PMID- 16923753 OWN - NLM STAT- MEDLINE DCOM- 20061024 LR - 20220317 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 114 IP - 10 DP - 2006 Sep 5 TI - Specific temporal profile of matrix metalloproteinase release occurs in patients after myocardial infarction: relation to left ventricular remodeling. PG - 1020-7 AB - BACKGROUND: Changes in matrix metalloproteinase (MMP) and tissue inhibitors of MMPs (TIMPs) contribute to left ventricular (LV) remodeling after myocardial infarction (MI). We tested the hypothesis that a specific plasma MMP/TIMP profile would emerge after MI and be associated with the degree of LV dilation. METHODS AND RESULTS: LV end-diastolic volume and MMP/TIMP plasma profiles were determined in 53 age-matched control subjects and 32 post-MI patients from day 1 through 180 after MI. LV end-diastolic volume increased by > 38% at day 90 after MI (P < 0.05). MMP-9 increased by > 150% from control at day 1 after MI (P < 0.05) and remained elevated. MMP-8 rose to > 120% at day 3 after MI (P < 0.05) and fell to control values by day 5. TIMP-1 increased by > 60% from control at day 1 after MI (P < 0.05), whereas TIMP-2 increased only at later time points. Cardiac-specific TIMP-4 fell by 40% at day 5 after MI and remained reduced. A persistent or elevated MMP-9 at day 5 was accompanied by a 3-fold end-diastolic volume increase at day 28 (P < 0.05). CONCLUSIONS: A specific temporal pattern of MMP/TIMPs occurred in post-MI patients that included an early and robust rise in MMP-9 and MMP-8 and a uniform fall in TIMP-4. These findings suggest that a specific MMP/TIMP plasma profile occurs after MI and holds both prognostic and diagnostic significance. FAU - Webb, Carson S AU - Webb CS AD - Division of Cardiology, Department of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA. FAU - Bonnema, David D AU - Bonnema DD FAU - Ahmed, S Hinan AU - Ahmed SH FAU - Leonardi, Amy H AU - Leonardi AH FAU - McClure, Catherine D AU - McClure CD FAU - Clark, Leslie L AU - Clark LL FAU - Stroud, Robert E AU - Stroud RE FAU - Corn, William C AU - Corn WC FAU - Finklea, Laura AU - Finklea L FAU - Zile, Michael R AU - Zile MR FAU - Spinale, Francis G AU - Spinale FG LA - eng GR - MO1-RR-01070-251/RR/NCRR NIH HHS/United States GR - P01-HL-48788/HL/NHLBI NIH HHS/United States GR - R01-HL-59165/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20060821 PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Biomarkers) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 127497-59-0 (Tissue Inhibitor of Metalloproteinase-2) RN - EC 3.4.24.- (Gelatinases) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Biomarkers/blood MH - Electrocardiography MH - Female MH - Gelatinases/blood MH - Humans MH - Male MH - Matrix Metalloproteinases/*blood MH - Middle Aged MH - Myocardial Infarction/blood/drug therapy/*enzymology MH - Reference Values MH - Thrombolytic Therapy MH - Tissue Inhibitor of Metalloproteinase-1/blood MH - Tissue Inhibitor of Metalloproteinase-2/blood MH - Ventricular Remodeling/physiology EDAT- 2006/08/23 09:00 MHDA- 2006/10/25 09:00 CRDT- 2006/08/23 09:00 PHST- 2006/08/23 09:00 [pubmed] PHST- 2006/10/25 09:00 [medline] PHST- 2006/08/23 09:00 [entrez] AID - CIRCULATIONAHA.105.600353 [pii] AID - 10.1161/CIRCULATIONAHA.105.600353 [doi] PST - ppublish SO - Circulation. 2006 Sep 5;114(10):1020-7. doi: 10.1161/CIRCULATIONAHA.105.600353. Epub 2006 Aug 21.