PMID- 15470656 OWN - NLM STAT- MEDLINE DCOM- 20050623 LR - 20220223 IS - 1071-9164 (Print) IS - 1071-9164 (Linking) VI - 10 IP - 5 DP - 2004 Oct TI - Improved balance between TIMP-3 and MMP-9 after regional myocardial ischemia-reperfusion during AT1 receptor blockade. PG - 442-9 AB - BACKGROUND: Angiotensin II (AngII) modulates the balance between matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs), and AngII type 1 receptor (AT1R) blockers (ARBs) limit left ventricular (LV) dysfunction and remodeling after acute ischemia-reperfusion (IR). Whether ARBs improve TIMP/MMP balance during IR has not been determined. METHODS AND RESULTS: We measured hemodynamics, LV function, MMP-2 and MMP-9, and TIMP-3 and TIMP-4 in the ischemic zone (IZ) and nonischemic zone (NIZ) after in vivo IR (90 minutes anterior ischemia; 120 minutes reperfusion) in 28 dogs that were randomized to sham, IR controls, and IR plus the ARB valsartan. In controls, IR induced LV dysfunction, infarction, and IZ remodeling; increased MMP-9 and decreased TIMP-3 in the IZ compared with the NIZ (low TIMP-3/MMP-9 ratio); and did not change MMP-2 or TIMP-4. Compared with controls, valsartan (1) limited LV dysfunction, infarct size, and IZ remodeling; (2) increased MMP-2 and MMP-9 and TIMP-3 and -4 in the NIZ; and (3) increased TIMP-3 and the TIMP-3/MMP-9 ratio in the IZ, but did not change MMP-2 and TIMP-4. CONCLUSION: Valsartan-induced cardioprotection after IR is associated with enhanced TIMP-3 expression and improved TIMP-3/MMP-9 balance in the in vivo dog model. FAU - Sawicki, Grzegorz AU - Sawicki G AD - Cardiovascular Research Group, Division of Cardiology, University of Alberta, Edmonton, Canada. FAU - Menon, Vijayan AU - Menon V FAU - Jugdutt, Bodh I AU - Jugdutt BI LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Card Fail JT - Journal of cardiac failure JID - 9442138 RN - 0 (Angiotensin II Type 1 Receptor Blockers) RN - 0 (Tetrazoles) RN - 0 (Tissue Inhibitor of Metalloproteinase-3) RN - 80M03YXJ7I (Valsartan) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) RN - HG18B9YRS7 (Valine) SB - IM MH - Angiotensin II Type 1 Receptor Blockers/*pharmacology/therapeutic use MH - Animals MH - Blood Pressure/drug effects MH - Blotting, Western MH - Densitometry MH - Disease Models, Animal MH - Dogs MH - Electrocardiography MH - Electrophoresis, Gel, Two-Dimensional MH - Heart Rate/drug effects MH - Matrix Metalloproteinase 2/metabolism MH - Matrix Metalloproteinase 9/*metabolism MH - Myocardial Infarction/*drug therapy/physiopathology MH - Myocardial Reperfusion MH - Random Allocation MH - Tetrazoles/pharmacology/therapeutic use MH - Tissue Inhibitor of Metalloproteinase-3/*metabolism MH - Treatment Outcome MH - Valine/*analogs & derivatives/pharmacology/therapeutic use MH - Valsartan MH - Ventricular Dysfunction, Left/drug therapy/*metabolism EDAT- 2004/10/08 09:00 MHDA- 2005/06/24 09:00 CRDT- 2004/10/08 09:00 PHST- 2004/10/08 09:00 [pubmed] PHST- 2005/06/24 09:00 [medline] PHST- 2004/10/08 09:00 [entrez] AID - S1071916404000351 [pii] AID - 10.1016/j.cardfail.2004.01.012 [doi] PST - ppublish SO - J Card Fail. 2004 Oct;10(5):442-9. doi: 10.1016/j.cardfail.2004.01.012.