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Circulation Research. 2002;90:520-530
doi: 10.1161/01.RES.0000013290.12884.A3
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(Circulation Research. 2002;90:520.)
© 2002 American Heart Association, Inc.


Reviews

Matrix Metalloproteinases

Regulation and Dysregulation in the Failing Heart

Francis G. Spinale

From the Medical University of South Carolina, Charleston.

Correspondence to Francis G. Spinale, MD, PhD, Cardiothoracic Surgery, Room 625, Strom Thurmond Research Building, 770 MUSC Complex, Medical University of South Carolina, 114 Doughty St, Charleston, SC 29425.

Abstract

Matrix metalloproteinases (MMPs) are a family of proteolytic enzymes responsible for myocardial extracellular protein degradation. Several MMP species identified within the human myocardium may be dysregulated in congestive heart failure (CHF). For example, MMPs that are expressed at very low levels in normal myocardium, such as collagenase-3 (MMP-13) and the membrane-type-1 MMPs, are substantially upregulated in CHF. However, MMP species are not uniformly increased in patients with end-stage CHF, suggesting that a specific portfolio of MMPs are expressed in the failing myocardium. With the use of animal models of CHF, a mechanistic relationship has been demonstrated with respect to myocardial MMP expression and the left ventricular (LV) remodeling process. The tissue inhibitors of the MMPs (TIMPs) are locally synthesized proteins that bind to active MMPs and thereby regulate net proteolytic activity. However, there does not appear to be a concomitant increase in myocardial TIMPs during the LV remodeling process and progression to CHF. This disparity between MMP and TIMP levels favors a persistent MMP activation state within the myocardium and likely contributes to the LV remodeling process in the setting of developing CHF. The elucidation of upstream signaling mechanisms that contribute to the selective induction of MMP species within the myocardium as well as strategies to normalize the balance between MMPs and TIMPs may yield some therapeutic strategies by which to control myocardial extracellular remodeling and thereby slow the progression of the CHF process.


Key Words: myocardial remodeling • heart failure • matrix metalloproteinases • matrix metalloproteinase inhibitors




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S. Perlini, G. Palladini, I. Ferrero, R. Tozzi, S. Fallarini, A. Facoetti, R. Nano, F. Clari, G. Busca, R. Fogari, et al.
Sympathectomy or Doxazosin, But Not Propranolol, Blunt Myocardial Interstitial Fibrosis in Pressure-Overload Hypertrophy
Hypertension, November 1, 2005; 46(5): 1213 - 1218.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
W. Anne, R. Willems, T. Roskams, P. Sergeant, P. Herijgers, P. Holemans, H. Ector, and H. Heidbuchel
Matrix metalloproteinases and atrial remodeling in patients with mitral valve disease and atrial fibrillation
Cardiovasc Res, September 1, 2005; 67(4): 655 - 666.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. K. Shah
Preservation of Cardiac Extracellular Matrix by Passive Myocardial Restraint: An Emerging New Therapeutic Paradigm in the Prevention of Adverse Remodeling and Progressive Heart Failure
Circulation, August 30, 2005; 112(9): 1245 - 1247.
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CirculationHome page
A. S. Blom, R. Mukherjee, J. J. Pilla, A. S. Lowry, W. M. Yarbrough, J. T. Mingoia, J. W. Hendrick, R. E. Stroud, J. E. McLean, J. Affuso, et al.
Cardiac Support Device Modifies Left Ventricular Geometry and Myocardial Structure After Myocardial Infarction
Circulation, August 30, 2005; 112(9): 1274 - 1283.
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CirculationHome page
S. Heymans, B. Schroen, P. Vermeersch, H. Milting, F. Gao, A. Kassner, H. Gillijns, P. Herijgers, W. Flameng, P. Carmeliet, et al.
Increased Cardiac Expression of Tissue Inhibitor of Metalloproteinase-1 and Tissue Inhibitor of Metalloproteinase-2 Is Related to Cardiac Fibrosis and Dysfunction in the Chronic Pressure-Overloaded Human Heart
Circulation, August 23, 2005; 112(8): 1136 - 1144.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Z. Kassiri, G. Y. Oudit, O. Sanchez, F. Dawood, F. F. Mohammed, R. K. Nuttall, D. R. Edwards, P. P. Liu, P. H. Backx, and R. Khokha
Combination of Tumor Necrosis Factor-{alpha} Ablation and Matrix Metalloproteinase Inhibition Prevents Heart Failure After Pressure Overload in Tissue Inhibitor of Metalloproteinase-3 Knock-Out Mice
Circ. Res., August 19, 2005; 97(4): 380 - 390.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
Q. Yu, R. R. Watson, J. J. Marchalonis, and D. F. Larson
A role for T lymphocytes in mediating cardiac diastolic function
Am J Physiol Heart Circ Physiol, August 1, 2005; 289(2): H643 - H651.
[Abstract] [Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
P. J Lijnen, V. V Petrov, M. Turner, and R. H Fagard
Collagen Production in Cardiac Fibroblasts During Inhibition of Aminopeptidase B
Journal of Renin-Angiotensin-Aldosterone System, June 1, 2005; 6(2): 69 - 77.
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Ann. Thorac. Surg.Home page
S. Fazel, G. H.L. Tang, D. Angoulvant, M. Cimini, R. D. Weisel, R.-K. Li, and T. M. Yau
Current Status of Cellular Therapy for Ischemic Heart Disease
Ann. Thorac. Surg., June 1, 2005; 79(6): S2238 - S2247.
[Abstract] [Full Text] [PDF]


