking Parallels Left Ventricular Dilatation in Rat Models of Systolic Chamber Dysfunction
Circulation, January 2, 2001; 103(1): 155 - 160.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Cell Physiol.Home page
D. A. Siwik, P. J. Pagano, and W. S. Colucci
Oxidative stress regulates collagen synthesis and matrix metalloproteinase activity in cardiac fibroblasts
Am J Physiol Cell Physiol, January 1, 2001; 280(1): C53 - C60.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
Y. Y. Li, Y. Q. Feng, T. Kadokami, C. F. McTiernan, R. Draviam, S. C. Watkins, and A. M. Feldman
Myocardial extracellular matrix remodeling in transgenic mice overexpressing tumor necrosis factor alpha can be modulated by anti-tumor necrosis factor alpha therapy
PNAS, November 7, 2000; 97(23): 12746 - 12751.
[Abstract] [Full Text] [PDF]


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CirculationHome page
F. G. Spinale, M. L. Coker, L. J. Heung, B. R. Bond, H. R. Gunasinghe, T. Etoh, A. T. Goldberg, J. L. Zellner, and A. J. Crumbley
A Matrix Metalloproteinase Induction/Activation System Exists in the Human Left Ventricular Myocardium and Is Upregulated in Heart Failure
Circulation, October 17, 2000; 102(16): 1944 - 1949.
[Abstract] [Full Text] [PDF]


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CirculationHome page
R. B. New, A. C. Sampson, M. K. King, J. W. Hendrick, M. J. Clair, J. H. McElmurray III, J. Mandel, R. Mukherjee, Marc de Gasparo, and F. G. Spinale
Effects of Combined Angiotensin II and Endothelin Receptor Blockade With Developing Heart Failure : Effects on Left Ventricular Performance
Circulation, September 19, 2000; 102(12): 1447 - 1453.
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Circ. Res.Home page
S. Kinugawa, H. Tsutsui, S. Hayashidani, T. Ide, N. Suematsu, S. Satoh, H. Utsumi, and A. Takeshita
Treatment With Dimethylthiourea Prevents Left Ventricular Remodeling and Failure After Experimental Myocardial Infarction in Mice : Role of Oxidative Stress
Circ. Res., September 1, 2000; 87(5): 392 - 398.
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Am. J. Physiol. Heart Circ. Physiol.Home page
L. Lu, Z. Gunja-Smith, J. F. Woessner, P. C. Ursell, T. Nissen, R. E. Galardy, Y. Xu, P. Zhu, and G. G. Schwartz
Matrix metalloproteinases and collagen ultrastructure in moderate myocardial ischemia and reperfusion in vivo
Am J Physiol Heart Circ Physiol, August 1, 2000; 279(2): H601 - H609.
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CirculationHome page
B. H. Lorell and B. A. Carabello
Left Ventricular Hypertrophy : Pathogenesis, Detection, and Prognosis
Circulation, July 25, 2000; 102(4): 470 - 479.
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Cardiovasc ResHome page
F. G Spinale, M. L Coker, B. R Bond, and J. L Zellner
Myocardial matrix degradation and metalloproteinase activation in the failing heart: a potential therapeutic target
Cardiovasc Res, May 1, 2000; 46(2): 225 - 238.
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Cardiovasc ResHome page
I. M.C. Dixon, J. Hao, N. L. Reid, and J. C. Roth
Effect of chronic AT1 receptor blockade on cardiac Smad overexpression in hereditary cardiomyopathic hamsters
Cardiovasc Res, May 1, 2000; 46(2): 286 - 297.
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Cardiovasc ResHome page
J.T. Peterson, H. Li, L. Dillon, and J. W. Bryant
Evolution of matrix metalloprotease and tissue inhibitor expression during heart failure progression in the infarcted rat
Cardiovasc Res, May 1, 2000; 46(2): 307 - 315.
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CirculationHome page
P.-Y. Cheung, G. Sawicki, M. Wozniak, W. Wang, M. W. Radomski, and R. Schulz
Matrix Metalloproteinase-2 Contributes to Ischemia-Reperfusion Injury in the Heart
Circulation, April 18, 2000; 101(15): 1833 - 1839.
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Circ. Res.Home page
H. Senzaki, N. Paolocci, Y. A. Gluzband, M. L. Lindsey, J. S. Janicki, M. T. Crow, and D. A. Kass
{beta}-Blockade Prevents Sustained Metalloproteinase Activation and Diastolic Stiffening Induced by Angiotensin II Combined With Evolving Cardiac Dysfunction
Circ. Res., April 14, 2000; 86(7): 807 - 815.
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Am. J. Physiol. Heart Circ. Physiol.Home page
Y. Nagatomo, B. A. Carabello, M. L. Coker, P. J. McDermott, S. Nemoto, M. Hamawaki, and F. G. Spinale
Differential effects of pressure or volume overload on myocardial MMP levels and inhibitory control
Am J Physiol Heart Circ Physiol, January 1, 2000; 278(1): H151 - H161.
[Abstract] [Full Text] [PDF]