PMID- 15309700 OWN - NLM STAT- MEDLINE DCOM- 20050819 LR - 20191108 IS - 1071-9164 (Print) IS - 1071-9164 (Linking) VI - 10 IP - 4 DP - 2004 Aug TI - Plasma MMP-9 and MMP-2 following acute myocardial infarction in man: correlation with echocardiographic and neurohumoral parameters of left ventricular dysfunction. PG - 328-33 AB - BACKGROUND: Left ventricular dilatation and elevated plasma natriuretic peptide levels predict adverse prognosis and the development of congestive heart failure after myocardial infarction. Altered matrix metalloproteinase (MMP) activity has been implicated in the structural changes associated with development of heart failure after myocardial injury. The aims of this study were to investigate plasma MMP-2, MMP-9, and tissue inhibitor of metalloproteinase (TIMP)-1 concentrations following acute myocardial infarction and their relationships with measures of left ventricular function. METHODS AND RESULTS: Plasma MMP-2, MMP-9, TIMP-1, and N-terminal proBNP (N-BNP) were quantified on 5 consecutive days in 60 patients with acute myocardial infarction (39 anterior). N-BNP was measured on day 3. Echocardiographic assessment of left ventricular wall motion index and volumes was performed during admission and 6 weeks later. Plasma MMP-9 showed peaks on days 1 and 4. MMP-2 levels, similar on each day, were higher after inferior myocardial infarction. Plasma MMP-2 showed strong, inverse correlation with left ventricular volumes during and after admission. Plasma MMP-9 correlated directly with N-BNP (P=.022) and inversely with wall motion index during admission (P=.05). TIMP-1 levels were higher after anterior (1269, 870-1466 ng/mL) compared with inferior (1183, 856-1419 ng/mL, P=.05) acute myocardial infarction and fell from day 1 through 5 (P <.0005). CONCLUSION: Plasma MMP-9 concentration correlates with neurohormonal and echocardiographic measures of left ventricular dysfunction after myocardial infarction. Higher left ventricular volumes are associated with lower plasma MMP-2 concentrations. Circulating MMP concentrations may provide insights into left ventricular remodeling after acute myocardial infarction. FAU - Squire, Iain B AU - Squire IB AD - Department of Medicine and Therapeutics, University of Leicester, Leicester, United Kingdom. FAU - Evans, Jon AU - Evans J FAU - Ng, Leong L AU - Ng LL FAU - Loftus, Ian M AU - Loftus IM FAU - Thompson, Matt M AU - Thompson MM LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Card Fail JT - Journal of cardiac failure JID - 9442138 RN - 0 (Biomarkers) RN - 0 (Nerve Tissue Proteins) RN - 0 (Neurotransmitter Agents) RN - 0 (Peptide Fragments) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - Echocardiography MH - Female MH - Humans MH - Male MH - Matrix Metalloproteinase 2/*blood MH - Matrix Metalloproteinase 9/*blood MH - Middle Aged MH - Myocardial Infarction/*blood/diagnostic imaging/physiopathology MH - Natriuretic Peptide, Brain MH - Nerve Tissue Proteins/blood MH - Neurotransmitter Agents/blood MH - Peptide Fragments/blood MH - Statistics as Topic MH - Stroke Volume/physiology MH - Tissue Inhibitor of Metalloproteinase-1/blood MH - Ventricular Dysfunction, Left/blood/diagnostic imaging/physiopathology EDAT- 2004/08/17 10:00 MHDA- 2005/08/20 09:00 CRDT- 2004/08/17 10:00 PHST- 2004/08/17 10:00 [pubmed] PHST- 2005/08/20 09:00 [medline] PHST- 2004/08/17 10:00 [entrez] AID - S1071916403007991 [pii] AID - 10.1016/j.cardfail.2003.11.003 [doi] PST - ppublish SO - J Card Fail. 2004 Aug;10(4):328-33. doi: 10.1016/j.cardfail.2003.11.003.