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Eur J Heart FailHome page
M. Pauschinger, S. Rutschow, K. Chandrasekharan, D. Westermann, A. Weitz, L. P. Schwimmbeck, H. Zeichhardt, W. Poller, M. Noutsias, J. Li, et al.
Carvedilol improves left ventricular function in murine coxsackievirus-induced acute myocarditis Association with reduced myocardial interleukin-1{beta} and MMP-8 expression and a modulated immune response
Eur J Heart Fail, June 1, 2005; 7(4): 444 - 452.
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Eur J Heart FailHome page
T. Ohtsuka, K. Inoue, Y. Hara, N. Morioka, K. Ohshima, J. Suzuki, A. Ogimoto, Y. Shigematsu, and J. Higaki
Serum markers of angiogenesis and myocardial ultrasonic tissue characterization in patients with dilated cardiomyopathy
Eur J Heart Fail, June 1, 2005; 7(4): 689 - 695.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
A. Orlandi, A. Ciucci, A. Ferlosio, A. Pellegrino, L. Chiariello, and L. G. Spagnoli
Increased Expression and Activity of Matrix Metalloproteinases Characterize Embolic Cardiac Myxomas
Am. J. Pathol., June 1, 2005; 166(6): 1619 - 1628.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
V. Lionetti, A. Linke, M. P. Chandler, M. E. Young, M. S. Penn, S. Gupte, C. d'Agostino, T. H. Hintze, W. C. Stanley, and F. A. Recchia
Carnitine palmitoyl transferase-I inhibition prevents ventricular remodeling and delays decompensation in pacing-induced heart failure
Cardiovasc Res, June 1, 2005; 66(3): 454 - 461.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
N. Kawamura, T. Kubota, S. Kawano, Y. Monden, A. M. Feldman, H. Tsutsui, A. Takeshita, and K. Sunagawa
Blockade of NF-{kappa}B improves cardiac function and survival without affecting inflammation in TNF-{alpha}-induced cardiomyopathy
Cardiovasc Res, June 1, 2005; 66(3): 520 - 529.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Li, D. Georgakopoulos, G. Lu, L. Hester, D. A. Kass, J. Hasday, and Y. Wang
p38 MAP Kinase Mediates Inflammatory Cytokine Induction in Cardiomyocytes and Extracellular Matrix Remodeling in Heart
Circulation, May 17, 2005; 111(19): 2494 - 2502.
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CirculationHome page
T. Ueland, A. Yndestad, E. Oie, G. Florholmen, B. Halvorsen, S. S. Froland, S. Simonsen, G. Christensen, L. Gullestad, and P. Aukrust
Dysregulated Osteoprotegerin/RANK Ligand/RANK Axis in Clinical and Experimental Heart Failure
Circulation, May 17, 2005; 111(19): 2461 - 2468.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
E. Vellaichamy, M. L. Khurana, J. Fink, and K. N. Pandey
Involvement of the NF-{kappa}B/Matrix Metalloproteinase Pathway in Cardiac Fibrosis of Mice Lacking Guanylyl Cyclase/Natriuretic Peptide Receptor A
J. Biol. Chem., May 13, 2005; 280(19): 19230 - 19242.
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Cardiovasc ResHome page
M. L. Lindsey, D. K. Goshorn, C. E. Squires, G. P. Escobar, J. W. Hendrick, J. T. Mingoia, S. E. Sweterlitsch, and F. G. Spinale
Age-dependent changes in myocardial matrix metalloproteinase/tissue inhibitor of metalloproteinase profiles and fibroblast function
Cardiovasc Res, May 1, 2005; 66(2): 410 - 419.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. Chen, C.-H. Tung, J. R. Allport, S. Chen, R. Weissleder, and P. L. Huang
Near-Infrared Fluorescent Imaging of Matrix Metalloproteinase Activity After Myocardial Infarction
Circulation, April 12, 2005; 111(14): 1800 - 1805.
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Eur Heart JHome page
C. Banfi, V. Cavalca, F. Veglia, M. Brioschi, S. Barcella, L. Mussoni, L. Boccotti, E. Tremoli, P. Biglioli, and P. Agostoni
Neurohormonal activation is associated with increased levels of plasma matrix metalloproteinase-2 in human heart failure
Eur. Heart J., March 1, 2005; 26(5): 481 - 488.
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Am. J. Physiol. Heart Circ. Physiol.Home page
R. A. Garcia, K. L. Brown, R. S. Pavelec, K. V. Go, J. W. Covell, and F. J. Villarreal
Abnormal cardiac wall motion and early matrix metalloproteinase activity
Am J Physiol Heart Circ Physiol, March 1, 2005; 288(3): H1080 - H1087.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. D. Lovelock, A. H. Baker, F. Gao, J.-F. Dong, A. L. Bergeron, W. McPheat, N. Sivasubramanian, and D. L. Mann
Heterogeneous effects of tissue inhibitors of matrix metalloproteinases on cardiac fibroblasts
Am J Physiol Heart Circ Physiol, February 1, 2005; 288(2): H461 - H468.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
S. Heymans, F. Lupu, S. Terclavers, B. Vanwetswinkel, J.-M. Herbert, A. Baker, D. Collen, P. Carmeliet, and L. Moons
Loss or Inhibition of uPA or MMP-9 Attenuates LV Remodeling and Dysfunction after Acute Pressure Overload in Mice
Am. J. Pathol., January 1, 2005; 166(1): 15 - 25.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. S. Ikonomidis, J. W. Hendrick, A. M. Parkhurst, A. R. Herron, P. G. Escobar, K. B. Dowdy, R. E. Stroud, E. Hapke, M. R. Zile, and F. G. Spinale
Accelerated LV remodeling after myocardial infarction in TIMP-1-deficient mice: effects of exogenous MMP inhibition
Am J Physiol Heart Circ Physiol, January 1, 2005; 288(1): H149 - H158.
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Proc. Natl. Acad. Sci. USAHome page
T. Jiang, E. S. Olson, Q. T. Nguyen, M. Roy, P. A. Jennings, and R. Y. Tsien
Tumor imaging by means of proteolytic activation of cell-penetrating peptides
PNAS, December 21, 2004; 101(51): 17867 - 17872.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
V. Franco, Y.-F. Chen, S. Oparil, J. A. Feng, D. Wang, F. Hage, and G. Perry
Atrial Natriuretic Peptide Dose-Dependently Inhibits Pressure Overload-Induced Cardiac Remodeling
Hypertension, November 1, 2004; 44(5): 746 - 750.
[Abstract] [Full Text] [PDF]


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CirculationHome page
P. W.M. Fedak, D. S. Smookler, Z. Kassiri, N. Ohno, K. J. Leco, S. Verma, D. A.G. Mickle, K. L. Watson, C. V. Hojilla, W. Cruz, et al.
TIMP-3 Deficiency Leads to Dilated Cardiomyopathy
Circulation, October 19, 2004; 110(16): 2401 - 2409.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
M. W.M. Schellings, Y. M. Pinto, and S. Heymans
Matricellular proteins in the heart: possible role during stress and remodeling
Cardiovasc Res, October 1, 2004; 64(1): 24 - 31.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
S. Meiners, B. Hocher, A. Weller, M. Laule, V. Stangl, C. Guenther, M. Godes, A. Mrozikiewicz, G. Baumann, and K. Stangl
Downregulation of Matrix Metalloproteinases and Collagens and Suppression of Cardiac Fibrosis by Inhibition of the Proteasome
Hypertension, October 1, 2004; 44(4): 471 - 477.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Z. Xie, M. Singh, and K. Singh
Differential Regulation of Matrix Metalloproteinase-2 and -9 Expression and Activity in Adult Rat Cardiac Fibroblasts in Response to Interleukin-1{beta}
J. Biol. Chem., September 17, 2004; 279(38): 39513 - 39519.
[Abstract] [Full Text] [PDF]